Angiography and PCI Centers in Austria 2012

austria s angiography and pci centres 2012 n.w
1 / 63
Embed
Share

Explore data on angiography and PCI centers in Austria in 2012, including the number of locations and rooms, monitoring reports, practice patterns, and trends in coronary procedures. Detailed information on angiography frequencies, PCI rates, and related statistics are presented in this comprehensive report.

  • Austria
  • Angiography
  • PCI Centers
  • Statistics
  • Cardiology
rayaanacharya
traughber_d Follow

Uploaded on | 0 Views

Download Presentation

Please find below an Image/Link to download the presentation.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.

You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.

Download Presentation

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.

E N D

Presentation Transcript

  1. AUSTRIAs ANGIOGRAPHY and PCI - CENTRES 2012 n = 34 locations n = 50 rooms Volker M hlberger, Quality

  2. Monitor (Auditor) Report: 1989 2013 http://iik.i-med.ac.at L.Kaltenbach, H. Ulmer, C.Kobel www.kardiologie.insel.ch/2164.html B Meier,Micha T. Maeder, Gregor Fahrni Basel www.ptca.ch www.herzbericht.de E.Bruckenberger T.Meinertz Herzstiftung ab 2011 sterreichische Spezialregister Volker M hlberger, Quality

  3. (Versorgungsforschung ) to describe practice patterns and trends, to identify outliers and to detect safety signals Lauer MS, D Agostino RB NEJM 2013; 369:1579-81 Volker M hlberger, Quality

  4. AUSTRIA 2011 / 2012 Angiography 53.808 53.064 PCI 20.295 20.543 - stent - - DES 78% 85% 91% 90% OP-CAD (Bruckenberger : 2008=4.248) Schistek 2.737 OP- valve (Bruckenberger: 2008=2.280) Schistek 2.583 Volker M hlberger, Quality

  5. NUMBER OF CENTERS with <400 CA /year vs. <200 PCI/year vs. CA/y(*t) 12 7 6 10 5 8 4 6 3 4 <400 CA/y+c 2 <200 PCI/y+c 2 1 CA/y x thousand 0 0 2000200120022003200420052006200720082009201020112012 Volker M hlberger, Quality

  6. Number of tables, CENTERS and Centers with > 36 STEMI - PCI / year 60 50 40 30 27 24 23 23 23 22 20 20 19 18 20 centers tables 10 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 >36 STEMI-PCI/y+c Volker M hlberger, Quality Silber 2005 / DiMario 2006; ESC

  7. Coronary Angiography Frequency per Million Inhabitants 1992-2012 12000 10000 8000 AU 8.12-8.43 CH 7.4 - 7.95 D 82.2-81.8 CZ 10.0-10.5 SL 5.5 -5.4 6000 4000 2000 0 Volker M hlberger, Quality

  8. % PCI/ CA 1992 - 2012 (AU/CH/D/CZ) 50 45 40 35 30 AU 25 CH 20 D 15 CZ 10 5 0 Volker M hlberger, Quality

  9. PCI per One Million Inhabitants (AU/CH/D/CZ/SL/USA) 1992-2012 4500 4000 USA 3500 3000 2500 2000 1500 SL 1000 AU 500 CH 0 D CZ Volker M hlberger, Quality

  10. Bifurcation PCI, left main stent Austria (% of PCI reporting centers only -2012) 9.0 8.0 7.0 6.0 5.0 left main stent bifurcation pci 4.0 3.0 2.0 1.0 0.0 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  11. PCI Frequency in Austria 2006-2011 acute or non-acute Indications 25000 20543 20294 20295 19856 19727 19342 19263 20000 15000 13517 13349 13828 13073 13041 NICHT AKUT AKUT PCI 13328 14254 10000 5000 7026 6946 6783 6686 6466 6014 5009 0 2006 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  12. Acute PCI/ STEMI PCI / (n=) Austria 2007 2012 % 8000 7000 STEMI 6000 5000 "acute" 4000 STEMI % x10 3000 2000 50 % 55 % 1000 0 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  13. ACUTE PCI (% of total PCI) in AU, CZ, EU, CH (=STEMI only) 50 45 40 35 30 AU acute CH STEMI EU CZ CH acute AU STEMI 25 20 15 10 5 0 Volker M hlberger, Quality

