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Quality results
Malteser Krankenhaus St. Hildegardis, Köln

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%

3 of 44

9,5%

6 of 63

11,8%

0,58

11,2%

0,85

age 20 - 44

< Expected value

1

2,8%

71 of 2.539

3,6%

90 of 2.489

0,00%

0 of 1

0,00%

0 of 2

2,4%

2,4%

age 45 - 64

< Expected value

1

4,0%

1.023 of 25.385

4,2%

1.059 of 25.204

0,00%

0 of 6

0,00%

0 of 11

5,1%

5,0%

age 65 - 84

< Expected value

1

8,5%

3.508 of 41.125

8,8%

3.591 of 40.649

8,3%

2 of 24

8,1%

3 of 37

9,8%

9,7%

age > 84

< Expected value

1

17,5%

1.598 of 9.146

15,8%

1.419 of 8.988

7,7%

1 of 13

23,1%

3 of 13

19,2%

21,8%

Share of AMI with left heart catheter

Information

1

79,0%

61.766 of 78.195

79,2%

61.213 of 77.330

68,2%

30 of 44

38,1%

24 of 63

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

9,1%

3 of 33

8,3%

3 of 36

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

0,00%

0 of 2

37,5%

3 of 8

Share of AMI coded as unspecified (I21.9)

Observed value

1

1,1%

853 of 78.039

1,1%

826 of 77.208

9,1%

4 of 44

4,8%

3 of 63

Share of AMI, transmural (STEMI)

Information

1

33,8%

26.395 of 78.195

33,2%

25.683 of 77.330

9,1%

4 of 44

7,9%

5 of 63

AMI, transmural, in-hospital mortality

< Expected value

1

11,3%

2.992 of 26.395

11,7%

3.000 of 25.683

0,00%

0 of 4

20,0%

1 of 5

14,5%

0,00

29,6%

0,67

AMI nontransmural / NSTEMI, in-hospital mortality

Observed value

1

5,6%

2.828 of 50.791

5,5%

2.800 of 50.699

2,8%

1 of 36

7,3%

4 of 55

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

14,0%

6 of 43

8,0%

6 of 75

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

9,2%

21 of 228

8,9%

15 of 169

10,2%

0,91

10,2%

0,87

age 20 - 44

< Expected value

1

2,2%

33 of 1.483

0,00%

0 of 1

2,6%

age 45 - 64

< Expected value

1

3,1%

519 of 16.908

3,1%

513 of 16.556

0,00%

0 of 11

0,00%

0 of 8

3,5%

3,8%

age 65 - 84

< Expected value

1

5,8%

5.047 of 87.132

5,9%

5.204 of 87.909

8,3%

10 of 121

7,4%

7 of 95

7,7%

7,6%

age > 84

< Expected value

1

11,7%

4.771 of 40.666

11,8%

4.994 of 42.441

11,6%

11 of 95

12,1%

8 of 66

14,2%

14,8%

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

83,8%

140 of 167

71,7%

91 of 127

Cases with left heart catheterization

Cases with coronary catheterization

age > 19

Quantity information

2

926,1 (619)

286.175

937,4 (694)

284.043

578

169

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

3,3%

1 of 30

4,2%

1 of 24

7,4%

0,45

6,4%

0,65

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

0,00%

0 of 363

0,00%

0 of 120

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

0,00%

0 of 359

0,00%

0 of 107

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

0,00%

0 of 185

4,0%

1 of 25

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

0,00%

0 of 184

4,5%

1 of 22

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

33,8%

185 of 548

17,2%

25 of 145

Cardiac arrhythmia

Patients with cardiac arrhythmia as principal diagnosis

Quantity information

2

434,2 (257)

152.397

447,8 (274)

155.377

112

82

Implantation of pacemaker/defibrillator

Quantity information

2

162 (95)

50.550

160,5 (98)

48.789

31

31

Heart surgery

Patients with heart surgery

Quantity information

2

280,1 (4)

48.178

281,9 (6)

