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6 April 2020

Has There Really Been a Fall in Heart Attack Presentations in the UK?

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Let's answer that question together

Dear BCIS Member,

There is much debate that we may be seeing substantially fewer patients presenting with myocardial infarction across the UK since the COVID pandemic struck, and a commensurate concern that this may be because patients are too nervous to seek the help they need.   Without national audit data, however, these observations remain speculative.  It is our intention, with your help, to look at this question using the BCIS-NICOR database to which we all contribute. We have assurances that the logistical barriers that have prevented rapid data access and analysis in the past can be circumvented, and that we, therefore, will be able to both provide outputs and disseminate the findings very rapidly.

We stress that the purpose is NOT to assess the performance of you or your teams, but to provide important and timely national data in a dynamic situation, to assess patient events and access in response to the pandemic.

In the first instance, we propose to simply compare the month by month rate of STEMI/NSTEMI PCI for the first 3 months of this year compared to the same time period last year.

We can only do this if you are able to upload your data promptly to NICOR. We, therefore, need the help of members, particularly those who take responsibility in their centres for the data upload

If at all possible we are asking that you upload all your PCI data (even if it as yet un-validated) to the end of March 2020 by the end of April.

We will take a data extract at the end of April and should be able to provide some simple analyses within about a week.  We acknowledge that later uploads might contain modified data, once there is time for full validation, and again stress that the purpose is NOT about assessing the performance of you or your teams.

Many thanks for your ongoing engagement with the national audit processes in these challenging times… we hope you agree that this is an important piece of work that we can all achieve together.

Best wishes,

Peter Ludman, BCIS Audit Secretary

Nick Curzen, BCIS President

Let's answer that question together

Dear BCIS Member,

There is much debate that we may be seeing substantially fewer patients presenting with myocardial infarction across the UK since the COVID pandemic struck, and a commensurate concern that this may be because patients are too nervous to seek the help they need.   Without national audit data, however, these observations remain speculative.  It is our intention, with your help, to look at this question using the BCIS-NICOR database to which we all contribute. We have assurances that the logistical barriers that have prevented rapid data access and analysis in the past can be circumvented, and that we, therefore, will be able to both provide outputs and disseminate the findings very rapidly.

We stress that the purpose is NOT to assess the performance of you or your teams, but to provide important and timely national data in a dynamic situation, to assess patient events and access in response to the pandemic.

In the first instance, we propose to simply compare the month by month rate of STEMI/NSTEMI PCI for the first 3 months of this year compared to the same time period last year.

We can only do this if you are able to upload your data promptly to NICOR. We, therefore, need the help of members, particularly those who take responsibility in their centres for the data upload

If at all possible we are asking that you upload all your PCI data (even if it as yet un-validated) to the end of March 2020 by the end of April.

We will take a data extract at the end of April and should be able to provide some simple analyses within about a week.  We acknowledge that later uploads might contain modified data, once there is time for full validation, and again stress that the purpose is NOT about assessing the performance of you or your teams.

Many thanks for your ongoing engagement with the national audit processes in these challenging times… we hope you agree that this is an important piece of work that we can all achieve together.

Best wishes,

Peter Ludman, BCIS Audit Secretary

Nick Curzen, BCIS President

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