Technical Guidance for Surgical Workload Audit and Research Database: Anti Reflux Surgery V1.0
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1 Technical Guidance for Surgical Workload Audit and Research Database: Anti Reflux Surgery V1.0
2 Contents 1. The Indicators Activity Volume Average Length of Stay (Days) /7/30 day Re-admission Rate (%) Re-operations within 30 days (%) Day case Rates (%) Short Stay Rates (%) Laparoscopic reflux procedures converted to open (%) Recurrent fundoplication (%) Proportion of laparoscopic procedures Interventions and Code Sets Antireflux procedure using abdominal approach - Open Antireflux procedure using abdominal approach - Laparoscopic... 6 Page 2 of 6
3 1. The Indicators 1.1. Activity Volume Count of all elective activity Average Length of Stay (Days) Number of elective bed days (excluding daycase) Number of elective spells (excluding daycase) Average /7/30 day Re-admission Rate (%) Total number of emergency re-admissions within 2/7/30 days of discharge Total number of discharges following an elective admission Re-admission is attributed to the consultant responsible for the patient in the initial admission Re-operations within 30 days (%) Total number of re-operations within 30 days of discharge Total number of discharges following an elective admission Re-operations are attributed to the consultant responsible for the patient in the initial admission. Page 3 of 6
4 3.5. Day case Rates (%) Number of elective procedures carried out as a daycase Total number of elective procedures carried out Daycase is classified as a patient who is coded as having a 0 day length of stay by checking the admission and discharge dates are the same Short Stay Rates (%) Number of elective patients admitted and discharged within 48hrs Total number of elective patients discharged 3.7. Laparoscopic reflux procedures converted to open (%) Number of elective patients undergoing laparoscopic reflux procedure with a Y714 (Failed minimal access approach converted to open) in any secondary procedure field. Total number of elective patients undergoing laparoscopic reflux procedure Page 4 of 6
5 3.8. Recurrent fundoplication (%) Number of elective patients who have undergone a laparoscopic reflux fundoplication procedure with a subsequent G251 (Revision of fundoplication of stomach) in any secondary procedure field. Total number of elective patients undergoing a laparoscopic reflux fundoplication procedure G423 (Antireflux fundoplication using abdominal approach) 3.9. Proportion of laparoscopic procedures Number of elective reflux patients who have undergone a laparoscopic procedure. Total number of elective procedures carried out Page 5 of 6
6 4. Interventions and Code Sets 4.1. Antireflux procedure using abdominal approach - Open Primary OPCS: G24.3: Antireflux fundoplication using abdominal approach Secondary OPCS: N/A Primary ICD-10: K21: Gastro-oesophageal reflux disease 4.2. Antireflux procedure using abdominal approach - Laparoscopic Primary OPCS: G24.3: Antireflux fundoplication using abdominal approach Secondary OPCS: Y75.1: Laparoscopically assisted approach to abdominal cavity Y75.2: Laparoscopic approach to abdominal cavity NEC Primary ICD-10: K21: Gastro-oesophageal reflux disease Page 6 of 6
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