Return to QS68 Overview

Acute coronary syndromes in adults [QS68]

Measuring the use of this guidance

Statement: 3

Adults with non-ST-segment-elevation myocardial infarction (NSTEMI) or unstable angina who have an intermediate or higher risk of future adverse cardiovascular events are offered coronary angiography (with follow-on percutaneous coronary intervention [PCI] if indicated) within 72 hours of first admission to hospital.

Quality standard measure: Proportion of adults with NSTEMI or unstable angina who have an intermediate or higher risk of future adverse cardiovascular events who receive coronary angiography (with follow-on PCI if indicated) within 72 hours.
What was measured: Percentage of patients with nSTEMI who were treated with PCI within 72 hours from admission regardless of method of admission i.e. whether they were admitted directly to the PCI hospital or were admitted to a non-PCI hospital first.
Data collection end: December 2014
54%
Area covered: England
Source: National Institute for Cardiovascular Outcomes. National Audit of Percutaneous Coronary Interventional Procedures

Quality standard measure: Proportion of adults with NSTEMI or unstable angina who have an intermediate or higher risk of future adverse cardiovascular events who receive coronary angiography (with follow-on PCI if indicated) within 72 hours.
What was measured: Patients with nSTEMI who were directly admitted to the hospital where angiography was performed and where reliable timings recorded, who had received an angiogram within the first 72 hours.
Data collection end: March 2015
55.6%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

Quality standard measure: Proportion of adults with NSTEMI or unstable angina who have an intermediate or higher risk of future adverse cardiovascular events who receive coronary angiography (with follow-on PCI if indicated) within 72 hours.
What was measured: Patients with nSTEMI who were directly admitted to the hospital where angiography was performed and where reliable timings recorded, who had received an angiogram within the first 72 hours.
Data collection end: March 2016
53%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

Quality standard measure: Proportion of adults with NSTEMI or unstable angina who have an intermediate or higher risk of future adverse cardiovascular events who receive coronary angiography (with follow-on PCI if indicated) within 72 hours.
What was measured: Percentage of patients with nSTEMI who were treated with PCI within 72 hours from admission regardless of method of admission i.e. whether they were admitted directly to the PCI hospital or were admitted to a non-PCI hospital first.
Data collection end: December 2015
57%
Area covered: England
Source: National Institute for Cardiovascular Outcomes. National Audit of Percutaneous Coronary Interventional Procedures


Statement: 6

Adults with acute ST-segment-elevation myocardial infarction (STEMI) who present within 12 hours of onset of symptoms have primary percutaneous coronary intervention (PCI), as the preferred coronary reperfusion strategy, as soon as possible but within 120 minutes of the time when fibrinolysis could have been given.

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Proportion of patients who received primary PCI within 150 minutes of call for professional help.
Data collection end: March 2014
82%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Percentage of patients with STEMI who receive primary PCI within 90 minutes of arrival at a PCI hospital.
Data collection end: December 2014
90%
Area covered: England
Source: National Institute for Cardiovascular Outcomes. National Audit of Percutaneous Coronary Interventional Procedures

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Percentage of patients with STEMI who receive primary PCI within 60 minutes of arrival at a PCI hospital.
Data collection end: December 2014
77%
Area covered: England
Source: National Institute for Cardiovascular Outcomes. National Audit of Percutaneous Coronary Interventional Procedures

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Proportion of patients who received primary PCI within 150 minutes of call for professional help.
Data collection end: March 2015
82.3%
Data collection end: March 2016
74.9%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Eligible patients who received pPCI within 90 minutes of arrival at Heart Attack Centre (door to balloon).
Data collection end: March 2015
88.9%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Percentage of patients with STEMI who receive primary PCI within 90 minutes of arrival at a PCI hospital.
Data collection end: December 2015
91%
Area covered: England
Source: National Institute for Cardiovascular Outcomes. National Audit of Percutaneous Coronary Interventional Procedures

Quality standard measure: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
What was measured: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
Data collection end: March 2017
72.3%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.



 Return to QS68 Overview