NICOR, the Society for Cardiothoracic Surgery (SCTS), and the University of Manchester, has released the SCTS Governance Tool. This new online rescource enables cardiac surgery consultants to access information about their clinical activity and outcomes, which facilitates effective monitoring of data quality and clinical practice. The tool allows selection of time periods and operative groups to generate downloadable reports ‘on demand’, which show analysis based on up-to-date, and 'cleaned', National Adult Cardiac Surgery Audit (NACSA) data. More...
Published: Feb 7, 2014 3:28:12 PM
The 2012 annual report on devices from the Cardiac Rhythm Management National Audit has now been published. It is available to view and download from: More...
Published: Feb 5, 2014 1:48:26 PM
NICOR (The National Institute for Cardiovascular Outcomes Research) collects anonymised patient information from across UK hospitals to try and improve the quality of care and outcomes for patients that have heart problems and treatments. These include adult heart surgery, heart attack, heart procedures, heart devices (for example pacemakers), heart failure and congenital heart surgery. More...
Published: Feb 4, 2014 2:11:08 PM
Report National Audit of Percutaneous Coronary Interventional (PCI) procedures 2012
published January 30th 2014.
Expansion in the use of Percutaneous Coronary Intervention (PCI) is seeing more patients with acute coronary syndromes treated more quickly, according to the latest National Audit of PCI (covering 2012). Key findings from the report include: More...
Published: Jan 30, 2014 8:09:31 AM
Acute myocardial infarction: a comparison of short-term survival in national outcome registries in Sweden and the UK
The Myocardial Ischaemia National Audit Project (MINAP), from which the data for the Lancet paper was obtained, continues to collect detailed information about the care provided to patients with heart attack. This demonstrates the commitment of participating clinicians, Trusts and governments to improvements in quality of care. While important improvements have been made since 2010, the end of the period studied by the researchers, there is no room for complacency. We need to continue emphasising both the provision of the best modern care, and the recording of that care. We also need to shift from publishing details of the process of care to the outcomes of care. It is our intention to produce a preliminary report of outcomes for each hospital this year. More...
Published: Jan 23, 2014 10:33:12 AM
Cardiac pacemakers have been implanted in the UK since the early 1960s and have been identified, along with hip replacements, as the most cost effective high volume procedures provided in the NHS.
They can be simple or complex, using one or two electrodes, according to clinical need.
Cardiac ablation is a specialist electrophysiological procedure used to eradicate or modify certain heart rhythm abnormalities.
The Cardiac Rhythm Management Audit aims to monitor the use of implantable devices and interventional procedures for management of cardiac rhythm disorders in UK hospitals.
Since 2000, a new class of devices has emerged called Cardiac Resynchronisation Therapy (CRT) devices. These devices are sophisticated pacemakers that synchronise activation of the right and left ventricles. These are largely used in patients with chronic heart failure. A recent NICE review endorsed CRT as a successful and cost effective therapy.
Heart rhythm disorders are a major cause of disability, and in some cases, sudden death. A modern pacemaker can reduce symptoms when implanted by a simple operation and in the case of a defibrillator, can be life-saving.
The Audit aims
- to improve the care of patients who undergo pacemaker, ICD and cardiac ablation procedures in the UK
- to look at activity, trends and outcomes in pacing, ICD and cardiac ablation practice in UK hospitals
- to provide assessment of treatments, evaluate associated risk factors and measure long term survival rates of patients who undergo pacemaker, ICD and cardiac ablation procedures in the UK
- to continue to collect and develop the presentation of data from pacemaker, ICD and electrophysiology centres in the United Kingdom (list of all centres in the UK)
- to explore the usage of new software technologies to undertake rapid linkage and analysis of data
- to provide new analyses and outputs of the data as defined by the clinical group
- to receive process and present performance management of audit data.
- Guidelines for pacemaker follow up. Report of a British Pacing and Electrophysiology Group (BPEG) Heart, Nov 1996; 76: 458 - 460 (pdf 32KB)
- Recommendations for pacemaker prescription for symptomatic bradycardia. Report of a working party of the British Pacing and Electrophysiology Group. Heart, Aug 1991; 66: 185 - 191 (pdf 1MB)
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