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DSR admissions joint replacement RoI 2015

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Creator:

HIPE

Subject Keywords: Hospital morbidity; Joint; Knee; Hip Refinement: Hospial morbidity
Set: Chronic Conditions
Burden
Conditions
Musculoskeletal condition
Management
Injury (Draft)
Catalogue: Data
Indicator
Type: Data
Region: Administrative County
Carlow County
Cavan County
Clare County
Cork City
Cork County
Donegal County
Dublin City
Dun Laoghaire/Rathdown
Fingal
Galway City
Galway County
Kerry County
Kildare County
Kilkenny County
Laois County
Leitrim County
Limerick City
Limerick County
Local Health Office
Longford County
Louth County
Mayo County
Meath County
Monaghan County
North Tipperary
Offaly County
Roscommon County
Sligo County
South Dublin
South Tipperary
Waterford City
Waterford County
Westmeath County
Wexford County
Wicklow County
Republic of Ireland
Description:

Directly age and gender standardised rate of admissions to hospital for knee or hip replacements per 100,000 European standard population. This indicator is intended to measure met need for knee or hip replacements.

Number of total discharges for joint replacement (knee and hip replacement only) ACHI Procedure Codes:

Knee and Hip Replacement (Procedure codes):
49318-00 Total arthroplasty of hip, unilateral
49319-00 Total arthroplasty of hip, bilateral
49518-00 Total arthroplasty of knee, unilateral
49519-00 Total arthroplasty of knee, bilateral
49534-01 Total replacement arthroplasty of patellofemoral joint of knee
49521-00 Total arthroplasty of knee with bone graft to femur, unilateral
49521-01 Total arthroplasty of knee with bone graft to femur, bilateral
49521-02 Total arthroplasty of knee with bone graft to tibia, unilateral
49521-03 Total arthroplasty of knee with bone graft to tibia, bilateral
49524-00 Total arthroplasty of knee with bone graft to femur and tibia, unilateral
49524-01 Total arthroplasty of knee with bone graft to femur and tibia, bilateral

Numerator: Hospital Inpatient Enquiry (HIPE), 2015

Denominator: Census of Population 2011

Includes primary and secondary diagnoses.

The crude rate was directly age and gender standardised to the European standard population.

Data cells containing 5 or fewer cases in a particular combination of age, sex, and area were not disclosed hence a random value between 1 and 5 was assigned in order to calculate standardised rates.

Excludes admissions to private hospitals.

 

  • Any Diagnosis is composed of the principal diagnosis and additional diagnoses reported. Principal Diagnosis: The diagnosis established after study to be chiefly responsible for occasioning an episode of admitted patient care, an episode of residential care, or an attendance at the health care establishment, as represented by a code. Additional Diagnoses: A condition or complaint either coexisting with the principal diagnosis or arising during the episode of admitted patient care, episode of residential care or attendance at a health care establishment, as represented by a code (Health Data Standards Committee (2006), National Health Data Dictionary, Version 13, AIHW). 

 

  • A procedure is defined as a clinical intervention that is
    • surgical in nature, and/or
    • carries a procedural risk, and/or
    • carries an anaesthetic risk, and/or
    • requires specialised training, and/or
    • requires special facilities or equipment only available in an acute care setting.

 

      The order of codes should be determined using the following hierarchy:

  • procedure performed for treatment of the principal diagnosis
  • procedure performed for treatment of an additional diagnosis
  • diagnostic/exploratory procedure related to the principal diagnosis
  • diagnostic/exploratory procedure related to an additional diagnosis for the episode of care. (NCCH, 2008)

 

  • A day patient is admitted to hospital for treatment on an elective (rather than an emergency) basis and who is discharged alive, as scheduled, on the same day (Department of Health and Children, 2001).  Births are not included.

 

  • An in-patient is admitted to hospital for treatment or investigation on an elective or emergency basis.  An elective admission is and admission or procedure that has been arranged in advance (Department of Health and Children, 2001).  An emergency admission is unforeseen and requires urgent care (Department of Health and Children, 2001).

 

  • County of residence - relates to the county in which the discharge is usually resident. HIPE data not available at administrative county level - in calculating the rates, we ahve assumed that the rate is the same in city and couty areas e.g. Cork City and Cork County

 

 

Please note the following in relation to HIPE:

 

  • The Healthcare Pricing Office (HPO) does not report cells where the number of discharges reported to HIPE is 5 or less.

 

  • The HPO is responsible for managing and reporting data from the Hospital In-Patient Enquiry (HIPE) scheme. HIPE is a health information system designed to collect medical and administrative data regarding discharges from, and deaths in, acute public hospitals. HIPE does not collect Emergency Department or out-patient data. Any longitudinal analysis of HIPE data should take account of the fact that coverage of HIPE data will have changed over the period. Further information on HIPE can be found at www.hpo.ie

 

  • Since 2011 HIPE collects a Principal Diagnosis and up to 29 Secondary (additional) Diagnoses and, if surgery is performed, a Principal Procedure and up to 19 Secondary Procedures.  

 

  • From 2015 all discharges are coded using ICD-10-AM 8th Edition.

 

Date:

09/02/2017

Rights: IPH
Suggested citation:

HIPE. (2017) DSR admissions joint replacement RoI 2015 [Online]. Available from: http://www.thehealthwell.info/node/1065923 [Accessed: 30th March 2017].

  

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