INDICATORS

Relevant
dimensions
(subgroups)
(preferred)
data source(s)
Rationale
Data
availability,
quality,
periodicity
References
Work to do
As a summary, the OECD indicator should be reported for all countries in
which it is available. In addition, the EUROCISS indicators should be reported
for the countries for which they are available, and their availability should be
promoted.
Also the conclusion of the OECD Health Care Quality Indicators Project
with regard to the indicator “AMI and stroke 30-Day Case-Fatality Rate/In-
Hospital Mortality Rate” is “Report in-hospital mortality for all countries for
comparability reasons until the majority of countries is able to calculate the
true 30-day case-fatality rate”.
Country (also region), calendar year, sex.
1) OECD, based on national hospital discharge records and hospital registers.
2), 3) The EUROCISS and Euphoric definitions require a linkage between the
hospital discharge records and the mortality register.
An indicator for the adequacy of AMI and stroke treatment, for AMI especially
in the acute phase. Note however, that early access to hospital both improves
the success of treatment and tends to increase the case fatality because many
of the subjects who will die early will reach the hospital before the death. AMI
and stroke 30-Day Case-Fatality Rate/In-Hospital Mortality Rate are both
included in the OECD set of Health Care Quality Indicators.
– OECD Health Data: reports data for 23–24 countries.
– OECD Health Care Quality Indicators Project report (Health Care Quality
Indicators
Project - Initial Indicators Report) presents data for 17–20 European countries.
– Eurostat, WHO HfA: no data.
– OECD Health Care Quality Indicators project note: the main problems in
cross-country comparisons: Some data are drawn from samples of patient records,
some from all patients. Some countries use unique patient IDs (allows identifying
hospital readmissions) some not. Some countries are able to track patient after
hospital discharge, some are not. Data are available for different years.
– Results from MONICA project indicate that a higher percentage of
women reach hospital alive, but a higher percentage of men survive after
hospitalisation, making the overall 28-day case-fatality very similar between the
sexes.
– EUROCISS project: www.cuore.iss.it/eurociss/
– EUROCISS 2003 report:
www.cuore.iss.it/eurociss/en/project/report2003.asp
– OECD Health Care Quality Indicators project:
www.oecd.org/health/hcqi and
the publication. “Health Care Quality Indicators Project - Initial Indicators
Report” (OECD Health Working Papers no. 22/2006:
www.oecd.org/dataoecd/1/34/36262514.pdf
- European Public Health Outcome Research and Indicators Collection, The
EUPHORIC Project: www.euphoric-project.eu
- Genetic regulation of the end-stage clotting process that leads to thrombotic
stroke, EuroClot: www.euroclot.eu/
46