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Cardiovascular Disease in Tennessee

Cardiovascular Disease in Tennessee. Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health.

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Cardiovascular Disease in Tennessee

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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… • 8th highest heart disease mortality rate • 5th highest stroke mortality rate Data source: Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final Data for 2007. 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 2007. 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 2007. 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… • 14th highest smoking prevalence • 7th highest obesity prevalence • 4th highest diabetes prevalence Data source: Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Prevalence and Trends Data. Accessed November 2010 at http://apps.nccd.cdc.gov/brfss/.

  7. Cardiovascular Disease Risk Factors

  8. CVD Risk Factor PrevalenceTennessee, 2009 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. 44% increase in 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.

  10. 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. 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 3rd 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. Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).

  16. Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS). Charges are inflation adjusted to 2009 dollars.

  17. Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS). Charges are inflation adjusted to 2009 dollars.

  18. Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).

  19. Data source: Tennessee Department of Health; Office of Health Statistics; Hospital Discharge Data System (HDDS).

  20. Cardiovascular Disease Mortality

  21. Data source: CDC. Achievements in Public Health, 1900-1999: Decline in Deaths from Heart Disease and Stroke. MMWR 1999; 48(30):1141-1147.

  22. 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 1st leading cause of death • Stroke is the 5th leading cause of death Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).

  24. Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).

  25. Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).

  26. Data source: Tennessee Department of Health; Office of Health Statistics; Death Statistical System (DDS).

  27. Questions? Audrey Bauer audrey.bauer@tn.gov Health Information Tennessee (HIT) – http://hit.state.tn.us/

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