National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2019

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 09–Incidence of heart attacks (acute coronary events), 2019
METeOR identifier:698922
Registration status:Health, Standard 19/06/2019
Description:

Incidence of acute coronary events (acute myocardial infarction and unstable angina).

Indicator set:National Healthcare Agreement (2019) Health, Standard 19/06/2019
Outcome area:Prevention Health, Standard 07/07/2010

Collection and usage attributes

Population group age from:

 25 years

Computation description:

Rates directly age-standardised to the 2001 Australian population.

Count (a) 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).

Count (b) number of non-fatal hospital separations where ‘acute myocardial infarction’ (ICD-10-AM I21) or ‘unstable angina’ (ICD-10-AM I20.0) is 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).

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 death or a transfer to another acute hospital (b). For ages 25 and over.

Numerator data elements:
Data Element / Data SetEpisode of admitted patient care—separation mode, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetPerson—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN
Data Source
AIHW National Mortality Database
Data Element / Data SetHospital service—care type, code N[N]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetPerson—age range, code NN
Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—date of death, DDMMYYYY
Data Source
AIHW National Mortality Database
Data Element / Data SetData Element

Person-year of registration of death, (YYYY)


Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Denominator:

Total population aged 25 and over for calendar year in question.

Denominator data elements:
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (2016 Census-based)
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Estimated resident population (2016 Census-based)
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Indigenous estimates and projections (2011 Census-based)
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Indigenous estimates and projections (2011 Census-based)
Data Element / Data SetPerson—Indigenous status, code N
Data Source
ABS Indigenous estimates and projections (2011 Census-based)
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Guide for use

Data source: ABS standard population (2001)


Data Element / Data SetPerson—age, total years N[NN]
Guide for use

Data source: ABS standard population (2001)


Disaggregation:

2014, 2015 (resupplied for revisions to the National Mortality Database), and 2016—Nationally, by:

  • age group and sex.

2014, 2015 (resupplied for revisions to the National Mortality Database), and 2016—State/Territory of usual residence.

2014, 2015 (resupplied for revisions to the National Mortality Database), and 2016—Nationally (for states and territories with adequate identification in both hospital and deaths data), by:

  • Indigenous status (not reported).
Disaggregation data elements:
Data Element / Data SetPerson—age range, code NN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetPerson—sex, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2016-17
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—Indigenous status, code N
Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—sex, code N
Data Source
AIHW National Mortality Database
Data Element / Data SetPerson—age range, code NN
Data Source
AIHW National Mortality Database
Comments:

Most recent data available for 2019 National Healthcare Agreement performance reporting: 2016.

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 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.

Representational attributes

Representation class:Rate
Data type:Real
Unit of measure:Episode
Format:

N[NNN].N

Data source attributes

Data sources:
Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare



Data SourceAIHW National Mortality Database
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare



Data SourceABS Estimated resident population (2016 Census-based)
Frequency
Quarterly

Data SourceABS Indigenous estimates and projections (2011 Census-based)
Frequency
Periodic
Data custodian
Australian Bureau of Statistics

Accountability 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.

Relational attributes

Related metadata references:

Supersedes National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2018 Health, Superseded 19/06/2019

Has been superseded by National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2020 Health, Standardisation pending 29/11/2019