48.481

2

1

thereof patients with other cardiac surgery

Quantity information

2

58,2 (4)

9.544

57 (4)

9.345

2

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

1

3

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

11,3%

6 of 53

5,3%

3 of 57

13,4%

0,84

12,3%

0,43

age 20 - 44

< Expected value

1

4,4%

157 of 3.581

0,00%

0 of 1

3,7%

age 65 - 84

< Expected value

1

8,7%

5.152 of 59.423

9,1%

5.421 of 59.654

4,0%

1 of 25

5,9%

2 of 34

9,2%

9,2%

age > 84

< Expected value

1

17,3%

3.408 of 19.657

17,5%

3.385 of 19.362

18,5%

5 of 27

4,3%

1 of 23

17,6%

16,9%

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

10,6%

5 of 47

4,2%

2 of 48

10,8%

0,98

9,0%

0,46

Share of cerebral infarction with systemic thrombolysis

Information

1

14,8%

13.068 of 88.586

15,7%

13.961 of 89.178

0,00%

0 of 47

0,00%

0 of 48

Share of cerebral infarction with thrombectomy

Information

1

5,9%

5.239 of 88.586

6,9%

6.129 of 89.178

0,00%

0 of 47

0,00%

0 of 48

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

21,3%

10 of 47

14,6%

7 of 48

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

40,0%

4 of 10

14,3%

1 of 7

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

0,00%

0 of 9

0,00%

0 of 8

Cerebral infarction, transfer from other hospital

age > 19

Observed value

1

9,2%

588 of 6.380

10,5%

709 of 6.776

13,2%

5 of 38

5,0%

2 of 40

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

0,00%

0 of 4

12,5%

1 of 8

Subarachnoid haemorrhage (ICD I60), in-hospital mortality

age > 19

Observed value

1

16,5%

688 of 4.175

15,8%

683 of 4.335

0,00%

0 of 1

0,00%

0 of 1

Share of unspecified stroke (ICD I64)

age > 19

< 1,5%

1

0,51%

541 of 106.059

0,41%

436 of 106.545

1,9%

1 of 53

0,00%

0 of 57

Unspecified stroke (ICD I64), in-hospital mortality

age > 19

Observed value

1

10,0%

54 of 541

100,0%

1 of 1

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

0,00%

0 of 2

0,00%

0 of 1

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

0,00%

0 of 2

0,00%

0 of 1

Epilepsy

Inpatient treatment for epilepsy (PDX)

age > 19

Quantity information

2

133,5 (47)

44.849

132,3 (44)

44.723

11

15

Geriatric medicine

Early geriatric rehabilitation

Patients with early geriatric rehabilitation

Quantity information

2

433,1 (328)

85.762

450,8 (356)

