Myocardial Ischaemia National Audit Project - University College ...

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80 MINAPTable 10: Care of patients with non-ST-elevation infartion (nSTEMI) in Wales and BelfastIt is recognised that not all nSTEMI are entered into MINAP. A number of hospitals report a lack of resources to collect data on nSTEMI, and more generally those patients not admitted to acardiac unit are less likely to be entered. Thus the percentages reported below do not take into account every patient admitted to hospital with nSTEMI but only reflect those entered in theMINAP database.’n’ represents number of patients that were seen by cardiologist, were admitted to a cardiac ward or were referred for or had angiography.nSTEMI patients seen by acardiologist or a memberof teamnSTEMI patients admitted tocardiac unit or wardnSTEMI patients thatwere referred for or hadangiographynSTEMI patients seen by acardiologist or a memberof teamnSTEMI patients admitted tocardiac unit or wardnSTEMI patients thatwere referred for or hadangiographyYear 2010/11 2011/12n % n % n % n % n % n %Wales : Overall 1367 84% 959 59% 925 71% 1653 81% 1322 64% 1262 74%Bronglais General Hospital, Aberystwyth 71 89% 68 85% 25 38% 124 95% 123 95% 94 88%Glan Clwyd Hospital, Rhyl 202 89% 57 25% 116 61% 186 94% 73 37% 117 73%Llandough Hospital, Llandough 0 0 0 55 30% 67 37% 91 53%Morriston Hospital, Swansea 4 4 1 0 0 0Neath Port Talbot Hospital, Neath 47 65% 46 67% 28 85% 1 24 77%Nevill Hall Hospital, Abergavenny 190 98% 147 76% 122 82% 163 98% 154 93% 115 89%Prince Charles Hospital, Merthyr Tydfil 59 100% 46 78% 36 63% 154 94% 127 77% 71 48%Prince Philip Hospital, Llanelli 50 86% 25 50% 37 97% 17 23 70%Princess Of Wales Hospital, Bridgend 72 100% 62 86% 52 78% 56 100% 41 73% 42 82%Royal Glamorgan, Llantrisant 0 0 0 20 100% 20 100% 17Royal Gwent Hospital, Newport 285 99% 109 38% 181 82% 299 100% 147 49% 225 88%Singleton Hospital, Swansea 50 94% 42 79% 37 70% 19 4 17<strong>University</strong> Hospital of Wales, Cardiff 0 0 0 158 87% 130 71% 101 58%West Wales General Hospital, Camarthen 40 98% 33 80% 32 86% 73 99% 53 72% 54 79%
Withybush General Hospital, Haverfordwest 64 32% 133 68% 140 76% 66 31% 136 64% 149 79%Wrexham Maelor Hospital, Wrexham 228 82% 221 79% 109 69% 215 78% 229 83% 122 81%Ysbyty Gwynedd, Bangor 0 0 0 0 0 0Belfast: Overall 375 99% 307 81% 268 82% 430 100% 377 87% 325 91%Belfast City Hospital, Belfast 129 98% 82 63% 92 82% 151 99% 117 77% 116 86%Royal Victoria Hospital, Belfast 123 99% 109 88% 103 97% 116 100% 106 91% 91 94%Mater Infirmorum Hospital, Belfast 123 100% 116 94% 73 66% 163 99% 154 94% 118 95%MINAP81
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Myocardial IschaemiaNational Audit
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Myocardial Ischaemia National Audit
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ForewordThe annual MINAP Report, no
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Patients who received thrombolytic
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considering such factors as the age
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egarding previous medical history.
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3. Improving quality,improving outc
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is an acute heart failure syndrome
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Alan KeysMINAP Steering Group patie
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Figure 7. Patients admitted with a
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Figure 11. Percentage of patients w
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transfers require a significant amo
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Table 8 shows the performance of th
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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 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: Warrington Hospital, Warrington 435
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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