HealthStats NSW
HealthStats NSW
HealthStats NSW

Circulatory disease procedures by type

Non-Aboriginal, Carotid endarterectomy
6.9 (6.3, 7.4)Non-Aboriginal, Angioplasty/Stent
143.6 (141.1, 146.1)Non-Aboriginal, CABG
40.4 (39.1, 41.7)Aboriginal, Carotid endarterectomy
7.3 (3.3, 14.1)Aboriginal, Angioplasty/Stent
233.4 (205.5, 263.7)Aboriginal, CABG
79.2 (63.3, 97.6)
  • + Source

    NSW Combined Admitted Patient Epidemiology Data and ABS population estimates (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

  • + Notes

    CABG = coronary artery bypass graft;

    Angioplasty/stent=Percutaneous angioplasty with and without stenting. This is the surgical repair of a blocked coronary (heart) blood vessel, usually by inflating a small balloon at the end of a catheter through a small nick in the skin under the guidance of an X-ray. A small metal scaffold, called a stent, may be inserted to keep the blood vessel open.

    Carotid endarterectomy is a surgical procedure used to reduce the risk of stroke, by correcting a blockage or narrowing in the carotid artery in the neck. Endarterectomy is the removal of material on the inside of an artery.

    Only NSW residents are included. Rehabilitation episodes are excluded. Figures are based on where a person resides, rather than where they are treated. Hospital separations were classified using ICD-10-AM. Rates were age-adjusted using the Australian population as at 30 June 2001.

    Numbers for recent years include an estimate of the small number of hospitalisations of NSW residents in interstate public hospitals, data for which were unavailable at the time of production. Further details can be found in the Methods tab in the following HealthStats NSW indicator: http://www.healthstats.nsw.gov.au/Indicator/bod_hos_cat

    As Aboriginal people are under-reported on the Combined Admitted Patient Epidemiology Data collection, it is likely that the true numbers are higher than shown. Refer to the indicator on the quality of reporting on Aboriginality in hospital data at: http://www.healthstats.nsw.gov.au/Indicator/dqi_era_apd

  • + Data Table
  • + Download
    • Add to My Report
    • Download the indicator content
    • Download the data
    • Download the associated information
    • Download the graph image
  • + Methods
  • + Codes
    • Codes: Cardiovascular procedures

      The Australian Classification of Health Interventions (ACHI)

      National Centre for Classification in Health, Australia;
      DescriptionACHIComments
      Angioplasty with and without stent 35310-00, 35310-01, 35310-02, 38306-00, 38306-01, 38306-02, 35304-00, 35305-00, 38300-00, 38303-00, 35335-00, 35338-00, 35338-01, 35341-00, 35344-00, 35344-01, 38309-00, 38312-00, 38312-01, 38315-00, 38318-00, 38318-01 All records are included, NSW residents only, all ages.
      Angioplasty with or without stent on open chest 35310-03, 35310-04, 35310-05, 35304-01, 35305-01, 3850500, 38306-03, 38306-04, 38306-05, 38300-01, 38303-01 in procedure code 1 to 20 All records are included, NSW residents only, all ages.
      Coronary artery bypass graft (CABG) 38497, 38500, 38503, 90201 in procedure code 1 to 20 All records are included, NSW residents only, all ages.
      Carotid endarterectomy 33500-00 in procedure code 1 to 20 All records are included, NSW residents only, all ages.

  • + Related Indicators
  • + Associated Information
    • Key points: Circulatory disease

      • Circulatory diseases cause more than 15,000 deaths and 150,000 hospitalisations of NSW residents in each year. Coronary heart disease and atrial fibrillation and flutter contribute the most to these diseases' hospitalisation burden, followed by heart failure and strokes.

      • Death rates, and numbers of deaths, from circulatory disease are consistently higher in males than in females. Death rates are higher in Inner regional, Outer regional and Remote areas of NSW than in Major cities.