94.659

1181

1128

Early geriatric rehabilitation with coded Barthel-Index

Information

1

95,5%

81.930 of 85.762

96,8%

91.650 of 94.659

99,1%

1.170 of 1.181

99,2%

1.119 of 1.128

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

1,9%

98 of 5.031

1,4%

66 of 4.567

Patients fed by tube/infusion

Information

1

2,4%

580 of 24.471

2,5%

615 of 24.815

2,0%

2 of 98

0,00%

0 of 66

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

14,8%

25 of 169

8,0%

14 of 174

12,2%

12,9%

age 20 - 44

Information

1

1,5%

96 of 6.484

1,5%

85 of 5.732

0,00%

0 of 10

0,00%

0 of 4

1,5%

1,8%

age 45 - 64

Information

1

5,5%

899 of 16.384

5,8%

940 of 16.240

11,5%

3 of 26

2,6%

1 of 38

6,1%

6,4%

age 65 - 84

Information

1

12,2%

5.834 of 47.874

11,8%

6.121 of 51.811

12,5%

13 of 104

7,6%

7 of 92

12,7%

12,6%

age > 84

Information

1

19,1%

3.997 of 20.880

19,5%

4.790 of 24.514

31,0%

9 of 29

15,0%

6 of 40

19,7%

20,9%

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

5,9%

6 of 101

3,1%

3 of 97

8,4%

0,7

8,9%

0,35

age 20 - 44

< Expected value

1

0,74%

41 of 5.539

0,79%

38 of 4.819

0,00%

0 of 10

0,00%

0 of 3

0,72%

0,93%

age 45 - 64

< Expected value

1

2,8%

323 of 11.468

2,9%

322 of 11.266

0,00%

0 of 17

0,00%

0 of 26

3,0%

3,3%

age 65 - 84

< Expected value

1

8,4%

2.690 of 31.957

8,4%

2.941 of 35.088

5,1%

3 of 59

4,3%

2 of 47

9,1%

8,5%

age > 84

< Expected value

1

15,8%

2.379 of 15.010

16,2%

2.889 of 17.855

20,0%

3 of 15

4,8%

1 of 21

16,9%

17,8%

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

50,0%

3 of 6

26,7%

4 of 15

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

1,5%

5 of 327

2,4%

12 of 492

3,8%

0,4

3,6%

0,67

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

1,2%

2 of 166

2,6%

9 of 342

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

1,7%

1 of 59

2,6%

2 of 76

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 40

0,00%

0 of 38

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 17

0,00%

0 of 13

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

4,4%

2 of 45

4,3%

1 of 23

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

13,8%

45 of 327

4,7%

23 of 492

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

377

255

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

1,2%

1 of 86

1,3%

1 of 75

Pneumonectomy for lung cancer, in-hospital mortality

Observed value

1

13,3%

44 of 331

9,6%

37 of 385

0,00%

0 of 3

0,00%

0 of 4

Partial pneumonectomy for lung cancer, in-hospital mortality

< 2,7%

1

2,5%

125 of 5.049

2,7%

140 of 5.195

2,2%

1 of 46

0,00%

0 of 41

Share of pneumonectomies for lung cancer

< 20%

4

6,2%

331 of 5.380

6,9%

385 of 5.580

6,1%

3 of 49

8,9%

4 of 45

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

Observed value

1

10,6%

537 of 5.049

11,1%

576 of 5.195

10,9%

5 of 46

12,2%

5 of 41

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

94,8%

55 of 58

90,9%

40 of 44

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

1,7%

1 of 58

6,8%

3 of 44

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 58

0,00%

0 of 44

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 77

0,00%

0 of 97

Hernia repair with bowel resection, in-hospital mortality

Observed value

1

1,7%

132 of 7.601

2,0%

143 of 7.263

0,00%

0 of 14

0,00%

0 of 11

Repair of inguinal hernia, share of operations with alloplastic material

age < 20

Information

1

12,1%

430 of 3.551

100,0%

1 of 1

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

93,0%

53 of 57

97,3%

71 of 73

Throidectomy

Thyroidectomies

Quantity information

2

67,6 (30)

20.422

65,4 (29)

19.280

20

39

thereof thyroidectomies for thyroid cancer

Quantity information

2

11 (5)

2.508

10,7 (5)

2.303

2

4

thereof thyroidectomies for benign diseases

Quantity information

2

57,2 (28)

16.772

55,9 (26)

15.881

18

35

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 20

2,6%

1 of 39

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

32

30

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

Quantity information

2

112,4 (68)

41.466

114,2 (70)

42.023

42

41

All colorectal resections, in-hospital mortality

Observed value

1

8,2%

3.047 of 37.248

7,8%

2.873 of 36.802

14,3%

4 of 28

8,3%

2 of 24

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

22,2%

2 of 9

0,00%

0 of 3

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

0,00%

0 of 1

100,0%

1 of 1

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 2

0,00%

0 of 4

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

< 1,0%

1

0,68%

15 of 2.215

0,00%

0 of 2

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

9,1%

1 of 11

0,00%

0 of 4

thereof colorectal resection for colonic ischemia, in-hospital mortality

Information

1

45,5%

1.029 of 2.264

0,00%

0 of 1

thereof colorectal resection for other diagnoses, in-hospital mortality

Information

2

8,6%

844 of 9.786

8,7%

834 of 9.590

25,0%

1 of 4

10,0%

1 of 10

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

8,3%

1 of 12

12,5%

1 of 8

Diseases of the stomach

Inpatient treatments for gastric cancer (PDX)

