Introduction

Introduction

This section of the British Cardiovascular Intervention Society (BCIS) web site is dedicated to providing information for patients about percutaneous coronary intervention (PCI) as a treatment for heart disease. These web pages provide some background about coronary heart disease and treatment by interventional techniques, in addition to information about the way in which we assess the quality of PCI care being provided.

Regular review of procedural outcomes is essential to assure, improve and maintain high standards of care for patients. BCIS considers transparent reporting of outcome data after procedures to be a fundamental part of good clinical practice. Therefore, for many years, the BCIS audit program has published information about the practice of interventional cardiology based on assessment of each hospital’s activity and performance. These analyses can be seen in the audit sections of this web site.

This is the fourth year that we also publish an analysis of each individual consultant PCI operator’s activity and outcomes.

Interpretation of these data is not always intuitive, and so we have tried to provide explanation and context. Both the strengths and limitations of any conclusions that can be drawn need to be understood. Clinicians may appear to have better or worse outcomes for a variety of reasons, many of which are unrelated to the treatment provided by the individual operators and their teams.

 

The following sections include some background about coronary artery disease and percutaneous coronary intervention ( PCI). Then the main components of the audit process are outlined followed by a description and explanation of each of the analyses contained in the public reports.

These include:

  • Total number of PCI procedures performed
  • Total number split by diagnosis
  • Radial versus femoral access rates
  • Door to balloon times for STEMI (analysis by hospital)
  • Rate of interhospital transfer prior to PCI (analysis by hospital)
  • Delays to treatment for NSTEMI (analysis by hospital)
  • Actual and predicted survival using risk adjustment modelling

Finally the public reports themselves can be accessed from the last link.

 

 

Peter Ludman

BCIS Audit Lead

June 2018