Data Collection Modules
VCOR aims to have a broad cardiac outcomes focus and it is anticipated that the registry will expand to collect a comprehensive dataset for many different cardiac procedures, treatments and interventions across metropolitan and regional Victorian health services.
Currently, VCOR has four data collection modules: Percutaneous Coronary Intervention (PCI), Early Management of Acute STEMI in Regional Victoria, Heart Failure Snapshot and Cardiac Implantable Electronic Deviced (CIED). Data is collected for every patient undergoing a relevant cardiac procedure, treatment or intervention in participating Victorian health services.
The current VCOR data collection modules are:
Percutaneous Coronary Intervention (PCI)
PCI is a non-surgical treatment of narrowed coronary arteries using a balloon to inflate the artery and/or place a stent to hold it open. This procedure is also known as coronary angioplasty. VCOR currently collects a minimum data set for patients undergoing PCI. This dataset includes demographics, hospital admission data, clinical symptoms and presentation, pre-procedural risk factors and procedure details to discharge. Patients are followed-up at 30 days to check on their health status after their PCI procedure.
Management of Acute ST-Elevation Myocardial Infarction (STEMI) in Regional Victoria
ST-elevation myocardial infarction (STEMI) occurs when a coronary artery is totally occluded by a blood clot and timely care and treatment is critical for improving patient outcomes. This module collects data about patients presenting to regional hospitals with STEMI (or suspected STEMI) and follows the patient from presentation to discharge and/or transfer. Many patients will be transferred to metropolitan centres for PCI. Through data linkage across the two modules, VCOR will be able to theoretically map a regional patients' journey from hospital presentation to through to 30-day follow-up after PCI.
Heart Failure Snapshot
Heart failure (HF) represents a major public health problem, associated with high mortality, frequent hospitalisation and high health care costs. Heart failure management is complex and it can often be difficult to know the impact of heart failure on the health system. This Heart Failure Snapshot will be rolled out in 2015. It will allow for systematic data collection of heart failure patients for the first time in Victoria. It will help to identify key characteristics of HF patients, their clinical course during inpatient stay, resource used to treat them and, via appropriate follow up, what happens to the patient after discharge.
Hospitals will participate for one month at a time to provide a snapshot of HF patients across their health service for that period. Reports will be provided back to participating sites and the Victorian Department of Health.
Cardiac Implantable Electronic Device (CIED)
Cardiac Implantable Electronic Devices (CIED's) are an effective treatment for abnormal rapid, potentially fatal heart rhythms and prevention of sudden death in patients with a previous history or family history of out of hospital cardiac arrest. In 2018 VCOR will conduct a one year pilot where data will be collected at five public hospitals.
Data will be collected on all patients who have a procedure involving an implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRT). Patients are followed-up at 30 days to check on their health status after their CIED procedure.
As new modules are approved for data collection, health services will be engaged and invited to participate. Hospitals participate in each module voluntarily. It is not compulsory for participating centres to contribute to all VCOR modules. For more information about the specific type of patient information collected in VCOR, please visit our What information is collected page.