  14. % GP IIb/IIIa for PCI (AU/CH) % dir.ThrombinInhibitor (TI-AU) 30 25 20 AU CH AU-TI 15 10 5 0 Volker M hlberger, Quality

  15. PCI Hospital-Mortality (%) in Austria, Switzerland,Germany, EU 2.5 2 1.5 AU CH D EU 1 0.5 0 Volker M hlberger, Quality

  16. PCI -Mortality (%) in Austria 2011 /2012 25 20 15 10 5 0 PCI gesamt PCI nicht-akut PCI akut PCI akut ohne Schock PCI akut + Schock Volker M hlberger, Quality

  17. PCI -Mortality (ref.=overall-% mortality in Austria) (non-acute / without /with shock) 1.20 1.00 0.80 non-acute PCI bezogen auf Gesamt PCI 0.60 0.40 PCI for MI without Shock bezogen auf Gesamt PCI PCI for MI with Shock bezogen auf Gesamt PCI 0.20 0.00 Volker M hlberger, Quality

  18. Intra aortic balloon pump for PCI in Austria 2006 -2012 (CH 2012) 500 450 400 350 300 AUT CH 250 200 150 100 50 0 2005 2006 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality (R. Zweiker)

  19. DRUG ELUTING stents (DES) in AU,CH,D,EU-CZ (% of stents) 100 90 80 70 60 50 AU CH D EU CZ CZ 40 30 EU EU 20 10 0 Volker M hlberger, Quality

  20. REDO for all chronic Restenoses vs. Thrombus reporting centres (n/%) Thrombus Restenose Thrombus x10% reporting centres 1000 800 600 400 15,2% 15,1 % 200 8,5% 11,9% 0 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  21. DES/stent and chronic Re-Stenosis REDO reporting Centres (% of stent) DES % REDO % (reporting Centers only) 90 80 70 60 50 40 30 20 5.04 5.0 6.6 6.3 10 0 20022003200420052006200720082009201020112012 Volker M hlberger, Quality

  22. Ratio of emergency CABG due to PCI (%): Austria/Switzerland/EU 1.4 1.2 1 0.8 AU CH EU 0.6 0.4 0.2 0 Volker M hlberger, Quality

  23. Puncture site closing devices (% of ..) AUT 2011 / 2012 80 70 60 50 40 30 20 10 0 % of PCI % of CA % of PCI nonacute % of PCI acute Volker M hlberger, Quality

  24. Severe bleeding (% of ..bleeding reporting only) AUT 2010 / 2011 / 2012 40 35 30 25 20 15 10 5 0 % of CA % of PCI nonacute % of PCI acute Volker M hlberger, Quality (J. D rler)

  25. Non- femoral Approach 2011/2012 (% of procedure) in Austria 25 20 15 2011 10 2012 5 0 Volker M hlberger, Quality (J.Schuler)

  26. Non-femoral Approach (% of PCI) in AU/ french or german-CH 70 60 50 40 AU CH french CH german CH CZ 30 20 10 0 Volker M hlberger, Quality

  27. % -multivessel PCI Austria / EU / CH 25 20 15 AU CH EU 10 5 0 Volker M hlberger, Quality (F.Weidinger)

  28. AUT 2012 CH 12 10 8 6 AUT 4 CH 2 0 Volker M hlberger, Quality (G.Friedrich; G.Delle Karth; R.Berger))

  29. AUT 2012 CH 900 800 700 600 500 400 300 AUT CH 200 100 0 Volker M hlberger, Quality (W. Tkalec; M.Knoflach)

  30. Austria vs. CH 2002 LAA closure 2012 200 180 160 140 120 AU CH 0 100 80 60 40 20 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  31. OLD and NEW DEVICES (<350/a) Austria 2002-2012 400 350 300 250 MitraClip Thrombin lokal NOGA mapping REnalDenerv PTSMA 200 150 100 50 0 Volker M hlberger, Quality

