Age-adjusted trends in hospitalisation rates for coronary heart disease (CHD) subgroups in England and Australia
Average annual % change (95% CI)* | ||||
1996–2003 | 2004–2013 | |||
England | Australia | England | Australia | |
Men | ||||
Total CHD | +0.8 (+0.7 to +0.9) | −2.4 (–2.5 to –2.3)† | −3.0 (–3.1 to –3.0) | −3.5 (–3.6 to –3.4)† |
Aggregated subgroups‡ | ||||
Acute coronary syndrome | −0.4 (–0.5 to –0.3) | −1.8 (–1.9 to –1.7)† | −4.5 (–4.6 to –4.4) | −4.2 (–4.3 to –4.2)† |
Chronic CHD | +1.7 (+1.6 to +1.8) | −3.2 (–3.4 to –3.1)† | −2.2 (–2.3 to –2.2) | −2.6 (–2.7 to –2.5)† |
Subgroup | ||||
Myocardial infarction | −1.9 (–2.0 to –1.7) | +2.2 (+2.0 to +2.4)† | −3.1 (–3.2 to –3.0) | −1.4 (–1.5 to –1.2)† |
Unstable angina | +1.9 (+1.7 to +2.1) | −4.6 (–4.8 to –4.5)† | −7.1 (-–7.2 to –7.0) | −8.5 (–8.6 to –8.4)† |
Stable angina | −6.1 (–6.2 to –5.9) | −5.4 (–5.6 to –5.2)† | −3.3 (–3.4 to –3.1) | −6.2 (–6.3 to –6.0)† |
Other CHD | +4.9 (+4.8 to +5.0) | −1.1 (–1.3 to –0.9)† | −2.0 (–2.1 to –1.9) | 0.0 (–0.1 to +0.2)† |
Women | ||||
Total CHD | +0.9 (+0.8 to +1.0) | −2.2 (–2.3 to –2.1)† | −3.5 (–3.6 to –3.4) | −4.1 (–4.2 to –4.0)† |
Aggregated subgroups†‡ | ||||
Acute coronary syndrome | +0.4 (+0.3 to +0.6) | −2.0 (–2.2 to –1.8)† | −5.1 (–5.1 to –4.9) | −4.6 (–4.7 to –4.5)† |
Chronic CHD | +1.3 (+1.2 to +1.5) | −2.5 (–2.7 to –2.3)† | −2.5 (–2.6 to –2.4) | −3.4 (–3.6 to –3.3)† |
Subgroup | ||||
Myocardial infarction | −2.0 (–2.2 to –1.8) | +2.3 (+2.0 to +2.6)† | −3.3 (–3.5 to –3.2) | −1.3 (–1.4 to –1.1)† |
Unstable angina | +3.5 (+3.2 to +3.7) | −4.4 (–4.6 to –4.2)† | −7.5 (–7.7 to –7.3) | −8.6 (–8.8 to –8.4)† |
Stable angina | −4.3 (–4.5 to –4.1) | −4.5 (–4.7 to –4.2) | −4.5 (–4.7 to –4.3) | −5.9 (–6.1 to –5.7)† |
Other CHD | +5.9 (+5.7 to +6.1) | +0.3 (0 to +0.6)† | −1.7 (–1.8 to –1.6) | −0.8 (–1.1 to –0.6)† |
*Estimated from the exponential of the beta-coefficient for calendar year from age-adjusted Poisson regression models.
†P<0.001 from p value for interaction for country*year (from Poisson regression model for between-country comparison of age-adjusted trends).
‡Acute coronary syndrome comprises myocardial infarction+unstable angina; chronic CHD comprises stable angina+other CHD.