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Quality results
Klinikum Saarbrücken

G-IQI 5.1 As of: 16.04.2018
Year 2016
Year 2017
`

IQM Quality indicators

The translations of the indicators of the G-IQI 5.1 and CH-IQI 5.1 are partially preliminary, subject to correction.

Manual

Results of previous version

QSR-Results perennial

Quality report

IQM
Target value

Source

Reference values respectively target values derive from the following sources:
  1. Federal Statistical Office, detailed diagnostic data of patients 2015 as calculation basis for the individual expected values of the hospitals.
  2. FDZ of the statistical offices of the Federation and the Länder, DRG-Statistics 2015. Own calculations.
  3. Source 1 and source 2.
  4. Kaiser D (2007) Mindestmengen aus thoraxchirurgischer Sicht. Chirurg, 78(11):1012-1017

IQM
Average value

Number of cases

The IQM quantity information (total) is given as an average value and in brackets as a median.

Hospital Effective value

Number of cases

Hospital
Expected value

The expected value includes the expected mortality of our patients according to age and gender and is only indicated for those indicators with comparative figures of the federal average which allow calculations.

SMR

The SMR (standardized mortality ratio) is the quotient of the mortality observed (average value) and the expected value.
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Diseases of the Heart

Acute Myocardial Infarction (AMI)

Acute Myocardial Infarction, in-hospital mortality, observed

age > 19

< Expected value

1

7,9%

6.200 of 78.195

8,0%

6.159 of 77.330

6,8%

22 of 324

14,0%

49 of 351

8,0%

0,85

7,8%

1,8

age 20 - 44

< Expected value

1

2,8%

71 of 2.539

3,6%

90 of 2.489

9,1%

1 of 11

18,2%

2 of 11

2,5%

2,4%

age 45 - 64

< Expected value

1

4,0%

1.023 of 25.385

4,2%

1.059 of 25.204

2,4%

3 of 125

9,3%

13 of 140

4,2%

4,0%

age 65 - 84

< Expected value

1

8,5%

3.508 of 41.125

8,8%

3.591 of 40.649

6,0%

9 of 151

14,6%

24 of 164

9,0%

9,1%

age > 84

< Expected value

1

17,5%

1.598 of 9.146

15,8%

1.419 of 8.988

24,3%

9 of 37

27,8%

10 of 36

18,4%

18,2%

Share of AMI with left heart catheter

Information

1

79,0%

61.766 of 78.195

79,2%

61.213 of 77.330

90,4%

293 of 324

94,0%

330 of 351

Principle diagnosis AMI, direct admissions without transfers, in-hospital mortality

age > 19

Observed value

1

9,1%

5.354 of 59.036

9,2%

5.359 of 58.527

7,4%

21 of 284

15,5%

48 of 309

Principle diagnosis AMI, transfers from other hospitals, in-hospital mortality

age > 19

Observed value

1

8,0%

846 of 10.638

7,7%

800 of 10.369

6,7%

1 of 15

11,1%

1 of 9

Share of AMI coded as unspecified (I21.9)

Observed value

1

1,1%

853 of 78.039

1,1%

826 of 77.208

0,00%

0 of 324

2,0%

7 of 351

Share of AMI, transmural (STEMI)

Information

1

33,8%

26.395 of 78.195

33,2%

25.683 of 77.330

31,5%

102 of 324

34,5%

121 of 351

AMI, transmural, in-hospital mortality

< Expected value

1

11,3%

2.992 of 26.395

11,7%

3.000 of 25.683

12,7%

13 of 102

19,0%

23 of 121

10,9%

1,17

10,0%

1,89

AMI nontransmural / NSTEMI, in-hospital mortality

Observed value

1

5,6%

2.828 of 50.791

5,5%

2.800 of 50.699

4,1%

9 of 222

8,5%

19 of 223

Secundary diagnosis AMI, in-hospital mortality

age > 19

Observed value

1

19,4%

4.994 of 25.701

19,5%

4.963 of 25.507

19,2%

14 of 73

24,7%

19 of 77

Heart Failure

Principle diagnosis heart failure, in-hospital mortality, observed

age > 19

< Expected value

1

7,1%

10.370 of 146.189

7,2%

10.732 of 148.398

7,4%

33 of 446

9,4%

42 of 445

8,8%

0,84

8,9%

1,06

age 20 - 44

< Expected value

1

2,2%

33 of 1.483

1,4%

21 of 1.492

0,00%

0 of 8

0,00%

0 of 5

2,6%

2,0%

age 45 - 64

< Expected value

1

3,1%

519 of 16.908

3,1%

513 of 16.556

5,6%

3 of 54

7,0%

4 of 57

3,4%

3,3%

age 65 - 84

< Expected value

1

5,8%

5.047 of 87.132

5,9%

5.204 of 87.909

6,4%

16 of 251

8,9%

22 of 248

7,4%

7,5%

age > 84

< Expected value

1

11,7%

4.771 of 40.666

11,8%

4.994 of 42.441

10,5%

14 of 133

11,9%

16 of 135

14,0%

14,0%

Left-sided heart failure, share coded as NYHA IV

Information

1

49,7%

48.740 of 98.107

48,9%

48.718 of 99.678

87,9%

255 of 290

85,0%

221 of 260

Cases with left heart catheterization

Cases with coronary catheterization

age > 19

Quantity information

2

926,1 (619)

