BCIS Returns 1998 (Oct 1999) BCIS Audit Returns of Interventional Procedures 1998 Leicester, October 1999 Mark de Belder (Audit Secretary, BCIS) on behalf of Council of the British Cardiovascular Intervention Society

BCIS Returns 1998 (Oct 1999) UK Intervention Centres

BCIS Returns 1998 (Oct 1999) UK Interventional & Diagnostic Centres caths for every 1 PCI in Intervention centres (2-91) 5.7 caths for every PCI overall

BCIS Returns 1998 (Oct 1999) Centres providing NO DATA l Walsgrave Hospital, Coventry l St Bartholomew’s

BCIS Returns 1998 (Oct 1999) Centres with NO OUTCOME DATA l Birmingham Heartlands l Harefield Hospital l Yorkshire Heart Centre, Leeds l Manchester Royal Infirmary l Middlesex Hospital l John Radcliffe, Oxford l Royal Brompton l Derriford, Plymouth l Sandwell General Hospital l BUPA Bristol

BCIS Returns 1998 (Oct 1999) Centres with no HOSPITAL Outcome Data l Cath Lab Data Only l Edinburgh Royal Infirmary l Glasgow Western Infirmary l Wythenshawe l St George’s l Morriston, Swansea l BUPA Leicester l St Anthony’s l The Priory, Birmingham l HCI, Glasgow l Harley Street Clinic l Unspecified Data l Belfast City Hospital l Birmingham City Hospital l Blackpool l Hammersmith l Hull l Cardiff l Glasgow Royal Infirmary l Liverpool CTC l London Chest l Freeman, Newcastle l Northern General, Sheffield l Eastbourne l BMI Alexander, Manchester l Wellington l BUPA Leeds l London Bridge l Ross Hall Independent l London Independent

BCIS Returns 1998 (Oct 1999) Volume of procedures in NHS Centres Total number of procedures per annum (assumes Coventry and St Bartholomew’s performed similar numbers of PCIs as in 1997)

BCIS Returns 1998 (Oct 1999) Total UK PCI Procedures

BCIS Returns 1998 (Oct 1999) PCI Rates per million population (UK)

BCIS Returns 1998 (Oct 1999) PCI: UK vs Rest of Europe 1996/1998

BCIS Returns 1998 (Oct 1999) All PCI Procedures Mortality

BCIS Returns 1998 (Oct 1999) All PCI procedures

BCIS Returns 1998 (Oct 1999) Stent procedures

BCIS Returns 1998 (Oct 1999) Stenting in different centres 1998

BCIS Returns 1998 (Oct 1999) Stenting and the need for emergency CABG (1998 data from 42 centres)

BCIS Returns 1998 (Oct 1999) Stenting and repeat PCI for acute closure 1998 (data from 16 centres)

BCIS Returns 1998 (Oct 1999) Stenting and procedures for restenosis (1998 data from 25 centres)

BCIS Returns 1998 (Oct 1999) PTCA for Restenosis 1998 (data from 25 centres)

BCIS Returns 1998 (Oct 1999) Stent Procedures 1998

BCIS Returns 1998 (Oct 1999) Centres providing complete or near complete data on Hospital Outcome 1998 (17) l Aberdeen Royal Infirmary l Belfast Royal Victoria l Birmingham QE Hospital l Bristol Royal Infirmary l King’s College Hospital l Papworth l Edinburgh Western General l Glenfield, Leicester l Royal Free Hospital l Stoke City General l Southampton University l South Cleveland Hospital l Royal Devon & Exeter l Hairmyres l KE VIIth, Midhurst l Yorkshire Clinic, Bradford l Heart Hospital

BCIS Returns 1998 (Oct 1999) Hospital Outcome 1998 Elective patients * does not account for clinical syndrome

BCIS Returns 1998 (Oct 1999) Hospital Outcome 1998 Elective patients * does not account for clinical syndrome

BCIS Returns 1998 (Oct 1999) Hospital Outcome 1998 Unstable angina

BCIS Returns 1998 (Oct 1999) Hospital Outcome 1998 Acute closure

BCIS Returns 1998 (Oct 1999) Hospital Outcome 1998 Acute MI patients

BCIS Returns 1998 (Oct 1999) Hospital Outcome 1998 Post MI patients

BCIS Returns 1998 (Oct 1999) BCIS/CCAD Update CCAD l Pilot Project l Roll-out l IT systems (NHS + Trusts) l Personnel (Purchasers)

BCIS Returns 1998 (Oct 1999) BCIS/CCAD Update Data Set l A = Centre l B = Bean Count l C = Outcome data by Syndrome

BCIS Returns 1998 (Oct 1999) BCIS/CCAD Update Conclusions l Continued (slow) growth in PTCA (70% stented) l Data collection still fundamentally poor but improving l Departments must sort out IT and Audit requirements l Database compatibility with BCIS/CCAD - decision on roll-out awaited l Current analysis by Syndrome should provide “Bench-marks”