The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Cardiovascular Disease Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Heart Disease*17,09022%
Stroke*4,2815%
Other CVD*1,8612%
Chronic Lower Respiratory Disease
4,4906%
Other Unintentional Injuries*
2,7624%
All other causes30,10738%
Cancer18,01323%
Figure 1.1. CVD and Leading Causes of Death, N.C., 2010
Total Cardiovascular Diseases: 23,232 deaths, 29.6% of all deaths*
*Unintentional injuries other than motor-vehicles injuries.Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.2. Major Cardiovascular Disease Death Rates, 1979-2008
0
100
200
300
400
500
600
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
North Carolina United States
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability ratio of 0.9981. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.3. Cardiovascular Disease Death Rates by Age and Gender, N.C., 2008
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99; Q20-Q28. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
1,000
2,000
3,000
4,000
5,000
6,000
Death
Rate
per
100,0
00
Females
Males
Total
Females 11.5 78.8 162.5 430.1 1474.1 5531.6
Males 19.0 165.3 387.4 814.5 2076.8 5878.3
Total 15.3 120.8 269.5 604.9 1715.0 5633.0
<45 45-54 55-64 65-74 75-84 85+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.4. Major Cardiovascular Disease Death Rates by Gender, N.C., 1979-2008
0
100
200
300
400
500
600
700
800
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-a
dju
ste
d D
ea
th R
ate Males
Females
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability ratio of 0.9981. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.5. Major Cardiovascular Disease Death Rates by Race, N.C., 1979-2008
0
100
200
300
400
500
600
700
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-a
dju
ste
d D
ea
th R
ate African Americans
Whites
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability ratio of 0.9981.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.6. Major Cardiovascular Disease Death Rates by Race and Gender, N.C., 1979-2008
0
100
200
300
400
500
600
700
800
900
1000
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e African-American MalesAfrican-American FemalesWhite MalesWhite Females
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability ratio of 0.9981.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.7. Percentage of Total CVD Deaths by Age Group, Race, and Gender, N.C., 2004-2008
10.424.825.9
43.2
0102030405060708090
100
African-American Males
White Males African-AmericanFemales
White Females
Pe
rce
nta
ge
of
CV
D D
ea
ths
<65 years 65+ years
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.8. Cardiovascular Disease Death Rates by County of Residence, N.C., 2004-2008
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99; Q20-Q28. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
N.C. overall: 275.0
U.S.: 265.7
Death Rate211.4 - 249.5
249.6 - 275.0
275.1 - 321.0
321.2 - 367.6
367.7- 436.6
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.9. Number and Percentage of Total CVD Hospital Discharges by Type of CVD, N.C., 2010
Other Heart Disease61,15137.7%
Coronary Heart Disease39,02224.0%
Stroke29,42918.1%
Other CVD24,88715.3%
Congestive Heart Failure7,8404.8%
All Cardiovascular Diseases: 162,329
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410-416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents only.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.10. CVD Hospital Discharge Rates, N.C., 1995-2010
0
500
1,000
1,500
2,000
2,500
3,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Ag
e-ad
just
ed D
isch
arg
e R
ate
Total
Males
Females
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.11. CVD Hospital Discharge Rates by Age and Gender, N.C., 2010
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
Age Group
Dis
char
ge
Rat
e p
er 1
00,0
00
Females 44.2 202.3 513.4 1201.5 2193.5 4564.8 8584.5 13829.8
Males 45.7 210.4 717.4 1853.6 3655.0 6745.2 10716.9 14922.3
Total 45.0 206.3 613.9 1518.4 2886.9 5568.6 9453.5 14159.7
<25 25-34 35-44 45-54 55-64 65-74 75-84 85+
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.12. Percentage of CVD Hospitalizations by Age Group, N.C., 2010
40.646.234.5
010
203040
50607080
90100
Female Male Total
Per
cen
tag
e o
f H
osp
ital
izat
ion
s
<65 years 65+ years
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Provisional Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.13. Cardiovascular Disease Hospital Discharge Rates by County of Residence, N.C., 2006-2010
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes: 390-459; Principal diagnosis only; N.C. residents only.Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
N.C. overall: 1700.0
Hospital Discharge Rate
576.2 - 1121.1
1121.2 - 1700.0
1700.1 - 2060.4
2060.5 - 2552.2
2552.3 - 3124.4
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.14. Estimated Direct and Indirect Costs of CVD, United States, 2008
$179.2
$118.5
0
50
100
150
200
250
300
350
Total CVD
Bil
lio
ns
of
Do
llar
s
Indirect CostsDirect Costs
Total: $297.7 billion
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–e220.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.15. Cardiovascular Disease Hospital Charges, N.C., 1995-2010
$0
$1,000,000,000
$2,000,000,000
$3,000,000,000
$4,000,000,000
$5,000,000,000
$6,000,000,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
To
tal
Ho
spit
al C
har
ges
in
201
1 D
oll
ars
Total
Males
Females
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.16. Cardiovascular Disease: Average Hospital Charges per Stay, N.C., 1995-2010
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
Ch
arg
es
pe
r S
tay
in
20
11
Do
lla
rs TotalMalesFemales
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Stroke Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.1. Stroke and Leading Causes of Death, N.C., 2010
*Unintentional injuries other than motor-vehicles injuries.Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm.
Heart Disease17,09022%
Stroke4,2815%
Other CVD1,8612%
Chronic Lower Respiratory
Disease4,4906%
Other Unintentional Injuries*2,7624%
All other causes30,10738%
Cancer18,01323%
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
46.6
38.9
0
10
20
30
40
50
60
N.C. U.S.
