Cardiac Revascularization Rate
(Total number of discharges for CABG or PCI for patients age 18 and older ÷ total mid-year population age 18 and older) × 100,000 (age adjusted)
Unit of Analysis: Single admission
Total mid-year population age 18 and older
Total number of discharges for CABG or PCI for patients age 18 and older
Methodology
Name
Cardiac Revascularization Rate
Short/Other Names
Not applicable
Description
This indicator measures the age-standardized rate of coronary artery bypass graft (CABG) surgery performed on inpatients in acute care hospitals or percutaneous coronary interventions (PCIs) performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per 100,000 population age 18 and older.
For further details, please see the General Methodology Notes (PDF).
Rationale
The choice of revascularization mode (PCI or CABG) depends on numerous factors, including physician preferences, availability of services and referral patterns, as well as differences in population health and socio-economic status. The combined cardiac revascularization rate represents total cardiac revascularization activity in a jurisdiction.
HSP Framework Dimension
Health system inputs and characteristics: Health system resources
Areas of Need
Not applicable
Targets/Benchmarks
Benchmarks have not been identified for this indicator.
Available Data Years
to (fiscal years)
Geographic Coverage
- All provinces/territories except Quebec
Reporting Level/Disaggregation
- National
- Province/Territory
- Region
Indicator Results
Web Tool:
Health Indicators e-Publication
Update Frequency
Every year
Latest Results Update Date
Updates
Not applicable
Description
(Total number of discharges for CABG or PCI for patients age 18 and older ÷ total mid-year population age 18 and older) × 100,000 (age adjusted)
Unit of Analysis: Single admission
Type of Measurement
Rate - Per 100,000
Denominator
Description:
Total mid-year population age 18 and older
Numerator
Description:
Total number of discharges for CABG or PCI for patients age 18 and older
Inclusions:
- Cardiac revascularization is identified as the following procedure code recorded in any position of the procedure code fields:
CCP: 48.1^, 48.02 or 48.03
CCI: IJ.76^, 1.IJ.50^, 1.IJ.57.GQ^^ (this code is used for 2017–2018 and earlier), 1.IJ.54.GQ-AZ (this code is used for 2006–2007 to 2008–2009 only), 1.IJ.57.GT (from 2018–2019), 1.IJ.57.GU (from 2018–2019) - Age at admission 18 years and older
- Sex recorded as male or female
- Admission to an acute care institution or same-day surgery facility (Facility Type Code = 1 or A)
Exclusions:
- Newborn, stillbirth or cadaveric donor records (Admission Category = N, R or S)
- PCI/CABG can be performed in designated cardiac centres only; therefore, procedures reported by facilities without on-site PCI/CABG services were excluded from the indicator calculation.
- Procedures coded as out of hospital and abandoned after onset (Intervention Status Attribute = A or OOH Indicator Flag = Y)
- 2018–2019 data onward: Discharges with medical assistance in dying (MAID) (Discharge Disposition Code = 73)
Method of Adjustment
Direct standardization
Standard Population:
Canada 2011
Adjustment Applied
Age-adjusted
Geographic Assignment
Place of residence
Data Sources
- DAD
- NACRS
Caveats and Limitations
Rates for Quebec are not available due to differences in data collection.
Some residents in New Brunswick's Zone 4 and Zone 5 receive cardiac procedures in Quebec under a referral agreement between the 2 provinces. Due to differences in data collection in Quebec, data for New Brunswick residents undergoing PCI in Quebec is not available; thus the rates for these 2 regions are suppressed.
Trending Issues
Not applicable
References
Cardiac Care Network of Ontario Consensus Panel on Target Setting. Final Report and Recommendations (PDF). 2004.
Faris, P. D. et al. "Diagnostic Cardiac Catheterization and Revascularization Rates for Coronary Heart Disease." Canadian Journal of Cardiology 20 (2004): pp. 391-397.
Institute for Clinical Evaluative Sciences. Cardiovascular Health and Services in Ontario. Toronto, Ont.: ICES, 1999.
How to cite:
Canadian Institute for Health Information. Cardiac Revascularization Rate. Accessed April 25, 2025.
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Comments
Cardiac revascularization procedures can be performed in designated cardiac centres only; therefore, procedures reported by facilities without on-site cardiac services were excluded from the indicator calculation.