286.175

937,4 (694)

284.043

1340

1423

Coronary catheterization for infarction, without open heart procedure, in-hospital mortality observed (referred to patients with AMI and left heart catheterization)

age > 19

< Expected value

1

5,8%

3.484 of 60.009

6,0%

3.575 of 59.561

4,4%

13 of 293

10,6%

35 of 329

5,7%

0,78

5,7%

1,87

Diagnostic coronary catheterization without PDX of AMI, without open heart procedure, in-hospital mortality

age > 19

< 1,14%

1

1,3%

1.735 of 137.037

1,4%

1.862 of 135.072

1,6%

12 of 736

1,9%

14 of 725

thereof diagnostic coronary catheterization without PDX of AMI, without open heart procedure, without procedure OPS 5-***, in-hospital mortality

age > 19

Observed value

1

0,99%

1.229 of 124.558

1,1%

1.318 of 123.208

1,5%

10 of 685

1,8%

12 of 668

Therapeutic coronary catheterization without PDX of AMI, without open heart procedure, in-hospital mortality

age > 19

Observed value

1

1,6%

1.225 of 75.314

1,7%

1.247 of 75.434

0,66%

2 of 302

3,1%

11 of 360

thereof therapeutic coronary catheterization without PDX of AMI, without open heart procedure, without procedure OPS 5-***, in-hospital mortality

age > 19

Observed value

1

1,2%

843 of 70.545

1,2%

842 of 70.865

0,36%

1 of 279

2,4%

8 of 334

Share of therapeutic coronary catheterization without PDX of AMI, without open heart procedure

age > 19

Information

1

35,5%

75.314 of 212.351

35,8%

75.434 of 210.506

29,1%

302 of 1.038

33,2%

360 of 1.085

Cardiac arrhythmia

Patients with cardiac arrhythmia as principal diagnosis

Quantity information

2

434,2 (257)

152.397

447,8 (274)

155.377

448

497

Implantation of pacemaker/defibrillator

Quantity information

2

162 (95)

50.550

160,5 (98)

48.789

182

158

thereof implantation or exchange of defibrillator

Quantity information

2

74,2 (53)

16.393

68,8 (48)

14.999

53

48

Heart surgery

Patients with heart surgery

Quantity information

2

280,1 (4)

48.178

281,9 (6)

48.481

1

3

thereof patients with other cardiac surgery

Quantity information

2

58,2 (4)

9.544

57 (4)

9.345

1

3

among these: heart surgery in children and adolescents

age < 20

Quantity information

2

31,9 (2)

1.627

1

Diseases of the Nervous System, Stroke

Malignant neoplasms of the brain or cerebral membrane

Malignant neoplasm of the brain or cerebral membrane (PDX)

Quantity information

2

42,1 (6)

11.452

42,4 (7)