Ag
e-a
dju
ste
d S
tro
ke
De
ath
Ra
te
2020 Target (33.8) 2010 Target (50.0)
Healthy People 2020 Objective 12-07. Stroke: ICD-10 codes I60-I69.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Healthy People 2020, Online Database, 2011. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
Figure 2.2. Stroke Death Rates & Healthy People 2020 Target, 2009
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.3. Stroke Death Rates, 1979-2008
0
20
40
60
80
100
120
140
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
North Carolina United States
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434, 436-438 multiplied by comparability ratio of 1.0588.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.4. Stroke Disease Deaths Rates by Age and Gender, N.C., 2008
Stroke: ICD-10 codes I60-I69. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
200
400
600
800
1,000
1,200
1,400
Age Group
Death
Rate
per
100,0
00
Females
Males
Total
Females 1.8 16.4 27.4 96.6 361.7 1294.1
Males 2.1 19.3 45.3 129.2 388.9 1122.0
Total 2.0 17.8 35.9 111.4 372.6 1243.8
<45 45-54 55-64 65-74 75-84 85+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.5. Stroke Death Rates by Gender, N.C., 1979-2008
40
60
80
100
120
140
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
Males
Females
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434,436-438 multiplied by comparability ratio of 1.0588. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.6. Stroke Death Rates by Race and Ethnicity & Healthy People 2020 Target, N.C., 2008
31.2
68.1
18.6
50.746.6
27.0
0102030405060708090
100A
me
rica
nIn
dia
n/A
lask
aN
ativ
e
Asi
an
/Pa
cific
Isla
nd
er
Afr
ica
nA
me
rica
n
Wh
ite
His
pa
nic
No
n-H
isp
an
ic
Ag
e-a
dju
ste
d S
tro
ke
De
ath
Ra
te
Stroke Death Rate 2020 Target (33.8) 2010 Target (50.0)
Healthy People 2020 Objective 12-07. Stroke: ICD-10 codes I60-I69.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Healthy People 2020, Online Database, 2011. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434, 436-438 multiplied by comparability ratio of 1.0588. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
Figure 2.7. Stroke Death Rates by Race, N.C., 1979-2008
0
20
40
60
80
100
120
140
160
180
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e African Americans
Whites
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434, 436-438 multiplied by comparability ratio of 1.0588. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
Figure 2.8. Stroke Death Rates by Race and Gender, N.C., 1979-2008
25
50
75
100
125
150
175
200
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e African-American MalesAfrican-American FemalesWhite MalesWhite Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.9. Percentage of Total Stroke Deaths by Age Group, Race, and Gender, N.C., 2004-2008
38.8
16.2 22.67.80
102030405060708090
100
African-AmericanMales
White Males African-AmericanFemales
White FemalesPer
cen
tag
e o
f S
tro
ke D
eath
s <65 years 65+ years
Stroke: 1999-2008: ICD-10 codes I60-I69. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.10. Stroke Death Rates by County of Residence, N.C., 2006-2010
Stroke: ICD-10 codes I60-I69.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.N.C. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Volume 2: Leading Causes of Death in North Carolina 2010, 2011. http://www.schs.state.nc.us/schs/deaths/lcd/2010/.U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
N.C. overall: 47.8
U.S. (2004-2008): 44.5
Death Rate
Unreliable Rate (<50 Deaths)31.1 - 41.041.1 - 47.8
47.9 - 54.654.7 - 66.466.5 - 96.1
Unreliable Rate (<20 Deaths)
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Stroke29,42918.1%
Heart Disease108,01366.5%
Other CVD24,88715.3%
Figure 2.11. Number and Percentage of Total CVD Hospital Discharges that were Due to Stroke, N.C., 2010
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410-416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents only.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.12. Stroke Hospital Discharge Rates, N.C., 1995-2010
250
270
290
310
330
350
370
390
410
430
450
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Ag
e-a
dju
ste
d D
isc
ha
rge
Ra
te
Total
Males
Females
Stroke: ICD-9-CM Codes 430-438; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.13. Stroke Hospital Discharge Rates by Age and Gender, N.C., 2010
0
500
1,000
1,500
2,000
2,500
3,000
Age Group
Dis
char
ge
Rat
e p
er 1
00,0
00
Females 4.6 24.3 83.5 235.2 433.4 902.2 1,735.80 3,028.00
Males 5.2 19 82.8 264.2 607.1 1,165.80 1,971.60 2,749.90
Total 4.9 21.7 83.2 249.3 515.8 1,023.60 1,831.90 2,945.90
<25 25-34 35-44 45-54 55-64 65-74 75-84 85+
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.14. Percentage of Stroke Hospitalizations by Age Group, N.C., 2010
36.841.732.4
010
2030
405060
7080
90100
Female Male Total
Pe
rce
nta
ge
of
Ho
sp
ita
liza
tio
ns
<65 years 65+ years
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.15. Stroke History and Knowledge among N.C. Adults by Age Group, 2009
0.0
17
.7
82
.7
20
.0
0.2
19
.7
88
.2
21
.7
2.3
25
.4
88
.5
26
.0
4.5
25
.5
89
.5
25
.1
7.7
16
.3
88
.5
16
.2
13
.1
11
.0
83
.8
12
.5
26
.5
91
.6
25
.3
1.1
0
20
40
60
80
100
Had History ofStroke (2010)
Knew All StrokeSymptoms
Would Call 911 forStroke
Knew Symptoms& Would Call 911
Per
cen
t o
f P
op
ula
tio
n
18-24 25-34 35-44 45-54 55-64 65-74 75+
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
3.0
25.5
88.3
23.4
3.8
11.2
88.9
9.9
0.2
14.3
12.8
2.7
11.6
80.6
9.3
2.6
10.8
84.6
10.4
93.9
0
20
40
60
80
100
Had History ofStroke (2010)
Knew All StrokeSymptoms
Would Call 911 forStroke
Knew Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n
WhiteAfrican American
AsianAmerican Indian
Other Race
Figure 2.16. Stroke History and Knowledge among N.C. Adults by Race, 2009
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.17. Stroke History and Knowledge among N.C. Adults by Education, 2009
5.4 8.2
80.6
6.4
3.1
14.5
88.1
12.9
3.3
23.3
88.9
21.0
1.8
32.3
90.7
30.0
0
20
40
60
80
100
Had History ofStroke (2010)
Knew All StrokeSymptoms
Would Call 911 forStroke
Knew Symptoms& Would Call 911
Per
cen
t o
f P
op
ula
tio
n
< High School
High School or GED
Some Post-HS
College Grad
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.18. Stroke History and Knowledge among N.C. Adults by Household Income, 2009
5.9 9
.9
84
.4
11
.3
5.4
14
.0
87
.8
15
.3
3.2
16
.5
87
.0
17
.9
2.6
22
.2
86
.8
23
.8
2.4
26
.7
89
.5
29
.0
0.9
33
.1
90
.2
33
.2
0
20
40
60
80
100
Had History ofStroke (2010)
Knew All StrokeSymptoms
Would Call 911 forStroke
Knew Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n
<$15,000$15,000-24,999$25,000-34,999$35,000-49,999$50,000-74,999$75,000+
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.19. Stroke Hospital Discharge Rates by County of Residence, N.C., 2006-2010
Stroke: ICD-9-CM codes 430-438.; Principal diagnosis only; N.C. residents only.Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 2006-2010. Produced by: State Center for Health Statistics, 06/08/2012.
N.C. overall: 298.4
Hospital Discharge Rate
106.4 - 169.8
169.9 - 265.9
266.0 - 298.4
298.5 - 385.7
385.8 - 550.0
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.20. Estimated Direct and Indirect Costs of CVD and Stroke, United States, 2008
$179.2
$18.8
$118.5
$15.5
020406080
100120140160180200220240260280300
Total CVD Stroke
Bil
lio
ns
of
Do
llar
s
Indirect CostsDirect Costs
Total: $297.7 billion
Total: $34.3 billion
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–e220.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.21. Stroke Hospital Charges, N.C., 1995-2010
$0
$100,000,000
$200,000,000
$300,000,000
$400,000,000
$500,000,000
$600,000,000
$700,000,000
$800,000,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
To
tal H
osp
ital
Ch
arg
es in
201
1 D
olla
rs
Total
Males
Females
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.22. Stroke Average Hospital Charges per Stay, N.C., 1995-2010
$15,000
$18,000
$21,000
$24,000
$27,000
$30,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
Ch
arg
es p
er S
tay
in 2
011
Do
llar
s
Total
Males
Females
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.23. Annual Medicaid Costs due to Stroke and Other CVD, N.C., 2011
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011. Produced by: State Center for Health Statistics, 09/19/2012.
