1 / 41

BCIS Audit Returns of Interventional Procedures 1999

BCIS Audit Returns of Interventional Procedures 1999. Blackpool, October 2000 Mark de Belder (Audit Secretary, BCIS) on behalf of Council of the British Cardiovascular Intervention Society. UK Intervention Centres. UK Interventional & Diagnostic Centres 1999.

edie
Download Presentation

BCIS Audit Returns of Interventional Procedures 1999

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. BCIS Audit Returns of Interventional Procedures1999 Blackpool, October 2000 Mark de Belder (Audit Secretary, BCIS) on behalf of Council of the British Cardiovascular Intervention Society

  2. UK Intervention Centres

  3. UK Interventional & Diagnostic Centres 1999 * No of PCIs in Centres also reporting No of Caths 3.8 caths for every 1 PCI in Intervention centres (1.5-21) 4.1 caths for every PCI overall assuming other diagnostic centres = 485/yr

  4. Centres providing NO DATA • St Bartholomew’s

  5. Centres providing NO DATAon Centre Description Form (A) • Harefield • Edinburgh Royal Infirmary • The Royal Infirmary, Glasgow • Freeman Hospital, Newcastle • St Bartholomew’s • (Ayrshire & Arran) • HCI Glasgow • Bristol BUPA

  6. No data Harefield St Bartholomew’s Minimal Data Guy’s/St Thomas’s London Chest (Ayrshire & Arran) HCI Glasgow Bristol BUPA Centres providing NO OR MINIMAL DATAon Minimum Data Form (B)

  7. Centres with MINIMAL OR NO DATAon Outcome Form (C) • Guy’s & St Thomas’s • Harefield • London Chest • Southampton • St Bartholomew’s

  8. Cath Lab Data Only Aberdeen Yorkshire Heart Centre Glasgow Western Infirmary Glasgow Royal Infirmary Manchester Royal Infirmary St Mary’s Hairmyres Morriston, Swansea BMI Alexander, Manchester London Bridge Hospital BUPA Leicester Cromwell St Anthony’s The Priory, Birmingham HCI, Glasgow Harley Street Clinic Unspecified Data Belfast City Belfast Royal Victoria Birmingham City Hospital Birmingham QE Blackpool Hammersmith Cardiff Walsgrave Hospital, Coventry Edinburgh Royal Infirmary London Chest Wythenshawe, Manchester Middlesex Hospital Freeman, Newcastle John Radcliffe, Oxford Royal Brompton Glenfield, Leicester Northern General, Sheffield Plymouth Derriford Eastbourne Centres with no HOSPITAL Outcome Data Unspecified Data Wellington BUPA Leeds Ross Hall Independent London Independent BUPA Bristol Heart Hospital

  9. Volume of procedures in NHS CentresTotal number of procedures per annum (assumes St Bartholomew’s performed similar numbers of PCIs as in 1997)

  10. Total UK PCI Procedures Assumes St Bartholomew’s activity = 1997

  11. PCI Rates per million population (UK)

  12. PCI: UK 1996-1999 vs Rest of Europe 1996/1998

  13. All PCI Procedures Mortality

  14. All PCI procedures

  15. Stent procedures

  16. Stenting in different centres 1999

  17. Impact of Stenting 1992-1999

  18. Stenting and the need for emergency CABG (1999 data from 46 centres)

  19. Stenting and procedures for restenosis (1999 data from 32 centres)

  20. PTCA for Restenosis 1999(data from 31 centres)

  21. Stent Procedures 1999

  22. ReoPro in different centres 1999 ReoPro used in 11% of cases overall (3pts Aggrastat)

  23. Other procedures 1999 - 1 +, =, - : increase, no change or decrease compared to 1998

  24. Other procedures 1999 - 2 +, =, - : increase, no change, or decrease compared to 1998

  25. Other Procedures 1999 - 3 +, =, - : increase, no change, or decrease compared to 1998

  26. Other Procedures 1999 - 4 +, =, - : increase, no change or decrease compared to 1998 * Some centres give combined data for ASD/PFO closure

  27. Other Procedures 1999 - 5 +, =, - : increase, no change, or decrease compared to 1998

  28. Other procedures 1999 - 6 +, =, - : increase, no change, or decrease compared to 1998

  29. Birmingham Heartlands Bristol Royal Infirmary Hull Royal Infirmary King’s College Hospital Papworth Edinburgh Western General Liverpool CTC Royal Free Hospital Stoke City General South Cleveland Hospital Nottingham City Hospital Royal Devon & Exeter KE VIIth, Midhurst Sandwell Hospital Royal Sussex County, Brighton Yorkshire Clinic, Bradford Centres providing complete or near complete data on Hospital Outcome 1999 (16-)

  30. Hospital Outcome 1999Elective patients * does not account for clinical syndrome

  31. Hospital Outcome 1999Elective patients * does not account for clinical syndrome

  32. Hospital Outcome 1999Unstable angina

  33. Hospital Outcome 1999Acute closure

  34. Hospital Outcome 1999Acute MI patients

  35. Hospital Outcome 1999Post MI patients

  36. Potential for comparison of your own centre with the benchmarks 1 2 3 5 4 0 In-hospital mortality for elective 1V, non CTO lesion

  37. Potential for comparison of your own centre with the benchmarks 20 40 60 100 80 0 In-hospital mortality for cardiogenic shock

  38. BCIS/CCAD UpdateCCAD • Pilot Project • DoH decision • IT systems (NHS + Trusts) • NSF/Clinical Governance

  39. BCIS/CCAD UpdateData Set • A = Centre • B = Bean Count • C = Outcome data by Syndrome

  40. BCIS New Technologies Group - Registries • Brachytherapy • Endicor X-sizer

  41. BCIS/CCAD UpdateConclusions • Continued growth in PTCA (79% stented) but still far behind European/American centres • Data collection still disappointing in many centres - further efforts to achieve compliance • Departments must sort out IT and Audit requirements • Database compatibility with BCIS/CCAD still essential • Current analysis by Syndrome can provide “Bench-marks” • New Technologies Registries will help, not hinder

More Related