Facilitating Cross-National Comparisons of Indicators for Patient ...

DELSA/ELSA/WD/HTP(2008)1Postoperative Respiratory Failure (PSI 11)Numerator:59. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICDcodes for acute respiratory failure in any secondary diagnosis field.orDischarges with procedure codes for reintubation one or more days after the major operating roomprocedure codeICD-9-CM Respiratory Failure codes518.81 Acute respiratory failure518.84 Acute and chronic respiratory failureICD-10-WHO Respiratory Failure codesJ96.0 Acute respiratory failureICD-9-CM Reintubation Procedure Codes96.04 Insertion of endotracheal tubeDenominator:60. All elective* surgical discharges age 18 and older with a code for an operating room procedure*Elective - Admission type is recorded as electiveExclude cases:• With pre-existing (principal diagnosis or secondary diagnosis present on admission, if known)acute respiratory failure• With ICD-9-CM diagnosis code of neuromuscular disorder• Where a procedure for tracheostomy is the only operating room procedure.• Where a procedure for tracheostomy occurs before the first operating room procedure.Note: If day of procedure is not available in the input data file, the rate may be slightly lower thanif the information was available.• MDC 14 (pregnancy, childbirth, and puerperium) or principal diagnosis in Annex 2 - Code List M-3• MDC 4 (diseases/disorders of respiratory system) or principal diagnosis in Annex 2 - Code List M-5• MDC 5 (diseases/disorders of circulatory system) or principal diagnosis in Annex 2 - Code List M-6See Annex 1 - Code List C-18 for ICD-9-CM diagnosis code of neuromuscular disorderSee Annex 1 - Code List W-18 for ICD-10-WHO diagnosis code of neuromuscular disorderICD-9-CM Tracheostomy procedure codes:3121 Mediastinal tracheostomy3129 Other perm tracheostomy3174 Revision of tracheostomy34