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Cardiovascular Health

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Cardiovascular Health

  • Cardiovascular Health Home
  • CVH Data and Trends
  • CVH Programs & Resources
  • Minnesota 2035 Plan
  • Minnesota Stroke Program
  • About Us

Learn More

  • About Heart Attacks
  • About Heart Disease
  • About High Blood Pressure
  • About High Cholesterol
  • About Stroke

Related Topics

  • Chronic Conditions
  • Diabetes
  • Nutrition
  • Physical Activity
  • Tobacco

 

Contact Info
Cardiovascular Health Program
health.heart@state.mn.us
health.stroke@state.mn.us

Contact Info

Cardiovascular Health Program
health.heart@state.mn.us
health.stroke@state.mn.us

Cardiovascular Health Indicator
Measure: Heart Disease Hospitalization Rate

Indicator Date of Most Recent Measure Current Measure Trend
Age-adjusted hospitalization rate due to heart disease 2021 668.1
per
100,000
Stable
 
  • Overview
  • Analysis
  • Other Resources
  • Data Source & Definitions
 

Overview

  • In 2021, there were more than 46,000 hospitalizations of Minnesotans for heart disease, or a rate of more than 668 hospitalizations per 100,000 people.
  • The total number of hospitalizations of Minnesotans due to heart disease declined through 2014, and rose by more than 14%, or more than 6,000 hospitalizations through 2019. In 2020, the number of hospitalizations declined sharply, a result of the first year of the COVID-19 pandemic. Hospitalizations increased in 2021, back to levels last seen in 2016.
  • Although the number of hospitalizations has risen, the average annual hospitalization rate since 2015 was essentially stable through 2019, rising approximately 5%. It is unclear if recent changes in hospitalization rates are a trend or are temporary impacts of the COVID-19 pandemic.

See Also:

Quick Facts about Heart Disease

What is Heart Disease?


 

Analysis

As shown in Chart 1 and Table 1, both the total number and the rate of hospitalizations of Minnesotans due to heart disease have declined since 2007. The number of hospitalizations declined and hospitalization rate was significantly lower each year until the year 2014. Through 2019, the number of hospitalizations has increased by approximately 6,000. The average annual hospitalization rate was relatively stable from 2015 through 2019, before dropping significantly in 2020, the first year of the COVID-19 pandemic.

Chart 1: Age-adjusted Hospitalization Rate due to Heart Disease for all Minnesotans, 2007-2021

Chart 1, see table 1 below for details.

Table 1: Total Hospitalizations and Hospitalization Rate due to Heart Disease for all Minnesotans, 2007-2021

Year Number of Hospitalizations Age-Adjusted Hospitalization Rate (per 100,000)
2007 53,281 977.7
2008 53,360 958.5
2009 50,406 888.1
2010 48,497 840.8
2011 47,118 800.5
2012 47,092 783.4
2013 45,892 745.6
2014 44,135 704.2
2015 44,225 691.8
2016 45,567 698.4
2017 47,835 720.4
2018 49,650 731.3
2019 50,322 728.3
2020 43,275 629.2
2021 46,231 668.1
 

Since 2007, the rate of heart disease hospitalizations declined across all age groups. Table 2 shows the hospitalization rate by year for younger (ages 18-44), middle-aged (ages 45-64), and older (ages 65+) adults. In each year, the vast majority of hospitalizations is occurring in older adults 65 years and older. Even though there is an overall trend of declining hospitalizations and hospitalization rates since 2007, recent years have shown a slowing or reversal of that trend.

Table 2: Total Hospitalizations and Hospitalization Rate due to Heart Disease for adult Minnesotans by age group, 2007-2021

Year Number of Hospitalizations, ages 18-44 years Hospitalization Rate, ages 18-44 years (per 100,000) Number of Hospitalizations, ages 45-64 years Hospitalization Rate, ages 45-64 years (per 100,000) Number of Hospitalizations, ages 65+ Hospitalization Rate, ages 65+ years (per 100,000)
2007 3,117 162.0 15,623 1152.2 34,297 5339.6
2008 3,082 160.7 15,408 1111.6 34,623 5255.3
2009 2,719 142.5 14,580 1029.1 32,909 4893.6
2010 2,592 136.5 13,833 958.9 31,888 4646.3
2011 2,407 126.4 13,598 930.1 30,935 4413.7
2012 2,525 132.2 13,185 901.9 31,221 4276.9
2013 2,317 120.7 12,815 874.9 30,595 4049.8
2014 2,281 118.5 12,322 839.9 29,362 3765.1
2015 2,286 118.7 12,075 822.4 29,717 3690.1
2016 2,262 117.0 12,634 861.4 30,526 3668.0
2017 2,387 122.3 12,724 872.4 32,539 3786.9
2018 2,437 123.5 13,063 903.4 33,966 3817.3
2019 2,495 125.6 12,817 896.4 34,819 3783.1
2020 2,206 109.9 11,290 783.9 29,643 3187.3
2021 2,409 119.7 11,679 821.8 31,960 3344.2
 