Quantity information

2

47,3 (23)

15.481

50 (24)

16.195

8

5

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

0,00%

0 of 21

0,00%

0 of 8

Gastric resections, all

Quantity information

2

22 (13)

5.858

22,2 (11)

6.162

1

1

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 1

0,00%

0 of 1

Vascular surgery

Aortic surgery

Aortic surgery: all interventions

Quantity information

2

53,5 (29)

9.685

1

Abdominal aortic repair

Quantity information

2

30,6 (25)

5.358

1

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

Observed value

1

10,4%

52 of 500

100,0%

1 of 1

Aortic aneurysms with rupture or dissection, in-hospital mortality

Information

1

39,6%

814 of 2.056

0,00%

0 of 1

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

0,00%

0 of 20

16,7%

2 of 12

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 2

0,00%

0 of 3

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

< 2,2%

1

1,8%

34 of 1.899

0,00%

0 of 3

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

0,00%

0 of 4

0,00%

0 of 5

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

0,00%

0 of 6

100,0%

1 of 1

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

Observed value

1

4,0%

150 of 3.733

0,00%

0 of 3

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

0,00%

0 of 1

0,00%

0 of 1

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

Quantity information

2

9,5 (7)

1.404

1

thereof lower extremity bypass surgery for other diagnoses

Quantity information

2

17,3 (13)

3.623

16,5 (13)

3.557

1

1

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

67

19

thereof PTA of lower extremity arteries for claudication

Quantity information

2

90,3 (60)

19.864

93,1 (68)

20.570

35

11

thereof PTA of lower extremity arteries for rest pain

Quantity information

2

15 (12)

3.026

10

thereof PTA of lower extremity arteries for necrosis or gangrene

Quantity information

2

44,9 (28)

10.420

46 (30)

11.120

8

3

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

14

5

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

5

2

Arterioveneous shunting

Surgical creation of arterioveneous fistula

Quantity information

2

38,1 (23)

7.016

35,8 (20)

6.878

55

74

Obstetrics and Gynecology

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

6

7

Inpatient cases for cancer of the ovaries (PDX)

Quantity information

2

32,1 (15)

9.572

2

Inpatient cases for cancer of the uterus (PDX)

Quantity information

2

51,6 (31)

14.593

49,8 (26)

14.680

1

5

Cancer of the uterus with hysterectomy, in-hospital mortality

Observed value

1

0,69%

36 of 5.220

0,00%

0 of 1

Inpatient cases for breast cancer (PDX)

Quantity information

2

129,4 (46)

42.305

133,7 (47)

42.640

2

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

14

9

thereof for pelvic organ prolapse (POP)

Quantity information

2

51,3 (42)

13.444

52 (47)

13.312

9

3

thereof for incontinence (without pelvic organ prolapse)

Quantity information

2

15,1 (10)

3.617

14,8 (10)

3.445

4

5

thereof for other diagnosis

Quantity information

2

6,8 (3)

1.089

6,9 (3)

