Recommendation ID
CG167/5
Question
Relationship between volume of procedures and clinical outcomes:- What is the relationship between hospital volume of primary PCI procedures and optimal outcomes in people with acute STEMI?
Any explanatory notes
(if applicable)
Why this is important:- There is a suggestion that outcomes may be better in larger-volume primary PCI units, and some retrospective registries have reported data to support this. However, the quality of the data is poor and still leaves the question open. In the UK, primary PCI is provided by units that vary greatly in the number of cases per year. The development of services has been ad hoc and not designed specifically around the provision of primary PCI. If it was possible to conclusively show that people were or were not better off being treated in larger volume units, then it would have important implications for the national provision of primary PCI.

Source guidance details

Comes from guidance
Myocardial infarction with ST-segment elevation: acute management
Number
CG167
Date issued
July 2013

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 31/07/2013