Reason reperfusion treatment not given
Name Nothr_gn
Chapter MINAP/Reperfusion treatment
Definition
Reprefusion treatment refers to primary PCI and thrombolytic treatment and applies only to patient with ST elevation infarction. Where there is more than one contraindication to treatment you can only enter one option, with "Too Late" having priority over all hte others.
Data Type Categorical
Data sources MINAP
Repeated No
Valid event date range 01/01/2003 - 08/06/2009
Agreed 01/12/2010 (Revision 9.1)
Category DefinitionNotes
0 None This is default value which should be changed to the apprppriate option.
1 Ineligible ECG No ECGs show unequivocal ST elevation or LBBB- NB: this choice is NOT compatible with an initila diagnosis is Definite MI because that diagnisis implies that the ECG must have been diagnostic of ST elevation infarction.
2 Too Late A decision made in light of a lolcal protocol. It may be checked against other recorded delays wherer initial diagnosis is definite myocardial infarction.
3 Risk of haemorrhage Includes risk of bleeding from all sites and afte prolonged resuscitation.
4 Uncontrolled hypertansion An appropriate contraindiacation especially in older people.
5 Administrative failure To be used where in the option of a senior clinician reperfusion treatment was withheld incorrectly.
6 Elective decision To be used wher a decision was made not to treat a patient ( severe coexisting morbidity, or dying ).
7 Patient refused treatment
8 Other Used of any contraindicationnot covered by other options.
9 Unknown Use when eligible patient fails to receive reperfusion treatment without a stated reason.
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