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Emergency admissions for coronary heart disease - ICP Outcomes Framework - Birmingham and Solihull

This dataset presents the age-standardised rate of emergency hospital admissions for coronary heart disease (CHD) across England. It provides insight into the burden of acute cardiovascular events requiring urgent care, helping to inform public health strategies and healthcare planning. The indicator focuses on unplanned hospital admissions where CHD is the primary diagnosis, offering a measure of both disease prevalence and healthcare system responsiveness.

Rationale

Reducing emergency admissions for coronary heart disease is a key public health objective. High rates of emergency admissions may indicate poor disease management in the community or delayed access to preventative care. Monitoring this indicator supports efforts to improve cardiovascular health outcomes and reduce strain on emergency services.

Numerator

The numerator is the count of emergency hospital admissions where the primary diagnosis is coronary heart disease, identified using ICD-10 codes I20 to I25. Admissions are included if they meet specific criteria: admission method codes ('21', '22', '23', '24', '25', '28', '2A', '2B', '2C', '2D'), patient classification as 'ordinary' (1 or 2), episode status equal to 3, and episode order equal to 1. These values are derived from Secondary Uses Service (SUS) data.

Denominator

The denominator is the expected number of admissions, calculated by applying England's age-specific rates to the local registered population. Population estimates are based on Census 2021 data.

Caveats

There are known data quality issues affecting Hospital Episode Statistics (HES) data for Nottingham University Hospitals Trust during the 2016–2017 financial year. Over 30% of records lacked valid geographic information, and as a result, Public Health England (PHE) has not published a value for this trust. Additionally, due to disclosure control, some values have not been published.

External References

Fingertips Public Health Profiles – Coronary Heart Disease Indicator

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.

Dataset Identifier
emergency-admissions-for-coronary-heart-disease-icp-outcomes-framework-birmingham-and-solihull@cityobservatorybirmingham
Source
Birmingham City Observatory
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