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
Three quarters of people with seasonal and pandemic flu have no symptoms
Mar 17, 2014 12:03PM
Around 1 in 5 of the population were infected in both recent outbreaks of seasonal flu and the 2009 H1N1 influenza pandemic, but just 23% of these infections caused symptoms, and only 17% of people were ill enough to consult their doctor, according to new UCL-led research.Read more...
Information overload acts ‘to dim the lights’ on what we see
Mar 17, 2014 09:59AM
Too much visual information causes a phenomenon known as ‘load induced blindness’, with an effect akin to dimming the lights, reports a new UCL study.The new findings could be used to identify high-risk situations in all walks of life and look at ways to mitigate times of highest risk. These techniques could be used to understand everyday problems such as why you might bump into a lamppost on a busy street or even to assess the demanding information loads faced by pilots and surgeons.Read more...
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...
National Heart Failure Audit 2011/12
The information that has been made available on data.gov.uk comes from the National Heart Failure Audit 2011/12 Annual Report, and can be found here.
The National Heart Failure Audit is publishing analysis at a hospital level from its 2011/12 Annual Report on data.gov.uk in order to increase the public availability of information pertaining to the treatment of acute heart failure in England.
This dataset contains information on the clinical treatment of acute heart failure patients in hospitals in England between 1 April 2011 and 31 March 2012.
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 with a primary discharge diagnosis of heart failure, defined by the following ICD-10 codes (the diagnosis codes assigned to patients when they are discharged from hospital):
- I50.0 Congestive heart failure
- I50.1 Left ventricular failure
- I50.9 Heart failure, unspecified
- I11.0 Hypertensive heart disease with (congestive) heart failure
- I42.0 Dilated cardiomyopathy
- I25.5 Ischaemic cardiomyopathy
- I42.9 Cardiomyopathy, unspecified
This means that the main reason for their admission to hospital was heart failure.
Analyses are published for all hospitals which submitted at least 100 patient records in 2011/12, or achieved at least 70% case ascertainment, measured against Hospital Episode Statistics (HES) data on heart failure admissions.
The analyses contained in the dataset were first published on 27 November 2012 in the National Heart Failure Audit 2011/12 Annual Report.
Analysis from the National Heart Failure Audit requires careful interpretation, and the information should not be looked at in isolation when assessing standards of care. This is the first year for which hospital level analysis has been published, and much of the variation between sites may be down to data quality issues, rather than actual variation in the standard of care. However, publishing this data constitutes an important step towards improving data quality.
Numerators and denominators for the analyses included are not provided. This is because the National Heart Failure Audit Implementation Group decided to refrain from publishing data relating to inpatient mortality until a satisfactory covariate model has been developed to adjust the data for confounding factors (e.g. age and demographics of patient population, severity of symptoms at admission, medical history).
Each year analysis from the National Heart Failure Audit will be made on the data.gov.uk website. The analysis is also included in the National Heart Failure Audit Annual Report, which is publicly available on the NICOR website:
analyses measure clinical practice in the treatment of heart failure in hospitals
submitting data to the National Heart Failure Audit. The audit dataset is based
on NICE guidelines for the treatment of heart failure, detailed in its Clinical Guideline 108 and Quality Standard 9.
The analyses included are as follows:
- Records submitted: number of records submitted to the audit in 2011/12.
- % received echo: percentage of patients who had an echocardiogram. The denominator for this analysis is all patients.
- % cardiology inpatient: percentage of patients who spent the majority of their time in hospital on a cardiology ward. The denominator for this analysis is all patients.
- % ACEI/ARB on discharge: percentage of patients prescribed an angiotensin converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB) on discharge. The denominator for this analysis is all patients with a diagnosis of left ventricular systolic dysfunction (LVSD) who survived to discharge.
- % beta blocker on discharge: percentage of patients prescribed a beta blocker on discharge. The denominator for this analysis is all patients with a diagnosis of left ventricular systolic dysfunction (LVSD) who survived to discharge.
- % referred to HF liaison service: percentage of patients referred to a heart failure nurse led follow-up service on discharge. The denominator for this analysis is all patients with a diagnosis of left ventricular systolic dysfunction (LVSD) who survived to discharge.
- % referred to cardiology follow-up: percentage of patients referred to a cardiologist-led follow-up service on discharge. The denominator for this analysis is all patients who survived to discharge.
More information about the treatment of heart failure in England and Wales, and hospital level analysis for Welsh hospitals can be found in the National Heart Failure Audit 2011/12 Annual Report.
analysis is reported at hospital level, for every hospital in England which admitted patients with acute heart failure in 2011/12. Welsh hospitals are not included in the analyses published on data.gov.uk, but analyses for Welsh hospitals can be found in the National Heart Failure Audit Annual Reports.
Analyses are included for every eligible hospital which submitted at least 100 patient records, or records from 70% of all of their heart failure patients, to the audit. Case ascertainment is measured against HES recorded heart failure admissions.
submitting fewer data than this were excluded because the National Heart
Failure Audit Project Board deemed the numbers in such cases to be too low to
produce accurate analysis. An asterisk (*) in the data file replaces excluded
data; 29 hospitals had analyses excluded due to a small number of records. A
blank cell indicates that a hospital submitted no data; 21 hospitals in England submitted
no data to the audit in 2011/12.
The analyses cover the period from 01/04/2011 to 31/03/2012.
For further information, please contact Polly Mitchell at firstname.lastname@example.org.
Page last modified on 15 nov 13 11:49