11.150

41

52

Brain surgery for malignant neoplasm, in-hospital mortality

Observed value

1

2,8%

105 of 3.685

2,8%

107 of 3.780

4,8%

1 of 21

0,00%

0 of 21

Stroke, all types by age groups

Stroke (PDX), all types, in-hospital mortality observed

age > 19

< Expected value

1

9,3%

9.843 of 106.059

9,5%

10.105 of 106.545

9,9%

76 of 767

17,1%

140 of 818

8,1%

1,22

8,2%

2,08

age 20 - 44

< Expected value

1

4,4%

157 of 3.581

4,0%

142 of 3.555

4,2%

1 of 24

9,1%

2 of 22

3,4%

3,2%

age 45 - 64

< Expected value

1

4,8%

1.126 of 23.398

4,8%

1.157 of 23.974

8,3%

16 of 193

13,6%

32 of 235

4,0%

4,0%

age 65 - 84

< Expected value

1

8,7%

5.152 of 59.423

9,1%

5.421 of 59.654

9,9%

42 of 423

17,3%

73 of 422

7,9%

8,2%

age > 84

< Expected value

1

17,3%

3.408 of 19.657

17,5%

3.385 of 19.362

13,4%

17 of 127

23,7%

33 of 139

16,1%

16,4%

Stroke, by type of stroke

Cerebral infarction (ICD I63), in-hospital mortality, observed

age > 19

< Expected value

1

6,6%

5.810 of 88.586

6,7%

6.008 of 89.178

5,2%

32 of 620

11,3%

75 of 665

6,0%

0,87

6,2%

1,81

Share of cerebral infarction with systemic thrombolysis

Information

1

14,8%

13.068 of 88.586

15,7%

13.961 of 89.178

10,2%

63 of 620

9,5%

63 of 665

Cerebral infarction with systemic thrombolysis, in-hospital mortality

Observed value

1

7,9%

1.032 of 13.068

7,5%

1.048 of 13.961

1,6%

1 of 63

9,5%

6 of 63

Share of cerebral infarction with thrombectomy

Information

1

5,9%

5.239 of 88.586

6,9%

6.129 of 89.178

12,3%

76 of 620

18,6%

124 of 665

Cerebral infarction with thrombectomy, in-hospital mortality

Observed value

1

17,1%

898 of 5.239

18,6%

1.140 of 6.129

18,4%

14 of 76

22,6%

28 of 124

Cerebral infarction (ICD I63), percentage with pneumonia

age > 19

Observed value

1

9,8%

8.666 of 88.586

10,2%

9.089 of 89.178

11,8%

73 of 620

15,6%

104 of 665

Cerebral infarction (ICD I63) with pneumonia, in-hospital mortality

age > 19

Observed value

1

24,5%

2.121 of 8.666

25,9%

2.351 of 9.089

12,3%

9 of 73

28,8%

30 of 104

Cerebral infarction without transfer from other hospital

age > 19

Observed value

1

6,4%

5.222 of 82.206

6,4%

5.299 of 82.402

5,5%

32 of 586

10,8%

67 of 623

Cerebral infarction, transfer from other hospital

age > 19

Observed value

1

9,2%

588 of 6.380

10,5%

709 of 6.776

0,00%

0 of 34

19,0%

8 of 42

Haemorrhage

Intracerebral haemorrhage (ICD I61), in-hospital mortality

age > 19

Observed value

1

25,8%

3.291 of 12.757

26,6%

3.356 of 12.596

30,6%

33 of 108

47,6%

49 of 103

Subarachnoid haemorrhage (ICD I60), in-hospital mortality

age > 19

Observed value

1

16,5%

688 of 4.175

15,8%

683 of 4.335

28,2%

11 of 39

32,0%

16 of 50

Share of unspecified stroke (ICD I64)

age > 19

< 1,5%

1

0,51%

541 of 106.059

0,41%

436 of 106.545

0,00%

0 of 767

0,00%

0 of 818

Transient cerebral ischaemic attacks

Transient cerebral ischaemic attack, in-hospital mortality

Observed value

1

0,25%

93 of 36.578

0,31%

111 of 36.175

0,83%

2 of 240

0,44%

1 of 226

Transient cerebral ischaemic attack, share of patients with specialized stroke unit therapy

Information

1

63,4%

23.186 of 36.578

65,6%

23.737 of 36.175

85,0%

204 of 240

80,5%

182 of 226

Epilepsy

Inpatient treatment for epilepsy (PDX)

age > 19

Quantity information

2

133,5 (47)

44.849

132,3 (44)

44.723

338

302

Inpatient treatment for epilepsy (PDX)

age < 20

Quantity information

2

53,4 (18)

11.113

52,5 (16)

10.917

57

62

Multiple sclerosis

Inpatient treatment for multiple sclerosis (PDX)

Quantity information

2

48,5 (9)

12.275

48,5 (11)

11.972

25

18

Geriatric medicine

Malnutrition of elderly patients

Malnourished patients, age > 65, without tumor diseases

Information

1

1,1%

24.471 of 2.320.826

1,1%

24.815 of 2.350.888

0,44%

42 of 9.529

0,32%

32 of 9.921

Patients fed by tube/infusion

Information

1

2,4%

580 of 24.471

2,5%

615 of 24.815

0,00%

0 of 42

0,00%

0 of 32

Diseases of the Lung

Pneumonia

Pneumonia (PDX), in-hospital mortality, observed

Observed value

1

9,9%

10.875 of 109.370

10,5%

11.969 of 113.945

7,8%

34 of 438

9,0%

30 of 332

7,4%

8,7%

age < 20

Information

1

0,28%

49 of 17.748

0,21%

33 of 15.648

0,00%

0 of 169

0,94%

1 of 106

0,3%

0,28%

age 20 - 44

Information

1

1,5%

96 of 6.484

1,5%

85 of 5.732

4,2%

1 of 24

15,0%

3 of 20

1,6%

1,6%

age 45 - 64

Information

1

5,5%

899 of 16.384

5,8%

940 of 16.240

4,8%

3 of 62

5,3%

2 of 38

6,3%

6,3%

age 65 - 84

Information

1

12,2%

5.834 of 47.874

11,8%

6.121 of 51.811

14,7%

19 of 129

12,7%

14 of 110

12,9%

12,8%

age > 84

Information

1

19,1%

3.997 of 20.880

19,5%

4.790 of 24.514

20,4%

11 of 54

17,2%

10 of 58

20,8%

20,5%

Pneumonia excluding admission transfers, neoplasms, cystic fibrosis, (CAP), in-hospital mortality, observed, age > 19

< Expected value

1

8,5%

5.433 of 63.974

9,0%

6.190 of 69.028

10,2%

21 of 205

8,7%

15 of 172

9,0%

1,14

9,6%

0,91

age 20 - 44

< Expected value

1

0,74%

41 of 5.539

0,79%

38 of 4.819

0,00%

0 of 19

11,8%

2 of 17

0,74%

0,7%

age 45 - 64

< Expected value

1

2,8%

323 of 11.468

2,9%

322 of 11.266

4,2%

2 of 48

3,2%

1 of 31

3,1%

3,3%

age 65 - 84

< Expected value

1

8,4%

2.690 of 31.957

8,4%

2.941 of 35.088

11,3%

11 of 97

8,9%

7 of 79

9,4%

9,4%

age > 84

< Expected value

1

15,8%

2.379 of 15.010

16,2%

2.889 of 17.855

19,5%

8 of 41

11,1%

5 of 45

18,6%

17,5%

Pneumonia excluding admission transfers, neoplasms, CF, in-hospital mortality, age 1 - 19

