Myocardial Ischaemia National Audit Project - University College ...

Figure 29. Funnel plot of hospital OBCS. Red line showsoverall hospital median performance with dashed lines representing99.8% confidence intervals.1004. Prognosis following cardiac arrestcomplicating ST-elevation myocardial infarctionIain Squire – University of Leicester, Department ofCardiovascular Sciences and NIHR Biomedical Research Unitin Cardiovascular DiseaseHospital OBCS performance (%)9080700 3000 6000 9000 12000Number of hospital opportunities to provide careUCL 99.8% LCL 99.8%Albert E Alahmar - University Hospitals of Leicester,Department of CardiologyKym Snell – University of Leicester, Department ofCardiovascular Sciences and NIHR Biomedical Research Unitin Cardiovascular DiseaseMatthew F Yuyun - University Hospitals of Leicester,Department of CardiologyMuntaser D. Musameh - University of Leicester, Departmentof Cardiovascular Sciences and NIHR Biomedical ResearchUnit in Cardiovascular DiseaseNational AverageHospital OBCSAdam Timmis - Barts and the London School of Medicine andDentistry3. International comparisonsProf Adam Timmis – Chairman of MINAP Academic Group &Professor of Clinical Cardiology, Barts and the London Schoolof Medicine and DentistryAn exciting development in MINAP based research has been aninternational collaboration with Swedish Investigators. Swedenis the only other country in the world which, like England andWales, has a national registry (SWEDEHEART) recording alladmissions of patients with acute coronary syndromes. Thisprovides a unique opportunity to compare patient outcomesand develop insights into differences that might exist betweenthe process and quality of care in the two countries. The UKteam is headed by Harry Hemingway with Sheng-Chia Chungat UCL - plus representatives from NICOR - while the Swedishteam comprises a renowned group that includes Stefan James,Anders Jeppsson, and Tomas Jernberg. The project requiredcareful alignment of the MINAP and SWEDEHEART registriesin order that the respective data-fields were comparablebefore proceeding to a 30-day survival analysis. The data willbe presented later this year at the American Heart Associationmeeting and already a draft paper has been prepared forpublication in late 2012 or early 2013. Special attention will begiven to comparing emergency management and how it affectssurvival. So successful has been the MINAP-SWEDEHEARTcollaboration that plans are now being made for furthercomparative studies to learn more about differences in themanagement and prognosis of patients with myocardialinfarction in England and Wales and Sweden. The expectation isthat in future years collaborative research of this sort will extendto other countries in order to maximise MINAP’s researchpotential and learn more about effective ways to further reducecoronary mortality in England and Wales.John Birkhead – Former MINAP Clinical Director, NationalInstitute for Cardiovascular Outcomes and ResearchNilesh J Samani - University of Leicester, Department ofCardiovascular Sciences and NIHR Biomedical Research Unitin Cardiovascular DiseaseCardiac arrest is a dramatic complication of acute myocardialinfarction (AMI), one which often has important psychologicalconsequences for the patients, their family, and healthcareprofessionals. Instinctively one might think that cardiac arrestwould be associated with poor outcome after AMI. Howeverthe relevance of cardiac arrest complicating AMI to futureMINAP Eleventh Public Report 201297