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The UKNG database: a simple audit tool for interventional neuroradiology
1Department of Neuroradiology, Wessex Neurological Centre, Southampton General Hospital, Southampton, UK. john.millar@suht.swest.nhs.uk
The UK Neurointerventional Group (UKNG) developed a unified database for neurointerventional procedures, enabling real-time clinical audit and practice analysis. This tool facilitates direct comparison with established standards like the International Subarachnoid Aneurysm Trial (ISAT).
Area of Science:
- Medical Informatics
- Neurosurgery
- Interventional Radiology
Background:
- The UK Neurointerventional Group (UKNG) established a unified database in 2002 for neuroangiography and neurointerventional procedures.
- This system supports data recording, analysis, and clinical audit of these complex medical interventions.
Purpose of the Study:
- To detail the development and functionality of a unified database for neurointerventional procedures.
- To highlight its capability for real-time clinical audit and comparison with established trial data.
Main Methods:
- Utilized a Microsoft Access platform with linked programs for data collection and analysis.
- Developed an aneurysm therapy analysis program mirroring International Subarachnoid Aneurysm Trial (ISAT) criteria.
Main Results:
- The Wessex database contains over 1,750 patient records, including ~350 aneurysm coilings and ~500 neurointerventional procedures.
- Automatic updates provide real-time clinical outcome scores, enabling direct comparison with ISAT's 'Clinical Standard'.
Conclusions:
- The database offers a unique platform for national-level monitoring and review of neurointerventional practice.
- The UKNG offers the database software free to the wider neurointerventional community.
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