French national register coronary angiograms and coronary angioplasties
Presentation
Disease of the heart arteries (called coronaries) affects 1.5 million people in France. It is the leading cause of all-cause mortality with 1 death every 4 minutes in France.
Its management is a real public health issue.
Coronary angiography (or coronary angiography) is an examination that allows you to visualize the arteries of the heart or coronary arteries and to treat them at the same time by a procedure called coronary angioplasty.
France PCI (Percutaneous Coronary Intervention, coronary angioplasty in English) is a national registry of interventional cardiology which aims to identify coronary angiography and coronary angioplasty activities in France.
It is carried by:
- The GACI (Atheroma and Interventional Cardiology Group) representing French coronarographers with the French Society of Cardiology
- The France PCI association, promoter of the project, made up of a steering committee and a scientific committee, an ARC team, as well as investigative teams from each participating centre.
- The Clinical Cardiology Research Unit of Chartres hospitals
PUBLICATIONS
Find the article presenting the state of progress of France PCI in the last issue of Cathlab (July 2021).
Welcome to CH de Lens, 44th participating centre, which joined us in February 2022 !
Find all the centers participating in the France PCI register here.
Goals
The main objective of the registry is to improve the prognosis of coronary patients.
Indeed, cardiovascular disease is the first cause of death in the world and its medical management is a real public health issue.
In France, coronary disease affects 1.5 million people and is responsible for 150,000 deaths each year, or one every 4 minutes. Only a perfect knowledge of the epidemiological and clinical data of the patients and of the medical practices in interventional cardiology will allow everyone to evaluate themselves, to compare themselves and, in the long term, to improve their practices. The experiences of the Swedish registries have shown that they not only improve the quality of the treatments provided, improve the prognosis of patients while achieving significant health savings.
Another objective is to provide the interventional cardiology community with a national and exhaustive database allowing a large number of scientific and epidemiological studies to be considered.
In practice, how does it work?
A total of 150 variables per act are integrated into the database, bringing together epidemiological, clinical and procedural data (coronary angiography and coronary angioplasty). Pre-hospital data in the STEMI are also analyzed (time to treatment, patient journey).
Data extraction is done using reporting software (Cardioreport, Hemolia, Atout Coeur, etc.) and on-site monitoring by a dedicated Clinical Studies Technician listing hospital events but also morbidity. -mortality at 1 year as well as current drug treatments.
Data quality
Our register is strongly inspired by the Swedish SCAAR model, a world reference in the field.
Thanks to its all-electronic architecture, without double entry with mandatory data capture, France PCI has demonstrated that it is possible to collect a large quantity of quality data (>99% data completeness), without any real constraint for the cardiologist (automatic collection of invariants, integrated into computerized coronary angiography report software) or major additional cost (cost of approximately 10 euros per procedure). This large amount of data is an essential guarantee for considering the production of published scientific work and the sustainability of the project.
