This register is an invaluable resource to cardiac surgeons, interventional cardiologists and health service planners. It enables clinicians in Scotland to monitor their own practice and compare it with other hospitals both within Scotland and elsewhere.
Since April 1996, data have been collected on all patients undergoing coronary artery bypass grafting in Scottish NHS hospitals. Since April 1997 and April 2000 data have also been collected on all patients undergoing percutaneous coronary interventions and coronary angiography respectively.
The data are collected prospectively by clinical, nursing, audit and administrative staff located in the twelve NHS hospitals where these procedures are undertaken. The information collected on each patient includes:
- demographic characteristics,
- severity of cardiac disease,
- drug therapy,
- past medical and surgical history,
- co-morbid conditions and other risk factors, and
- in-hospital complications.
Throughout Scotland, data are routinely collected on all acute hospital admissions via the Scottish Morbidity Record (SMR1). The General Registrar’s Office (GRO) collects data from death certificates on all deaths that occur in Scotland whether in hospital or in the community.
The Scottish Coronary Revascularisation Register is linked annually to the SMR1 and GRO databases to provide follow-up information on:
- readmission to hospital,
- acute myocardial infarction,
- repeat coronary angiography, and
- repeat coronary revascularisation
There are two steering groups for cardiac surgery and interventional cardiology respectively. The membership of the steering groups include senior clinicians from the participating hospitals. The representatives are responsible for liaising with their colleagues, validating data completeness and accuracy and the dissemination of results and recommendations.
In addition to monthly benchmarking, data validation reports and ad hoc analyses the steering groups approve a detailed annual report. This report is printed and distributed to relevant clinicians, Directors of Public Health, Medical Directors, CHD Network clinical leads and network managers throughout Scotland. It is also now available online using the links below. Data are also submitted to the Society of Cardiothoracic Surgeons, The UK Central Cardiac Audit Database (CCAD) and the European Association of Cardio-Thoracic Surgery so that Scottish Cardiac Surgeons can compare their own practice with that of surgeons across the United Kingdom and in other European countries.