Myocardial Ischaemia National Audit Project - University College ...

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42 MINAPTable 3: Thrombolytic treatment in hospitals in Wales and BelfastThis table presents results for hospitals that administered thrombolytic treatment to patients with admission diagnosis of STEMI. ‘n’ represents number of all eligible patients for this typeof reperfusion.Thrombolytic treatmentwithin 30 mins ofhospital arrivalThrombolytic treatmentwithin 60 mins ofcalling for helpThrombolytic treatmentwithin 30 mins ofhospital arrivalThrombolytic treatmentwithin 60 mins ofcalling for helpYear 2010/11 2011/12n % n % n % n %Wales: Overall 301 63% 398 53% 258 62% 313 48%Bronglais General Hospital, Aberystwyth 15 14 3 4Glan Clwyd Hospital, Rhyl 30 97% 49 62% 28 71% 55 65%Llandough Hospital, Llandough 3 2 1 1Llandudno General Hospital, Llandudno 4 3 0 0Morriston Hospital, Swansea 1 1 3 4Neath Port Talbot Hospital, Neath 3 2 0 0Nevill Hall Hospital, Abergavenny 29 66% 28 46% 21 43% 35 46%Prince Charles Hospital, Merthyr Tydfil 23 61% 32 53% 12 22 45%Prince Philip Hospital, Llanelli 10 6 7 3Princess Of Wales Hospital, Bridgend 14 25 60% 9 11Royal Glamorgan, Llantrisant 4 7 11 6Royal Gwent Hospital, Newport 40 60% 62 52% 35 43% 45 42%<strong>University</strong> Hospital of Wales, Cardiff 5 32 88% 1 5West Wales General Hospital, Camarthen 30 70% 25 44% 18 14Withybush General Hospital, Haverfordwest 10 16 22 91% 18Wrexham Maelor Hospital, Wrexham 47 64% 50 54% 56 68% 60 47%Ysbyty Gwynedd, Bangor 33 45% 44 43% 31 61% 30 43%Belfast: Overall 2 1 0 1Mater Infirmorum Hospital, Belfast 2 1 0 0Royal Victoria Hospital, Belfast 0 0 0 1
“I know that MINAP data has been the spur toimprove data input quality, thus enabling validcomparisons to be made, leading to directimprovements in performance. Would we,for instance, have seen direct admittance tocath labs become accepted practice so quicklywithout the influence of comparative clinicaldata? Would there be confidence in the evidenceto support the decisions made over primary PCIwithout MINAP?”MINAPAlan KeysPatient representative for MINAP43
Page 1 and 2: Myocardial IschaemiaNational Audit
Page 3 and 4: Myocardial Ischaemia National Audit
Page 5 and 6: ForewordThe annual MINAP Report, no
Page 7 and 8: Patients who received thrombolytic
Page 9 and 10: considering such factors as the age
Page 11 and 12: egarding previous medical history.
Page 13 and 14: 3. Improving quality,improving outc
Page 15 and 16: is an acute heart failure syndrome
Page 17 and 18: Alan KeysMINAP Steering Group patie
Page 19 and 20: Figure 7. Patients admitted with a
Page 21 and 22: Figure 11. Percentage of patients w
Page 23 and 24: transfers require a significant amo
Page 25 and 26: Table 8 shows the performance of th
Page 27 and 28: This year we report on the interval
Page 29 and 30: Conquest Hospital, St Leonards onSe
Page 31 and 32: Royal Derby Hospital, Derby 62 89%
Page 33 and 34: “During times of financial constr
Page 35 and 36: Broomfield Hospital, Chelmsford 0 0
Page 37 and 38: Leighton Hospital, Crewe 43 86% 49
Page 39 and 40: Royal Preston Hospital, Preston 48
Page 41: Wycombe Hospital, High Wycombe 11 1
Page 45 and 46: Cheltenham General Hospital, Chelte
Page 47 and 48: Manchester Royal Infirmary, Manches
Page 49 and 50: Salford Royal Hospital, Manchester
Page 51 and 52: “MINAP, and its long history, is
Page 53 and 54: Table 6: Ambulance Services in Engl
Page 55 and 56: Bradford Royal Infirmary, Bradford
Page 57 and 58: Hexham General Hospital, Hexham 17
Page 59 and 60: Papworth Hospital, Cambridge 560 99
Page 61 and 62: Salisbury District Hospital, Salisb
Page 63 and 64: West Middlesex University Hospital,
Page 65 and 66: “We have participated in MINAP fr
Page 67 and 68: Dorset Cardiac and Stroke Network 7
Page 69 and 70: “Participation in MINAP has helpe
Page 71 and 72: Blackpool Victoria Hospital, Blackp
Page 73 and 74: Harefield Hospital 139 84% 156 94%
Page 75 and 76: Northern General Hospital, Sheffiel
Page 77 and 78: Royal Victoria Infirmary, Newcastle
Page 79 and 80: Warrington Hospital, Warrington 435
Page 81 and 82: Withybush General Hospital, Haverfo
Page 83 and 84: Part Three: Case Studies1. Call act
Page 85 and 86: 3. Implementing a high-risk nSTEACS
Page 87 and 88: The British Heart Foundation is a r
Page 89 and 90: of six individual criteria - all in
Page 91 and 92: 9. Use of MINAP data to develop and
Page 93 and 94:
Figure 26. Part 2 collected by Card
Page 95 and 96:
12. Shifting the FocusNicola Mannin
Page 97 and 98:
Figure 29. Funnel plot of hospital
Page 99 and 100:
Figure 30. Estimated excess risk of
Page 101 and 102:
Part 6: AppendicesAppendix 1: MINAP
Page 103 and 104:
Coronary thrombosisThe formation of
Page 105 and 106:
Birkhead J, Walker L. MINAP, a proj
Page 107:
Heart attacks recorded in MINAP in
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