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
Natural selection has altered the appearance of Europeans over the past 5,000 years
Mar 11, 2014 14:11PM
Ancient DNA from archaeological skeletons shows that Europeans had darker skin, hair, and eye pigmentation 5,000 years ago.Read more...
Spread of antibiotic resistance understood by unravelling bacterial secretion system
Mar 10, 2014 15:06PM
The system that allows the sharing of genetic material between bacteria – and therefore the spread of antibiotic resistance – has been uncovered by a team of scientists from UCL and Birkbeck, University of London.Read more...
Education ‘protects’ poor women from fattening effects of rising wealth
Mar 10, 2014 11:22AM
Obesity levels among women in low- and middle-income countries tend to rise in line with wealth as they purchase more energy-dense foods, but a new UCL study suggests that more educated consumers make better food choices that mitigate this effect.Read more...
National Audit of Cardiac Rhythm Management
The information available on data.gov.uk contains data on implantation of devices for managing patients with heart rhythm problems in hospitals in England between 1 January 2010 and 31 December 2011.
This dataset contains information on implantation of devices for managing patients with heart rhythm problems in hospitals in England between 1 January 2010 and 31 December 2011.
The devices include pacemakers, implantable cardioverter defibrillators (ICD) and devices for treating patients with heart failure - Cardiac Resynchronisation Therapy (CRT). CRT devices may use only low voltage (pacing) therapy - these are termed CRT-P or they may additionally be capable of high voltage shocks (similarly to ICDs) - these latter devices are termed CRT-D.
The numbers in the data represent implantation rates per million population for the geographical area of coverage. The rates are adjusted for the age and sex of the local population, using methodology described in National Report (see reference below). Basically older people, and men, require considerably higher device implant rates so this adjustment is vital to permit comparison between areas.
These analyses do not include any data about individual patients, nor do they contain any patient identifiable data.
Patients included in the audit are those having a device implanted for managing a heart rhythm problem.
Analyses are published for all NHS hospitals in England carrying out these procedures.
Heart rhythm problems can be congenital but much more likely are due to degenerative heart disease, so most pacemaker patients are aged more than 70. ICD and CRT patients tend to be slightly younger.
The national report provides an excellent contemporary picture of cardiac device and arrhythmia ablation activity in the NHS in England and Wales. Enormous progress has been made, driven by the advances in clinical science and technology and the hard work of NHS staff who translate these advances into practice. There is always scope for improvement, and this report highlights that volumes and equity of service provision of arrhythmia services in the NHS sometimes falls short by international comparison. However, the progress made to date is encouraging and I commend this report to all colleagues who plan, commission or deliver cardiac arrhythmia services for patients in England and Wales.
The analyses contained in the dataset are available online in the NICOR CRM National and Network reports.
The national report’s principal focus remains the provision of data on the total volume and equity of provision of implantable cardiac devices, corrected for the demographic structure of the population. The methodology allows valid comparison of activity between and within different Network areas, and thus benchmarking of activity. This year the audit has used population data from the 2011 census, rather than serial extrapolations from the 2001 census, which should be borne in mind when comparing implant activity in this report with those from previous years. A summary account of cardiac arrhythmia ablation activity is now a fixed and valuable section of the report, and one which will be developed further in future reports.
Work over the past two years has resulted in this being a full clinical audit of cardiac rhythm management, having evolved from the more simple past surveys of implantable device activity.
There is a natural variation in implantation rates from year to year but not enough to explain the wide geographic variations seen in this analysis.
Each year analysis from the CRM Audit will be made on the data.gov.uk website. The analysis is also included in the National and Network reports, as stated previously.
The analysis is reported at Cardiac Network and Primary Care Trust (PCT) level. From 2012 onwards the reports will be at Local Area Team and Clinical Commissioning Group (CCG) level.
The analyses cover the period from 01/01/2010 to 31/12/2011.
What does the data cover?
The National Audit of Cardiac Rhythm Management data homepage can be found on data.gov.uk
The numbers in the data represent implantation rates per million population for the geographical area of coverage for 2010.
The numbers in the data represent implantation rates per million population for the geographical area of coverage for 2011.
This file contains the field descriptions for the congenital data 2010 and 2011 csv files.
Page last modified on 02 may 13 12:48