Observed value

1

0,24%

32 of 13.555

0,1%

12 of 11.443

0,00%

0 of 122

0,00%

0 of 77

Pneunomia with inhalation of food or stomach contents, in-hospital mortality

Observed value

1

25,7%

2.558 of 9.956

26,6%

2.843 of 10.685

15,6%

5 of 32

34,6%

9 of 26

Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease (COPD without malignancy), in-hospital mortality

age > 19

< Expected value

1

4,0%

2.608 of 65.072

4,0%

2.776 of 69.577

6,2%

12 of 193

7,5%

17 of 227

4,2%

1,48

4,3%

1,73

thereof COPD without malignancy, FEV1 < 35%, in-hospital mortality

Information

1

5,1%

1.091 of 21.579

4,9%

1.161 of 23.703

13,3%

8 of 60

9,0%

7 of 78

thereof COPD without malignancy, FEV1 >= 35% and <50%, in-hospital mortality

Information

1

1,9%

233 of 12.521

1,8%

236 of 13.224

2,2%

1 of 45

2,4%

1 of 42

thereof COPD without malignancy, FEV1 >= 50% and <70%, in-hospital mortality

Information

1

0,99%

90 of 9.094

1,1%

101 of 9.528

0,00%

0 of 22

0,00%

0 of 37

thereof COPD without malignancy, FEV1 >= 70%, in-hospital mortality

Information

1

1,4%

54 of 3.980

1,2%

43 of 3.728

0,00%

0 of 14

6,7%

1 of 15

thereof COPD without malignancy, FEV1 unspecified, in-hospital mortality

Information

1

6,4%

1.140 of 17.898

6,4%

1.235 of 19.394

5,8%

3 of 52

14,5%

8 of 55

Share of COPD without malignancy coded with FEV1 unspecified (target: below 5%)

Information

1

27,5%

17.898 of 65.072

27,9%

19.394 of 69.577

26,9%

52 of 193

24,2%

55 of 227

Malignant neoplasm of bronchus and lung

Inpatient treatment for malignant neoplasm of bronchus and lung (PDX)

Quantity information

2

205,3 (47)

70.822

207,9 (48)

71.935

104

136

Major lung procedures

Major resections of lung or bronchus for all diagnoses, in-hospital mortality

Observed value

1

2,9%

351 of 11.972

3,0%

357 of 12.019

0,00%

0 of 4

0,00%

0 of 11

Partial pneumonectomy for lung cancer, in-hospital mortality

< 2,7%

1

2,5%

125 of 5.049

2,7%

140 of 5.195

0,00%

0 of 2

0,00%

0 of 2

Share of pneumonectomies for lung cancer

< 20%

4

6,2%

331 of 5.380

6,9%

385 of 5.580

0,00%

0 of 2

0,00%

0 of 2

Share of broncho-angioplastic procedures bei Bronchialkarzinom (bei Teilresektionen)

Observed value

1

10,6%

537 of 5.049

11,1%

576 of 5.195

50,0%

1 of 2

0,00%

0 of 2

Diseases of the visceral organs

Cholecystectomy

Cholecystectomy for gallstones (without malignancies), share of laparoscopic removals

> 93,1%

1

92,9%

42.149 of 45.383

93,8%

41.560 of 44.330

88,2%

127 of 144

90,2%

111 of 123

Cholecystectomy for gallstones (without malignancies), rate of conversion to open surgery

Observed value

1

3,6%

1.632 of 45.383

3,4%

1.511 of 44.330

4,2%

6 of 144

4,1%

5 of 123

Cholecystectomy for gallstones (without malignancies), in-hospital mortality

< 0,5%

1

0,5%

229 of 45.383

0,47%

208 of 44.330

0,00%

0 of 144

0,81%

1 of 123

Repair of femoral, inguinal and umbilical hernia

Hernia repair without bowel resection, in-hospital mortality

< 0,12%

1

0,12%

69 of 58.248

0,09%

54 of 58.718

0,00%

0 of 139

0,00%

0 of 126

Hernia repair with bowel resection, in-hospital mortality

Observed value

1

1,7%

132 of 7.601

2,0%

143 of 7.263

12,5%

2 of 16

10,5%

2 of 19

Repair of inguinal hernia, share of operations with alloplastic material

age < 20

Information

1

9,7%

342 of 3.524

12,1%

430 of 3.551

0,00%

0 of 12

4,5%

1 of 22

Repair of inguinal hernia, share of operations with alloplastic material

age > 19

Information

1

96,2%

38.794 of 40.324

97,0%

38.991 of 40.199

94,4%

101 of 107

97,4%

74 of 76

Throidectomy

Thyroidectomies

Quantity information

2

67,6 (30)