$177,403,772$189,045,580
$231,402,818
$75,022,000
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
Heart Disease Heart Failure Hypertension Stroke
An
nu
al M
edic
aid
Co
sts
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.24. Stroke Awareness, N.C. Adults, 2001-2009
87.7
17.118.8
87.6
16.819.5
87.3
17.6
88.2
19.419.815.0
87.4
17.2 21.6
0102030405060708090
100
Knew All StrokeSymptoms
Would Call 911 for Stroke Knew All Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n
2001 2003 2005 2007 2009
Adults = ages 18+ years. Data not available in 2002, 2004, 2006, 2008.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew All Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.25. Knowledge of Each Stroke Symptom, N.C. Adults, 2001-2009
87
.8
68
.4
32
.9
70
.8
85
.3
68
.2
28
.9
87
.8 92
.6
70
.6
84
.6
63
.6
37
.4
89
.6
71
.9
85
.7
62
.8
39
.0
69
.5
90
.6
93
.39
0.5
86
.5
37
.7
62
.7
81
.9
68
.7
90
.8
85
.0 93
.5
0
20
40
60
80
100
Confusion,Trouble Speaking
Numbness,Weakness
Trouble Seeing Trouble Walking,Loss of Balance
SevereHeadache
Chest Pain Not aSymptom
Per
cen
t o
f P
op
ula
tio
n
2001 2003 2005 2007 2009
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.Data not available in 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.26. Stroke Awareness by Hypertension Status, N.C. Adults, 2007
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
20.1
87.2
18.417.9
87.7
15.9
0
20
40
60
80
100
Knew All StrokeSymptoms
Would Call 911 for Stroke Knew All Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n No Diagnosed HypertensionDiagnosed Hypertension
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.27. Knowledge of Each Stroke Symptom by Hypertension Status, N.C. Adults, 2007
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
62.4
40.1
89.4
71.8
85.2
66.8
30.9
70.2
87.2 84.492.2 93.6
0102030405060708090
100
Confusion,Trouble
Speaking
Numbness,Weakness
TroubleSeeing
TroubleWalking,Loss ofBalance
SevereHeadache
Chest PainNot a
Symptom
Per
cen
t o
f P
op
ula
tio
n
No Diagnosed Hypertension Diagnosed Hypertension
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.28. Stroke Awareness by Stroke History Status, N.C. Adults, 2007
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
19.5
87.5
17.818.0
81.8
14.7
0
10
20
30
40
50
60
70
80
90
100
Knew All StrokeSymptoms
Would Call 911 for Stroke Knew All Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n
No History of StrokeHistory of Stroke
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.29. Knowledge of Each Stroke Symptom by Stroke History Status, N.C. Adults, 2007
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
87.792.5
70.6
84.6
63.6
37.5
88.7
70.7
83.5
62.5
36.1
93.2
0
20
40
60
80
100
Confusion,Trouble
Speaking
Numbness,Weakness
TroubleSeeing
TroubleWalking,Loss ofBalance
SevereHeadache
Chest PainNot a
Symptom
Per
cen
t o
f P
op
ula
tio
n
No History of Stroke History of Stroke
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Heart Disease Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
*Unintentional injuries other than motor-vehicles injuries.Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm.
Figure 3.1. Heart Disease and Leading Causes of Death, N.C., 2010
Heart Disease17,09022%
Stroke4,2815%
Other CVD1,8612%
Chronic Lower Respiratory
Disease4,4906%
Other Unintentional Injuries*2,7624%
All other causes30,10738%
Cancer18,01323%
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.2. Heart Disease Death Rates, 1979-2008
0
50
100
150
200
250
300
350
400
450
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
North Carolina United States
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by comparability ratio of 0.9858. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.3. Heart Disease Death Rates by Age and Gender, N.C., 2008
Heart Disease: ICD-10 codes I00-I09, I11, I13, I20-I51.Rates per 100,000 population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
Death
Rate
per
100,0
00
Females
Males
Total
Females 7.1 55.9 122.7 301.3 997.5 3786.2
Males 13.9 137.8 318.9 629 1553.5 4413.5
Total 10.6 95.6 216 450.4 1219.7 3969.8
<45 45-54 55-64 65-74 75-84 85+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.4. Heart Disease Death Rates by Gender, N.C., 1979-2008
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by comparability ratio of 0.9858. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
100
200
300
400
500
600
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
Males
Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.5. Heart Disease Death Rates by Race, N.C., 1979-2008
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by comparability ratio of 0.9858. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
100
200
300
400
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e African Americans
Whites
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.6. Heart Disease Death Rates by Race and Gender, N.C., 1979-2008
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by comparability ratio of 0.9858. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
100150
200250300350
400450500
550600
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-a
dju
ste
d D
ea
th R
ate
African-American Males African-American FemalesWhite Males White Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.7. Percentage of Total Heart Disease Deaths by Age Group, Race, and Gender, N.C., 2004-2008
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
10.925.827.7
44.3
0102030405060708090
100
African-AmericanMales
White Males African-AmericanFemales
White Females
Pe
rce
nta
ge
of
He
art
Dis
ea
se
De
ath
s <65 years 65+ years
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.8. Heart Disease Death Rates by County of Residence, N.C., 2006-2010
Heart Disease: ICD-10 codes I00-I09, I11, I13, I20-I51.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.N.C. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Volume 2: Leading Causes of Death in North Carolina 2010, 2011. http://www.schs.state.nc.us/schs/deaths/lcd/2010/.U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
N.C. overall: 184.9
U.S. (2004-2008): 200.8
Death Rate
141.5 - 172.6
172.7 - 184.9
185.0 - 206.0
206.1 - 238.0
238.1 - 346.2
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Congestive Heart Failure*
7,8404.8%
Other CVD24,88715.3%
Stroke29,42918.1%
Coronary Heart Disease*
39,02224.0%
Other Heart Disease*
61,15137.7%
Figure 3.9. Number and Percentage of Total CVD Hospital Discharges that were Due to Heart Disease, N.C., 2010
All Heart Diseases: 108,013, 66.5% of CVD Hospitalizations*
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410-416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents only.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.10. Heart Disease Hospital Discharge Rates, N.C., 1995-2010
750
900
1,050
1,200
1,350
1,500
1,650
1,800
1,950
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Ag
e-ad
just
ed D
isch
arg
e R
ate
Total
Males
Females
Heart Disease: ICD-9-CM Codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.11. Heart Disease Hospital Discharge Rates by Age and Gender, N.C., 2010
0
2,000
4,000
6,000
8,000
10,000
Age Group
Dis
char
ge
Rat
e p
er 1
00,0
00
Females 22.9 110.7 288.6 716.7 1,391.50 3,016.80 5,738.90 9,188.50
Males 22.3 128.2 475.8 1,268.80 2,526.50 4,683.50 7,309.80 10,360.20
Total 22.6 119.4 380.9 985 1,930.00 3,784.20 6,379.10 9,540.80
<25 25-34 35-44 45-54 55-64 65-74 75-84 85+
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.12. Percentage of Heart Disease Hospitalizations by Age Group, N.C., 2010
39.645.8
32.5
010
2030
405060
7080
90100
Female Male Total
Pe
rce
nta
ge
of
Ho
sp
ita
liza
tio
ns
<65 years 65+ years
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.13. Heart Disease Hospital Discharge Rates by County of Residence, N.C., 2006-2010
Heart Disease: ICD-9-CM codes: 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only; N.C. residents only.Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
N.C. overall: 1143.9
Hospital Discharge Rate
389.5- 713.7
713.8 - 1143.9
1144.0 - 1289.5
1289.6 - 1634.7
1634.8 - 2173.9
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.14. Estimated Direct and Indirect Costs of CVD and Heart Disease, United States, 2008
$179.2
$95.5
$118.5
$94.8
0
50
100
150
200
250
300
Total CVD Heart Disease
Bil
lio
ns
of
Do
llar
s
Indirect CostsDirect Costs
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012; 125:e2–e220.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.15. Heart Disease Hospital Charges, N.C., 1995-2010
$100,000,000
$600,000,000
$1,100,000,000
$1,600,000,000
$2,100,000,000
$2,600,000,000
$3,100,000,000
$3,600,000,000
$4,100,000,000
$4,600,000,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
To
tal H
osp
ital
Ch
arg
es in
201
1 D
olla
rs
Total
Males
Females
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.16. Heart Disease: Average Hospital Charges per Stay, N.C., 1995-2010
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
Ch
arg
es p
er S
tay
in 2
011
Do
llar
s
TotalMalesFemales
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.17. Annual Medicaid Costs due to Heart Disease and Other CVD, N.C., 2011
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011. Produced by: State Center for Health Statistics, 09/19/2012.
