1. Primary PCI Monitoring Performance
Produced by Paul Arnold Clinical Quality Department
Date: 09th November 2012 1

2. Overview of the Performance Data
Service Total Overview
Primary PCI Pathway Activations (1st October 11 – 31st October 12)
PPCI Pathway Activations (1404) n4
Incorrect use of
Pathway x4
NON- PPCI (458)
PCI attempted (946)
n44
TBC n2
N452
Correct use NO
PPCI x44
n408
n139
All genuine activations
Incorrect activations x139
n269 n4
Last 12 months analyse
To unwell to perform x2
procedure
Patient refuse consent x1
Other x1
All suspected MI cases
Managed as PPCI
n266
n172
Angiography performed
Not an MI – NO PCI x172 2

3. Overview of the Performance Data
Service Total Overview
Primary PCI Pathway Activations (1st October 11 – 31st October 12)
PPCI Pathway Activations (1404)
n94
n94
PCI not indicated – x40
Occlusion small vessel
Surgical disease x36
To unwell to perform PCI x9
PCI indicated but x7
Not possible/ attempted
Early Deaths x2
Potential culprit lesion
confirmed
N946
PCI procedure attempted
TBC
(5)
Done
PCI failed
(22)
PCI partial success
(27)
TIMI 3
(892, 94.7%) 3

4. Contents
Data Review –
1404 Primary PCI pathway activations identified. Of which, 67.3% (946/ 1404) had a PPCI.
- 43 Inpatients excluded in CTB figures only
- 903 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
Mortality rate
Discussion
Thanks
Done

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

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

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

8. Key Summary Statistics
Primary PCI: CTB Time Performance (Oct 2011 – Oct 2012)
Done
Median 103mins (Last <12months)
n903

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

10. Key Summary Statistics
Primary PCI: CTB Time Performance (Oct 2011 – Oct 2012)
Median 103mins (Last <12months)
n903

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

12. Key Summary Statistics
Overall Success CTB (Target 120mins)
Done
Median 103mins (Last <12mths)
National target 150minutes CTB (80.6% compliant: last< 12mths) 12

13. Key Summary Statistics
Overall Direct Success CTB (Target 120mins)
Done
Median 89mins (Last <12mths)
National target 150minutes CTB (98.6% compliant: last< 12mths) 13

14. Key Summary Statistics
Overall Inter-Hospital Transfer Success CTB (Target 120mins)
Done
Median 140mins (Last <12months)
National target 150minutes CTB (58% compliant : last< 12mths) 14

15. Key Summary Statistics
Median Interval times for > Inter-Hospital Transfers (Oct 2011 – Oct 2012)
Done

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

17. Key Summary Statistics
Overall patients treated within DTB Target 90mins
done
Median 34mins (Last <12months)
N946 17

18. Key Summary Statistics
Overall Success of PPCI
done

19. Key Summary Statistics
Overall Summary Statistics by Consultant
No. of cases
Complete Success %
Mortality %
Andron
103 97 3
2.9
Appleby 99
3.0
Khand
102 89
Mills
290 93 12
4.1
Morris
286 94 11
3.8
Morrison
299
3.6
Munir 54 96 1
1.8
Palmer
353 95 13
Perry
297
4.0
Stables
302 92 10
3.3
Ramsdale
197 5
2.5
Velavan
185 4
2.1
Fisher 6 83 -

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

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

22. Key Summary Statistics
Total Length of Stay in Hospital 72 hour target

23. Key Summary Statistics
Total Length of Stay (Aug 2011 – Aug 2012)
Done
N946 23

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

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

26. Key Summary Statistics
Primary PCI: In-Hospital Mortality (Oct 2011 – Oct 2012)
done
N946 26

27. Any Questions 27