Chart 2A shows the rate of hospitalizations for heart disease for 18-44 year olds. Between 2007 and 2019, the overall rate dropped by 36 hospitalizations per 100,000 per year, or about 22%. However, the hospitalization rate has remained essentially unchanged from 2013 through 2019. The number of heart disease hospitalizations and the hospitalization rate dropped significantly in 2020, the first year of the COVID-19 pandemic. This drop was largely erased with an increase in hospitalizations back to 2017 levels in 2021.

Chart 2A: Hospitalization Rate due to Heart Disease for Minnesotans ages 18-44, 2007-2021

Chart 1, see table 1 below for details.

Chart 2B shows the rate of hospitalizations for heart disease for 45-64 year olds. Between 2007 and 2019, the overall rate dropped by 256 hospitalizations per 100,000 per year, or about 22%. This long-term decline in the hospitalization rate ended in 2015, significantly increasing through 2019. The number of heart disease hospitalizations and the hospitalization rate dropped significantly in 2020, with only a small increase in 2021. It is unclear if these recent changes are a trend or are temporary impacts of the COVID-19 pandemic.

Chart 2B: Hospitalization Rate due to Heart Disease for Minnesotans ages 45-64, 2007-2021

Chart 1, see table 1 below for details.

Chart 2C shows the rate of hospitalizations for heart disease for individuals 65 years and older. Between 2007 and 2019, the overall rate dropped by 1,557 hospitalizations per 100,000 per year, or about 29%. Like in the younger and middle-aged adults, this long-term decline stopped in recent years, with essentially flat hospitalization rates starting in 2014. In 2020, the hospitalization rate dropped by 16% with an increase of 5% in 2021. It is unclear if these recent changes are a trend, or are temporary impacts of the COVID-19 pandemic.

Chart 2C: Hospitalization Rate due to Heart Disease for Minnesotans ages 65+, 2007-2021

Chart 1, see table 1 below for details.
 

Other Resources

  • Interactive Atlas of Heart Disease & Stroke
    Online mapping tool from CDC with health indicators (including mortality and hospitalizations), risk factors, social and economic data, health care delivery, insurance, and health care costs data for states and counties. Some census tract data is also available.

  • AHRQ HCUPNet
    Online data tool from the Agency for Healthcare Research and Quality (AHRQ) for the Healthcare Cost and Utilization Project (HCUP). Users can download quick tables or create custom queries of national and state-level data on inpatient hospitalization, emergency department, and ambulatory surgery care.

  • Heart Attacks at Minnesota Public Health Data Access Portal
    Online data tool from the Minnesota Department of Health showing the heart attack hospitalization rate in Minnesota by 3-year time periods, age group (35 years and older), sex, and county.

Data Source

The data were obtained through the Minnesota Hospital Discharge Dataset, also known as the Minnesota Hospital Uniform Billing (UB) Claims Data, provided to the Health Economics Program at the Minnesota Department of Health by the Minnesota Hospital Association. The dataset captures hospitalizations for Minnesota residents and comes from Minnesota hospitals (except for Federal Hospitals owned by the Veterans Administration or the Indian Health Service) or other states that share data with the state of Minnesota (including the bordering states of Iowa, North Dakota, and South Dakota; hospitalizations that occur in Wisconsin for Minnesota residents are not included/shared). Annual population estimates were obtained through the U.S. Census Bureau in collaboration with the National Center for Health Statistics.

Measure Definition

Heart Disease hospitalizations through September 30, 2015 are identified as the primary discharge code of ICD-9: 390-398, 402, 404, 410-429, including Coronary Heart Disease as ICD-9: 410-414, 429.2, and Congestive Heart Failure as ICD-9: 428. Starting on October 1, 2015, hospitalizations for Heart Disease were identified as the primary discharge diagnosis as ICD-10: I00-I09, I11, I13, I20-I51, including Coronary Heart Disease as ICD-10: I20-I25, and Congestive Heart Failure as I50. This includes the following broad categories: Acute rheumatic fever, chronic rheumatic heart disease, hypertensive heart disease, hypertensive heart and renal disease, ischaemic heart diseases, pulmonary heart disease and diseases of pulmonary circulation, and other forms of heart disease. Patients who are discharged to another hospital are excluded so as to prevent double-counting single events resulting in hospitalizations at multiple facilities.

The change from ICD-9 to ICD-10 introduces some uncertainty in the trend from 2014 through 2016, , because changes in coding may lead to differences in classification of conditions before and after the transition.

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Tags
  • cardiovascular
Last Updated: 06/06/2023

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