TJC2025B Note for "INR Value Greater Than or Equal to 1.4"

• Topic Version for Release TJC2025B: 9
• Topic has changed since last release: Compare versions

Rationale

The data element definition was updated to reflect the INR target of 1.3 or less as published in the 2022 AHA ICH Guidelines.

Description

Name
Change from: INR Value > 1.4
to:
INR Value Greater Than or Equal to 1.4

Definition
Change from:
Documentation that the international normalized ratio (INR) value performed closest to hospital arrival was greater than 1.4. This value correlates to the ability of the blood to clot. Higher values greater than 1.4 are associated with an increased risk of hemorrhage.
to:
Documentation that the international normalized ratio (INR) value performed closest to hospital arrival was greater than or equal to 1.4. This value correlates to the ability of the blood to clot. Higher values greater than 1.3 are associated with an increased risk of hemorrhage.

Question
Change from: Is there documentation in the medical record that the INR value performed closest to hospital arrival was greater than 1.4?
to:
Is there documentation in the medical record that the INR value performed closest to hospital arrival was greater than or equal to 1.4?

Allowable Values
Change from:
Y (Yes) There is documentation that the INR value performed closest to hospital arrival was greater than 1.4.

N (No) There is no documentation that the INR value performed closest to hospital arrival was greater than 1.4, OR unable to determine from medical record documentation.
to:
Y (Yes) There is documentation that the INR value performed closest to hospital arrival was greater than or equal to 1.4.

N (No) There is no documentation that the INR value performed closest to hospital arrival was greater than or equal to 1.4, OR unable to determine from medical record documentation.

Notes for Abstraction
Change first bullet from:

• To determine the value for this data element, review the INR values obtained closest to hospital arrival (i.e., before and after hospital arrival). If any result is greater than 1.4, select “Yes”.
  

to:

• To determine the value for this data element, review the INR values obtained closest to hospital arrival (i.e., before and after hospital arrival). If any result is greater than or equal to 1.4, select “Yes”.