HealthStats NSW
HealthStats NSW
HealthStats NSW

Circulatory disease hospitalisations by disease type

Males, 2017-18
2086.9Males, 2016-17
2052.9Males, 2015-16
2033.6Males, 2014-15
2017.1Males, 2013-14
2065Males, 2012-13
2048.1Males, 2011-12
2064.4Males, 2010-11
2052.5Males, 2009-10
2034.8Males, 2008-09
2090.6Males, 2007-08
2145Males, 2006-07
2181.9Males, 2005-06
2188.6Males, 2004-05
2191.9Males, 2003-04
2243.6Males, 2002-03
2256.1Males, 2001-02
2265.8Females, 2017-18
1271Females, 2016-17
1255.2Females, 2015-16
1233.8Females, 2014-15
1227.5Females, 2013-14
1249.1Females, 2012-13
1256.8Females, 2011-12
1245.7Females, 2010-11
1248.5Females, 2009-10
1238.7Females, 2008-09
1267.3Females, 2007-08
1301Females, 2006-07
1315.2Females, 2005-06
1314Females, 2004-05
1303.2Females, 2003-04
1360.7Females, 2002-03
1374.6Females, 2001-02
1432.1Persons, 2017-18
1660.1Persons, 2016-17
1635.7Persons, 2015-16
1613.9Persons, 2014-15
1603Persons, 2013-14
1636Persons, 2012-13
1631.3Persons, 2011-12
1633.6Persons, 2010-11
1628.7Persons, 2009-10
1614.9Persons, 2008-09
1654.1Persons, 2007-08
1698.1Persons, 2006-07
1723.2Persons, 2005-06
1722.8Persons, 2004-05
1720.7Persons, 2003-04
1774.1Persons, 2002-03
1787.9Persons, 2001-02
1824
  • + Source

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

  • + Notes

    All circulatory (or cardiovascular) disease* does not include Transient ischaemic attacks (TIA) or Haemorrhoids.

    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.

    Patients treated solely within the emergency department are excluded from this indicator report due to a policy change (PD2017_015). Please note that a minority of patients being managed in short stay areas of emergency departments are still included. Further information is found in a paper in the HealthStatsPLUS Methods tab on this website.

    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

    LL/UL 95%CI = lower and upper limits of the 95% confidence interval for the point estimate.

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  • + Methods
  • + Codes
    • Codes: Circulatory disease by type

      The International Statistical Classification of Diseases and Related Health Problems

      National Centre for Classification in Health, Australia; AM - Australian Modification
      DescriptionICD-10 & ICD-10-AMComments
      Circulatory disease: Total I00-I99, Excluding I84

      This indicator uses principal diagnosis only.

      All records are included for NSW residents only. Records involving rehabilitation are excluded.

      Episodes that are entirely within an emergency department are excluded.

      Coronary heart disease I20-I25
      Heart failure I50
      Peripheral vascular disease I70-I74
      Stroke I60-I64
      Atrial fibrillation and flutter I48
      Varicose veins of lower extremities I83
      Paroxysmal tachycardia I47
      Haemorrhoids. This type is not included in the Total of circulatory diseases.

      I84 up to 2012/13

      K64 from 2013/14

      Transient ischaemic attacks. This type is not included in the Total of circulatory diseases. G45

       

      Transient ischaemic attacks (TIA) are a risk factor for strokes. In ICD-10-AM, TIAs are classified with the diseases of nervous system (G codes) and, consequently, are not included in the stroke count and in the total of diseases of circulatory system (i.e. cardiovascular diseases, I codes).

      Haemorrhoids were classified as diseases of the circulatory system under ICD-10-AM Seventh edition (I84). In ICD-10-AM Eighth edition haemorrhoids are classified with diseases of the digestive system (K64). Consequently, haemorrhoids are not included in the total count of diseases of circulatory system.

      Care should be taken when comparing data from different sources as only an intracranial haemorrhage (I60-I62) is considered a stroke in some reports while haemorrhage (I60-I62), cerebral infarction (I63) and stroke not specified as haemorrhage or infarction (I64) are included in this report.

  • + 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 20 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 5,776 deaths in 2018. Coronary heart disease was the principal reason for 47,953 hospitalisations in NSW in 2018-19.

      • Stroke caused 2,981 deaths in NSW in 2018. Stroke was the principal reason for 13,651 hospitalisations in NSW in 2018-19.

      • Heart failure was the underlying cause of 1,039 deaths in NSW in 2018 and was a contributing cause in many more. Heart failure was the principal reason for 18,646 hospitalisations in NSW in 2018-19.

      • 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 16,000 PCTAs were performed in 2018-19, more than four times as many as CABGs at around 3,800 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, 24 March 2020