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Date: 16 May 2012

Time: 21:41

Patients discharged on ACE inhibitors indicator

Percentage of patients discharged on ACE inhibitors

How is the Trust doing?

Graph showing percentage of patients discharged on ACE inhibitors

Rolling year to date (January 2011 – December 2011) 100%
Rolling 3 years (January 2009 – December 2011) 94.8%

Higher percentage indicates better performance.

The Trust performs well against this indicator though it is more difficult to assess performance as not all patients can tolerate these drugs immediately after surgery. More work is being done to refine this indicator further.

Why is this indicator important?

A number of studies have shown that in the long term using angiotensin converting enzyme inhibitors (ACE inhibitors or other similar drugs) in first-time, isolated CABG patients can prolong the life of both patients and grafts.

The aim is for all eligible patients (patients for whom these drugs are suitable) to receive them on the day of discharge.

How do we measure this indicator?

The percentage of all patients admitted for first-time, isolated CABG given ACE inhibitors on the day of discharge (i.e. discharged on ACE inhibitors).

There will however always be a number of patients for whom ACE inhibitors are unsuitable and some patients who cannot be given these drugs before they leave hospital due to low blood pressure or mild renal dysfunction following surgery for example. GPs are notified in these cases so that the drugs can be started at the appropriate time after discharge.