National Audit of Angioplasty Procedures - HQIP

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Hospital nameDate ofbirthSexMedicalhistoryPreprocedureshockProcedureurgencyVesselstreatedRenaldiseaseDiabetesDischargedateDischargestatusPCIhospitaloutcomeNHSnumberWRC. Worcestershire Royal Hospital 100 100 100 100 100 99.1 100 100 100 100 99.8 99.8WRG. Worthing Hospital 100 99.5 74.7 100 100 100 96.8 98.7 98.7 98.7 100 99.5WYT. Wythenshawe Hospital 100 100 100 100 100 100 100 100 100 100 100 99.5YDH. York District 100 100 79.4 97.2 100 75.5 93.5 92.5 94.4 97.2 98.1 100England PrivateAHM. BMI Alexandra Hospital 100 100 33.3 n/a 100 100 50 50 50 83.3 66.7 100ANT. St Anthony's Hospital 100 100 83.6 0 100 99.2 29.3 96.4 97.9 99.3 46.4 55BMI. BMI Meriden HospitalCRO. Cromwell HospitalHBP. BUPA Hospital, Hull & East RidingNo dataNo dataNo dataHHW. Wellington Hospital 100 100 89.2 97.1 100 0 0 0 100 100 100 0HSC. Harley Street Clinic 100 100 92.8 100 98.4 0 0 0 100 100 100 3.2IND. London Independent HospitalNo dataLBH. London Bridge Hospital 100 100 100 100 100 0 0 0 100 100 100 0LEB. BUPA Hospital LeedsLNH. Leeds Nuffield HospitalMHO. Manor HospitalNo dataNo dataNo dataPHB. BMI Priory Hospital 97.1 100 85.7 100 100 96.6 94.3 100 85.7 85.7 96.6 68.6PHN. BMI Park HospitalNo dataNorthern IrelandBFT. Belfast City HospitalNo dataCRG. Craigavon Area Hospital 100 100 100 100 100 100 97.3 99.9 100 99.7 100 NARVB. Royal Victoria Hospital 100 99.8 90.4 100 100 99.9 93.7 97 96.9 97.7 100 NAScotlandERI. Royal infirmary of Edinburgh 100 100 70.5 100 100 100 89.5 94 100 100 100 NAGJH. Golden Jubilee Hospital 100 100 99.6 100 100 100 99.6 99.7 100 100 95.8 NAHAI. Hairmyres HospitalNo dataNIN. Ninewells Hospital 100 100 97.5 100 100 100 100 100 99.4 100 99.4 NARAI. Raigmore Hospital 100 100 96.9 100 100 100 97.3 96.9 91.4 100 98.8 NARHH. Ross Hall HospitalNo dataRIA. Aberdeen Royal Infirmary 100 100 99.2 100 100 100 99.1 99.1 99.4 100 98.9 NAThe following hospitals started up in 2010 and were not yet connected to CCAD at time of auditALT. Altnagelvin HospitalLBP. BUPA Hospital LeicesterSSP. Spire Shawfair Park Hospital8
3InfrastructureThe number of sites performingpercutaneous coronary interventionhas increased and there has been afall in the number of sites performingangiography only. In the UK therewere a total of 114 PCI centres, and69 angiography only centres in 2010.There are data from many countriesthat suggest improved outcomes forpatients being treated in higher volumecentres, particularly those that performat least 400 procedures pa. Thisrecommendation therefore forms part ofthe report by the Joint Working Group onPercutaneous Coronary Intervention ofthe British Cardiovascular InterventionSociety and the British CardiovascularSociety entitled ‘Recommendations forgood practice and training’. 1The majority of units perform considerablygreater numbers than 400 pa. Thepercentage performing fewer than 400has risen since 2009 to 25%, and theseunits are shown in figures 1 and 2 below.In the majority of cases this is becausethe unit is new, and undertaking agradually increasing volume of work. Thestart date for the unit’s PCI program canbe seen in the figures.Queen Elizabeth Hospital Woolwich (2007)Ealing Hospital (2009)Darent Valley Hospital (2008)Frenchay Hospital (2008)Pinderfields General Hospital (2010)York District General Hospital (2010)Scunthorpe General Hospital (2010)St Mary's Hospital (program end)Salisbury District Hospital (2010)Bedford Hospital (2010)0 50 100 150 200Figure 1Centres performing fewer than 200 PCI procedures in 2010, and the start year of the PCI program for that centreWorthing Hospital (2006)Northampton General Hospital (2009)Mayday University Hospital (2006)Wigan Royal Infirmary (2007)Torbay Hospital (2004)Conquest Hospital (2007)Lincoln County Hospital (2008)Watford General Hospital (2009)Royal United Hospital Bath (2006)Royal Blackburn Hospital (2010)Wexham Park Hospital (2006)Altnagelvin Hospital (2010)Kings Mill Hospital (2008)Raigmore Hospital (2010)Eastbourne Hospital (2006)Kent and Sussex Hospital (2008)Bradford Royal Infirmary (2005)Medway Maritime Hospital (2010)Whipps Cross University Hospital (2005)0 50 100 150 200 250 300 350 400Figure 2Centres performing between 200 and 400 PCI procedures in 2010, and the start year of the PCI program for that centre9
Page 1 and 2: NICOR: NATIONAL INSTITUTE FORCARDIO
Page 3 and 4: National Audit ofPercutaneousCorona
Page 5 and 6: ForewordThe United Kingdom is uniqu
Page 7 and 8: Key findings include:• There are
Page 9: Hospital nameDate ofbirthSexMedical
Page 13 and 14: 1800England Scotland N. IrelandWale
Page 17 and 18: 7Arterial access routeWhen performi
Page 19 and 20: Overall, the percentage of PCI for
Page 21 and 22: 9Delays to treatmentIn the treatmen
Page 23 and 24: 100SPHBETTER% CTB
Page 26 and 27: 11GlossaryAbbreviations in alphabet

National Audit of Angioplasty Procedures - HQIP

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