Australian Health Performance Framework: PI 3.1.1–Incidence of heart attacks (acute coronary events), 2020
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||AHPF PI 3.1.1–Incidence of heart attacks (acute coronary events), 2020|
|Registration status:||Health, Standard 13/10/2021|
Incidence of acute coronary events (acute myocardial infarction and unstable angina).
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, 2020 Health, Standardisation pending 30/07/2021|
Collection and usage attributes
|Population group age from:|
Rates are 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 hospitalisations where ‘acute myocardial infarction’ (ICD-10-AM I21) or ‘unstable angina’ (ICD-10-AM I20.0) is the principal diagnosis, and separation mode was not ‘died’ or ‘transferred to another acute hospital’, and care type is 'acute care' in each calendar year (based on discharge date from hospital).
The number of acute coronary events is estimated by (a) + (b).
Presented as a number per 100,000 population.
100,000 x (Numerator ÷ Denominator)
Sum of count a (the number of deaths recorded with an underlying cause of acute coronary heart disease) and count b (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) for ages 25 years and over.
|Numerator data elements:|
Total population aged 25 years and over for calendar year in question.
|Denominator data elements:|
2007 to 2018—Nationally by:
2007 to 2017—State/territory of usual residence.
|Disaggregation data elements:|
Most recent data available for 2020 Australian Health Performance Framework: 2018.
Compilation of calendar year data from the Admitted patient care NMDS requires data from 2 financial years (e.g. 2018 calendar year data uses Admitted patient care NMDSs for 2017–18 and 2018–19). Numerator, denominator and disaggregation data elements for previous financial years are similar to those listed above for the Admitted patient care NMDS 2017–18 (noting that some codes and classifications may change over time).
This is an estimate of the incidence of acute coronary events in a calendar year. An individual may have more than one event during a year.
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. Validation of reporting of incidence of acute coronary events by Primary Health Networks (PHNs) is currently underway.
|Unit of measure:||Episode|
Indicator conceptual framework
|Framework and dimensions:||1. Health conditions|
Data source attributes
Australian Health Performance Framework
|Organisation responsible for providing data:|
Australian Institute of Health and Welfare
Source and reference attributes
Australian Institute of Health and Welfare
|Related metadata references:|
Supersedes Australian Health Performance Framework: PI 3.1.1–Incidence of heart attacks (acute coronary events), 2019 Health, Standard 09/04/2020
See also National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2020 Health, Standard 13/03/2020
See also National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2022 Health, Standard 24/09/2021