County Health Assessment Indicator Technical Notes About Heart Disease and Stroke Indicators

Indicator/Contact for information Data Source Definition
Cardiovascular Disease Mortality rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189.		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to cardiovascular disease per 100,000 population. The ICD-10 codes used for cardiovascular disease are: I00-I99. **
Cardiovascular Disease Mortality rate (premature)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to cardiovascular disease per 100,000 persons ages 35-64 years. The codes used for cardiovascular disease are: I00-I99.
Cardiovascular Disease Mortality rate (pre-transport)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to cardiovascular disease that occurred anyplace other than a hospital, clinic or medical center per 100,000 population. The ICD-10 codes used for cardiovascular disease are: I00-I99.
Disease of the Heart Mortality rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Disease of the Heart per 100,000 population. The ICD-10 codes used for Disease of the Heart are: I00-I09, I11, I13, and I20-I51. **
Disease of the Heart Mortality rate (premature)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Disease of the Heart per 100,000 population ages 35-64. The ICD-10 codes used for Disease of the Heart are: I00-I09, I11, I13, and I20-I51.
Disease of the Heart Mortality rate (pre-transport)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Disease of the Heart that occurred anyplace other than a hospital, clinic or medical center per 100,000 population. The ICD-10 codes used for Disease of the Heart are: I00-I09, I11, I13, and I20-I51.
Coronary Heart Disease mortality rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Coronary Heart Disease per 100,000 population. The ICD-10 codes used for Coronary Heart Disease are: I11, I20-I25. **
Coronary Heart Disease mortality (premature)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Coronary Heart Disease per 100,000 population ages 35-64. The ICD-10 codes used for Coronary Heart Disease are: I11, I20-I25.
Coronary Heart Disease mortality (pre-transport)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Coronary Heart Disease that occurred anyplace other than a hospital, clinic or medical center per 100,000 population. The ICD-10 codes used for Coronary Heart Disease are: I11, I20-I25.
Congestive Heart Failure mortality, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Congestive Heart Failure per 100,000 population. The ICD-10 code used for Congestive Heart Failure is: I50 **
Congestive Heart Failure mortality (premature)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Congestive Heart Failure per 100,000 population ages 35-64. The ICD-10 code used for Congestive Heart Failure is I50.
Congestive Heart Failure mortality (pre-transport)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Congestive Heart Failure that occurred anyplace other than a hospital, clinic or medical center per 100,000 population. The ICD-10 code used for Congestive Heart Failure is: I50.
Cerebrovascular Disease (Stroke) Mortality rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Cerebrovascular Disease per 100,000 population. The ICD-10 codes used for Cerebrovascular Disease are: I60-I69. **
Cerebrovascular Disease (Stroke) Mortality (premature)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Cerebrovascular Disease per 100,000 population ages 35-64. The ICD-10 codes used for Cerebrovascular Disease are: I60-I69.
Cerebrovascular Disease (Stroke) Mortality (pre-transport)

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics		 The number of deaths due to Cerebrovascular Disease that occurred anyplace other than a hospital, clinic or medical center per 100,000 population. The ICD-10 codes used for Cerebrovascular Disease are: I60-I69.
Cardiovascular Disease Hospitalization Rate rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics		 The number of hospitalizations for Cardiovascular Disease per 10,000 population. The ICD-9 codes used for Cardiovascular Disease are: 390-459. **
Disease of the Heart Hospitalization rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics		 The number of hospitalizations for Diseases of the Heart per 10,000 population. The ICD-9 codes for Disease of the Heart are: 390-398,402, 404-429. **
Coronary Heart Disease Hospitalization rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics		 The number of hospitalizations for Coronary Heart Disease per 10,000 population. The ICD-9 codes used for Coronary Heart Disease are: 402, 410-414, and 429. **
Congestive Heart Failure Hospitalization rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics		 The number of hospitalizations for Congestive Heart Failure per 10,000 population. The ICD-9 code for Congestive Heart Failure is: 428. **
Cerebrovascular Disease (Stroke) Hospitalization rate, crude and adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics		 The number of hospitalizations for Cerebrovascular Disease per 10,000 population. The ICD-9 codes used for Cerebrovascular Disease are: 430-438. **
Hypertension Hospitalization rate, age 18+

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189		 Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics		 The number of age 18+ hospitalizations for Hypertension per 10,000 age 18+ population.
The ICD-9 codes used for Hypertension are: 4010, 4019, 40200, 40210, 40290, 40300, 40310, 40390, 40400, 40410, 40490 with the following exclusions:
Exclude Stage I - IV Kidney Disease with dialysis access procedures. Do not count if any diagnosis code is: '40300', '40310', '40390', '40400', '40410', '40490' and any procedure code is: '3895','3927','3929','3942','3943','3993','3994'
Exclude Cardiac Procedures (there are 132 codes in this list): '0050','0051','0052','0053','0054','0056','0057', '0066', '1751','1752','3500','3501','3502','3503','3504','3510','3511','3512','3513','3514','3520','3521','3522', '3523','3524','3525','3526','3527','3528','3531','3532','3533','3534','3535','3539','3541','3542','3550','3551', '3552','3553','3554','3555','3560','3561','3562','3563','3570','3571','3572','3573','3581','3582','3583','3584', '3591','3592','3593','3594','3595','3596','3598','3599','3601','3602','3603','3604','3605','3606','3607','3609', '3610','3611','3612','3613','3614','3615','3616','3617','3619','362','363','3631','3632','3633','3634','3639', '3691','3699','3731','3732','3733','3734','3735','3736','3741', '375','3751','3752','3753','3754','3755','3760', '3761','3762','3763','3764','3765','3766','3770','3771','3772','3773','3774','3775','3776','3777','3778','3779', '3780','3781','3782','3783','3785','3786','3787','3789','3794','3795','3796','3797','3798'
Percent of adults with diagnosis of heart attack, stroke, or angina

Contact: BRFSS Coordinator , at (518) 473-0673		 NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) c The percent of respondents who reported they had been told by a health professional they had ever had a heart attack, stroke or angina in their lifetime.
Percent of adults with cholesterol checked in the last 5 years

Contact: BRFSS Coordinator , at (518) 473-0673		 NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) c The percent of respondents who reported they had their cholesterol checked in the last 5 years.
Percent of adults with High Blood Pressure

Contact: BRFSS Coordinator , at (518) 473-0673		 NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) c The percent of respondents who reported they had been told by a health professional they had high blood pressure.

Data notes:

a Vital Records: Information is extracted from birth, death and fetal death certificates. When percentages are calculated records with missing information for the indicator of interest are excluded from the calculation. Population based rates use population estimates provided by the US Census Bureau. ICD-10 codes are used for cause of death.

b Statewide Planning and Research Cooperative System-SPARCS: Data on hospitalization are collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge which indicates the primary reason for the hospitalization. Data are not available on events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Data refers to the number of hospitalizations and not to the number of individuals who have been hospitalized.

c Expanded BRFSS: All data relates to adults 18 years of age or older. The Expanded BRFSS was a telephone-based survey that collects information on self-reported health-related behaviors. It was conducted between July 2008 and June 2009 in 57 NYC counties excluding NYC. Rates for NYC counties are from the 2008 NYCDOHMH Community Health Survey.

** The standard population used for age adjustment was the 2000 US population.