1. Primary PCI Monitoring Performance
Produced by Paul Arnold Clinical Quality Department
Date: February 2013 1

2. Overview of the Performance Data
Service Total Overview
Primary PCI Pathway Activations (1st Jan 12 – 31st Jan 13)
PPCI Pathway Activations (1466) n3
Incorrect use of
Pathway x3
NON- PPCI (502)
PCI attempted (964)
n49
TBC n5
N494
Correct use NO
PPCI x49
n445
n169
All genuine activations
Incorrect activations x169
n276 n8
Last 12 months analyse
To unwell to perform x1
procedure
Patient refuse consent x1
Other x6
All suspected MI cases
Managed as PPCI
n268
n159
Angiography performed
Not an MI – NO PCI x159 2

3. Overview of the Performance Data
Service Total Overview
Primary PCI Pathway Activations (1st Jan 12 – 31st Jan 13)
PPCI Pathway Activations (1466)
n109
n109
PCI not indicated – x43
Occlusion small vessel
Surgical disease x39
To unwell to perform PCI x16
PCI indicated but x9
Not possible/ attempted
Early Deaths x2
Potential culprit lesion
confirmed
N964
PCI procedure attempted
TBC
(7)
Done
PCI failed
(23)
PCI partial success
(33)
TIMI 3
(901, 93.4%) 3

4. Contents
Data Review –
1466 Primary PCI pathway activations identified. Of which, 66% (964/ 1466) had a PPCI.
- 44 Inpatients excluded in CTB figures only
- 920 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
Length of Stay: CCU & Inpatient stay
Mortality rate
30-day Mortality
30-day Readmissions
Discussion
Thanks
Done

5. Key Summary Statistics
Overall Admission Source
done
NB: Inter-hospital INP were excluded as part of MINAP CTB criteria 5

6. Key Summary Statistics
Primary PCI: Pathway Activations Jan 2011 > Dec 2012
Done

7. Key Summary Statistics
Primary PCI: Call-to-Balloon
Call or Self-Present
Balloon 7

8. Key Summary Statistics
Primary PCI: CTB Time Performance (Jan 2012 – Jan 2013)
Done
Median 103mins (Last <12months)
n920

9. Key Summary Statistics
Primary PCI: Overall CTB 120 Yearly Performance
Done
Median 103mins (Last <12mths)

10. Key Summary Statistics
Primary PCI: CTB Time Performance (Jan 2012 – Jan 2013)
Done
Median 103mins (Last <12months)
n920

11. Key Summary Statistics
Primary PCI: Overall CTB 150 Yearly Performance
Median 103mins (Last <12months)

12. Key Summary Statistics
Overall Success CTB (Target 120mins)
Done
Median 103mins (Last <12mths)
National target 150minutes CTB (LHCH 84% vs National %) 12

13. Key Summary Statistics
Overall Direct Success CTB (Target 120mins)
Done
Median 89mins (Last <12mths)
National target 150minutes CTB (LHCH 98.6% vs National %) 13

14. Key Summary Statistics
Overall Inter-Hospital Transfer Success CTB (Target 120mins)
Done
Median 139mins (Last <12months)
National target 150minutes CTB (LHCH 57% vs National %) 14

15. Key Summary Statistics
Median Interval times for > Inter-Hospital Transfers (Jan 2012 – Jan 2013)
Done
NB: Self presenters & Inpatients are excluded from this slide

16. Key Summary Statistics
LHCH -> Balloon
LHCH Door
Balloon

17. Key Summary Statistics
Overall patients treated within DTB Target 90mins
Done
Median 34mins (Last <12months > National 42mins 17

18. Key Summary Statistics
Overall Success of PPCI
Done

19. Key Summary Statistics
Overall Summary Statistics by Consultant
No. of cases
Complete Success %
Mortality %
Andron
121 96 3
2.4
Appleby
115 97 4
3.4
Khand 89
Mills
313 92 13
4.1
Morris
308 94 11
3.5
Morrison
328 95
3.3
Munir 76
3.9
Palmer
366 14
3.8
Perry 12
Stables
319 10
3.1
Ramsdale
196 93 5
2.5
Velavan
198
2.0
Fisher 8 75 -
Done

20. Key Summary Statistics
Length of Stay on CCU Target 12 hours

21. Key Summary Statistics
Overall Average Length of Stay on CCU
Done 21

22. Key Summary Statistics
Total Length of Stay in Hospital 72 hour target

23. Key Summary Statistics
Total Length of Stay (Jan 2012 – Jan 2013)
3547 HRS > ADM May – Sept 12 IABP > CARDIOGENIC SHOCK > PULMONARY ODEMA > HYPOIXIC BRAIN INJURY 23

24. Key Summary Statistics
Overall In-Hospital Mortality in STEMI Inpatients admitted for PPCI
Done 24

25. Key Summary Statistics
Overall In-Hospital Mortality in Patients that underwent a PPCI 25

26. Key Summary Statistics
Primary PCI: In-Hospital Mortality (Jan 2012 – Jan 2013)
N964 26

27. Key Summary Statistics
Primary PCI Activation: 30-day Mortality

28. Key Summary Statistics
Primary PCI Performed: 30-day Mortality
30DM in STEMI patients (National >8% 11-12)

29. Key Summary Statistics
Primary PCI activation: 30-day Re-admissions

30. Key Summary Statistics
Primary PCI Performed: 30-day Readmissions

31. Any Questions 31