1.131

1

1

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

7

4

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

0,00%

0 of 51

0,00%

0 of 59

Hip replacement for hip fracture, in-hospital mortality

Observed value

1

5,8%

843 of 14.568

5,3%

781 of 14.866

11,1%

2 of 18

4,3%

1 of 23

Hip replacement for other diagnoses, in-hospital mortality

Observed value

1

4,8%

252 of 5.230

4,8%

257 of 5.330

25,0%

1 of 4

0,00%

0 of 3

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

5,9%

3 of 51

6,8%

4 of 59

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

0,00%

0 of 2

0,00%

0 of 2

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

0,00%

0 of 2

50,0%

1 of 2

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 8

0,00%

0 of 50

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 1

0,00%

0 of 4

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 8

0,00%

0 of 50

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

< 0,21%

1

0,22%

9 of 4.067

0,00%

0 of 3

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

Observed value

1

1,7%

26 of 1.541

100,0%

1 of 1

Hip or knee replacement for cancer, in-hospital mortality

Observed value

1

7,2%

154 of 2.130

6,7%

149 of 2.220

0,00%

0 of 2

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

6,5%

6 of 93

1,3%

1 of 79

6,5%

0,99

6,2%

0,2

age 20 - 59

< Expected value

1

0,82%

16 of 1.951

0,00%

0 of 1

0,52%

age 60 - 69

< Expected value

1

1,8%

43 of 2.400

1,8%

45 of 2.482

0,00%

0 of 1

0,00%

0 of 4

2,1%

1,7%

age 70 - 79

< Expected value

1

3,6%

213 of 5.900

3,0%

184 of 6.102

13,3%

2 of 15

0,00%

0 of 20

3,1%

3,4%

age 80 - 84

< Expected value

1

5,0%

227 of 4.518

4,7%

224 of 4.777

8,0%

2 of 25

4,8%

1 of 21

4,8%

5,0%

age 85 - 89

< Expected value

1

8,1%

371 of 4.595

7,7%

344 of 4.492

6,3%

2 of 32

0,00%

0 of 26

7,5%

8,0%

age > 89

< Expected value

1

11,2%

404 of 3.604

11,5%

419 of 3.646

0,00%

0 of 19

0,00%

0 of 8

10,3%

12,8%

Intertrochanteric hip fracture, in-hospital mortality

age > 19

< Expected value

1

5,0%

1.076 of 21.425

5,1%

1.139 of 22.161

6,0%

4 of 67

3,9%

3 of 77

6,1%

0,97

6,0%

0,65

Spinal surgery

Surgery of the spine and medulla except local interventions for pain management

Quantity information

2

318,3 (171)

104.092

328,5 (181)

104.469

29

22

Share of surgeries of the spine, surgeries of the medulla/spinal canal

Quantity information

2

87,2 (32)

22.312

89,3 (34)

23.044

1

3

Spinal fusion or vertebral body replacement for cancer, in-hospital mortality

Observed value

1

7,4%

245 of 3.300

7,4%

235 of 3.177

0,00%

0 of 2

16,7%

1 of 6

Spinal fusion or vertebral body replacement for trauma, in-hospital mortality

Observed value

1

3,3%

423 of 12.853

3,6%

484 of 13.567

0,00%

0 of 3

0,00%

0 of 2

Surgery of the spine in case of discitisor or osteomyelitis, in-hospital mortality

Observed value

1

7,1%

159 of 2.233

7,0%

158 of 2.266

0,00%

0 of 2

0,00%

0 of 1

Spinal fusion or vertebral body replacement, 3 or more levels (without cancer, trauma, complex reconstr.), in-hospital mortality

Observed value

1

0,67%

23 of 3.413

0,00%

0 of 1

Vertebroplasty or kyphoplasty (without cancer, complex reconstr., discectomy, vertebral body replacement), in-hospital mortality

Observed value

1

0,58%

46 of 7.912

0,35%

26 of 7.484

0,00%

0 of 14

12,5%

1 of 8

Other surgeries of the spine or medulla, in-hospital mortality

Observed value

1

1,8%

350 of 19.132

1,5%

306 of 19.874

0,00%

0 of 7

0,00%

0 of 5

Local spinal interventions for pain management (without other spinal surgery)

Quantity information

2

117,7 (45)

36.726

110,3 (37)

34.850

136

80

Treatment of spinal diseases (PDX) without spinal surgery or local interventions

Quantity information

2

210 (177)

76.443

196,4 (167)

71.694

82

108

Polytrauma

Polytrauma (according to DRG-definition)

Quantity information

2

26,3 (10)

8.061

26,4 (9)

