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Publications

This page presents the latest releases from ISD in chronological order, for the current calendar year. Please scroll down the list to view older items or quickly filter by Health Topic using the links below. All items listed linked to the publications page for their topic, where you can access the 'Publication Summary', 'Publication Report' and individual tables. For items from previous years please view our archive releases page.

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18 December 2012

Heart Disease Statistics update

The standardised hospital discharge rate for acute myocardial infarction (AMI or heart attack) increased by 51.1% from 230.7 per 100,000 population in 2007/08 to 348.5 in 2011/12. This increase is likely to be due to changes in the definition of AMI, which is now based on more sensitive troponin tests.
The incidence rate for coronary heart disease (CHD) decreased by 28.9% over the past decade, from 379.7 per 100,000 in 2002/03 to 270.0 in 2011/12.
As in the rest of the UK and Europe, the trend in mortality from AMI, and for coronary heart disease as a whole, remains downward. The age-sex standardised mortality rate for coronary heart disease (CHD) has been decreasing steadily over the last 10 years, falling from 162.3 per 100,000 population in 2002 to 92.2 in 2011, a reduction of 43.2% since 2002 and 8.1% between 2010 and 2011.
There has been a reduction in absolute and relative inequality in CHD mortality rates over the decade 2002-2011. Mortality rates fell among all deprivation quintiles. The reduction in the age-sex standardised mortality rate for CHD among the most deprived category was 38.7% compared with 25.1% in the least deprived category.
30-day survival for those admitted as an emergency with their first AMI improved over the last ten years from 84.1% to 91.0%.
The overall costs of prescriptions dispensed for cardiovascular related drugs fell in 2011/12 to £157.8 million, a reduction of 5.8% on the previous year. This is the lowest gross ingredient cost for cardiovascular drugs observed for any year over the last decade 2002/03 to 2011/12. Costs may reduce as medicines become available in generic form.

Publication Summary	Download [73kb]
Full Reports	Download [220kb]
Data Tables	View Data Tables
View Heart Disease Statistics update on the topic publications page

31 July 2012

Cardiovascular Anticipatory Care Screenings 2011-12

A total of 47,766 checks were reported by 14 Health Boards in Scotland in the year to 31st March 2012.
The total number of checks reported in the year to 31st March 2011 was 41,107
The target number of checks for the year to 31st March 2012 was 26,682.
The number of reported checks varied from 120 in Orkney NHS Board to 19,466 in Greater Glasgow & Clyde NHS Board.

Publication Summary	Download [50kb]
Full Reports	Download [88kb]
Data Tables	n/a
View Cardiovascular Anticipatory Care Screenings 2011-12 on the topic publications page

08 May 2012

Cardiac Rehabilitation in Scotland - Year Ending 31 March 2011

Across Scotland, an estimated 65% of patients having an initiating event of either myocardial infarction (MI), coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) were referred for cardiac rehabilitation. This includes 75% of heart attack patients, 68% of patients undergoing CABG, and 22% of patients undergoing PCI procedures.
Patients have been allocated to a single initiating event within a hierarchical order: MI, CABG, PCI, valve surgery, heart failure, unstable angina then other events. This may contribute to the apparent low percentage of patients undergoing PCI reported to have been referred for cardiac rehabilitation. Audit data shows that at least 39% of patients with a non-ST elevated MI (NSTEMI) initiating event also had a linked PCI intervention.
Referral to cardiac rehabilitation after any MI/CABG/PCI initiating event reached just under 100% in NHS Dumfries & Galloway health board area, but just over 40% in NHS Grampian (40%) and NHS Highland (42%).
Previously reported figures for Scotland from the 2008 National Audit of Cardiac Rehabilitation showed percentage uptake for Scotland in 2006/07 were MI 52%, CABG 74%, PCI 11% and combined MI/CABG/PCI 45%. Although not directly comparable, the latest figures suggest an increase in referral in 2010/11 compared to 2006/07.
Out of all the patients who were referred for cardiac rehabilitation in Scotland, 87% underwent assessment. This ranged from 76% in NHS Highland to 97% in NHS Shetland.
Across Scotland, 85% of all patients assessed for cardiac rehabilitation received heart disease education.
67% of patients in Scotland who were referred and assessed for cardiac rehabilitation after MI or revascularisation (CABG or PCI) completed the audited phase(s) of the programme. This was highest in Orkney (85%) and lowest in Western Isles (38%).

Publication Summary	Download [88kb]
Full Reports
Data Tables	View Data Tables
View Cardiac Rehabilitation in Scotland - Year Ending 31 March 2011 on the topic publications page

13 March 2012

Cardiac Rehabilitation in Scotland - April to September 2010

Across Scotland, an estimated 70% of patients having an initiating event of either myocardial infarction (MI), coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) were referred for cardiac rehabilitation. This includes 89% of patients undergoing CABG, 79% of heart attack patients and 23% of patients undergoing PCI procedures.
Patients have been allocated to a single initiating event within a hierarchical order: MI, CABG, PCI, valve surgery, heart failure, unstable angina then other events. For example, a patient undergoing PCI after admission to hospital with a heart attack would be allocated to MI as the initiating event. This may contribute to the apparent low percentage of patients undergoing PCI reported to have been referred for cardiac rehabilitation. Audit data shows that at least 39% of patients with a non-ST elevated MI (NSTEMI) initiating event also had a linked PCI intervention.
Referral to cardiac rehabilitation after any MI/CABG/PCI initiating event reached 100% in NHS Ayrshire & Arran and NHS Dumfries & Galloway health board areas, but under 50% in NHS Grampian (41%) and NHS Highland (45%).
Previously reported figures for Scotland from the 2008 National Audit of Cardiac Rehabilitation showed percentage uptake for Scotland in 2006/07 were MI 52%, CABG 74%, PCI 11% and combined MI/CABG/PCI 45%. Although not directly comparable because of methodological differences in calculations, the latest figures are reasonably robust to indicate an increase in referral in 2010 compared to 2006.
65% of patients in Scotland who were referred and assessed for cardiac rehabilitation after MI or revascularisation (CABG or PCI) completed the audited phase(s) of the programme. This was highest in Tayside (80%) and lowest in Shetland (36%).