20.422

65,4 (29)

19.280

12

3

thereof thyroidectomies for thyroid cancer

Quantity information

2

11 (5)

2.508

1

thereof thyroidectomies for benign diseases

Quantity information

2

57,2 (28)

16.772

55,9 (26)

15.881

10

3

Thyroidectomy, share of patients with mechanical ventilation >24 hours

Information

1

0,82%

158 of 19.280

0,67%

121 of 18.184

0,00%

0 of 11

0,00%

0 of 3

Diseases of the large bowel and rectum

Inpatient treatments for colorectal cancer (PDX)

Quantity information

2

136,1 (87)

46.271

136,3 (90)

46.608

75

101

Inpatient treatments for ulcerative colitis or Crohn's disease (PDX + SDX)

Quantity information

2

112,4 (68)

41.466

114,2 (70)

42.023

136

117

All colorectal resections, in-hospital mortality

Observed value

1

8,2%

3.047 of 37.248

7,8%

2.873 of 36.802

16,8%

16 of 95

11,5%

11 of 96

thereof colon resection for colorectal cancer without complicating diagnosis, in-hospital mortality

< 4,7%

1

4,1%

354 of 8.695

3,5%

316 of 8.913

9,1%

2 of 22

4,3%

1 of 23

thereof colon resection for colorectal cancer with complicating diagnosis, in-hospital mortality

Observed value

1

12,8%

334 of 2.610

11,5%

296 of 2.572

28,6%

2 of 7

20,0%

1 of 5

thereof rectal resection for colorectal cancer, in-hospital mortality

< 3,9%

1

3,1%

150 of 4.876

3,2%

150 of 4.655

0,00%

0 of 7

0,00%

0 of 8

thereof colon resection surgery for diverticulitis without diverticular perforation/abscess, in-hospital mortality

< 1,0%

1

1,2%

28 of 2.282

0,68%

15 of 2.215

0,00%

0 of 7

0,00%

0 of 6

thereof colon resection surgery for diverticulitis with diverticular perforation/abscess, in-hospital mortality

Observed value

1

5,2%

245 of 4.735

4,7%

216 of 4.617

23,5%

4 of 17

6,3%

1 of 16

thereof colorectal resection for colonic ischemia, in-hospital mortality

Information

1

45,5%

1.029 of 2.264

45,4%

999 of 2.199

33,3%

4 of 12

25,0%

1 of 4

thereof colorectal resection for ulcerative colitis or Crohn's disease, in-hospital mortality

Observed value

1

3,2%

63 of 2.000

2,3%

47 of 2.041

0,00%

0 of 3

25,0%

2 of 8

thereof colorectal resection for other diagnoses, in-hospital mortality

Information

2

8,6%

844 of 9.786

8,7%

834 of 9.590

20,0%

4 of 20

19,2%

5 of 26

Colorectal resections for colorectal cancer, share of cases with partial resection/destruction of the liver

Information

1

5,4%

870 of 16.181

5,6%

903 of 16.140

5,6%

2 of 36

11,1%

4 of 36

Diseases of the stomach

Inpatient treatments for gastric cancer (PDX)

Quantity information

2

47,3 (23)

15.481

50 (24)

16.195

20

20

Gastric, duodenal, and jejunal ulcers (PDX, without malignancy), in-hospital mortality

Observed value

1

4,0%

757 of 18.804

4,6%

871 of 18.937

6,9%

5 of 72

8,8%

6 of 68

Gastric resections, all

Quantity information

2

22 (13)

5.858

22,2 (11)

6.162

40

56

Gastric resection without esophageal resection for gastric cancer, in-hospital mortality

Observed value

1

6,0%

137 of 2.275

5,7%

129 of 2.245

0,00%

0 of 5

0,00%

0 of 4

Gastric resection combined with esophageal resection, in-hospital mortality

Observed value

1

9,2%

39 of 426

13,0%

57 of 437

0,00%

0 of 2

66,7%

2 of 3

Partial and total gastric resection for other diagnoses, in-hospital mortality

Observed value

1

7,9%

248 of 3.157

6,1%

214 of 3.480

9,1%

3 of 33

2,0%

1 of 49

Bariatric interventions

Bariatric interventions, in-hospital mortality

Observed value

1

0,2%

7 of 3.419

0,33%

14 of 4.262

0,00%

0 of 37

3,6%

2 of 55

Major esophageal surgery

Major esophageal surgery, in-hospital mortality

Observed value

1

7,7%

123 of 1.598

10,5%

182 of 1.736

0,00%

0 of 3

66,7%

4 of 6

Major pancreatic surgery

Pancreatic resections total (without transplantation), in-hospital mortality

age > 19

Observed value

1

8,7%

462 of 5.325

8,0%

436 of 5.475

31,8%

7 of 22

14,3%

1 of 7

Pancreatic resections for malign neoplasms of the pancreas, in-hospital mortality

