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Primary PCI Monitoring Performance

Primary PCI Monitoring Performance. Produced by Paul Arnold Clinical Quality Department. Date: February 2013 . Overview of the Performance Data. Primary PCI Pathway Activations (1 st Jan 12 – 31 st Jan 13) . Service Total Overview. PPCI Pathway Activations (1466). n3.

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Primary PCI Monitoring Performance

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

  2. Overview of the Performance Data Primary PCI Pathway Activations (1st Jan 12 – 31st Jan 13) Service Total Overview 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 Incorrect activations x169 All genuine activations n8 n276 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

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

  4. Data Review 01.01.12 – 31.01.13 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 Contents

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

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

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

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

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

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

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

  12. Key Summary Statistics Overall Success CTB (Target 120mins) National target 150minutes CTB (LHCH 84% vs National 12-13 82%) Median 103mins (Last <12mths)

  13. Key Summary Statistics Overall Direct Success CTB (Target 120mins) Median 89mins (Last <12mths) National target 150minutes CTB (LHCH 98.6% vs National 12-13 87%)

  14. Key Summary Statistics Overall Inter-Hospital Transfer Success CTB (Target 120mins) Median 139mins (Last <12months) National target 150minutes CTB (LHCH 57% vs National 12-13 51%)

  15. Key Summary Statistics Median Interval times for > Inter-Hospital Transfers (Jan 2012 – Jan 2013) 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 Median 34mins (Last <12months > National 42mins

  18. Key Summary Statistics Overall Success of PPCI

  19. Key Summary Statistics Overall Summary Statistics by Consultant

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

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

  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)

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

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

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

  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

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