  32. OLD and NEW DEVICES (<3500/a) Austria 2002-2012 3500 3000 ( Catheter Thrombectomy or DE Balloon 2500 2000 1500 Defektverschl. 1000 500 0 Volker M hlberger, Quality

  33. OLD and NEW DEVICES (35.000/a) Austria 1992 -2012 40000 35000 30000 STENT DES 25000 20000 IVUS ROTABL i.c.PRESSURE 15000 10000 5000 0 Volker M hlberger, Quality

  34. Myocardial Biopsies in Austria 2006 -2012 myocardial biopsies 450 400 350 300 250 200 150 100 50 0 2006 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  35. Ablation (n) / Electrophysiology (n; %) in CathLab Implantations / Austria Ablation Diagnostics A/D % x10 Implantation 3500 3000 2500 2000 1500 100 % 72% 1000 500 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality

  36. Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH -2012 650 700 Balloon only Transapical Valve Transarterial AU- TAVI Edwards Sapien CorValve CH- TAVI 600 501 500 397 432 400 300 200 100 0 0 0 2005 2006 2007 2008 2009 2010 2011 2012 Volker M hlberger, Quality (E.Maurer; W.Wisser)

  37. sterr.Kardiol.Gesellschaft 19892013 Arbeitsgruppe Intervent. Kardiologie As presented, discussed and accepted at the KG - Meeting in LINZ, November 22nd 2013

  38. Thank You DANKE SEHR Volker M hlberger, Quality

  39. PCI during Diagnostic Angio (%) in Austria / Switzerland / EU 100 90 80 70 60 AU CH EU 50 40 30 20 10 0 Volker M hlberger, Quality

  40. PCI Mortality acute PCI with shock in Austria (ref.= reporting centres only until 2011) mort. PCI shock % 40 35 30 25 20 mort. PCI shock % 15 10 5 0 2003200420052006200720082009201020112012 Volker M hlberger, Quality

  41. Ratio of STENTING per PCI (%) in AU/CH -2011/D/CZ 100 90 80 70 60 50 AU 40 CH 30 D 20 CZ 10 0 Volker M hlberger, Quality

  42. Puncture site closing devices (% of PCI in AU/CH) 80 70 60 50 40 AU CH 30 20 10 0 Volker M hlberger, Quality

  43. EMERGENCY CABG AFTER PCI (%): MORTALITY in Austria 50 46.7 45 40 36.4 36.4 35 32 28.6 30 26.1 25 23.1 25 18.2 18.2 20 15.416 13.6 15 1210.5 8.3 8.3 10 6.255.3 3.3 5 0 0 Volker M hlberger, Quality

  44. OLD and NEW DEVICES (loser) Austria 2002-2011 Brachytherapie 163/101/28/3/0/0/0/0/0/0 Ultraschalltherapie 1/0/0/0/0/0/0/0/0/0 Transmyokardialer Laser 16/0/13/0/0/0/0/0/0/0 Spinal Cord Stimulation 4/0/0/0/0/0/0/0/0/0 Herzohrverschluss links 7/4/13/0/0/0/0/?/? Stammzellth. -Katheter 1/16/23/12/40/3/0/0/0 stereotaktische Drahtnavigation-/-/-/-/-/33 /13/4/0 Volker M hlberger, Quality

  45. Non- femoral Approach 2010/2011 (% of procedure) in Austria 18.5 KAG 2011 18 17.5 PCI 2010 17 PCI 2011 16.5 15,7 16 PCI akut 2011 15.5 15 PCI elektiv 2011 14.5 14 Volker M hlberger, Quality

  46. Intention to audit a center 5000 4500 4000 3500 CA 3000 2500 PCI 2000 1500 1000 500 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Volker M hlberger, Quality