Observed value

1

7,4%

206 of 2.796

6,6%

197 of 2.966

16,7%

2 of 12

0,00%

0 of 3

Vascular surgery

Surgery of the carotid and brain arteries

Extracranial artery surgery, in-hospital mortality

< 0,84%

1

0,86%

82 of 9.484

1,1%

107 of 9.546

0,00%

0 of 71

0,00%

0 of 66

Percutaneous stenting of extracranial arteries, in-hospital mortality

< 1,24%

1

1,8%

39 of 2.196

1,8%

40 of 2.258

5,6%

1 of 18

0,00%

0 of 20

Extracranial artery surgery combined with cardiac or aortic surgery or neoplasm of the ENT area

Quantity information

2

11,2 (5)

1.302

11,5 (5)

1.381

11

28

Percutaneous intracranial interventions

Quantity information

2

89,8 (42)

10.056

87,3 (31)

11.082

114

174

Aortic surgery

Aortic surgery: all interventions

Quantity information

2

54,3 (29)

9.657

53,5 (29)

9.685

39

42

Abdominal aortic repair

Quantity information

2

31,5 (25)

5.390

30,6 (25)

5.358

32

33

Open abdominal aortic repair for aortic aneurysm, no rupture, in-hospital mortality

< 7,4%

1

6,2%

56 of 907

5,3%

45 of 848

16,7%

1 of 6

6,3%

1 of 16

Endovascular abdominal aortic repair for aortic aneurysm (EVAR), no rupture, in-hospital mortality

< 1,7%

1

1,4%

43 of 3.164

1,0%

32 of 3.153

0,00%

0 of 15

0,00%

0 of 9

Open abdominal aortic repair, no aneurysm, no rupture, in-hospital mortality

Observed value

1

8,1%

43 of 530

10,4%

52 of 500

12,5%

1 of 8

0,00%

0 of 4

Thoracic aortic surgery, no aneurysm, no rupture, in-hospital mortality

Observed value

1

16,1%

52 of 323

50,0%

1 of 2

Aortic aneurysms with rupture or dissection, in-hospital mortality

Information

1

40,0%

805 of 2.014

39,6%

814 of 2.056

54,5%

6 of 11

62,5%

5 of 8

thereof ruptured with surgical intervention, in-hospital mortality

Information

1

30,7%

321 of 1.046

32,6%

360 of 1.103

66,7%

2 of 3

50,0%

2 of 4

Lower extremity aterial surgery

Lower extremity aterial surgery, all, in-hospital mortality

Observed value

1

6,0%

1.695 of 28.290

6,3%

1.741 of 27.851

9,5%

13 of 137

11,5%

15 of 131

thereof lower extremity bypass surgery for claudication (Fontaine I + II), in-hospital mortality

< 0,45%

1

0,29%

18 of 6.108

0,39%

24 of 6.152

0,00%

0 of 19

0,00%

0 of 11

thereof lower extremity bypass surgery for rest pain (Fontaine III), in-hospital mortality

< 2,2%

1

1,8%

34 of 1.899

0,92%

17 of 1.838

10,5%

2 of 19

0,00%

0 of 14

thereof lower extremity bypass surgery for necrosis or gangrene (Fontaine IV), in-hospital mortality

< 4,8%

1

4,3%

142 of 3.267

4,5%

145 of 3.225

5,6%

1 of 18

9,1%

1 of 11

thereof lower extremity bypass surgery for arterial embolism or thrombosis, in-hospital mortality

Observed value

1

10,2%

696 of 6.839

10,6%

696 of 6.576

20,0%

4 of 20

15,2%

5 of 33

thereof lower extremity bypass surgery for complications caused by implants, in-hospital mortality

Observed value

1

4,0%

150 of 3.733

4,6%

163 of 3.539

7,4%

2 of 27

17,4%

4 of 23

thereof lower extremity bypass surgery for aneurysm / dissection, in-hospital mortality

Observed value

1

2,6%

36 of 1.410

2,8%

43 of 1.560

10,0%

1 of 10

9,1%

1 of 11

thereof lower extremity bypass surgery combined with aortic surgery (see aortic surgery)

Quantity information

2

9,5 (7)

1.411

9,5 (7)

1.404

8

9

thereof lower extremity bypass surgery for other diagnoses

Quantity information

2

17,3 (13)

3.623

16,5 (13)

3.557

16

19

Percutaneous Transluminal Angioplasty (PTA, inpatient)

Percutaneous transluminal angioplasty of abdominal and/or lower limb arteries (without aortic intervention)

Quantity information

2

190 (113)

50.351

203 (144)

54.805

261

290

thereof PTA of lower extremity arteries for claudication

Quantity information

2

90,3 (60)

19.864

93,1 (68)

20.570

88

96

thereof PTA of lower extremity arteries for rest pain

Quantity information

2

15 (12)

3.026

16,6 (11)

3.445

20

29

thereof PTA of lower extremity arteries for necrosis or gangrene

Quantity information

2

44,9 (28)

10.420

46 (30)

11.120

38

51

thereof PTA of lower extremity arteries for other diagnoses or combined with aortic surgery

Quantity information

2

68,4 (40)

17.041

78,1 (53)

19.670

115

114

thereof PTA of lower extremity arteries with lower extremity bypass surgery during the same stay

Quantity information

2

22,6 (18)

4.386

41,8 (29)