$177,403,772$189,045,580
$231,402,818
$75,022,000
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
Heart Disease Heart Failure Hypertension Stroke
An
nu
al M
edic
aid
Co
sts
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Coronary Heart Disease Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.1. Coronary Heart Disease, CVD, and Leading Causes of Death, N.C., 2010
Coronary Heart Disease 10507
13%Cancer18013 23%
All other causes30107 39%
Heart Failure16592%
Other Heart Disease 4924 6% Stroke
4281 5%
Other Unintentional Injuries27627%
Chronic Lower Respiratory Disease
4490 6%
Other CVD 18612%
*Unintentional injuries other than motor-vehicles injuries.Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/deaths/dms/2010/northcarolina.pdf.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.2. Coronary Heart Disease Death Rates, 1979-2008
0
50
100
150
200
250
300
350
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
North Carolina United States
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of 0.9990. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.3. Coronary Heart Disease Death Rates & Healthy People 2020 Target, 2008
Healthy People 2010 Objective 12-1. Coronary Heart Disease: ICD-10 codes I11, I20-I25.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Healthy People 2020, Online Database, 2011. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
126.0132.4
0
20
40
60
80
100
120
140
160
N.C. U.S.
Ag
e-a
dju
ste
d S
tro
ke
De
ath
Ra
te
2020 Target (100.8) 2010 Target (156.0)
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.4. Coronary Heart Disease Death Rates by Age and Gender, N.C., 2008
0
500
1,000
1,500
2,000
2,500
3,000
Death
Rate
per
100,0
00
Females
Males
Total
Females 2.8 31.3 74.9 191.2 625.4 2159.9
Males 6.8 95.3 238.2 457.1 1066.5 2816.9
Total 4.8 62.4 152.5 312.2 801.7 2352.1
<45 45-54 55-64 65-74 75-84 85+
Coronary Heart Disease: ICD-10 codes I20-I25. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.5. Coronary Heart Disease Death Rates by Gender, N.C., 1979-2008
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of 0.9990. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
50
100
150
200
250
300
350
400
450
500
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
Males
Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.6. Death Rates by Race and Ethnicity & Healthy People 2020 Target, N.C., 2008
122.9
33.4
131.7119.7115.6
0
50
100
150
200
250
AmericanIndian/Alaska
Native
AfricanAmerican
White Hispanic Non-Hispanic
Ag
e-a
dju
ste
d C
oro
na
ry H
ea
rt D
ise
as
e
De
ath
Ra
te
Coronary Heart Disease Death Rate 2020 Target (100.8) 2010 Target (156.0)
Healthy People 2020 Objective 12-1. Coronary Heart Disease: ICD-10 codes I11, I20-I25.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Healthy People 2020, Online Database, 2011. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.7. Coronary Heart Disease Death Rates by Race, N.C., 1979-2008
75
125
175
225
275
325
375
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07Year
Ag
e-ad
just
ed D
eath
Rat
e African-Americans
Whites
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of 0.9990. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.8. Coronary Heart Disease Death Rates by Race and Gender, N.C., 1979-2008
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of 0.9990. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
25
75
125
175
225
275
325
375
425
475
525
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e African-American MalesAfrican-American FemalesWhite MalesWhite Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.9. Percentage of Total Coronary Heart Disease Deaths by Age Group, Race, and Gender, N.C., 2004-
2008
10.922.328.9
41.7
0102030405060708090
100
African-American Males
White Males African-AmericanFemales
White Females
Pe
rce
nta
ge
of
CH
D D
ea
ths
<65 years 65+ years
Coronary Heart Disease: ICD-10 codes I20-I25.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.10. Coronary Heart Disease Death Rates by County of Residence, N.C., 2004-2008
Coronary Heart Disease: ICD-10 codes I20-I25.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
N.C. overall: 129.6
U.S.: 135.3
Death Rate
88.1 - 108.3
108.4 - 129.6
129.7 - 149.6
149.7- 181.2
181.3 - 219.3
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.11. Number and Percentage of Total CVD Hospital Discharges that were Due to Coronary Heart
Disease, N.C., 2010
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410-416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents only.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
Other Heart Disease61,15137.7%
Coronary Heart Disease39,02224.0%
Stroke29,42918.1%
Other CVD24,88715.3%
Congestive Heart Failure7,8404.8%
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.12. Coronary Heart Disease Hospital Discharge Rates, N.C., 1995-2010
200
300
400
500
600
700
800
900
1,000
1,100
1,200
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Ag
e-ad
just
ed D
isch
arg
e R
ate
Total
Males
Females
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.13. Coronary Heart Disease Hospital Discharge Rates by Age and Gender, N.C., 2010
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
0
500
1,000
1,500
2,000
2,500
3,000
Age Group
Dis
char
ge
Rat
e p
er 1
00,0
00
Females 0.5 15.2 89.8 281.9 541.4 998.6 1460.3 1877.8
Males 0.9 28.4 198.5 647.2 1242.9 1996.6 2485.0 2634.7
Total 0.7 21.7 143.4 459.4 874.2 1458.1 1877.9 2105.6
<25 25-34 35-44 45-54 55-64 65-74 75-84 85+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.14. Percentage of Coronary Heart Disease Hospitalizations by Age Group, N.C., 2010
47.352.139.6
010
2030
405060
7080
90100
Female Male Total
Per
cen
tag
e o
f H
osp
ital
izat
ion
s
<65 years 65+ years
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.15. Coronary Heart Disease History and Knowledge among N.C. Adults by Age Group, 2009
0.0
9.6
82.7
8.1
0.8
10.6
88.2
9.5
2.0
14.1
13.1
6.0
17.7
88.5
15.5
12.9 18
.3
89.5
16.6
17.8
14.2
12.2
24.5
10.5
83.8
9.4
91.6
88.5
0102030405060708090
100
Had History of CHD(2010)
Knew All HeartAttack Symptoms
Would Call 911 forHeart Attack
Knew Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n
18-24 25-34 35-44 45-54 55-64 65-74 75+
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.16. Coronary Heart Disease History and Knowledge among N.C. Adults by Race, 2009
7.6
17
.1
88
.3
15
.3
7.2
6.7
88
.9
6.0
2.7
9.1
93
.9
9.1
7.9
7.1
80
.6
6.0
4
84
.6
4.4
2.1
0
10
20
30
40
50
60
70
80
90
100
Had History ofCHD (2010)
Knew All HeartAttack Symptoms
Would Call 911 forHeart Attack
Knew Symptoms& Would Call 911
Per
cen
t o
f P
op
ula
tio
n
WhiteAfrican AmericanAsianAmerican IndianOther Race
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.17. Coronary Heart Disease History and Knowledge among N.C. Adults by Education, 2009
12.1
5.2
80.6
3.57.9 10.3 9.26.7
15.2
88.9
13.920.2 18.2
88.190.7
4.7
0
10
20
30
40
50
60
70
80
90
100
Had History ofCHD (2010)
Knew All HeartAttack Symptoms
Would Call 911 forHeart Attack
Knew Symptoms& Would Call 911
Per
cen
t o
f P
op
ula
tio
n
< High School
High School or GED
Some Post-HS
College Grad
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.18. Coronary Heart Disease History and Knowledge among N.C. Adults by Household Income,
20091
2.8
6.5
84
.4
5.8
12
.6
8.3
87
.8
7.17.7 1
1.7
87
.0
10
.7
6.7
14
.7
86
.8
12
.2
5.4
18
.7
17
.7
3.7
19
.6
90
.2
17
.8
89
.5
0
10
20
30
40
50
60
70
80
90
100
Had History ofCHD (2010)
