The Nile Study NATIONAL INSIGHT INTO CARDIAC CATH LAB EFFICIENCY IN EGYPT: THE NILE STUDY Section 1 – Center identification & general information 1. Hospital Name * 2. City / Governorate * CairoGizaAlexandriaDakahliaRed SeaBeheiraFayoumGharbiaIsmailiaMenoufiaMinyaQalubyaNew ValleySuezAswanAssiutBeni SuifPort SaidDamietaSharkiaSouth SinaiKafr ElsheikhMatrouhLuxorQenaNorth SinaiSohag 3. Type of institution University Ministry of Health Military Police Private OtherOther 4. Ownership Public Private Mixed 5. Does the hospital have on site cardiac surgery? YES NO 6. Is the cath lab available 24/7 for emergency PCI? YES NO Section 2 – History and structure of the cath lab 7. Year of establishment of the first cath lab in this hospital 8. Number of cath lab rooms currently in operation 9. Type of cath lab systems Single plane Bi plane Conventional Hybrid 10. Renovation or major upgrade in the last 5 years? YES NO Section 3 – Activity and case volumes 11. Total number of diagnostic coronary angiographies per year 12. Total number of PCI procedures per year • Elective PCI • Primary PCI for STEMI • Rescue / facilitated PCI/pharmaco invasive 13. Number of PCI for: • Chronic total occlusion (CTO) • Left main disease • In stent restenosis 14. Number of structural heart interventions per year • TAVI • Mitral interventions (balloon valvuloplasty) • Mitral interventions (TEER) • Tricuspid interventions • ASD/PFO closure • VSD CLOSURE • PARAVALV LEAK CLOSURE • LAA occlusion • Alcohol septal ablation 15. Number of peripheral interventions per year • LOWER LIMBS • Carotid • Renal 16. Number of device implantations (if done in cath lab) • PERMENANT Pacemaker • ICD • CRT • EP ABLATIONS You can add a monthly breakdown option if you want more granularity: • “Please provide monthly numbers for the last 12 months (optional).” Section 4 – Staffing and workforce 17. Total Number of interventional cardiologists working in this cath lab (MD/CONSULTANTS) • Number of female interventional cardiologists 18. Number of interventional cardiologists in training (fellows) 19. Number of cath lab nurses 20. Number of radiographers /TECHNICIANS 21. Availability of on site anesthetist for complex cases Always On demand Not available Section 5 – Organization, logistics, and case mix 22. 24/7 primary PCI rota in place? YES NO 23. Main indications for PCI (approximate %) 24. Average door to balloon time for primary PCI (if recorded) <60 min 60–90 min >90 min Not recorded 25. Does the lab participate in a local or national PCI registry? YES NO 26. Does the lab perform: • Radial access as default? (% of PCI radial) • Use of intracoronary imaging (IVUS/OCT) (% of PCI) • Use of FFR/iFR (% of cases) Section 6 – Equipment, technology, and support 27. Availability of: • IVUS • OCT • FFR/iFR • Rotational atherectomy • Intravascular lithotripsy • Mechanical circulatory support (IABP, Impella, ECMO) • IVUS YES NO • OCT YES NO • FFR/iFR YES NO • Rotational atherectomy YES NO • Intravascular lithotripsy YES NO • Mechanical circulatory support (IABP, Impella, ECMO) YES NO 28. Availability of hybrid OR for structural interventions YES NO 29. Availability of dedicated structural heart team YES NO Section 7 – Quality, safety, and accreditation 30. Does the cath lab have written SOPs / protocols for: • STEMI pathway • Contrast nephropathy prevention • Radiation safety • Infection control • STEMI pathway YES NO • Contrast nephropathy prevention YES NO • Radiation safety YES NO • Infection control YES NO 31. Is there a formal morbidity & mortality (M&M) review process? YES NO 32. Is radiation dose monitored and recorded per case? YES NO 33. Is the cath lab accredited by any national or international body? YES NO Section 8 – Training, research, and teaching 34. Is the cath lab a training center for: Cardiology Residency Interventional Fellowship International Fellows 35. Number of interventional fellows currently in training 36. Number of peer reviewed publications from cath lab data in last 3 years 37. Participation in international trials or registries YES NO Section 9 – Optional: perceived needs and barriers 38. Main limitations in cath lab service (select up to 3): Funding Staff shortage Equipment Space Training Administrative 39. Priority areas for development in your cath lab (free text) Submit If you are human, leave this field blank.
