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 patient information from hospitals across the UK 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
UCL researchers set to take their research to parliament
Mar 14, 2014 13:46PM
Sixteen researchers from around UCL have been shortlisted to present their research to a panel of expert judges and over 100 MPs in this year’s SET for Britain competition.Read more...
Human brains ‘hard-wired’ to link what we see with what we do
Mar 14, 2014 12:15PM
Your brain’s ability to instantly link what you see with what you do is down to a dedicated information ‘highway’, suggests new UCL-led research.Read more...
Invisible light bursts are keeping animals away from power lines
Mar 13, 2014 11:33AM
Animals may avoid high voltage power cables because of flashing UV light that is undetectable to humans, scientists say.Read more...
National Audit of PCI Procedures
The information that has been made available on data.gov.uk comes from the National Audit of Percutaneous Coronary Interventional (PCI) Procedures Audit 2011 Annual Report, and can be found here.
The National PCI Audit is publishing hospital level analysis from its 2011 Annual Report on data.gov.uk in order to increase the public availability of information pertaining to percutaneous coronary interventional procedures in England.
The following data is taken from the National Audit of Percutaneous Coronary (PCI)Interventional Procedures Audit.
2.1 Age of patients treated by PCI in each centre
2.2 Increase in PCI activity between 1991 and 2011
2.3 Improvement in time delays by each centre
2.4 Improvement in time between 2010 and 2011 by each PCI centre
2.5 Call to balloon time
2.6 Door to balloon time
2.7 Variation in the use of radial arterial access by PCI centre
2.8 Validated 30 day mortality rate following primary PCI
These data do not include any data about individual patients nor does it contain any patient identifiable data.
- The data contained in the files were first published in January 2013 in the National Audit of Percutaneous Coronary Interventional Procedures public report 2011.
- Data from Public report 2011 requires careful interpretation, and the information should not be looked at in isolation when assessing standards of care.
- Data are provided by NHS hospitals in England and relate to patients that underwent PCI procedures between 1st January 2011 and 31st December 2011.
Each year data from the National Audit of PCI Procedures will be made available in CSV file format. The data are also being made available on the data.gov.uk website.
All data is reported at hospital level for centres that provide primary percutaneous coronary interventional procedures.
January 1st 2011 - 31st December 2011.
What does the data cover?
The National PCI Audit data homepage on data.gov.uk can be found here:
These hospital level data show the mean age of patients treated by percutaneous coronary interventional (PCI) procedures in each centre.
level data show the increasing number of percutaneous coronary interventional
procedures undertaken between 1991 and 2011.
These data measure the improvement in door to balloon times by each centre
according to the overall volume of their activity.
In the treatment of STEMI by primary PCI, any delay in the performance of primary PCI is associated with a worse outcome for the patient. Door-to-balloon time measures the time a patient arrives at a PCI centre to the time of primary PCI treatment. This assesses how quickly the PCI unit can perform primary PCI.
level data show the degree of improvement according to how well a unit was performing in 2010.
In the treatment
of STEMI by primary PCI, any delay in the performance of primary PCI is
associated with a worse outcome for the patient. Door-to-balloon time measures the time a
patient arrives at a PCI centre to the time of primary PCI treatment. This
assesses how quickly the PCI unit can perform primary PCI.
These hospital level data show the percentage of patients treated within 150 minutes of calling for help.
In the treatment of STEMI by primary PCI, any delay in the performance of primary PCI is associated with a worse outcome for the patient. The time a patient calls for professional help to the time of primary PCI treatment (call-to-balloon) measures the entire process of care.
The calculation is based on all STEMI out of hospital (denominator) and all STEMI out of hospital treated within 150 minutes.
These hospital level data show the percentage of patients treated within 90 minutes of arriving at the door of the PCI centre.
In the treatment of STEMI by primary PCI, any delay in the performance of primary PCI is associated with a worse outcome for the patient. The time a patient arrives at a PCI centre to the time of primary PCI treatment (door-to-needle) assess how quickly the PCI unit can perform primary PCI.
The calculation is based on all STEMI out of hospital (denominator) and all STEMI out of hospital patients treated within 90 minutes.
These hospital level data measure variation between centres
in the use of radial artery as access site for PCI.
When performing coronary intervention, catheters are introduced to a patient’s arterial system, so the coronary arteries can be reached and treated. During the development of PCI techniques the large femoral artery (at the top of the leg) was used. As PCI equipment has become smaller, it has been possible to perform almost all PCI from the smaller radial artery in the wrist. Evidence shows this reduces infection and complication rates.
These hospital level data measures the percentage of radial vs femoral artery cases in each centre.
These hospital level data measure the 30 day validated
mortality rate for each PCI centre.
All mortality rates have been risk adjusted to take into account the varying
risk factors present in the patients being operated on. This means that the
data show what the mortality rate would have been if each hospital operated on
patients with the average case mix. The North West Quality Improvement Program
(NQWIP) risk adjustment model was used to adjust for varied case mix.
Patients presenting in cardiogenic shock or needing ventilation are
excluded from this analysis.
Page last modified on 15 aug 13 14:58