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Measure Information Measure Topic: OB Harm – Preeclampsia Management and Treatment to Prevent Morbidity and Mortality Measure ID: EOM-OB-120 Measure Name: ICU Days Among Pre-eclamptic Women Description: Number of ICU days among pregnant women with pre-eclampsia during their birth hospitalization Rationale: Hypertensive disorders of pregnancy are a leading cause of maternal mortality occurringin 12-22% of pregnancies. These disorders are responsible for approximately 17% ofmaternal mortality in the United States. Type of Measure: Outcome Improvement Noted As: Decrease in rate Numerator Statement: The number of ICU days among pregnant women with pre-eclampsia during their birth hospitalization Included populations: Table 1: ICD-9 Codes for Hypertensive Diseases in Pregnancy and Postpartum* ICD-9 Code 642.0 Description Benign essential hypertension complicating pregnancy, childbirth, and the puerperium 642.1 Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium 642.2 Other pre-existing hypertension complicating pregnancy, childbirth, and puerperium 642.3 642.4 Transient hypertension of pregnancy (gestational hypertension) Mild or unspecified preeclampsia 642.5 Severe preeclampsia 642.6 Eclampsia 642.7 Preeclampsia or eclampsia superimposed on preexisting hypertension th *5 digits are used to denote the current episode of care (e.g. delivered, antepartum, postpartum) Table 2: ICD-10 Codes for Hypertensive Diseases in Pregnancy and Postpartum** ICD-10 Code Description 010.01 010.02 Preexisting essential hypertension complicating pregnancy Preexisting essential hypertension complicating childbirth 010.03 011 013 Preexisting essential hypertension complicating the puerperium Preexisting hypertension with preeclampsia Gestational hypertension without significant proteinuria 014 Preeclampsia [excludes preexisting hypertension with preeclampsia (011)]: see specific codes below: 014.0 014.1 014.2 014.9 Mild to moderate preeclampsia Severe preeclampsia [excludes HELLP syndrome (014.2)] HELLP syndrome (HELLP) Unspecified preeclampsia 015.0 015.1 015.2 Eclampsia in pregnancy Eclampsia in labor Eclampsia in the puerperium 015.9 Eclampsia, unspecified as to time period **Additional digits are used to denote the trimester (1, 2, 3, and 0=unspecified) Excluded Populations: Patients being treated for pre-eclampsia during non-birth hospitalization Data Elements: ICU days Denominator Statement: All women giving birth equal to or greater than 20 weeks gestation completed Included populations: Not applicable Excluded Populations: Not applicable Data Elements: Deliveries ≥ 20 weeks gestation Risk Adjustment: No Sampling: No Data Reported as: Rate: ICU days/Deliveries ≥ 20 Weeks gestation Selected References: California Maternal Quality Care Collaborative: CMQCC Preeclampsia Toolkit