Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Progress measure|
|Short name:||PI 09–Incidence of heart attacks (acute coronary events), 2016|
|Registration status:||Health, Superseded 31/01/2017|
Incidence of acute coronary events (acute myocardial infarction and unstable angina).
|Indicator set:||National Healthcare Agreement (2016) Health, Superseded 31/01/2017|
|Outcome area:||Prevention Health, Standard 07/07/2010|
|Quality statement:||National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2016 QS Health, Superseded 31/01/2017|
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 hospital separations 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 Newborns without qualified days or posthumous organ procurement or hospital boarder in each calendar year (based on discharge date from hospital).
The number of acute coronary events is estimated by (a) + (b).
100,000 x (Numerator ÷ Denominator)
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:|
Total population aged 25 years and over for calendar year in question.
|Denominator data elements:|
2011, 2012 (resupplied for revisions to the National Mortality Database), and 2013 — Nationally, by:
2011, 2012 (resupplied for revisions to the National Mortality Database), and 2013 — state/territory of usual residence.
2011, 2012 (resupplied for revisions to the National Mortality Database), and 2013—Nationally (for states and territories with adequate identification in both hospital and deaths data), by:
|Disaggregation data elements:|
Most recent data available for 2017 National Healthcare Agreement performance reporting: 2014.
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. Comparison of acute coronary event rates between jurisdictions should not be made as an AIHW assessment of validity 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
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 (acute coronary events), 2015 Health, Superseded 08/07/2016
Has been superseded by National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2017 Health, Superseded 30/01/2018