Australian Health Performance Framework: PI 3.1.1–Incidence of heart attacks (acute coronary events), 2021
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | AHPF PI 3.1.1–Incidence of heart attacks (acute coronary events), 2021 |
METEOR identifier: | 769649 |
Registration status: | Health, Standard 07/09/2023 |
Description: | Incidence of acute coronary events (acute myocardial infarction and unstable angina). |
Rationale: | Acute coronary events are a form of coronary heart disease, which is one of the leading causes of disease burden in Australia. Monitoring the incidence of acute coronary events provides a measure of the burden of acute coronary heart disease in the population and informs health service planning. |
Indicator set: | Australian Health Performance Framework, 2021 Health, Standard 11/07/2023 |
Collection and usage attributes | |
Population group age from: | 25 years |
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Computation description: | Rates are directly age-standardised to the 2001 Australian population. The number of acute coronary events is estimated by (a) + (b) where: (a) is the number of deaths where ‘acute coronary heart disease’ (International Classification of Diseases 10th Revision (ICD-10) codes I20–I24) is the underlying cause of death in each calendar year (based on year of registration of death), and (b) is the number of non-fatal hospital separations where ‘acute myocardial infarction’ or ‘unstable angina’ (International Classification of Diseases 10th Revision Australian Modification (ICD-10-AM) codes I21 or I20.0) is the principal diagnosis, separation mode is not equal to ‘died’ or ‘transferred to another acute hospital’, and care type is 'acute care' in each calendar year (based on separation date from hospital). |
Computation: | Crude rate: 100,000 x (Numerator ÷ Denominator) |
Numerator: | The number of deaths recorded with an underlying cause of acute coronary heart disease (a) plus the number of non-fatal hospitalisations with a principal diagnosis of acute myocardial infarction or unstable angina that do not end in death or a transfer to another acute hospital (b). For ages 25 years and over. |
Numerator data elements: | |
Denominator: | Total population aged 25 years and over for calendar year in question. |
Denominator data elements: | |
Disaggregation: | 2013 to 2020—Nationally by:
2013 to 2020—State/territory of usual residence. |
Disaggregation data elements: | |
Comments: | Most recent data available for 2021 Australian Health Performance Framework: 2020. Compilation of calendar year data from the Admitted patient care NMDS requires data from 2 financial years (e.g., 2020 calendar year data uses Admitted patient care NMDSs for 2019–20 and 2020–21). This is a measure of the number of acute coronary events in a calendar year. An individual may have more than one event during a year. This indicator has previously been published at the national level by age and sex. The data for state/territory (of usual residence) has previously been published. Direct comparison of acute coronary event rates between jurisdictions should not be made as an AIHW assessment of validity study (based on New South Wales and Western Australia data) has shown that there are variations in the ascertainment of acute coronary events between jurisdictions. This is likely due to differing treatment and referral patterns and data recording practices across states/territories, which are likely to have an impact on administrative records and affect jurisdictional comparability. The ICD-10 code set represents the disease or injury which initiated the train of morbid events leading directly to death or the circumstances of the accident or violence which produced the fatal injury. The ICD-10-AM code set is used to classify diseases, injuries and related health problems. |
Representational attributes | |
Representation class: | Rate |
Data type: | Real |
Unit of measure: | Episode |
Format: | N[NNN].N |
Indicator conceptual framework | |
Framework and dimensions: | 1. Health conditions |
Data source attributes | |
Data sources: | |
Accountability attributes | |
Reporting requirements: | Australian Health Performance Framework |
Organisation responsible for providing data: | Australian Institute of Health and Welfare |
Accountability: | Australian Institute of Health and Welfare |
Source and reference attributes | |
Submitting organisation: | Australian Institute of Health and Welfare |
Relational attributes | |
Related metadata references: | Supersedes Australian Health Performance Framework: PI 3.1.1–Incidence of heart attacks (acute coronary events), 2020 Health, Superseded 07/09/2023 See also National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2022 Health, Standard 24/09/2021 |