Publication Summary	Download [74kb]
Full Reports	Click here
Data Tables	View Data Tables
View Cardiac Rehabilitation in Scotland - April to September 2010 on the topic publications page

29 November 2011

Heart Disease Statistics update

The age-standardised mortality rate (for under 75s) for Coronary Heart Disease (CHD) continues to fall, from 124.6 per 100,000 population in 1995 to 49.0 per 100,000 population in 2010, a reduction of 60.7%. The target to reduce the mortality rate by 60% between 1995 and 2010 has therefore been achieved.
There has been a reduction in inequality in mortality rates over the decade 2001-2010. Mortality rates among all deprivation quintiles reduced but the reduction (34.1%) in the age-sex standardised CHD mortality rate among the most deprived category has been almost double the reduction observed in the least deprived category (18.1%).
In the 15% most deprived areas in Scotland, the under 75 mortality rate from CHD (standardised by age) decreased slightly from 96.7 in 2009 to 95.5 per 100,000 in 2010. However the rate for males increased by 3.4% from 144.9 in 2009 to 149.8 per 100,000 in 2010. Further information and data are available from the Scottish Government's web site "Scotland Performs" section.
Over the decade 2001/02 - 2010/11 the numbers of prescriptions dispensed for cardiovascular related drugs continued to rise although there has been a slight reduction (0.2%) over the last year to 24,633,819 items prescribed and dispensed in the community in 2010/11.
The overall costs of prescriptions dispensed for cardiovascular related drugs fell sharply in 2010/11 to £167 million, a reduction of 11.4% on the previous year. This is the lowest gross ingredient cost for cardiovascular drugs observed for any year over the last decade 2001/02 to 2010/11. Costs often reduce as medicines become available in generic form once drug patents expire.

Publication Summary	Download [85kb]
Full Reports	Download [164kb]
Data Tables	View Data Tables
View Heart Disease Statistics update on the topic publications page

26 July 2011

Cardiovascular Anticipatory Care Screenings 2010-11...

A total of 41,107 checks were reported by 14 Health Boards in Scotland in the year to 31st March 2011.
The total number of checks reported in the year to 31st March 2010 was 29,433
The target number of checks for the year to 31st March 2011 was 23,579.
The number of reported checks varied from 90 in Shetland NHS Board to 13,503 in Greater Glasgow and Clyde NHS Board.

Publication Summary	Download [76kb]
Full Reports	Download [90kb]
Data Tables	View Data Tables
View Cardiovascular Anticipatory Care Screenings 2010-11... on the topic publications page

22 February 2011

Heart Disease Statistics Update

The age-standardised mortality rate (for under 75s) for Coronary Heart Disease (CHD) continues to fall, from 124.6 per 100,000 population in 1995 to 50.4 per 100,000 population in 2009. The target to reduce the mortality rate by 60% between 1995 and 2010 has very nearly been achieved. The fall was 59.6%.
30 day survival following emergency admission for an AMI increased from 83.1% in 2000-01 to 87.8% in 2008-09 and 89.0% in 2009-10.
Between 2008/09 and 2009/10 the incidence rate for HD (total number of people diagnosed with HD per 100,000 population, standardised by age and sex) decreased by 5.1%. (from 294.8 cases per 100,000 population for 2008/09 to 279.7 cases per 100,000 population in 2009/10.
The number of revascularisation procedures (Coronary Artery Bypass Grafts and Coronary Angioplasties) performed by NHSScotland increased between 2008/09 and 2009/10. The standardised rate remained stable over the latest 4 to 5 years. Reductions in coronary artery bypass operations are offset by increases in the number of coronary angioplasties being performed.
The number of prescriptions for cardiovascular disease (both coronary heart disease and cerebrovascular disease) increased by 61% in the last decade (from 15 million in 2000/01 to 25 million in 2009/10). The associated costs over the same period rose by a fifth, from £150 million to £187 million, and reached a peak of £230 million in 2004/05 before reducing to £187 million in 2009/10.

Publication Summary	Archive Link
Full Reports	Download [143kb]
Data Tables	View Data Tables
View Heart Disease Statistics Update on the topic publications page

To be published soon

Most ISD official statistics publications are released on the last Tuesday of the month

To be published: 30 May 2013

Cardiac Rehabilitation in Scotland - year ending 31 March 2012 more

To be published: July 2013

Cardiovascular Anticipatory Care Screenings more

To be published: November 2013

Heart Disease Statistics Update more

See all forthcoming publications

Rescheduled Publications

Healthy Life Expectancy in Scotland: Update of trends to 2011
Original publication date: 18 December 2012
Rescheduled to: 27 August 2013
Contact: Alison Burlison, 0131 275 6216
more

Dental Statistics - Fees and Treatments
Original publication date: 28 May 2013
Rescheduled to: 25 June 2013
Contact: Stephen Goold, 0131 275 6316
more