Knew All HeartAttack Symptoms
Would Call 911 forHeart Attack
Knew Symptoms& Would Call 911
Pe
rce
nt
of
Po
pu
lati
on
<$15,000$15,000-24,999$25,000-34,999$35,000-49,999$50,000-74,999$75,000+
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.19. Coronary Heart Disease Hospital Discharge Rates by County of Residence, N.C., 2006-2010
Coronary Heart Disease: ICD-9-CM codes: 410-414; Principal diagnosis only; N.C. residents only.Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
N.C. overall: 440.7
Hospital Discharge Rate
95.9 - 279.9
280.0- 440.7
440.8 - 495.4
495.5 - 710.7
710.8 - 973.2
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.20. Coronary Heart Disease Hospital Charges, N.C., 1995-2010
$0
$500,000,000
$1,000,000,000
$1,500,000,000
$2,000,000,000
$2,500,000,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
To
tal H
osp
ital
Ch
arg
es in
201
1 D
olla
rs
Total
Males
Females
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
Ch
arg
es p
er S
tay
in 2
011
Do
llar
s
Total
Males
Females
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
Figure 4.21. Coronary Heart Disease: Average Hospital Charges per Stay, N.C., 1995-2010
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.22. Heart Attack Awareness, N.C. Adults, 2001-2009
9.6
87.7
8.610.7
87.4
9.311.3
87.6
10
88.2
12.510.5
87.3
11.3 14.0
0102030405060708090
100
Knew All Heart AttackSymptoms
Would Call 911 for HeartAttack
Knew All Symptoms &Would Call 911
Per
cent
of P
opul
atio
n
2001 2003 2005 2007 2009
Adults = ages 18+ years. Data not available in 2002, 2004, 2006, 2008.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.*Knew All Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.23. Knowledge of Each Heart Attack Symptom, N.C. Adults, 2001-2009
47
.8
67
.8
87
.4
89
.9
33
.8
51
.4
69
.2
92
.2
85
.7
86
.7
32
.2
46
.3
60
.5
90
.3
84
.0
84
.4
40
.4
55
.6 65
.0
85
.4
86
.5
39
.7
95
.6
85
.4
86
.0
39
.8
92
.7
63
.5
48
.0
93
.2
0102030405060708090
100
Pain in Jaw,Neck, Back
Feeling Weak,Lightheaded,
Faint
Chest Pain Pain in Arms,Shoulder
Shortness ofBreath
TroubleSeeing Not a
Symptom
Per
cen
t o
f P
op
ula
tio
n
2001 2003 2005 2007 2009Adults = ages 18+ years. Data not available in 2002, 2004, 2006, 2008.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.24. Heart Attack Awareness by Coronary Heart Disease History, N.C. Adults, 2007
11.0
87.6
10.215.8
84.5
13.9
0102030405060708090
100
Knew All Heart AttackSymptoms
Would Call 911 for HeartAttack
Knew All Symptoms &Would Call 911
Per
cen
t o
f P
op
ula
tio
n No History of CHDHistory of CHD
Adults = ages 18+ years. CHD= Coronary Heart Disease.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2010. Analyzed by the Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Adults = ages 18+ years. CHD= Coronary Heart Disease.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2010. Analyzed by the Heart Disease and Stroke Prevention Branch, 2010.
Figure 4.25. Knowledge of Each Heart Attack Symptomby Coronary Heart Disease History, N.C. Adults, 2007
47.0
63.8
39.4
61.3
46.8
86.085.592.8
61.3
86.885.291.7
0102030405060708090
100
Pain in Jaw,Neck, Back
FeelingWeak,
Lightheaded,Faint
Chest Pain Pain in Arms,Shoulder
Shortness ofBreath
TroubleSeeing Not a
Symptom
Per
cen
t o
f P
op
ula
tio
n
No History of CHD
History of CHD
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Heart Failure Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Coronary Heart Disease 1050713%Cancer
18013 23%
All other causes30107 39%
Heart Failure16592%
Other Heart Disease 4924 6% Stroke
4281 5%
Other Unintentional Injuries27627%
Chronic Lower Respiratory Disease
4490 6%
Other CVD 18612%
Figure 5.1. Heart Failure, CVD, and Leading Causes of Death, N.C., 2010
*Unintentional injuries other than motor-vehicles injuries.Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/deaths/dms/2010/northcarolina.pdf.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.2. Heart Failure Death Rates, 1979-2008
Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
5
10
15
20
25
30
'79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07
Year
Ag
e-A
dju
sted
Dea
th R
ate
North Carolina United States
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.3. Heart Failure Death Rates by Age and Gender, N.C., 2008
Heart Failure: ICD-10 codes I50. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
100
200
300
400
500
600
Death
Rate
per
100,0
00
Females
Males
Total
Females 1.5 22.5 97.6 580.1
Males 2.2 40.3 140.8 568.2
Total 1.8 30.6 114.9 576.6
<65 65-74 75-84 85+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.4. Smoothed* Heart Failure Death Rates by Gender, N.C., 1998-2008
* 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates).Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
5
10
15
20
25
30
35
40
45
50
'98 '99 '00 '01 '02 '03 '04 '05 '06 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e
Males
Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.5. Smoothed* Heart Failure Death Rates by Race, N.C., 1998-2008
* 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates).Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
0
5
10
15
20
25
30
'98 '99 '00 '01 '02 '03 '04 '05 '06 '07
Year
Ag
e-ad
just
ed D
eath
Rat
e African Americans
Whites
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
* 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates).Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
Figure 5.6. Smoothed* Heart Failure Death Rates by Race and Gender, N.C., 1998-2008
151617
1819202122
232425
'98 '99 '00 '01 '02 '03 '04 '05 '06 '07
Year
Ag
e-a
dju
ste
d D
ea
th R
ate
African-American Males African-American Females White Males White Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.7. Percentage of Total Heart Failure Deaths by Age Group, Race, and Gender, N.C., 2004-2008
Heart Failure: ICD-10 codes I50.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
27.19.5 15.9
4.10
10
20
30
40
50
60
70
80
90
100
African-American
Males
White Males African-AmericanFemales
White Females
Per
cen
tag
e o
f H
eart
Fai
lure
Dea
ths <65 years 65+ years
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.8. Heart Failure Death Rates by County of Residence, N.C., 2003-2008
Heart Failure: ICD-10 codes I50.Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.* Rates based on fewer than 20 deaths may be unreliable, should be interpreted with caution, and are not mapped.Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
N.C. Overall: 18.5
U.S.: 18.3
Death Rate
0.0 - 12.9
13.0 - 18.5
18.6 - 21.1
21.2 - 26.2
26.3 - 38.9
<20 deaths*
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.9. Number and Percentage of Total CVD Hospital Discharges that were Due to Congestive
Heart Failure, N.C., 2010
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410-416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents only.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
Other Heart Disease61,15137.7%
Coronary Heart Disease39,02224.0%
Stroke29,42918.1%
Other CVD24,88715.3%
Congestive Heart Failure
7,8404.8%
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.10. Congestive Heart Failure Hospitalization Rates & Healthy People 2010 Targets
2.6
5.2
10.7
19.7
6.5
13.5
26.5
32.9
8.5
0
5
10
15
20
25
30
35
65-74 years 75-84 years 85+years
Ho
sp
itali
zati
on
Rate
North Carolina
United States
2010 Target
