National Audit of Percutaneous Coronary Interventions (NAPCI) 2014 Annual Public Report
The NAPCI assesses the process of PCI care and speed of the PCI delivery as well as the patient outcomes for example complication rates, or mortality. Annually the audit publishes its results on the British Cardiovascular Intervention Society website supplemented by the lay summary of the findings – the latter being published today.
The latest audit findings include :
- Although the number of PCIs performed in the UK has more than doubled over the last decade – from 44,913 PCI procedures (in 2002) to 92,589 performed in 2013 – the number appears to have levelled off over the last two years.
- In 2013 emergency PCI to treat acute heart attacks continues to be delivered quickly – 79% of all patients were treated within 150 minutes of calling for professional help and 90% treated within 90 minutes of arriving at the PCI centre. This compares very favourably with international data.
- Patients who need to be transferred between hospitals for primary PCI continue to have longer delays to treatment than patients admitted directly to a PCI centre. Transfer delayed treatment by about 40 minutes.
- Delays in treating patients with NSTEMI have improved, but remain longer than recommended. In 2010 48 % were treated within 72 hrs of initial admission to hospital. This has risen to 55% in 2013.
- BCIS and BCS recommend in their Recommendation for good practice and training recommend that centres undertake minimum of 400 procedures per year. The audit shows that 22% of centres performed less than 400 PCIs in 2013.
- There has been a continued increase in the use of the radial artery instead of the femoral for access, and this may be one of the factors responsible for driving down complication rates. The audit notes variation between centres in the rates of the use of radial arterial access.
The report is available on the NICOR website.