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Acute heart failure [QS103]

Measuring the use of this guidance

Statement: 1

Adults presenting to hospital with new suspected acute heart failure have a single measurement of natriuretic peptide.

Quality standard measure: Evidence of local arrangements to ensure that adults presenting to hospital with new suspected acute heart failure have a single measurement of natriuretic peptide.
What was measured: Proportion of hospitals with BNP/NT‑proBNP available for investigation of heart failure.
Data collection end: December 2016
84.2%
Number that met the criteria: 144 / 171
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.

Quality standard measure: Proportion of adults presenting to hospital with new suspected acute heart failure who have a single measurement of natriuretic peptide.
What was measured: Proportion of newly diagnosed heart failure, where a measurement of natriuretic peptides was carried out.
Data collection end: December 2016
17.9%
Number that met the criteria: 17 / 95
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.


Statement: 2

Adults admitted to hospital with new suspected acute heart failure and raised natriuretic peptide levels have a transthoracic doppler 2D echocardiogram within 48 hours of admission.

Quality standard measure: Evidence of local arrangements to ensure that adults admitted to hospital with new suspected acute heart failure and raised natriuretic peptide levels have a transthoracic doppler 2D echocardiogram within 48 hours of admission.
What was measured: Proportion of hospitals with a service to provide echocardiogram within the first 48 hours of admission.
Data collection end: December 2016
65.7%
Number that met the criteria: 115 / 175
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.

Quality standard measure: Evidence of local arrangements to ensure that adults admitted to hospital with new suspected acute heart failure and raised natriuretic peptide levels have a transthoracic doppler 2D echocardiogram within 48 hours of admission.
What was measured: Proportion of hospitals with transthoracic Doppler echocardiography available for investigation of heart failure.
Data collection end: December 2016
88.9%
Number that met the criteria: 152 / 171
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.

Quality standard measure: Evidence of local arrangements to ensure that adults admitted to hospital with new suspected acute heart failure and raised natriuretic peptide levels have a transthoracic doppler 2D echocardiogram within 48 hours of admission.
What was measured: Proportion of hospitals which provide follow-up by a specialist team in either the hospital or the community.
Data collection end: December 2016
97.1%
Number that met the criteria: 168 / 173
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.


Statement: 3

Adults admitted to hospital with acute heart failure have input within 24 hours of admission from a dedicated specialist heart failure team.

Quality standard measure: Evidence of local arrangements to ensure that adults admitted to hospital with acute heart failure have input within 24 hours of admission from a dedicated specialist heart failure team.
What was measured: Proportion of hospitals with a specialist heart failure service.
Data collection end: December 2016
88.2%
Number that met the criteria: 157 / 178
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.

Quality standard measure: Proportion of adults admitted to hospital with acute heart failure who have input within 24 hours of admission from a dedicated specialist heart failure team.
What was measured: Proportion of people with heart failure who were reviewed by a cardiologist or member of the heart failure team within 24 hours.
Data collection end: December 2016
27.2%
Number that met the criteria: 114 / 419
Area covered: UK
Source: The National Confidential Enquiry into Patient Outcomes and Death. Failure to Function. A review of the care received by patients who died in hospital following an admission with acute heart failure.



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