Healthy People 2010 Objective 12-06. Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis. Age-specific rates per 1,000 population.Data Source: Healthy People 2020, Online Database, 2011. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.11. Congestive Heart Failure Hospital Discharge Rates, N.C., 1995-2010
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
0
50
100
150
200
250
300
350
400
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Ag
e-ad
just
ed D
isch
arg
e R
ate
Total
Males
Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.12. Congestive Heart Failure Hospital Discharge Rates by Age and Gender, N.C., 2010
0
200
400
600
800
1,000
1,200
1,400
Age Group
Dis
char
ge
Rat
e p
er 1
00,0
00
Females 1.0 9.2 19.3 46.5 92.2 219.7 471.6 1005.8
Males 1.6 6.7 20.9 62.8 132.9 308.0 591.6 1217.9
Total 1.3 7.9 20.1 54.4 111.5 260.3 520.5 1069.4
<25 25-34 35-44 45-54 55-64 65-74 75-84 85+
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.13. Percentage of Congestive Heart Failure Hospitalizations by Age Group, N.C., 2010
30.935.226.8
010
203040
50607080
90100
Female Male Total
Pe
rce
nta
ge
of
Ho
sp
ita
liza
tio
ns
<65 years 65+ years
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.14. Congestive Heart Failure Hospital Discharge Rates by County of Residence, N.C., 2006-2010
Congestive Heart Failure: ICD-9-CM codes: 428.0; Principal diagnosis only; N.C. residents only.Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 2006-2010. Produced by: State Center for Health Statistics, 06/08/2012.
N.C. overall: 169.8
Hospital Discharge Rate
53.9 - 123.2
123.3 - 169.8
169.9 - 232.9
233.0 - 336.9
337.0 - 464.7
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.15. Congestive Heart Failure Hospital Charges, N.C., 1995-2010
$0
$100,000,000
$200,000,000
$300,000,000
$400,000,000
$500,000,000
$600,000,000
$700,000,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
To
tal
Ho
spit
al C
har
ges
in
201
1 D
oll
ars
Total
Males
Females
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.16. Congestive Heart Failure: Average Hospital Charges per Stay, N.C., 1995-2010
$10,000
$15,000
$20,000
$25,000
$30,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10Year
Ch
arg
es p
er S
tay
in 2
011
Do
llar
s TotalMalesFemales
Congestive Heart Failure: ICD-9-CM Codes 428.0; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.17. Annual Medicaid Costs due to Congestive Heart Failure and Other CVD, N.C., 2011
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011. Produced by: State Center for Health Statistics, 09/19/2012.
$177,403,772
$189,045,580
$231,402,818
$75,022,000
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
Heart Disease Heart Failure Hypertension Stroke
An
nu
al M
edic
aid
Co
sts
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
High Blood Pressure Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.1. Blood Pressure Checked within Past 2 Years, 1991-2009
50
55
60
65
70
75
80
85
90
95
100
'91 '92 '93 '95 '97 '99 '01 '05 '09
Year
Per
cen
tag
e o
f A
du
lts
North Carolina United States
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.US Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.Data not available for N.C. in 1994, 1996, 1998, 2000, 2002-2004, 2006-2008; data not available for U.S. in 1991, 1992, 1994, 1996, 1998, 2000-2009.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.2. Blood Pressure-related Measures among N.C. Adults by Age Group, 2009
22.6
11.4
41.7
60.3
81.2
7.0
93.4 92.0
20.4
94.496.1
34.4
90.8
97.5
50.4
99.1 94.6
62.0
99.096.2
65.7
0
10
20
30
40
50
60
70
80
90
100
Blood Pressure Checked within thePast 2 Years
Have High Blood Pressure Taking Medication for High BloodPressure
Per
cen
t o
f P
op
ula
tio
n
18-24 25-34 35-44 45-54 55-64 65-74 75+
Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.3. Blood Pressure Checked within Past 2 Years, by Gender, N.C., 1991-2009
50
55
60
65
70
75
80
85
90
95
100
'91 '92 '93 '95 '97 '99 '01 '05 '09
Year
Per
cen
tag
e o
f A
du
lts
Males
Females
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002-2004, 2006-2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.4. Blood Pressure-related Measures among N.C. Adults by Race and Gender, 2009
39.4 42.3
80.4
97.0
79.1
33.0
94.5 89.697.4
85.0
29.4
97.8
0102030405060708090
100
Blood Pressure Checkedwithin the Past 2 Years
Have High BloodPressure
Taking Medication forHigh Blood Pressure*
Per
cen
t o
f P
op
ula
tio
n
African American Men White Men African American Women White Women
* Among those who have high blood pressure.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.Blood pressure screening data is from 2005, all other data are from 2009.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
* Among those who have high blood pressure.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
31.1
82.1
97.2
41.0
14.0
75.3
92.6
38.1
61.1
82.1
12.6
96.3
85.7
96.0
56.1
0102030405060708090
100
Blood Pressure Checkedwithin the Past 2 Years
Have High BloodPressure
Taking Medication forHigh Blood Pressure*
Per
cen
t o
f P
op
ula
tio
n
White African American Asian American Indian Other Race
Figure 6.5. Blood Pressure-related Measures among N.C. Adults by Race, 2009
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.6. Blood Pressure Checked within Past 2 Years, by Race, N.C., 1991-2009
80
85
90
95
100
'91 '92 '93 '95 '97 '99 '01 '05 '09
Year
Per
cen
tag
e o
f A
du
lts
African-Americans
Whites
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002-2004, 2006-2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.7. Blood Pressure-related Measures among N.C. Adults by Education, 2009
* Among those who have high blood pressure.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
89.3
38.4
85.4 82.2
30.5
79.0
97.7
25.1
80.7
36.2
95.4 95.8
0
20
40
60
80
100
Blood Pressure Checkedwithin the Past 2 Years
Have High BloodPressure
Taking Medication forHigh Blood Pressure*
Pe
rce
nt
of
Po
pu
lati
on
< High School High School or GED Some Post-HS College Grad
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
93.9
40.5
86.8
40.7
96.9
31.0
83.3
98.0
78.081.4
35.6
90.2
79.2
94.9
75.3
29.8
98.1
24.3
0
20
40
60
80
100
Blood Pressure Checkedwithin the Past 2 Years
Have High BloodPressure
Taking Medication forHigh Blood Pressure*
Per
cen
t o
f P
op
ula
tio
n
<$15,000 $15,000-24,999 $25,000-34,999
$35,000-49,999 $50,000-74,999 $75,000+
Figure 6.8. Blood Pressure-related Measures among N.C. Adults by Household Income, 2009
* Among those who have high blood pressure.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.9. Estimated Direct and Indirect Costs of CVD and Hypertensive Disease, United States, 2008
$179.2
$47.3
$118.5
$3.3
0
100
200
300
400
500
600
Total CVD Hypertensive Disease
Bil
lio
ns
of
Do
llar
s
Indirect CostsDirect Costs
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–e220.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.10. Hypertension Prevalence, 1990-2009
Adults = ages 18+ years.1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive.NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012 . US Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.Data not available for U.S. in 1990-1993; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
0
5
10
15
20
25
30
35
40
45
50
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
North Carolina United States
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.11. Annual Medicaid Costs due to Hypertension and Other CVD, N.C., 2011
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011. Produced by: State Center for Health Statistics, 09/19/2012.