  47. benchmarking: over the years Gesamt PCI Mortalit t % AT Gesamt PCI Mortalit t % 2.500 2.000 1.500 1.000 0.500 0.000 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Volker M hlberger, Quality

  48. benchmarking: over the centres 2010 PCI Mortalit t 3 2.5 2 1.5 1 0.5 0 0 5 10 15 20 25 30 35 40 Volker M hlberger, Quality

  49. benchmarking: over the centres 2010 akut PCI mit Schock Mortalit t 120 100 80 60 40 20 0 0 5 10 15 20 25 30 35 Volker M hlberger, Quality

  50. PCI Hospital-Mortality (%) in Austria true vs. traditional 1.6 1.4 1.2 1 alle meldende 0.8 0.6 0.4 0.2 0 2008 2009 2009 2010 2011 Volker M hlberger, Quality

Related


IAEA series of lectures on Quality Management in Medical Radiological Practices

IAEA series of lectures on Quality Management in Medical Radiological Practices

vance
What’s the difference between Office 2013, 2016, 2019 and Office 2021 (1)

What’s the difference between Office 2013, 2016, 2019 and Office 2021 (1)

buyantiviruskey
Quality Control: Meaning, Objectives, Functions, and Importance

Quality Control: Meaning, Objectives, Functions, and Importance

milos
Study on Identifying Quality Measurement Indicators in Primary Dental Care

Study on Identifying Quality Measurement Indicators in Primary Dental Care

winslow
Quality Program and Process in Manufactured Construction

Quality Program and Process in Manufactured Construction

mallory
Comprehensive Overview of Quality Control in Blood Bank and Quality Assurance

Comprehensive Overview of Quality Control in Blood Bank and Quality Assurance

eviemae
Continuous Monitoring of Water Quality in Little Bear River

Continuous Monitoring of Water Quality in Little Bear River

mjes
Idaho Fiscal Officers Meeting - General Fund Review July 31, 2013

Idaho Fiscal Officers Meeting - General Fund Review July 31, 2013

dabrowski_t
Quality of Life and Its Impact on Society

Quality of Life and Its Impact on Society

sjak
The Importance of a Chief Quality Officer in Healthcare Trusts

The Importance of a Chief Quality Officer in Healthcare Trusts

wkun
Great River Energy 2013 Annual True-Up Meeting Summary

Great River Energy 2013 Annual True-Up Meeting Summary

johnat
Data Quality Reporting in Distribution Chain

Data Quality Reporting in Distribution Chain

corp_vel
Quality Measures in Healthcare: Maine Quality Forum Initiatives

Quality Measures in Healthcare: Maine Quality Forum Initiatives

sjub
Enhancing Quality Assurance Practices in EPA Documents

Enhancing Quality Assurance Practices in EPA Documents

kuhl_ase
College of Nursing 2013-2014 Academic Year Highlights

College of Nursing 2013-2014 Academic Year Highlights

abdulra
Leadership Engagement for Quality Transformation in Medical Device Companies

Leadership Engagement for Quality Transformation in Medical Device Companies

base_sa
Insights into European Cooperation Day 2013 Events and Initiatives

Insights into European Cooperation Day 2013 Events and Initiatives

cdia
Project Quality Management

Project Quality Management

equin
Analysis of Course Sections Overfilled in Spring and Fall 2013

Analysis of Course Sections Overfilled in Spring and Fall 2013

delphin
Quality Assurance/Quality Control of Real-Time Oceanographic Data: Five-Year Plan Update 2022-2026

Quality Assurance/Quality Control of Real-Time Oceanographic Data: Five-Year Plan Update 2022-2026

tava_2
Integrating Nutrition Assessment and Counseling: Quality Improvement in Health Services

Integrating Nutrition Assessment and Counseling: Quality Improvement in Health Services

ken_hop
Mobilising for Quality Education: A Global Initiative for Ensuring Quality Teaching and Learning

Mobilising for Quality Education: A Global Initiative for Ensuring Quality Teaching and Learning

jeva_969

More Related Content