Jüttner B, Stenger K, Heller G, Krause A, Günster C, Scheinichen D
Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625 Hannover, Deutschland.
Anaesthesist. 2012 May;61(5):444-51. doi: 10.1007/s00101-012-2020-6.
There is no nationwide evaluation of the quality of anaesthesia in Germany. Thus, the aim of this study was to perform analyses using administrative routine data relating to this topic.
Nationwide hospital claims data of patients insured with the local healthcare insurance fund (AOK) in the year 2007 were analyzed. Indicators from International Statistical Classification of Diseases and Related Health Problems-10, German modification (ICD-10-GM) diagnosis codes for possible anaesthesia complications were selected.
Based on the present data, it was not possible to validate indicators which can be applied to detect the quality of anaesthesia.
Administrative data seem to be an appropriated basis for measurement of quality of outcome in anaesthesiology. Further investigations should be performed to include the diagnosis present on admission. Moreover, there is a need for comparing routine data to the standardized data set, known as the "core data set anaesthesia".
德国尚未对麻醉质量进行全国性评估。因此，本研究的目的是利用与该主题相关的行政常规数据进行分析。
对2007年当地医疗保险基金（AOK）参保患者的全国性医院理赔数据进行分析。从《国际疾病和相关健康问题统计分类-10》德国修订版（ICD-10-GM）诊断代码中选取可能的麻醉并发症指标。
基于现有数据，无法验证可用于检测麻醉质量的指标。
行政数据似乎是衡量麻醉学结局质量的合适基础。应进一步开展研究，纳入入院时的诊断。此外，有必要将常规数据与称为“麻醉核心数据集”的标准化数据集进行比较。