$177,403,772$189,045,580
$231,402,818
$75,022,000
$0
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
Heart Disease Heart Failure Hypertension Stroke
An
nu
al M
edic
aid
Co
sts
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
0
5
10
15
20
25
30
35
40
45
50
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
Males
Females
Figure 6.12. Hypertension Prevalence, by Gender, N.C., 1990-2009
Adults = ages 18+ years.1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive.NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
0
20
40
60
80
100
Age Group
Per
cen
tag
e o
f A
du
lts
Whites
African Americans
Total
Whites 5.9 10.5 19.8 29.7 47.7 59.9
African Americans 8.6 18.1 30.4 52.6 65.4 82.6
Total 7.0 11.4 20.4 34.4 50.4 63.9
18-24 25-34 35-44 45-54 55-64 65+
Figure 6.13. Hypertension Prevalence by Age and Race, N.C., 2009
Adults = ages 18+ years.Race specific data combines 65-74 & 75+ categories.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.14. Hypertension Prevalence, by Race, N.C., 1990-2009
0
5
10
15
20
25
30
35
40
45
50
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
African-Americans
Whites
Adults = ages 18+ years.1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive.NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.15. Percentage of People with Diagnosed Hypertension who are Taking Anti-Hypertensive
Medication, N.C. Adults, 2001-20097
4.9
68
.9
79
.7
74
.6
74
.8
76
.0
73
.7 78
.0
75
.5
77
.5
77
.4
73
.8 80
.6
78
.9
78
.882
.3
78
.8 85
.4
82
.1
84
.1
81
.6
77
.3 85
.7
85
.7
82
.1
0102030405060708090
100
NC Overall Men Women AfricanAmericans
Whites
Per
cen
t o
f P
eop
le w
ith
Hyp
erte
nsi
on
2001 2003 2005 2007 20091990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive. Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.Data not available for N.C. in 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.16. Use of Anti-Hypertensive Medication by Race and Gender, N.C. Adults, 2001-2009
74
.9
67
.6
78
.9
80
.0
76
.0
69
.6 75
.0 79
.8
79
.8
77
.4
74
.2
75
.7 82
.4
81
.6
82
.3
75
.8 81
.8 86
.9
86
.3
80
.4
79
.1 85
.0
68
.8
89
.6
81
.6
010
2030
4050
607080
90100
NC Overall African-American Men
White Men African-AmericanWomen
White Women
Per
cen
t o
f P
eop
le w
ith
Hyp
erte
nsi
on
2001 2003 2005 2007 2009
1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive.Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.Data not available for N.C. in 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
High Blood Cholesterol Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.1. Cholesterol Checked within Past 5 Years, 1990-2009
50
55
60
65
70
75
80
85
90
95
100
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
North Carolina United States
Adults = ages 18+ years.North Carolina Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.U.S. Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.Data not available for U.S. in 1990-1992; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.2. Cholesterol-related Measures among N.C. Adults by Age Group, 2009
* Among those who have ever had their blood cholesterol checked.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
38.1
13.2
61.7
19.0
79.5
31.4
88.2
42.9
93.1
53.558.0
52.4
96.3 96.0
0102030405060708090
100
Blood Cholesterol Checked withinthe Past 5 Years
Diagnosed with High Cholesterol*
Per
cen
t o
f P
op
ula
tio
n
18-24 25-34 35-44 45-54 55-64 65-74 75+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
50
55
60
65
70
75
80
85
90
95
100
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
Males
Females
Figure 7.3. Cholesterol Checked within Past 5 Years, by Gender, N.C., 1990-2009
Adults = ages 18+ years.NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012 . Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.4. Cholesterol-related Measures among N.C. Adults by Race and Gender, 2009
* Among those who have ever had their blood cholesterol checked.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
75.7
40.3
80.8 79.3
37.2 39.342.9
83.3
0102030405060708090
100
Blood Cholesterol Checked within Past5 Years
Diagnosed with High Cholesterol*
Pe
rce
nt
of
Po
pu
lati
on
African American Men White Men African American Women White Women
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
* Among those who have ever had their blood cholesterol checked.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Figure 7.5. Cholesterol-related Measures among N.C. Adults by Race, 2009
82.1
41.0
77.7
38.5
79.3
31.9
66.2
35.6
44.6
32.4
0102030405060708090
100
Blood Cholesterol Checked within Past5 Years
Diagnosed with High Cholesterol*
Per
cen
t o
f P
op
ula
tio
n
White African American Asian American Indian Other Race
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.6. Cholesterol Checked within Past 5 Years, by Race, N.C., 1990-2009
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
50
55
60
65
70
75
80
85
90
95
100
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
African-Americans
Whites
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.7. Cholesterol Checked within Past 5 Years, by Race and Gender, N.C., 1990-2009
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
45
50
55
60
65
70
75
80
85
90
95
100
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
African-American MalesAfrican-American FemalesWhite MalesWhite Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.8. Cholesterol-related Measures among N.C. Adults by Education, 2009
* Among those who have ever had their blood cholesterol checked.Adults = ages 18+ years.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
60.0
49.1
74.2
45.0
79.0
38.7
89.2
34.3
0102030405060708090
100
Blood Cholesterol Checked withinPast 5 Years
Diagnosed with High Cholesterol*
Per
cen
t o
f P
op
ula
tio
n
< High School High School or GED Some Post-HS College Grad
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.9. Cholesterol-related Measures among N.C. Adults by Household Income, 2009
* Among those who have ever had their blood cholesterol checked.Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
62.9
48.0
71.1
47.6
76.6
44.6
83.0
36.2
85.3
40.3
88.5
33.4
0
20
40
60
80
100
Blood Cholesterol Checked withinPast 5 Years
Diagnosed with High Cholesterol*
Pe
rce
nt
of
Po
pu
lati
on
<$15,000 $15,000-24,999 $25,000-34,999
$35,000-49,999 $50,000-74,999 $75,000+
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.10. High Cholesterol Prevalence, 1990-2009
Adults = ages 18+ years.North Carolina Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.U.S. Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.Data not available for U.S. in 1990-1993; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
0
5
10
15
20
25
30
35
40
45
50
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
North Carolina United States
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.11. High Cholesterol Prevalence, by Gender, N.C., 1990-2009
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
0
5
10
15
20
25
30
35
40
45
50
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
Males
Females
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.12. High Cholesterol Prevalence, by Race, N.C., 1990-2009
Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
0
5
10
15
20
25
30
35
40
45
50
'90 '91 '92 '93 '95 '97 '99 '01 '03 '05 '07 '09
Year
Per
cen
tag
e o
f A
du
lts
African-Americans
Whites
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Other Risk Factors Figures
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.1. Prevalence of Physical Activity-related Measures among Adults
Adults = ages 18+ years.*During the past month, did you participate in any physical activities?** Engaging in at least 30 minutes of moderate activity per day on 5 or more days of the week, or at least 20 minutes of vigorous activity per day on 3 or more days of the week.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Branch, 08/2012.
