Indicator 3.10 Hospitalisation for coronary heart disease or stroke as the principal diagnosis with diabetes as an additional diagnosis

Overview

In 2017–18, there were around 60,300 hospitalisations with a principal diagnosis of coronary heart disease (CHD) or stroke and an additional diagnosis of diabetes—243 hospitalisations per 100,000 population.

Trends

Age standardised rates increased from 180 per 100,000 population in 2012–13 to 211 per 100,000 population in 2015–16, and remained steady between 2016–17 and 2017–18 (211 and 206 per 100,000 population) (Figure 3.10.1).

Age and sex

The Hospitalisation rate was 2.3 times as high among males as females (293 and 127 hospitalisations per 100,000 population, respectively). This finding was consistent across all age groups. The age-specific rate peaked among those aged 75–84 (1,400 per 100,000 population) (Figure 3.10.1).

Population groups

Rates were almost twice as high both among those living in Remote and very remote areas as Major cities (388 and 197 per 100,000, respectively), and those living in the lowest compared with the highest socioeconomic areas (278 and 141 per 100,000, respectively) (Figure 3.10.2).

State and territory

Among the states and territories, rates were highest in the Northern Territory (503 per 100,000 population) and lowest in the Australian Capital Territory (125 per 100,000 population) (Figure 3.10.2).

Aboriginal and Torres Strait Islander people

There were approximately 3,300 hospitalisations with a principal diagnosis of CHD or stroke and an additional diagnosis of diabetes among Aboriginal and Torres Strait Islander people in 2017–18, a rate of 399 per 100,000 population. The age-standardised hospitalisation rate for this cohort was substantially higher among Indigenous Australians compared with non-Indigenous Australians (725 and 193 per 100,000 population, respectively). The rate was almost 6 times as high among Indigenous females compared with non-Indigenous females, and almost 3 times as high in Indigenous males compared to non-Indigenous males (Figure 3.10.2).

Explore the data

3.10 Hospitalisations for coronary heart disease or stroke (principal diagnosis) with diabetes as an additional diagnosis, by age group and sex, 2012–13 to 2017–18 and by selected population group, 2017–18

Trends figure 3.10.1 shows hospitalisations for coronary heart disease or stroke (principal diagnosis) with diabetes as an additional diagnosis increased slightly from 180 per 100,000 population in 2012-13 to 206 hospitalisations per 100,000 in 2017-18. During this period, hospitalisations were highest among persons aged 75-84, with rates increasing from 1,200 to 1,400 per 100,000 population.

Population group figure 3.10.2 shows in 2017-18, hospitalisations for coronary heart disease or stroke (principal diagnosis) with diabetes as an additional diagnosis were 8.6 times as high among persons aged 75-84 as persons aged 45-54. Overall, hospitalisations were higher among males than females at 293 and 127 per 100,000 population, respectively. Hospitalisations were 3.8 times as high among Indigenous Australians as non-Indigenous Australians (725 and 193 per 100,000 population respectively) with rates being highest among Indigenous males (805 per 100,000 population). Hospitalisations were twice as high among Remote and very remote areas as Major cities (388 and 197 per 100,000 population, respectively) and twice as high among those from the lowest socioeconomic group as though from the highest (278 and 141 per 100,000 population, respectively). Among the states and territories, hospitalisations were highest in the Northern Territory and lowest in the Australian Capital Territory (503 and 125 per 100,000 population, respectively).

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Indicator 3.10 data specifications

 

Definition

Data source

Numerator

Number of hospital separations for coronary heart disease or stroke (ICD-10-AM: I20-I25, I60-I64) as a principal diagnosis, with diabetes as an additional diagnosis (ICD-10-AM: E10, E11, E13, E14, O24).

AIHW NHMD

Denominator

Estimated Australian resident population.

AIHW Population Database (sourced from ABS Australian Demographic Statistics and Estimates and Projections, Aboriginal and Torres Strait Islander Australians)