National Audit of Angioplasty Procedures - HQIP

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ContentsForeword 31 Executive summary 42 Data completeness 63 Infrastructure 94 PCI rates in the United Kingdom 105 Demographics 136 Stents 147 Arterial access route 158 Outcome 169 Delays to treatment 1910 The future 2211 Glossary 2412 References 252
ForewordThe United Kingdom is unique in having such a comprehensiveaudit of percutaneous coronary intervention procedures.We have seen a number of important changes over the years. The number of PCIs permillion population continues to rise and the rate of increase was the highest last year forfour years, although there are still marked geographical variations which may need to beaddressed.There has been continued rollout of primary angioplasty for acute ST elevation myocardialinfarction with a year on year reduction in call to balloon and door to balloon times, suchthat we now compare very favourably with our international colleagues. Radial access nowaccounts for half of all PCI procedures and the use of drug eluting stents has risen further.Although overall death rate following PCI has risen; this is almost certainly a reflection ofincreasing case complexity and case mix, with a higher proportion of urgent/emergencycases. Overall risk-adjusted outcome shows that all units are performing as predicted.The issue of variation in outcome according to unit volume is not directly addressed in thisreport and is subject to ongoing analysis.The number of centres sending data for analysis to the Central Cardiac Audit Databaseand the quality of the data submitted continues to improve, and this is down to the effortsof individual operators, numerous audit leads of individual centres, the staff at CCAD andNICOR and of course the enormous efforts of Peter Ludman for collation and analysis ofthese data.Simon RedwoodPresident, British Cardiovascular Intervention Society3
Page 1 and 2: NICOR: NATIONAL INSTITUTE FORCARDIO
Page 3: National Audit ofPercutaneousCorona
Page 7 and 8: Key findings include:• There are
Page 9 and 10: Hospital nameDate ofbirthSexMedical
Page 11 and 12: 3InfrastructureThe number of sites
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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