primary pci monitoring performance
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
Primary PCI Monitoring Performance
Produced by Paul Arnold Clinical Quality Department
Date: February 2013
Overview of the Performance Data
Primary PCI Pathway Activations (1st Jan 12 – 31st Jan 13)
PPCI Pathway Activations (1466)
Service Total Overview
Incorrect use of Pathway x3
Correct use NO PPCI x49
All genuine activations
All suspected MI cases Managed as PPCI
To unwell to perform x1procedure Patient refuse consent x1Other x6
Angiography performed Not an MI – NO PCI x159
NON- PPCI (502)
n3
n445Incorrect activations x169
n268
n276
TBC n5
PCI attempted (964)
n49
n169
n8
n159
N494
Overview of the Performance Data
Primary PCI Pathway Activations (1st Jan 12 – 31st Jan 13)
PPCI Pathway Activations (1466)
Service Total Overview
Potential culprit lesion
confirmed
PCI not indicated – x43Occlusion small vesselSurgical disease x39To unwell to perform PCI x16Occlusion small vesselPCI indicated but x9Not possible/ attempted Early Deaths x2
PCI procedure attempted
PCI failed(23)
PCI partial success(33)
TIMI 3(901, 93.4%)
TBC (7)
n109 n109
N964
Contents
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
Overall Admission Source
Key Summary Statistics
NB: Inter-hospital INP were excluded as part of MINAP CTB criteria
Key Summary Statistics
Primary PCI: Pathway Activations Jan 2011 > Dec 2012
Key Summary Statistics
Call or Self-Present Balloon
Primary PCI: Call-to-Balloon
Key Summary Statistics
Primary PCI: CTB Time Performance (Jan 2012 – Jan 2013)
Median 103mins (Last <12months) n920
Key Summary Statistics
Primary PCI: Overall CTB 120 Yearly Performance
Median 103mins (Last <12mths)
Key Summary Statistics
Primary PCI: CTB Time Performance (Jan 2012 – Jan 2013)
Median 103mins (Last <12months) n920
Key Summary Statistics
Primary PCI: Overall CTB 150 Yearly Performance
Median 103mins (Last <12months)
Key Summary Statistics
Overall Success CTB (Target 120mins)
Median 103mins (Last <12mths) National target 150minutes CTB (LHCH 84% vs National 12-13 82%)
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%)
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%)
Key Summary Statistics
Median Interval times for > Inter-Hospital Transfers (Jan 2012 – Jan 2013)
NB: Self presenters & Inpatients are excluded from this slide
Key Summary Statistics
LHCH -> Balloon
LHCH Door Balloon
Key Summary Statistics
Overall patients treated within DTB Target 90mins
Median 34mins (Last <12months > National 42mins
Key Summary Statistics
Overall Success of PPCI
Overall Summary Statistics by Consultant
Key Summary Statistics
No. of cases Complete Success % Mortality %
Andron 121 96 3 2.4
Appleby 115 97 4 3.4
Khand 115 89 4 3.4
Mills 313 92 13 4.1
Morris 308 94 11 3.5Morrison 328 95 11 3.3
Munir 76 94 3 3.9
Palmer 366 95 14 3.8
Perry 313 92 12 3.8
Stables 319 94 10 3.1
Ramsdale 196 93 5 2.5
Velavan 198 96 4 2.0
Fisher 8 75 - -
Key Summary Statistics
Length of Stay on CCU Target 12 hours
Key Summary Statistics
Overall Average Length of Stay on CCU
Key Summary Statistics
Total Length of Stay in Hospital 72 hour target
Key Summary Statistics
Total Length of Stay (Jan 2012 – Jan 2013)
Key Summary Statistics
Overall In-Hospital Mortality in STEMI Inpatients admitted for PPCI
Key Summary Statistics
Overall In-Hospital Mortality in Patients that underwent a PPCI
Key Summary Statistics
Primary PCI: In-Hospital Mortality (Jan 2012 – Jan 2013)
N964
Key Summary Statistics
Primary PCI Activation: 30-day Mortality
Key Summary Statistics
Primary PCI Performed: 30-day Mortality
30DM in STEMI patients (National >8% 11-12)
Key Summary Statistics
Primary PCI activation: 30-day Re-admissions
Key Summary Statistics
Primary PCI Performed: 30-day Readmissions
Any Questions