8.618

43

24

Arterioveneous shunting

Surgical creation of arterioveneous fistula

Quantity information

2

38,1 (23)

7.016

35,8 (20)

6.878

22

18

Obstetrics and Gynecology

Deliveries

Deliveries with inpatient mortality

< 0,005%

1

0,0045%

11 of 243.959

0,0045%

11 of 246.660

0,0000%

0 of 968

0,0934%

1 of 1.071

Vaginal delivery with third- or fourth-degree tears

< 2,0%

1

1,8%

3.021 of 167.113

1,9%

3.129 of 168.789

2,1%

13 of 608

1,2%

8 of 666

Vaginal delivery with episiotomy

Information

1

16,3%

27.264 of 167.113

15,0%

25.339 of 168.789

26,8%

163 of 608

28,2%

188 of 666

Cesarean section rate

Information

1

31,5%

76.846 of 243.959

31,6%

77.871 of 246.660

37,2%

360 of 968

37,8%

405 of 1.071

Cesarean section with Misgav-Ladach technique (% of all sections)

Information

1

75,6%

58.121 of 76.846

75,1%

58.486 of 77.871

59,7%

215 of 360

61,5%

249 of 405

Cesarean section with low risk delivery

Information

1

25,4%

53.154 of 209.031

25,4%

53.776 of 211.358

28,2%

217 of 769

28,0%

229 of 818

thereof Cesarean section with low risk delivery

age < 35

Information

1

23,7%

38.268 of 161.165

23,8%

38.483 of 161.508

28,9%

169 of 584

26,2%

166 of 633

thereof Cesarean section with low risk delivery

age > 34

Information

1

31,1%

14.886 of 47.866

30,7%

15.293 of 49.850

25,9%

48 of 185

34,1%

63 of 185

Newborns

Neonates below 1250 g

Quantity information

2

28,9 (23)

2.975

29,4 (22)

2.945

35

37

thereof neonates below 1250 g, transfer from other hospital

Quantity information

2

5,6 (2)

268

2

thereof neonates below 500 g

Quantity information

2

3,8 (3)

271

4,4 (3)

287

5

4

thereof neonates >=500 g and <750 g

Quantity information

2

9,6 (8)

747

8,5 (7)

682

6

9

thereof neonates >=750 g and <1000 g

Quantity information

2

11,9 (9)

939

11,1 (8)

929

11

15

thereof neonates >=1000 g and <1250 g

Quantity information

2

10,9 (9)

1.018

12,3 (11)

1.047

13

9

Neonates >=1250 g and <1500 g

Quantity information

2

14,2 (11)

1.507

14,6 (12)

1.566

20

20

Neonates >=1500 g and <2500 g

Quantity information

2

90,4 (42)

18.618

90,2 (42)

18.225

125

120

Neonates > 2500 g (or no mention of weight)

Quantity information

2

1124,2 (901)

240.585

1162,3 (939)

244.077

975

1091

Hysterectomy for benign diseases

Hysterectomy for benign diseases, in-hospital mortality

age > 14

< 0,04%

1

0,07%

17 of 22.703

0,04%

8 of 21.502

0,00%

0 of 18

0,00%

0 of 2

Share of vaginal/laparoscopic hysterectomy without plastic surgeries

> 85,8%

1

85,6%

19.234 of 22.472

86,5%

18.413 of 21.294

55,6%

10 of 18

50,0%

1 of 2

Share of vaginal hysterectomy without plastic surgeries

Information

1

45,2%

10.150 of 22.472

42,3%

9.007 of 21.294

55,6%

10 of 18

50,0%

1 of 2

thereof vaginal hysterectomy with morcellation of the uterus

Information

1

6,9%

696 of 10.150

6,6%

597 of 9.007

0,00%

0 of 10

0,00%

0 of 1

Share of laparoscopic hysterectomy without plastic surgeries

Information

1

40,4%

9.084 of 22.472

44,2%

9.406 of 21.294

0,00%

0 of 18

0,00%

0 of 2

Share of hysterectomy for benign diseases combined with oophorectomy excl. endometriosis

age < 50

Information

1

8,5%

725 of 8.500

7,3%

572 of 7.819

18,2%

2 of 11

0,00%

0 of 1

Share of hysterectomy for benign diseases combined with oophorectomy excl. endometriosis

age > 49

Information

1

30,8%

2.801 of 9.102

30,7%

2.672 of 8.699

20,0%

1 of 5

0,00%

0 of 1

Breast cancer and female genital cancer

Breast cancer and female genital cancer (PDX)

Quantity information

2

208,3 (83)

70.200

207,5 (80)

70.759

37

22

Inpatient cases for cancer of the ovaries (PDX)

Quantity information

2

32,1 (15)

9.572

33,6 (17)

9.619

3

2

Cancer of the ovaries with oophorectomy, in-hospital mortality

Observed value

1

2,7%

73 of 2.728

0,00%

0 of 1

Inpatient cases for cancer of the uterus (PDX)

Quantity information

2

51,6 (31)

14.593

49,8 (26)

