Myocardial Ischaemia National Audit Project - University College ...

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52 MINAPTable 5: Reperfusion treatment in Wales and BelfastThis table shows the proportion of all patients with discharge diagnosis of STEMI that received either in-hospital thrombolytic treatment or primary PCI. ‘n’ represents number of patients thatreceived either thrombolytic treatment or primary PCI. In Wales 27 % of patients received no reperfusion in 2011/12 compared to 31% in 2010/11. In Belfast 29% of patients received no reperfusioncompared to 30% in 2010/11.Patients that receivedthrombolytic treatmentPatients that receivedprimary PCIPatients that receivedthrombolytic treatmentPatients that receivedprimary PCIYear 2010/11 2011/12n % n % n % n %Wales: Overall 699 69.8% 302 30.2% 525 49.9% 528 50.1%Bronglais General Hospital, Aberystwyth 14 0 11 0Glan Clwyd Hospital, Rhyl 87 93.5% 6 75 82.4% 16Llandough Hospital, Llandough 2 0 1 0Morriston Hospital, Swansea 1 200 99.5% 6 305 98.1%Neath Port Talbot Hospital, Neath 13 0 1 0Nevill Hall Hospital, Abergavenny 59 100% 0 54 100% 0Prince Charles Hospital, Merthyr Tydfil 62 100% 0 37 100% 0Prince Philip Hospital, Llanelli 16 0 8 0Princess Of Wales Hospital, Bridgend 40 100% 0 15 0Royal Glamorgan, Llantrisant 16 0 13 0Royal Gwent Hospital, Newport 102 100% 0 76 97.4% 2Singleton Hospital, Swansea 1 0 0 0<strong>University</strong> Hospital of Wales, Cardiff 37 27.8% 96 72.2% 6 205 97.2%West Wales General Hospital, Camarthen 52 100% 0 27 100% 0Withybush General Hospital, Haverfordwest 37 100% 0 35 100% 0Wrexham Maelor Hospital, Wrexham 79 100% 0 93 100% 0Ysbyty Gwynedd, Bangor 74 100% 0 67 100% 0Belfast: Overall 4 2.3% 173 97.7% 3 1.9% 153 98.1%Belfast City Hospital, Belfast 0 3 0 5Mater Infirmorum Hospital, Belfast 3 0 1 0Royal Victoria Hospital, Belfast 1 170 99.4% 2 148 98.7%
Table 6: Ambulance Services in England, Wales and BelfastThis table presents results of 12 Ambulance NHS Trusts in England. Wales is served by Welsh Ambulance Services NHS Trust that covers the entire region. ‘n’ represents all patients that meetinclusion criteria for each analysis.Patients having thrombolytictreatment within 60 mins of callingfor helpPatients havingpre-hospitalthrombolysisPrimary PCI within 150 minutes ofcalling for help for patients with directadmission to Heart Attack CentrePrimary PCI within 120 minutes ofcalling for help for patients with directadmission to Heart Attack CentrePrimary PCI within 150 minutesof calling for help for patientstransferred to Heart Attack CentrePrimary PCI within 120 minutesof calling for help for patientstransferred to Heart Attack CentreYear 2010/11 2011/12 2011 2012 2010/11 2011/12 2010/11 2011/12 2010/11 2011/12 2010/11 2011/12n % n % n n n % n % n % n % n % n % n % n %England: Overall 1731 69% 480 52% 765 210 10008 89% 12860 89% 10008 67% 12860 67% 1561 49% 2044 50% 1548 28% 2016 29%East Midlands 512 72% 133 52% 298 66 673 89% 1112 88% 673 69% 1112 71% 25 12% 26 31% 25 0% 26 12%East of England 47 72% 7 44 1 1320 90% 1461 89% 1320 64% 1461 64% 278 53% 268 60% 277 29% 267 34%Great Western 29 52% 7 14 0 546 84% 602 87% 546 56% 602 64% 75 57% 146 35% 75 36% 146 21%Isle of Wight 26 85% 7 17 5 2 2 2 2 0 0 0 0London 7 9 3 1 1411 88% 1528 90% 1411 65% 1528 68% 268 50% 316 56% 266 33% 313 39%North East 6 1 1 0 888 97% 989 97% 888 88% 989 90% 165 58% 141 66% 165 43% 139 51%North West 580 73% 133 62% 142 51 848 94% 1492 87% 848 78% 1492 67% 329 45% 457 38% 322 15% 445 12%South Central 52 38% 5 4 1 876 93% 987 91% 876 75% 987 75% 64 31% 60 55% 64 9% 59 22%South East Coast 103 72% 12 45 9 808 80% 1042 89% 808 50% 1042 59% 91 69% 193 75% 91 48% 192 58%South Western 204 68% 105 55% 130 55 464 90% 849 87% 464 71% 849 63% 29 90% 23 74% 29 86% 23 65%West Midlands 124 67% 41 63% 58 21 1141 88% 1422 88% 1141 63% 1422 66% 125 48% 112 46% 125 22% 106 33%Yorkshire 41 34% 20 5% 9 0 1031 84% 1374 85% 1031 56% 1374 59% 112 16% 302 28% 109 8% 300 16%MINAP53Wales 401 53% 320 49% 213 154 221 75% 381 80% 221 46% 381 60% 6 38 47% 6 37 41%Belfast 1 1 0 1 89 89% 96 89% 89 70% 96 83% 36 92% 10 36 78% 10
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 and 42: Wycombe Hospital, High Wycombe 11 1
Page 43 and 44: “I know that MINAP data has been
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: “MINAP, and its long history, is
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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