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Comprehensive Analysis of Performance Data for Primary PCI Pathway Activations

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pilar
31 diapositives · 412 Views · Jul 16, 2014

Detailed analysis of performance data from Jan 2009 to April 2012 for Primary PCI Pathway Activations, including success rates, procedure outcomes, and mortality statistics.

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Comprehensive Analysis of Performance Data for Primary PCI Pathway Activations
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  1. Primary PCI Monitoring Performance Produced by Paul Arnold Clinical Quality Department Date: 28th June 2012

  2. Overview of the Performance Data Primary PCI Pathway Activations (26th Jan 09 – 30th April 12) Service Total Overview PPCI Pathway Activations (2953) n38 Incorrect use of Pathway x38 NON- PPCI (827) PCI attempted (2126) n141 TBC n37 N752 Correct use NO PPCI x 141 n611 n120 Incorrect activations x 120 All genuine activations n11 n491 To unwell to perform x 6 procedure Other x 2 Early death x 1 Patient refuse consent x 2 All suspected MI cases Managed as PPCI n480 n340 Angiography performed Not an MI – NO PCI x 340

  3. Overview of the Performance Data Primary PCI Pathway Activations (26th Jan 09 – 30th April 12) Service Total Overview PPCI Pathway Activations (2953) n140 n140 Surgical disease x 68 PCI not indicated – x 54 Occlusion small vessel PCI indicated but x 7 Not possible/ attempted TO unwell to perform PCI x 7 Early Deaths x 4 Potential culprit lesion confirmed N2126 PCI procedure attempted TBC (14) PCI failed (55) PCI partial success (68) TIMI 3 (1989, 94%)

  4. Data Review 26.01.09 – 30.04.12 2953 Primary PCI pathway activations identified. Of which, 71.9% (2126/ 2953) had a PPCI. Overview of the Performance Data Service Total Overview Admission Source PPCI activations Onset of Pain > 999 Call Diagnostic ECG analysis CTB analysis DTB analysis PPCI Success Rate Summary Statistics by Consultant Mortality rate Discussion Thanks Contents

  5. Key Summary Statistics Admission Source n1966 NB:160 Inter-hospital INP are excluded as part of MINAP CTB criteria

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

  7. Key Summary Statistics Primary PCI: Activations (Jan 2010 - Dec 2011)

  8. Key Summary Statistics Primary PCI: Overall CTB Time Performance (Jan 2009 – Apr 2012) Median 104mins n1966

  9. Key Summary Statistics Primary PCI: Call-to-Balloon 120 Yearly Performance Median 104mins n1966

  10. Key Summary Statistics Primary PCI: Call-to-Balloon Time Performance (Jan 2009 – Apr 2012) Median 104mins n1966

  11. Key Summary Statistics Primary PCI: Call-to-Balloon 150 Yearly Performance Median 104mins n1966

  12. Key Summary Statistics Overall Success Call-To-Balloon (Target 120mins) Median 104mins National target 150minutes CTB (80.5% compliant) n1966

  13. Key Summary Statistics Direct Success Call-To-Balloon (Target 120mins) Median 89mins n1079 National target 150minutes CTB (98.4% compliant)

  14. Key Summary Statistics Inter-Hospital Transfer Success Call-To-Balloon (Target 120mins) Median 140mins National target 150minutes CTB (59% compliant) n887

  15. Key Summary Statistics Onset of pain to 999 Call

  16. Key Summary Statistics Interval between AED admission to diagnosed ECG

  17. Key Summary Statistics Interval between diagnosed ECG and PPCI activation

  18. Key Summary Statistics Median Interval between transfers > Inter-Hospital Transfers

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

  20. Key Summary Statistics Overall patients treated within DTB Target 90mins Median 33mins N2126

  21. Key Summary Statistics Success of PPCI N2126

  22. Key Summary Statistics Summary Statistics by Consultant N2126

  23. Key Summary Statistics Length of Stay on CCU

  24. Key Summary Statistics Average Length of Stay on CCU (Target 12 hours) N2126

  25. Key Summary Statistics Total Length of Stay in Hospital

  26. Key Summary Statistics Total Length of Stay (Target 72 hours) 2539 839 766 720 1709 2183 636 1466 676 2087 626 2539 N2126 BOX = Inter Quartile Range & Whiskers = Min & Max

  27. Key Summary Statistics In-Hospital Mortality in STEMI Inpatients admitted for Primary PCI

  28. Key Summary Statistics In-Hospital Mortality in Patients that Underwent a Primary PCI IHM > National average 4.4%

  29. Key Summary Statistics 30-day Mortality in Primary PCI Activations

  30. Key Summary Statistics 30-Mortality in Patients that Underwent a Primary PCI 30 day Mortality National Average 5.7%

  31. Any Questions