Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie n H. Mlczoch n W.Klein(+) n P.Probst n F.Leisch n V.Mühlberger Monitor (Auditor)

Präsentation zum Thema: "Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie n H. Mlczoch n W.Klein(+) n P.Probst n F.Leisch n V.Mühlberger Monitor (Auditor)"—  Präsentation transkript:

1 Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie n H. Mlczoch n W.Klein(+) n P.Probst n F.Leisch n V.Mühlberger Monitor (Auditor) Report:

2 European Society of Cardiology http://www.insel.ch/kardiologie/downloads n AUSTRIA 1990 -2004 BERNESC

3 AUSTRIAN ANGIOGRAPHY +/- PCI- CENTERS 2003 AUSTRIAN ANGIOGRAPHY +/- PCI- CENTERS 2003 n 4 Pediatric n 31 Adult ( 7 in Vienna) n Rooms (n=42) n (40 PTCA, 2 CAG) n http://gin.uibk.ac.at./iik/ n Bad Ischl is going to close 2004

4 26% der 103 Parameter wurden von allen 31 Zentren rückgemeldet 2003

5 AUSTRIA 2002/2003 Angiography 41.051 43.644  PTCA=PCI 13.581 15.056 stent 84% 87% OP-CAD 4.147 4.020 OP- valve 1.892 1.988

6 Volker Mühlberger, Quality Coronary Angiography Frequency per One Million Inhabitants Coronary Angiography Frequency per One Million Inhabitants

7 PCI Frequency per One Million Inhabitants (AU/CH/D) PCI Frequency per One Million Inhabitants (AU/CH/D)

8 Gesamt-PCI und CA, n= 31 Zentren Österreich 2003; aufsteigend geordnet

9 Prozentanteil von PCI zu CA der Jahre 2001 bis 2003 geordnet nach 2003 (n=29)

10 Volker Mühlberger, Quality %-PCI during Diagnostic Angio in Austria/Switzerland

11 Volker Mühlberger, Quality Ratio of (CABG-OP+PCI) per Angiography in AU CH D

12 Volker Mühlberger, Quality PCI Hospital-Mortality (%) in Austria, Switzerland and Germany

13 Volker Mühlberger, Quality Elective and Overall - PCI Hospital- Mortality (%) in Austria

14 Volker Mühlberger, Quality Ratio of STENTING per PCI (%) in AU/CH/D

15 Volker Mühlberger, Quality Ratio of emergency CABG due to PCI (%) in Austria/Switzerland

16 Volker Mühlberger, Quality EMERGENCY CABG AFTER PCI (%)-MORTALITY in Austria EMERGENCY CABG AFTER PCI (%)-MORTALITY in Austria

17 Volker Mühlberger, Quality Infarction as Complication (%) after PCI in Austria and Switzerland

18 PCI for acute Myocardial Infarction (% of total) in Austria and Switzerland

19 PCI for acute myocardial infarction (n) in Austria PCI for acute myocardial infarction (n) in Austria

20 Volker Mühlberger, Quality PCI FOR =DURING ACUTE MI(%)-MORTALITY in Austria PCI FOR =DURING ACUTE MI(%)-MORTALITY in Austria

21 Volker Mühlberger, Quality % GP IIb/IIIa for PCI

22 DRUG ELUTING STENTS (DES) in Austria (n) DRUG ELUTING STENTS (DES) in Austria (n)

23 DRUG ELUTING STENTS (DES) in Austria (% of stents)

24 Volker Mühlberger, Quality Puncture site closing devices (% of PCI)

25 Volker Mühlberger, Quality Brachial and Radial Approach %

26 Volker Mühlberger, Quality NEW DEVICES, Austria

27 Volker Mühlberger, Quality INNOVATIONEN Austria 2002/2003 n Brachytherapie 163/101 n Ultraschalltherapie 1/- n Gerinnselentferner 148/173 n Transmyokardialer Laser 16/0 n Spinal Cord Stimulation 4/- n Alkoholablation 4/4 n Defektverschlüsse 162/243 n Drug - Eluting - Stents 620/2938

28 INNOVATIONEN II Austria 2003 INNOVATIONEN II Austria 2003 n Stammzelltherapie mit Katheter 21 n NOGA Mapping 16 n Herzohrverschluss links 7 n PCI wegen instent-Restenose 737

29 Volker Mühlberger, Quality Case load per physician

30 Volker Mühlberger, Quality Case load per physician 2003

31 Volker Mühlberger, Quality NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR PCI DURING 2000/02

32 Volker Mühlberger, Quality NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR CA DURING 2000/02 NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR CA DURING 2000/02

33 ...........wie geht’s weiter? n n.....eine Validierung von Indikationskriterien für invasive Massnahmen mittels entsprechender “Output-Daten”, um nach internationalen Qualitätsmaßstäben zu beurteilen, ob die österreichischen Kardiologen ihre Ressourcen adäquat einsetzen (Pachinger Z.Kardiol 2003)

34 ...........wie geht’s weiter? n Einer besucht alle (Auditor) n Alle besuchen alle (Monitor) n Ausgebildete Auditoren besuchen.......... n Stichproben.......................