What is ARCtIC?

The Assessment of Risk in Cardiothoracic Intensive Care (ARCtIC) is a national clinical audit of patient outcomes for those admitted to a cardiothoracic critical care unit in the UK.

Cardiothoracic critical care units admit two distinct patient populations: those who have undergone thoracic (chest) or cardiac (heart) surgery, and those who are admitted for acute cardiac conditions, including out-of-hospital cardiac arrest. Patients undergoing extracorporeal therapies for respiratory and cardiac failure in supra-regional cardiac centres will also be included.

This national clinical audit was conceived and is being developed to specifically compare and improve outcomes of patients admitted to UK cardiothoracic critical care units.

53% of the 36 NHS cardiothoracic critical care units in the UK currently participate.

How it works:

Cardiothoracic critical care units submit data, quarterly, on consecutive admissions - as per general critical care units in the Case Mix Programme (CMP). Once data are validated, they are analysed and a Quarterly Quality Report (QQR) is produced. The QQR provides the same outcome measures and presentation as are used as in the CMP and an individual participating cardiothoracic critical care unit is compared both with all participating cardiothoracic critical care units, as well as, with all other participating critical care units. Reporting from ARCtIC not only includes QQRs, sent to each participating cardiothoracic critical care unit, but an Annual Quality Report (AQR) published online. Follow the related link for Annual Quality Report to view the latest AQR for adult cardiothoracic critical care.

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