14.680

10

4

Cancer of the uterus with hysterectomy, in-hospital mortality

Observed value

1

0,69%

36 of 5.220

0,71%

36 of 5.069

0,00%

0 of 3

0,00%

0 of 1

Inpatient cases for breast cancer (PDX)

Quantity information

2

129,4 (46)

42.305

133,7 (47)

42.640

22

16

Breast surgery, all (lumpectomy, partial mastectomy and breast augmentation)

Quantity information

2

129,2 (64)

36.433

131,1 (64)

36.179

9

2

Lumpectomy, partial mastectomy for cancer

Quantity information

2

114,4 (80)

25.514

116,3 (83)

25.707

6

2

Share of breast conserving surgery in breast cancer

Information

1

70,4%

17.972 of 25.514

70,7%

18.168 of 25.707

66,7%

4 of 6

50,0%

1 of 2

Interventions on female pelvic floor

Pelvic surgeries with and without plastic surgeries, total

Quantity information

2

67,7 (53)

18.150

67 (57)

17.888

5

3

thereof for pelvic organ prolapse (POP)

Quantity information

2

51,3 (42)

13.444

52 (47)

13.312

5

3

Diseases of the skeletal system

Cancer of the skeletal system

Cancer of the skeletal system (PDX)

Quantity information

2

47,9 (7)

14.706

49,4 (8)

14.634

18

20

Endoprosthetics

Hip replacement for coxarthrosis and chronic hip arthritis, in-hospital mortality

< 0,16%

1

0,15%

63 of 40.646

0,13%

53 of 41.153

2,4%

2 of 84

1,4%

1 of 71

Hip replacement for hip fracture, in-hospital mortality

Observed value

1

5,8%

843 of 14.568

5,3%

781 of 14.866

4,1%

2 of 49

4,9%

2 of 41

Hip replacement for other diagnoses, in-hospital mortality

Observed value

1

4,8%

252 of 5.230

4,8%

257 of 5.330

12,0%

3 of 25

7,1%

2 of 28

Hip replacement for coxarthrosis and hip arthritis, share of cases with non-surgical complications

Observed value

1

3,2%

1.281 of 40.646

3,1%

1.262 of 41.153

3,6%

3 of 84

4,2%

3 of 71

Hip revision surgery without fracture or infection, in-hospital mortality

< 1,01%

1

0,98%

52 of 5.299

1,2%

65 of 5.212

4,3%

1 of 23

0,00%

0 of 34

thereof hip revision surgery with special prosthesis, in-hospital mortality

Information

1

1,0%

11 of 1.066

1,3%

14 of 1.097

20,0%

1 of 5

0,00%

0 of 3

Hip revision surgery for fracture or infection, in-hospital mortality

Observed value

1

3,7%

95 of 2.538

4,0%

113 of 2.837

7,7%

1 of 13

11,1%

2 of 18

Knee replacement for gonarthrosis and chronic knee arthritis, in-hospital mortality

< 0,09%

1

0,07%

28 of 38.092

0,06%

24 of 38.640

0,00%

0 of 43

0,00%

0 of 48

Knee replacement for other diagnoses, in-hospital mortality

Observed value

1

0,39%

10 of 2.568

0,46%

15 of 3.243

0,00%

0 of 5

0,00%

0 of 9

Knee replacement for gonarthrosis and knee arthritis, share of cases with non-surgical complications

Observed value

1

2,5%

936 of 38.092

2,3%

894 of 38.640

0,00%

0 of 43

0,00%

0 of 48

Revision of knee replacement without fracture or infection, in-hospital mortality

< 0,21%

1

0,39%

15 of 3.873

0,22%

9 of 4.067

0,00%

0 of 6

0,00%

0 of 17

thereof knee revision surgery with special prosthesis, in-hospital mortality

Information

1

0,35%

5 of 1.418

0,13%

2 of 1.483

0,00%

0 of 1

0,00%

0 of 13

Revision of knee replacement for fracture or infection, in-hospital mortality

Observed value

1

1,5%

22 of 1.494

1,7%

26 of 1.541

0,00%

0 of 5

0,00%

0 of 7

Hip or knee replacement for cancer, in-hospital mortality

Observed value

1

7,2%

154 of 2.130

6,7%

149 of 2.220

20,0%

1 of 5

0,00%

0 of 11

Hip or knee replacement combined, in-hospital mortality

Observed value

1

4,8%

5 of 104

0,00%

0 of 1

Hip fracture

Femoral neck fracture, in-hospital mortality

age > 19

< Expected value

1

5,5%

1.274 of 22.968

5,3%

1.237 of 23.538

7,6%

6 of 79

4,5%

3 of 67

5,4%

1,4

5,2%

0,86

age 20 - 59

< Expected value

1

0,82%

16 of 1.951

1,0%

21 of 2.039

10,0%

1 of 10

0,00%

0 of 14

0,71%

0,55%

age 60 - 69

< Expected value

1

1,8%

43 of 2.400

1,8%

45 of 2.482

0,00%

0 of 9

0,00%

0 of 9

1,8%

1,6%

age 70 - 79

< Expected value

1

3,6%

213 of 5.900

3,0%

184 of 6.102

0,00%

0 of 21

0,00%

0 of 15

3,7%