Primary PCI Monitoring Performance Produced by Paul Arnold Clinical Quality Department Date: 09th November 2012 1
Overview of the Performance Data Service Total Overview Primary PCI Pathway Activations (1st October 11 – 31st October 12) PPCI Pathway Activations (1404) n4 Incorrect use of Pathway x4 NON- PPCI (458) PCI attempted (946) n44 TBC n2 N452 Correct use NO PPCI x44 n408 n139 All genuine activations Incorrect activations x139 n269 n4 Last 12 months analyse To unwell to perform x2 procedure Patient refuse consent x1 Other x1 All suspected MI cases Managed as PPCI n266 n172 Angiography performed Not an MI – NO PCI x172 2
Overview of the Performance Data Service Total Overview Primary PCI Pathway Activations (1st October 11 – 31st October 12) PPCI Pathway Activations (1404) n94 n94 PCI not indicated – x40 Occlusion small vessel Surgical disease x36 To unwell to perform PCI x9 PCI indicated but x7 Not possible/ attempted Early Deaths x2 Potential culprit lesion confirmed N946 PCI procedure attempted TBC (5) Done PCI failed (22) PCI partial success (27) TIMI 3 (892, 94.7%) 3
Contents Data Review 01.10.11 – 31.10.12 1404 Primary PCI pathway activations identified. Of which, 67.3% (946/ 1404) had a PPCI. - 43 Inpatients excluded in CTB figures only - 903 were analysed in CTB data Overview of the Performance Data Service Total Overview Admission Source PPCI activations CTB analysis DTB analysis PPCI Success Rate Summary Statistics by Consultant Mortality rate Discussion Thanks Done
Key Summary Statistics Overall Admission Source done NB: Inter-hospital INP were excluded as part of MINAP CTB criteria 5
Key Summary Statistics Primary PCI: Pathway Activations Jan 2011 > Oct 2012 Done
Key Summary Statistics Primary PCI: Call-to-Balloon Call or Self-Present Balloon 7
Key Summary Statistics Primary PCI: CTB Time Performance (Oct 2011 – Oct 2012) Done Median 103mins (Last <12months) n903
Key Summary Statistics Primary PCI: Overall CTB 120 Yearly Performance Done Median 103mins (Last <12mths)
Key Summary Statistics Primary PCI: CTB Time Performance (Oct 2011 – Oct 2012) Median 103mins (Last <12months) n903
Key Summary Statistics Primary PCI: Overall CTB 150 Yearly Performance Done Median 103mins (Last <12months)
Key Summary Statistics Overall Success CTB (Target 120mins) Done Median 103mins (Last <12mths) National target 150minutes CTB (80.6% compliant: last< 12mths) 12
Key Summary Statistics Overall Direct Success CTB (Target 120mins) Done Median 89mins (Last <12mths) National target 150minutes CTB (98.6% compliant: last< 12mths) 13
Key Summary Statistics Overall Inter-Hospital Transfer Success CTB (Target 120mins) Done Median 140mins (Last <12months) National target 150minutes CTB (58% compliant : last< 12mths) 14
Key Summary Statistics Median Interval times for > Inter-Hospital Transfers (Oct 2011 – Oct 2012) Done
Key Summary Statistics LHCH -> Balloon LHCH Door Balloon
Key Summary Statistics Overall patients treated within DTB Target 90mins done Median 34mins (Last <12months) N946 17
Key Summary Statistics Overall Success of PPCI done
Key Summary Statistics Overall Summary Statistics by Consultant No. of cases Complete Success % Mortality % Andron 103 97 3 2.9 Appleby 99 3.0 Khand 102 89 Mills 290 93 12 4.1 Morris 286 94 11 3.8 Morrison 299 3.6 Munir 54 96 1 1.8 Palmer 353 95 13 Perry 297 4.0 Stables 302 92 10 3.3 Ramsdale 197 5 2.5 Velavan 185 4 2.1 Fisher 6 83 -
Key Summary Statistics Length of Stay on CCU Target 12 hours
Key Summary Statistics Overall Average Length of Stay on CCU done 21
Key Summary Statistics Total Length of Stay in Hospital 72 hour target
Key Summary Statistics Total Length of Stay (Aug 2011 – Aug 2012) Done N946 23
Key Summary Statistics Overall In-Hospital Mortality in STEMI Inpatients admitted for PPCI done 24
Key Summary Statistics Overall In-Hospital Mortality in Patients that Underwent a PPCI done 25
Key Summary Statistics Primary PCI: In-Hospital Mortality (Oct 2011 – Oct 2012) done N946 26
Any Questions 27