      • Death rates from all forms of circulatory disease have more than halved in the last twenty years after adjusting for population ageing. This is due to both:

        • decreased incidence, associated with reductions in some risk factors, including smoking, saturated fats in the diet, and levels of blood pressure;

        • increased survival, as a result of improvements in medical and surgical treatment and follow-up care.

      • Coronary heart disease caused 5,928 deaths in 2017. Coronary heart disease was the principal reason for 46,602 hospitalisations in NSW in 2017-18.

      • Stroke caused just over 2,803 deaths in NSW in 2017. Stroke was the principal reason for 13,093 hospitalisations in NSW in 2017-18.

      • Heart failure was the underlying cause of 1,116 deaths in NSW in 2017 and was a contributing cause in many more. Heart failure was the principal reason for 17,543 hospitalisations in NSW in 2017-18.

      • In the treatment of coronary heart disease, the number of percutaneous transluminal angioplasty (PCTA) procedures (with and without stents) first exceeded the number of the more invasive coronary artery bypass graft (CABG) procedures in 2000-01. More than 15,000 PCTAs were performed in 2017-18, more than three times as many as CABGs at around 4,000 procedures.

    • Introduction: Circulatory disease

      Definitions

      Cardiovascular (or circulatory) diseases comprise all diseases of the heart and blood vessels. Among these diseases, the four types responsible for the most deaths in NSW are: coronary heart disease (or ischaemic heart disease), stroke (or cerebrovascular disease), heart failure, and peripheral vascular disease. Other causes of death are cardiac arrhythmias (most notably atrial fibrillation), heart valve disorders, non-ischaemic cardiomyopathies, pulmonary embolism, and hypertensive renal and heart disease. Significant causes of morbidity include hypertension, deep vein thrombosis, haemorrhoids and varicose veins.

      Burden of disease

      Cardiovascular diseases accounted for 14% of the total disease burden in Australia in 2015, second only to cancers. The burden from cardiovascular diseases was predominantly fatal (78.5%) with only 21.5% due to non-fatal burden. Coronary (ischaemic) heart disease ranked highest in total individual disease burden (6.9% of the total burden) and stroke ranked ninth highest (2.7% of the total disease burden). 

      Presently, cardiovascular diseases account for around 48,000 deaths in Australia (around 33-34% of all deaths), more than any other group of diseases. This proportion has been in decline since 1970, when nationally cardiovascular diseases were responsible for over half of all deaths.

      Risk factors

      The four major causes of death from cardiovascular disease share a number of behavioural risk factors (tobacco smoking, physical inactivity, poor diet, risky alcohol consumption) leading to physiological risk factors (high blood pressure, elevated blood lipids, diabetes mellitus, and overweight or obesity).

      References

      Australian Institute of Health and Welfare 2019. Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2015. Australian Burden of Disease Study series no. 19. BOD 22. Canberra: AIHW at: https://www.aihw.gov.au/reports/burden-of-disease/burden-disease-study-illness-death-2015-summary/contents/table-of-contents

    • Interventions: Circulatory diseases and Preventive Health

      Circulatory diseases share many modifiable risk factors with other lifestyle-related chronic diseases such as type 2 diabetes. These include smoking, physical inactivity, poor diet, harmful alcohol consumption and being overweight. This means that strategies related to the prevention, early detection and optimal management of these risk factors will lead to better health outcomes for people with circulatory diseases and other lifestyle-related chronic diseases.

      Information on NSW Health programs and policies is available at http://www.health.nsw.gov.au/healthyliving/Pages/default.aspx.

    • For more information: Circulatory disease

      Useful websites

      National Heart Foundation of Australia at https://www.heartfoundation.org.au

      Australian Bureau of Statistics at http://www.abs.gov.au

      Australian Institute of Health and Welfare at http://www.aihw.gov.au

      healthdirect at http://www.healthdirect.gov.au

Last Updated At: Tuesday, 3 September 2019