The Myocardial Ischaemia National Audit Project (MINAP)

Area of Science:

• Cardiology
• Public Health
• Health Services Research

Background:

• The Myocardial Infarction National Audit Project (MINAP) is a national clinical audit.
• It collects data on acute coronary syndromes (ACS) across England and Wales.

Purpose of the Study:

• To audit the quality of care for patients with acute coronary syndrome (ACS).
• To provide a resource for academic research into ACS.
• To benchmark hospital performance against national standards.

Main Methods:

• Data collected from all 230 acute hospitals in England and Wales from 2000 to present.
• Covers consecutive, unconsented patients with any ACS diagnosis (NSTEMI, STEMI, unstable angina).
• Utilizes 123 fields on demographics, comorbidities, and treatments; data capture via manual entry with quality validation studies.

Main Results:

• Over 735,000 patient records collected to date.
• Data completeness exceeds 90% for key fields.
• All-cause mortality is tracked via linkage with the Office for National Statistics.

Conclusions:

• MINAP serves as a vital tool for monitoring and improving ACS care quality.
• The audit facilitates research and evidence-based practice in cardiology.
• Performance feedback aids hospitals in meeting national standards.