National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Progress measure|
|Short name:||PI 09- Incidence of heart attacks (acute coronary events), 2015|
|Registration status:||Health, Superseded 08/07/2016|
Incidence of acute coronary events (acute myocardial infarction and unstable angina).
|Indicator set:||National Healthcare Agreement (2015) Health, Superseded 08/07/2016|
|Outcome area:||Prevention Health, Standard 07/07/2010|
|Quality statement:||National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 QS Health, Superseded 08/07/2016|
Collection and usage attributes
Rates directly age-standardised to the 2001 Australian population.
Count (a) number of deaths where ‘acute coronary heart disease’ (ICD-10 codes I20–I24) is the underlying cause of death in each calendar year (based on year of registration of death).
Count (b) number of non-fatal hospitalisations where ‘acute myocardial infarction’ (ICD-10-AM I21) or ‘unstable angina’ (ICD-10-AM I20.0) are the principal diagnosis, and separation mode is not equal to ‘died’ or ‘transferred to another acute hospital’, and care type is not equal to ‘newborn-unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ in each calendar year (based on discharge date from hospital).The number of acute coronary events is estimated by (a) + (b).
|Computation:||100,000 x (Numerator ÷ Denominator)|
|Numerator:||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 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:|
2010 and 2011 (resupplied for revisions to the National Mortality Database), 2012 — Nationally, by:
2007, 2008, 2009, 2010, 2011, 2012 — State/Territory of usual residence
2007, 2008, 2009 (resupplied for updated Indigenous population projections), 2010 and 2011 (resupplied for updated Indigenous population projections and revisions to the National Mortality Database), 2012—Nationally (for states and territories with adequate identification in hospital and deaths data), by:
|Disaggregation data elements:|
Most recent data available for 2015 National Healthcare Agreement (NHA) performance reporting: 2012.
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 been provided for the first time. Comparison of acute coronary event rates between jurisdictions should not be made as an AIHW validation study (based on NSW and WA 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 across states/territories, which are likely to have an impact on administrative records and affect jurisdictional comparability.
|Unit of measure:||Episode|
Data source attributes
|Reporting requirements:||National Healthcare Agreement|
|Organisation responsible for providing data:||Australian Institute of Health and Welfare|
|Further data development / collection required:|
Specification: Any further improvements in diagnostic sensitivity and treatment patterns for acute coronary events will need to be taken into account in trend analysis.
|Related metadata references:|
Supersedes National Healthcare Agreement: PI 09-Incidence of heart attacks, 2014 Health, Superseded 14/01/2015
Has been superseded by National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2016 Health, Superseded 31/01/2017