8.290

3

5

Diseases of the urinary tract and the male reproductive system

Nephrectomy

Radical nephrectomy, in-hospital mortality

< 2,1%

1

1,8%

75 of 4.149

1,6%

64 of 4.083

0,00%

0 of 12

0,00%

0 of 11

Radical nephrectomy, share of laparoscopic procedures

Information

1

32,8%

1.359 of 4.149

33,5%

1.367 of 4.083

0,00%

0 of 12

9,1%

1 of 11

Partial nephrectomy, in-hospital mortality

< 0,49%

1

0,62%

20 of 3.206

0,46%

15 of 3.239

0,00%

0 of 8

0,00%

0 of 7

Partial nephrectomy, share of laparoscopic procedures

Information

1

28,1%

902 of 3.206

32,7%

1.058 of 3.239

0,00%

0 of 8

0,00%

0 of 7

Share of partial nephrectomies in cancer procedures

Information

1

43,6%

3.206 of 7.355

44,2%

3.239 of 7.322

40,0%

8 of 20

38,9%

7 of 18

Radical nephrectomy for other diagnosis, in-hospital mortality

Observed value

1

4,3%

97 of 2.239

4,1%

89 of 2.183

0,00%

0 of 6

0,00%

0 of 4

Partial nephrectomy for other diagnosis, in-hospital mortality

Observed value

1

0,31%

3 of 981

0,41%

4 of 964

0,00%

0 of 4

0,00%

0 of 6

Bladder surgery

Inpatient cases for bladder cancer (PDX)

Quantity information

2

137,9 (49)

39.845

139,3 (52)

40.393

214

171

Transurethral resections (TUR) at the bladder (all)

Quantity information

2

205,8 (194)

40.952

209,6 (210)

41.510

192

183

thereof transurethral resections for bladder cancer

Quantity information

2

161,1 (152)

28.518

167 (159)

29.056

138

121

Share of cancer TUR with intravesical instillation chemotherapy

Observed value

1

18,1%

5.162 of 28.518

17,8%

5.159 of 29.056

23,9%

33 of 138

22,3%

27 of 121

Cystectomy, in-hospital mortality

< 4,9%

1

5,0%

149 of 3.010

4,9%

150 of 3.088

0,00%

0 of 18

0,00%

0 of 23

Pelvic evisceration (men or women), in-hospital mortality

Observed value

1

4,7%

30 of 635

5,1%

30 of 589

20,0%

1 of 5

0,00%

0 of 1

Transurethral resection of the prostate (TURP)

Transurethral resection of the prostate (TURP), in-hospital mortality

< 0,20%

1

0,19%

36 of 19.128

0,16%

30 of 19.177

0,84%

1 of 119

0,00%

0 of 103

Transurethral resection of the prostate (TURP) for malignant diseases, in-hospital mortality

Observed value

1

0,64%

41 of 6.360

0,73%

47 of 6.466

0,00%

0 of 28

0,00%

0 of 24

Transurethral resection of the prostate (TURP), share of cases with non-surgical complications

Observed value

1

4,2%

1.063 of 25.488

4,0%

1.024 of 25.643

2,7%

4 of 147

4,7%

6 of 127

Inpatient cases for prostate cancer (PDX)

Quantity information

2

86,8 (18)

27.614

94,2 (21)

30.059

67

54

Prostatectomy, in-hospital mortality

< 0,18%

1

0,14%

13 of 9.410

0,08%

8 of 9.916

0,00%

0 of 14

0,00%

0 of 9

Kidney stones

Inpatient cases for kidney stones (PDX)

Quantity information

2

204,6 (44)

68.326

208,7 (42)

69.288

298

389

Share of cases with interventions for stone removal

Information

1

53,4%

36.475 of 68.326

53,0%

36.737 of 69.288

65,8%

196 of 298

79,9%

311 of 389

Diseases of the skin

Diseases of the skin

Inpatient treatment for melanoma (PDX)

Quantity information

2

54,7 (4)

13.567

1

Inpatient treatment for dermatitis and eczema (PDX)

Quantity information

2

54,3 (8)

18.015

55,9 (8)

