Table 5 Comparison of Donabedian indicators for the management of peripheral arterial disease in 17 Belgian hospitals

HCUP code

Atherosclerosis (n)

233

13

93

63

175

288

178

115

231

83

72

133

81

89

43

146

61

Graft/Prosthetic complications (n)

11

4

4

2

21

5

17

12

12

2

1

1

3

12

Gangrene (n)

49

10

5

4

18

27

23

6

16

23

27

4

4

10

2

5

Total (n)

293

23

102

71

195

336

206

138

259

118

101

138

85

100

48

151

73

Population

Gender (%)

Male

64

64

64

52

68

70

72

66

69

58

67

67

73

64

65

55

75

Female

36

36

36

48

32

30

28

34

31

42

33

33

27

36

35

45

25

Age (year)

M

67.2

74.1

64.2

71.2

67.5

70.9

66.4

69.4

68.9

68.7

67.4

67.8

68.9

72.5

66.9

68.5

66.9

SD

11.6

10.9

10.8

9.2

11.5

10.7

9.9

11.8

10.4

9.1

10.5

11.4

11.4

12.1

11.9

9.8

9.8

Charlson index

M

3.1

3.5

2.2

2.0

2.6

3.1

2.9

2.6

2.5

2.9

3.3

2.5

2.1

2.3

2.8

2.5

2.2

D

1.7

1.9

1.4

1.2

1.6

2.0

1.9

1.6

1.5

1.8

2.1

1.2

1.0

1.4

1.7

1.8

1.1

Stay

Admission type

Planned

267

17

93

67

176

295

184

125

249

102

89

129

80

91

37

146

64

Emergency via ED

25

6

9

4

16

33

20

13

8

16

12

9

5

7

11

4

8

Emergency without ED

1

3

8

2

2

2

1

1

Length of stay

M

8.02

17.91

3.70

4.32

7.72

5.80

7.60

4.89

6.58

8.40

7.34

4.05

5.44

7.83

8.57

5.56

3.89

SD

9.00

23.75

3.89

6.58

14.09

10.83

17.22

6.68

12.28

14.23

10.03

5.96

9.47

9.59

7.31

12.78

4.64

Intensive care unit (%)

10.9

0.0

6.9

4.2

4.1

0.3

17.5

3.6

14.3

11.9

8.9

4.3

8.2

29.0

22.9

2.6

4.1

Geriatric care unit (%)

0.7

17.4

1.0

2.8

4.6

0.6

1.5

4.4

0.4

0.9

1.0

2.9

7.1

4.0

4.2

3.3

1.4

Inpatient geriatric liaison (%)

6.8

0.0

5.9

0.0

17.4

1.5

4.9

1.4

0.0

4.2

2.0

0.7

0.0

3.0

0.0

2.0

0.0

Outcome complications

Pressure ulcer (III or IV) (%)

0.2

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.5

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Iatrogenic pneumothorax (%)

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Catheter infection (%)

2.3

0.2

0.0

0.2

0.3

0.8

0.6

0.2

1.4

1.1

0.3

0.5

0.3

0.6

0.9

0.5

0.0

Perioperative haemorrhage or haematoma (%)

4.9

0.0

2.2

1.2

8.2

8.5

5.8

5.8

12.6

5.5

0.2

2.8

3.2

5.8

1.8

3.4

2.2

Postoperative physiologic and metabolic derangement (%)

2.5

0.5

0.0

0.2

0.5

0.6

0.5

0.3

0.8

1.7

0.3

0.0

0.3

0.3

0.0

1.2

0.0

Postoperative respiratory failure (%)

0.0

0.0

0.0

0.2

0.5

0.2

0.5

0.2

0.3

0.3

0.2

0.0

0.3

0.2

0.5

0.0

0.0

Perioperative pulmonary embolism or deep venous thrombosis (%)

0.3

0.0

0.0

0.0

0.0

0.0

0.2

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.0

0.0

0.0

Sepsis (%)

0.0

0.2

0.0

0.2

0.3

0.0

0.2

0.0

0.5

0.2

0.2

0.0

0.2

0.2

0.2

0.0

0.0

Transfusion reaction (%)

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Complications (%)

18.4

26.1

13.7

11.3

29.2

18.8

20.9

30.4

34.4

41.5

8.9

14.5

28.2

43.0

39.6

18.5

19.2

Postoperative evolution

Case mix index *

M

2.04

1.08

1.69

1.69

2.04

1.79

1.64

1.82

1.85

1.81

1.87

1.81

1.90

1.75

2.25

1.83

2.02

0.0000

SD

0.91

0.69

0.49

0.80

1.08

0.73

1.17

1.18

0.87

0.76

1.04

0.51

1.13

0.66

1.66

0.63

0.82

Mortality (%)

0.08

0.08

0.00

0.04

0.16

0.08

0.16

0.16

0.08

0.33

0.21

0.00

0.25

0.16

0.16

0.16

0.00

Readmission < 30 days (%)

9.6

26.1

13.7

15.5

17.4

16.1

23.8

11.6

9.3

9.3

17.8

20.3

14.1

18.0

10.4

11.9

9.6

DALY-Cost

total DALY (YLL + YLD) *

34.44

5.78

0.28

8.11

53.00

8.31

62.81

39.68

24.24

100.71

56.35

0.37

47.89

43.29

51.26

22.49

0.20

0.0000

DALY (YLL + YLD)

0.118

0.251

0.003

0.114

0.272

0.025

0.305

0.288

0.094

0.853

0.558

0.003

0.563

0.433

1.068

0.149

0.003

1.364

0.811

0.006

0.942

2.062

0.271

2.312

1.700

1.042

3.934

2.714

0.005

2.279

2.557

3.599

0.957

0.005

Average cost (excl revalidation) (€) *

8,513

6,699

5,605

7,623

8,194

7,053

8,411

5,201

7,703

7,271

8,120

5,826

6,841

7,423

10,289

6,645

5,270

0.0000

6,048

7,174

3,308

13,364

11,284

7,015

11,002

6,507

12,707

7,580

7,357

3,605

7,887

6,493

10,177

7,184

3,341

Average cost with readmissions (revalidation excl) (€) *

18,065

17,164

22,053

22,782

19,270

19,422

17,357

11,228

15,035

13,832

27,803

10,603

13,668

18,020

13,844

10,934

12,583

0.0000

11,839

7,128

29,743

33,515

26,978

14,292

16,255

5,763

12,470

8,369

28,358

5,295

17,167

17,282

8,422

5,050

6,874