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BCIS Audit Returns of Interventional Procedures 2000

BCIS Audit Returns of Interventional Procedures 2000. Southampton, October 2001. Mark de Belder BCIS UK National Audit Officer on behalf of Council of the British Cardiovascular Intervention Society. UK Intervention Centres. UK Interventional & Diagnostic Centres 2000.

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BCIS Audit Returns of Interventional Procedures 2000

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  1. BCIS Audit Returns of Interventional Procedures 2000 Southampton, October 2001 Mark de Belder BCIS UK National Audit Officer on behalf of Council of the British Cardiovascular Intervention Society

  2. UK Intervention Centres

  3. UK Interventional & Diagnostic Centres 2000 Making assumptions about no. of caths done in centres not reporting, estimated caths in UK approx 145,000 = 4.3 caths/PCI 3.5 caths for every 1 PCI in Intervention centres (1.2-82) (3.51 NHS, 3.73 Private)

  4. Centres providing NO DATA • None!

  5. Centres providing NO or MINIMAL data on Centre Description Form (A) • Harefield • Edinburgh Royal Infirmary • Sheffield • (Ayrshire & Arran) • Cromwell • Bristol BUPA

  6. No data Harefield BUPA Bristol Minimal Data Birmingham QEH Yorkshire Ht Centre Sheffield Centres providing NO or MINIMAL DATAon Minimum Data Form (B)

  7. Belfast City City, Birmingham Harefield Yorkshire Heart Centre UH Wales, Cardiff London Chest Manchester RI John Radcliffe, Oxford Royal Brompton Northern, Sheffield St Bartholomew’s St Mary’s Derriford, Plymouth Eastbourne Wellington Ross Hall London Independent St Anthony’s The Priory, Birmingham Harley St Clinic BUPA Bristol BUPA Lea Cambridge Centres with MINIMAL or NO DATAon Outcome Form (C)

  8. Cath Lab Data Only Blackpool Edinburgh Western Wythenshawe Morriston, Swansea BMI Alexander, Manchester BUPA Leicester HCI Glasgow Unspecified Data Belfast Royal Victoria Birmingham QE Bristol Royal Infirmary Hammersmith Hull Royal Infirmary Papworth Edinburgh Royal Infirmary Glasgow Western Glasgow Royal Infirmary Liverpool CTC Middlesex/UCH Freeman, Newcastle Glenfield, Leicester Hairmyres Centres with no HOSPITAL Outcome Data • Unspecified Data • BUPA Leeds • London Bridge • Cromwell • Yorkshire Heart Clinic • Park, Nottingham

  9. Volume of procedures in NHS CentresTotal number of procedures per annum

  10. Total UK PCI Procedures

  11. PCI Rates per million population (UK)

  12. PCI vs Isolated CABG Rates (UK)Data from BCIS and SCTS Registry

  13. PCI: UK 1996-2000 vs Rest of Europe 1996/1998

  14. No. of Consultant Interventionists in NHS Centres, 2000 data from 48 centres Average 5.5 / Centre

  15. No of PCIs per Consultant in NHS Centres, 2000data from 48 centres Average 125 / Consultant

  16. All PCI Procedures Mortality 2000 data from 48 centres

  17. All PCI procedures2000 data from 41 centres

  18. Stent procedures 1992 - 20002000 data from 61 centres

  19. Stenting in different centres 1998-20002000 data from 61 centres

  20. Impact of Stenting 1992-20002000 data from 40 centres

  21. Stenting and the need for emergency CABG (2000 data from 40 centres)

  22. Stenting and procedures for restenosis (2000 data from 40 centres)

  23. PCI for Restenosis 1998 - 2000(2000 data from 40 centres)

  24. Stent Procedures 1992 - 20002000 data from 29 centres

  25. Stent use 1997 - 2000(2000 data from 29 centres)

  26. ReoPro in different centres 1999 - 20002000 data from 61 centres ReoPro used in 22% of cases in 2000 50 cases using eptifibatide or tirofiban reported

  27. ReoPro use 1997 - 20002000 data from 61 centres

  28. Other procedures 2000 - 1 +, =, - : increase, no change or decrease compared to 1999 * mainly Xsizer NB Only 2 reported to voluntary registry

  29. Other procedures 2000 - 2 +, =, - : increase, no change, or decrease compared to 1999 * Mainly Angioseal

  30. Other Procedures 2000 - 3 +, =, - : increase, no change, or decrease compared to 1999

  31. Other Procedures 2000 - 4 +, =, - : increase, no change or decrease compared to 1999 * Some centres give combined data for ASD/PFO closure

  32. Other Procedures 2000 - 5 +, =, - : increase, no change, or decrease compared to 1999

  33. Other procedures 2000 - 6 +, =, - : increase, no change, or decrease compared to 1999

  34. Aberdeen Birmingham Heartlands Guy’s & St Thomas’s King’s College Hospital Walsgrave, Coventry Royal Free Hospital Stoke City General Southampton St George’s James Cook UH, Middlesbrough Nottingham City Hospital Royal Devon & Exeter KE VIIth, Midhurst Sandwell Hospital Royal Sussex County, Brighton Ayrshire & Arran RCH Truro Heart Hospital Centres providing complete or near complete data on Hospital Outcome 2000 (18)

  35. Hospital Outcome 2000All patientsData from 18 centres

  36. Hospital OutcomeDeath (with 95% CI)Data from 18 centres

  37. Hospital OutcomeFreedom from MACE rates (with 95% CI)Data from 18 centres

  38. Hospital OutcomeEm. CABG (with 95% CI)Data from 17 centres

  39. Hospital OutcomeFailed Procedures (with 95% CI)Data from 18 centres

  40. Examples of different case-mix

  41. Hospital Outcome 2000Elective patients * does not account for clinical syndrome

  42. Hospital Outcome 2000Patients with previous CABG and those treated for restenosis * does not account for clinical syndrome

  43. Hospital Outcome 2000Unstable angina

  44. Hospital Outcome 2000Acute closure

  45. Hospital Outcome 2000Acute MI patients

  46. Hospital Outcome 2000Post MI patients

  47. Hospital OutcomeElective Single Vessel PCI (no CTO)Success (Freedom from MACE) rates (with 95% CI)Data from 15 centres

  48. Hospital OutcomeElective Single Vessel PCI (no CTO)Mortality rates (with 95% CI)Data from 15 centres

  49. Hospital OutcomeCardiogenic Shock PCI (Primary or Rescue)Mortality rates (with 95% CI)Data from 15 centres 1 of 1

  50. Comparison of data reported from a single centre with other contributing centres

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