25.7
46.4
24.0
50.6
0
10
20
30
40
50
60
70
80
90
100
No Exercise* (2010) Recommended Physical Activity**(2009)
Per
cen
t o
f P
op
ula
tio
n
North Carolina United States
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.2. Prevalence of Physical Activity-related Measures among High School Students, 2011
47.6
34.7
49.5
32.4
0
10
20
30
40
50
60
70
80
90
100
Meet Recommended Levels ofPhysical Activity*
Watch 3+ Hours of TV on AverageSchool Day
Per
cen
t o
f P
op
ula
tio
n
North Carolina United States
* Physically active for a total of 60 minutes or more per day on 5 or more of the past 7 days.Data Source: Centers for Disease Control and Prevention. 2011 Youth Risk Behavior Survey. Available at: www.cdc.gov/yrbs. Accessed on 8/17/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.3. Prevalence of Daily Consumption of 5+ Fruits and Vegetables among Adults, 2009
20.6 23.5
0
10
20
30
40
50
60
70
80
90
100
North Carolina United States
Per
cen
t o
f P
op
ula
tio
n
Adults = ages 18+ years.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.4. Prevalence of Daily Consumption of 5+ Fruits and Vegetables among High School Students, 2011
19.4 21.4
0
10
20
30
40
50
60
70
80
90
100
North Carolina United States (2007)
Per
cen
t o
f P
op
ula
tio
n
N.C. Data Source: North Carolina Department of Public Instruction. 2011 Youth Risk Behavior Survey. Available at: http://www.nchealthyschools.org/docs/data/yrbs/2011/statewide/high-school.pdf Accessed on 8/17/2012.U.S. Data Source: Centers for Disease Control and Prevention. 2007 Youth Risk Behavior Survey. www.cdc.gov/yrbs.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.5. Prevalence of Tobacco Use-related Measures among Adults, 2010
19.8
60.5
17.3
52.4
0
10
20
30
40
50
60
70
80
90
100
Current Cigarette Smoking Tried to Quit Smoking in Past Year
Per
cen
t o
f P
op
ula
tio
n
North Carolina United States
Adults = ages 18+ years.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012 and National Centers for Disease Control and Prevention, 2011. Quitting Smoking Among Adults--- United States, 2001--2010 . MMWR 2011; 60 (No. 44): 1514.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.6. Prevalence of Tobacco Use-related Measures among Students
4.27.45.2
8.215.5
22.517.2
23.9
0
10
20
30
40
50
60
70
80
90
100
Current Cigarette Smoking Any Current Tobacco Use
Per
cen
t o
f P
op
ula
tio
n
NC Middle School (2011) US Middle School (2009)
NC High School (2011) US High School (2009)
N.C. Data Source: 2011 North Carolina Youth Tobacco Survey. http://www.tobaccopreventionandcontrol.ncdhhs.gov/data/yts/yts11/NC-YTS-SummaryTablesStatewide-2011-051512FINAL.pdf.U.S. Data Source: Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students --- United States, 2000--2009. MMWR 2010; 59(No. 33): 1064. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933a2.htm.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.7. Prevalence of Overweight and Obesity among Adults, 2010
36.7
28.6
65.3
36.2
27.6
63.8
0
10
20
30
40
50
60
70
80
90
100
Overweight Obese Overweight or Obese
Per
cen
t o
f P
op
ula
tio
n
North Carolina United States
Overweight: BMI >= 25.0 and <30.0; Obese: BMI >= 30.0; Overweight or Obese: BMI >= 25.0.Adults = ages 18+ years.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.8. Prevalence of Overweight and Obesity among High School Students, 2011
15.912.915.2 13.0
0
10
20
30
40
50
60
70
80
90
100
Overweight Obese
Per
cen
t o
f P
op
ula
tio
n
North Carolina United States
Overweight: BMI >= 85th and <95th Percentile; Obese: BMI >= 95th Percentile.Data Source: Centers for Disease Control and Prevention. 2011 Youth Risk Behavior Survey. Available at: www.cdc.gov/yrbs. Accessed on 8/17/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
15.625.8 28
16.1
17.1 18.1
0
10
20
30
40
50
60
70
80
90
100
2-4 Years (2010) 5-11 Years 12-18 Years
Per
cen
t o
f P
op
ula
tio
n
Overweight
Obese
Overweight: BMI >= 85th and <95th Percentile; Obese: BMI >= 95th Percentile; Overweight or At-risk for Overweight: BMI >= 85th Percentile.Data from age group 2-4 years are from 2010, all other age groups are from 2009 data.Data Source: N.C. Nutrition and Physical Activity Surveillance System data. http://www.nutritionnc.com/nutrsurv.htm
Figure 8.9. Prevalence of Overweight and Obesity among Children seen in N.C. Public Health Clinics by Age Group
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.10. Prevalence of Diagnosed Diabetes among Adults, 2010
9.8 8.7
0
10
20
30
40
50
60
70
80
90
100
North Carolina United States
Per
cen
t o
f P
op
ula
tio
n
Adults = ages 18+ years.Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.11. Estimated Number of Adults with Chronic High Blood Glucose Levels, N.C., 2010
711,000 **711,000 **
223,000++
2,442,000+
461,000 *
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
NC BRFSS National
Nu
mb
er o
f A
du
lts Pre-Diabetes
Undiagnosed DiabetesDiagnosed Diabetes
*Estimate is based on self-report of diagnosed pre-diabetes in the 2010 NC BRFSS survey.**Estimate is based on self-report of diagnosed diabetes in the 2010 NC BRFSS survey.+Estimate is obtained by applying the estimated national prevalence of pre-diabetes among adults 20 years or older of 35 percent (National Diabetes fact sheet, 2011) to the 2010 NC population of the same age group.++Estimate is obtained by applying the estimated national prevalence of undiagnosed diabetes among adults 20 years or older of 3.2 percent (National Diabetes fact sheet, 2011) to the 2010 NC population of the same age group.N.C. Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, 2012 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Branch: 08/2012.U.S. Source: Center for Disease Control and Prevention. National diabetes facts sheet: national estimates and general information on diabetes and pre-diabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.