Cardiovascular Disease in Tennessee. Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health
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1 Cardiovascular Disease in Tennessee Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health Practical Strategies in Medication Adherence for Cardiac and Stroke Patients June 8, 2012
2 Overview Tennessee vs. the United States CVD risk factors CVD hospitalizations CVD mortality
3 Tennessee vs. The United States In 2009, Tennessee had the 8 th highest heart disease mortality rate 5 th highest stroke mortality rate Data source: Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final Data for National Vital Statistics Reports; vol. 58 no. 19. Hyattsville, MD: National Center for Health Statistics, 2010.
4 TN: 211/100,000 US: 180/100,000 Data source: Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final Data for National Vital Statistics Reports; vol. 58 no. 19. Hyattsville, MD: National Center for Health Statistics, 2010.
5 TN: 47/100,000 US: 39/100,000 Data source: Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final Data for National Vital Statistics Reports; vol. 58 no. 19. Hyattsville, MD: National Center for Health Statistics, 2010.
6 Tennessee vs. The United States In 2010, Tennessee had the 14 th highest smoking prevalence 7 th highest obesity prevalence 4 th highest diabetes prevalence Data source: Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Prevalence and Trends Data. Accessed November 2010 at
7 Cardiovascular Disease Risk Factors
8 CVD Risk Factor Prevalence Tennessee, 2009 Risk Factor Prevalence (%) Change from Diabetes % Smoking % High Blood Pressure % High Cholesterol % Physical Inactivity 64.0 no change Overweight & Obesity % Data source: Tennessee Department of Health; Office of Health Statistics; Behavioral Risk Factor Surveillance System (BRFSS). Data are for adults 18+ years of age.
9 Overweight and Obesity Prevalence Tennessee, (BRFSS) Percent Overweight Obese 44% increase in obesity Year Data source: Tennessee Department of Health; Office of Health Statistics; Behavioral Risk Factor Surveillance System (BRFSS). Data are for adults 18+ years of age.
10 Number of CVD Risk Factors among Adults Tennessee, 2009 (BRFSS) Two 32.0% Three to Six 36.4% One 23.4% None 8.2% Data source: Tennessee Department of Health; Office of Health Statistics; Behavioral Risk Factor Surveillance System (BRFSS). Data are for adults 18+ years of age.
11 CVD Prevalence by Number of Risk Factors Tennessee, 2009 (BRFSS) Percent Heart Attack 1.4 Stroke 5.0 Data source: Tennessee Department of Health; Office of Health Statistics; Behavioral Risk Factor Surveillance System (BRFSS). Data are for adults 18+ years of age.
12 Cardiovascular Disease Hospitalizations
13 CVD Hospitalizations CVD are the leading cause of inpatient hospitalizations and the 3 rd leading cause of emergency room visits in Tennessee In 2009, combined inpatient and outpatient hospital discharges for CVD totaled approximately 208,000 Combined inpatient and outpatient hospital charges for CVD totaled over $5 billion in 2009 a 79% increase since 2000 Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).
14 Heart Disease Hospitalizations Heart disease is the most common cause of CVD hospital stays 72% of inpatient hospitalizations 62% of outpatient visits Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).
15 Heart Disease In- and Outpatient Hospitalizations Tennessee, Age-adjusted Rate per 100,000 1,600 1,400 1,200 1, ,528 1,545 1,545 1,549 1,505 1,456 1,436 1,357 1, Inpatient Outpatient 1, Year Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).
16 Total Hospital Charges for Heart Disease Tennessee, (HDDS) Total Charges ($M) 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1,000 Outpatient Inpatient 2,460 2,300 2,900 3,290 3,510 3,660 3,780 3,720 3,850 4, Year Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS). Charges are inflation adjusted to 2009 dollars.
17 Per Visit Hospital Charges for Heart Disease Tennessee, (HDDS) Charges Per Visit ($) 50,000 40,000 30,000 20,000 10,000 23,200 4,400 25,900 5,100 33,400 6,300 29,700 7,600 37,200 8,800 36,000 8,900 39,300 8,800 40,500 9,600 44,100 43,700 Inpatient Outpatient 10,000 11, Year Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS). Charges are inflation adjusted to 2009 dollars.
18 Heart Disease Inpatient Hospitalizations by Race Tennessee, Age-adjusted Rate per 100,000 2,200 2,000 1,800 1,600 1,400 1,200 1, ,930 1,827 1,795 1,810 1,717 1,707 1,597 1,637 1,612 1,530 1,410 1,405 1,429 1,465 1,414 1,375 1,346 1,204 1,152 1,080 White Black Year Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).
19 Heart Disease Inpatient Hospitalizations by Gender & Race Tennessee, ,000 1,800 1,705 Age-adjusted Rate per 100,000 1,600 1,400 1,200 1, ,395 1,352 0 White Female Black Female White Male Black Male Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).
20 Cardiovascular Disease Mortality
21 Age-Adjusted Mortality Rate for CVD United States, Deaths per 100, Year Data source: CDC. Achievements in Public Health, : Decline in Deaths from Heart Disease and Stroke. MMWR 1999; 48(30):
22 Cardiovascular Disease Deaths Tennessee, Age-adjusted Rate per 100, Year Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS). Mortality rates prior to 1999 were compatibility adjusted to account for ICD revisions.
23 CVD Mortality In 2009, there were approximately 18,400 deaths due to CVD about one death every 30 minutes Almost one-third of deaths in Tennessee are due to CVD Heart disease is the 1 st leading cause of death Stroke is the 5 th leading cause of death Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).
24 Leading Causes of Death Tennessee, 2009 All Other Causes 23.1% Heart Disease 24.4% (1) Suicide 1.6% (10) Kidney Disease 1.6% (9) Flu and Pneumonia 2.3% (8) Diabetes 3.0% (7) Alzheimer s 3.8% (6) Stroke 5.4% (5) Accidents 5.4% (4) CLRD 6.0% (3) Cancer 23.2% (2) Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).
25 Heart Disease Deaths by Race Tennessee, Age-adjusted Rate per 100, Black White Year Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).
26 400 Heart Disease Deaths by Gender and Race Tennessee, Age-adjusted Rate per 100, White Female Black Female White Male Black Male Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).
27 Questions? Audrey Bauer Health Information Tennessee (HIT)
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