18.387

1

2

Intensive care

Intensive care

Mechanical ventilation for > 24 hours (without neonates), in-hospital mortality

< 33,6%

1

32,3%

31.549 of 97.652

32,7%

31.951 of 97.857

28,3%

28 of 99

27,4%

23 of 84

Sepsis (PDX), in-hospital mortality

< Expected value

1

15,8%

7.935 of 50.266

15,6%

7.907 of 50.704

16,7%

12 of 72

23,8%

19 of 80

17,3%

0,96

17,2%

1,38

thereof Sepsis with organ dysfunction or shock (PDX), in-hospital mortality

< Expected value

1

27,3%

6.574 of 24.079

27,2%

6.642 of 24.404

25,7%

9 of 35

42,9%

15 of 35

33,2%

0,77

30,6%

1,4

thereof Sepsis without organ dysfunction or shock (PDX), in-hospital mortality

< Expected value

1

5,2%

1.361 of 26.187

4,8%

1.265 of 26.300

8,1%

3 of 37

8,9%

4 of 45

6,3%

1,29

7,0%

1,26

Sepsis (as secondary diagnosis), in-hospital mortality

Information

1

31,2%

20.841 of 66.718

31,8%

21.286 of 66.925

34,6%

37 of 107

30,8%

33 of 107

thereof Sepsis with organ dysfunction or shock (as secondary diagnosis), in-hospital mortality

Information

1

45,3%

17.448 of 38.534

45,7%

18.030 of 39.428

49,2%

30 of 61

42,3%

22 of 52

Autopsy rate

Autopsy rate

Autopsy rate

The number of autopsies shown here may not be complete as a complete coding after release from hospital is not supported by all information systems used.

Information

1

0,78%

1.105 of 141.860

0,82%

1.192 of 145.378

0,00%

0 of 198

0,00%

0 of 195

Length of stay (LOS) for selected diseases / procedures

Length of stay (LOS) for selected diseases / procedures

Length of stay

excluding psychiatry and early rehabilitation

Information

1

5,9

36.925.768 of 6.247.120

5,8

36.342.429 of 6.230.303

4,5

40.477 of 8.954

4,6

37.512 of 8.190

Cholecystectomy for gallstones, LOS

without malignancies

Information

1

5,3

239.998 of 45.383

5,1

227.779 of 44.330

5,4

313 of 58

4,5

197 of 44

Hernia repair without bowel resection, LOS

Information

1

2,6

153.180 of 58.248

2,5

148.464 of 58.718

2,5

196 of 77

2,5

247 of 97

Hip replacement for coxarthrosis and chronic hip arthritis, LOS

excluding early rehabilitation

Information

1

10,5

419.079 of 39.971

9,9

400.101 of 40.433

12,0

574 of 48

10,9

579 of 53

Knee replacement for gonarthrosis and chronic knee arthritis, LOS

excluding early rehabilitation

Information

1

10,1

382.216 of 37.695

9,6

366.678 of 38.237

13,0

91 of 7

12,1

606 of 50

Transurethral resection of the prostate (TURP), LOS

Information

1

6,3

160.037 of 25.455

6,0

152.428 of 25.605

7,6

1.115 of 146

7,6

959 of 127

Acute Myocardial Infarction, LOS

excluding early rehabilitation, age > 19

Information

1

7,5

580.622 of 77.120

7,4

563.924 of 76.190

6,6

251 of 38

5,9

333 of 56

Cerebral infarction (ICD I63), LOS

excluding early rehabilitation, age > 19

Information

1

8,6

706.198 of 81.809

8,6

706.716 of 82.146

9,8

88 of 9

9,2

83 of 9

Supplementary information

Supplementary information

Share of inpatient cases displayed in all G-IQI/CH-IQI indicators

except psychiatry

Information

1

66,7%

4.227.132 of 6.340.254

67,3%

4.261.401 of 6.331.725

70,5%

7.145 of 10.135

69,7%

6.491 of 9.318

Share of deaths displayed in G-IQI/CH-IQI mortality indicators

except psychiatry

Information

1

59,0%

83.638 of 141.860

58,9%