HeaAttHosp
Utah, UT, heart attack, acute myocardial infarction, AMI, myocardial infarction, MI, cardiovascular, coronary, air quality, pm 2.5, ozone
HeaAttHosp.NumYr
Heart Attack: Hospitalizations
A heart attack, also known as a myocardial infarction, occurs when a coronary artery is completely blocked by a blood clot. This blockage causes a lack of blood flow to the heart, resulting in the death of part of the heart muscle.
The heart attack hospitalizations presented on this topic page are based on the date of admission (using the same hospital discharge dataset, but converting to date of admission).
Data on hospitalizations from heart attacks are presented in the following views:[[br]]
# Number of hospitalizations that occurred with a primary diagnosis of heart attack
# Average daily number of hospitalizations by month
# Maximum daily number of hospitalizations by month
# Minimum daily number of hospitalizations by month
Not applicable.
These data are provided to the Environmental Epidemiology Program (EEP) within the Utah Department of Health (UDOH). These data are converted from being hospital discharge data (which is present on the queried data sets) to data by admission date.
As of October 1, 2015, the U.S. is currently using the 10th revision of the International Classification of Diseases (ICD-10) to code hospitalizations and emergency department visits. Prior to the change, heart attacks were defined with a primary diagnosis code of 410-410.92 (ICD-9 codes). Heart attacks are now defined as codes I21-I22 (ICD-10 codes).
Hospitalization data for heart attacks do not include individuals who do not receive medical care or who are not hospitalized. This includes those who die in emergency rooms, nursing homes, or at home, and those treated in outpatient settings. Additionally, the measures are based upon events, not individuals. Therefore, if an individual is admitted multiple times, each admission will be counted separately. This method may overestimate the true prevalence of heart attacks.
NOTE: This data is based on the date of admission, not the date of discharge (such as what is used in the IBIS query). Therefore data will differ between IBIS query and the values reported here.
04/07/2023
Heart attacks are associated with coronary heart disease, the number one killer of Utahns. There are several risk factors associated with heart attacks. Some of these include family history, high blood pressure, tobacco use, high cholesterol, physical inactivity, diabetes, obesity, and exposure to environmental contaminants.
Recent studies have shown significant relationships between air pollutants and increased risk of heart attack or other forms of coronary heart disease. Particulate matter (PM, 2.5) is associated with increased risk in sensitive sub-populations such as the elderly, patients with preexisting heart disease, and those who are survivors of a heart attack.
Over the past several years, the Utah Bureau of Emergency Medical Services and Preparedness (BEMS) has enlisted the expertise of hospital cardiac care experts, cardiologists, emergency physicians, other emergency medical providers, the Utah Hospital Association, and the American Heart Association that would accelerate the recognition and treatment of heart attack patients. The focus of this system is to connect emergency medical services (EMS) and hospitals, in an effort to transport patients with a certain type of heart attack, called a ST elevation myocardial infarction (STEMI), to the best hospital that is able to treat them in the shortest possible time.
The Utah STEMI System involves a multi-faceted approach to heart attack victims. By utilizing field electrocardiograms (ECG), EMS agencies are able to identify STEMI patients and alert hospital emergency departments of the patient's condition and expected time of arrival. The field ECG is transmitted to the receiving hospital directly from the patient's location, allowing immediate review by the hospital physicians. This transmission allows physicians to assist in the field care of the patient, as well as activate their hospital STEMI team to prepare a catheterization laboratory (or cath lab). As a result of this coordinated response, precious minutes are saved.
Utah Department of Health - Healthy Living through Environment, Policy, and Improved Clinical Care Program [[br]]
[http://www.choosehealth.utah.gov/]
Utah Department of Environmental Quality [[br]]
[http://www.deq.utah.gov/]
CDC Division of Heart Disease and Stroke Prevention [[br]]
[http://www.cdc.gov/DHDSP/index.htm]
American Heart Association [[br]]
[http://www.heart.org]
Environmental Protection Agency [[br]]
[https://www.epa.gov/environmental-topics/air-topics]
ELS_Env
chrisnelson@utah.gov
A
04/17/2023
Detail modified by: jauld@utah.gov, 10/26/2021
-09/23/2013 10:05am Sasha Zaharoff-
This indicator is created from the data provided to EPHT (not IBIS). These numbers could be slightly different from those on the IBIS portal because of duplicate removal, use of admission date instead of discharge date, and stricter definitions (meaning CDC-EPHTN numbers are likely smaller).
-10/18/2013 Sasha Zaharoff-
Optional indicators should be added.
*2. Average daily number of hospitalizations by month
*3. Maximum daily number of hospitalizations by month
*4. Minimum daily number of hospitalizations by month
*Not available currently
2
x
04/17/2023
Status changed by: vlund@utah.gov
04/17/2023
PopChar
Relevant Population Characteristics
AirQuaOzo
Air Quality: Ozone
AirQuaOzo.Yr
AirQuaPM
Air Quality: Particulate Matter (PM2.5)
AirQuaPM.Met_Not
BloCholDrDiag
Blood Cholesterol: Doctor-diagnosed High Cholesterol
BloCholDrDiag.UT_US
DiabPrev
Diabetes Prevalence
DiabPrev.LHD
HrtDisDth
Ischemic Heart Disease Deaths
HrtDisDth.Ut_USYear
Obe
Obesity Among Adults
Obe.UT_US
SystemFactors
Health Care System Factors
EMSResTim
EMS Response Time
EMSResTim.CntyType
RiskFactors
Risk Factors
There are steps that can be taken to prevent or reduce the risks of having a heart attack. These include controlling certain risk factors such as high blood pressure, tobacco use, high cholesterol, physical inactivity, and obesity.
AirQuaPM
Air Quality: Particulate Matter (PM2.5)
AirQuaPM.Met_Not
BloCholDrDiag
Blood Cholesterol: Doctor-diagnosed High Cholesterol
BloCholDrDiag.UT_US
CigSmokAdlt
Smoking Among Adults
CigSmokAdlt.Ut_US
DiabPrev
Diabetes Prevalence
DiabPrev.LHD
HypAwa
Blood Pressure: Doctor-diagnosed Hypertension
HypAwa.UT_US
Obe
Obesity Among Adults
Obe.UT_US
PhysAct
Physical Activity: Recommended Aerobic Activity Among Adults
PhysAct.UT_US
HealthStatus
Health Status Outcomes
HrtDisDth
Ischemic Heart Disease Deaths
HrtDisDth.Ut_USYear
HeaAttHosp.NumYr
Heart Attack Hospitalizations:
Number by Year, Utah,
2000-2021
Number of Hospitalizations
HeaAttHosp.Month
Heart Attack Hospitalizations:
Average Daily Number by Month and Year, Utah,
2000-2021
Average Daily Number of Hospitalizations in Utah
HeaAttHosp.Max_Mo
Heart Attack Hospitalizations:
Maximum Daily Number by Month and Year, Utah,
2000-2021
Maximum Daily Number of Hospitalizations in Utah
HeaAttHosp.Min_Mo
Heart Attack Hospitalizations:
Minimum Daily Number by Month and Year, Utah,
2000-2021
Minimum Daily Number of Hospitalizations in Utah