Figure 1'1' CVD and Leading Causes of Death, North Carolina, 2004

1
Figure 1.1. CVD and Leading Causes of Death,
North Carolina, 2004
Total Cardiovascular Diseases 24,589 deaths, 34
of all deaths
Unintentional injuries other than motor-vehicle
injuries. Data Source Compressed Mortality
File, CDC Wonder. Total CVD ICD-10 codes
I00-I99,Q20-Q28.
2
Figure 1.2. Major Cardiovascular Disease Death
Rates, 1979-2004
Major CVD 1999-2004 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 Compressed
Mortality File, CDC Wonder.
3
Figure 1.3. N.C. Cardiovascular Disease Death
Rates by Age and Gender, 2004
Total CVD ICD-10 codes I00-I99Q20-Q28. Rates
per 100,000 population. Data Source Compressed
Mortality File, CDC Wonder.
4
Figure 1.4. Major Cardiovascular Disease Death
Rates by Gender, N.C., 1979-2004
Major CVD 1999-2004 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 Compressed
Mortality File, CDC Wonder.
5
Figure 1.5. Major Cardiovascular Disease Death
Rates by Race, N.C., 1979-2004
Major CVD 1999-2004 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 Compressed
Mortality File, CDC Wonder.
6
Figure 1.6. Major Cardiovascular Disease Death
Rates by Race and Gender, N.C., 1979-2004
Major CVD 1999-2004 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 Compressed
Mortality File, CDC Wonder.
7
Figure 1.7. Percentage of Total CVD Deaths by Age
Group, Race, and Gender, N.C., 2000-2004
Data Source Compressed Mortality File, CDC
Wonder. Total CVD ICD-10 codes I00-I99,Q20-Q28.
8
Figure 1.8. Cardiovascular Disease Death Rates
by County of Residence, N.C., 2000-2004
Total CVD ICD-10 codes I00-I99Q20-Q28. Rates
per 100,000 population, age-adjusted to the 2000
U.S. standard population. Data Source Compressed
Mortality File, CDC Wonder.
9
Figure 1.9. Number and Percentage of Total CVD
Hospital Discharges by Type of CVD, N.C., 2004
All Cardiovascular Diseases 167,014
(All Heart Diseases 116,020, 69.5)
ICD-9-CM codes Cardiovascular Disease 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 N.C. Hospital Discharge
Database, State Center for Health Statistics.
10
Figure 1.10. CVD Hospital Discharge Rates, North
Carolina, 1995-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM Codes 390-459 principal
diagnosis only. Data Source N.C. Hospital
Discharge Database, State Center for Health
Statistics.
11
Figure 1.11. CVD Hospital Discharge Rates by Age
and Gender, N.C., 2004
ICD-9-CM Codes 390-459 principal diagnosis only.
Age-specific discharge rates per 100,000
population. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
12
Figure 1.12. Percentage of CVD Hospitalizations
by Age Group, N.C., 2004
ICD-9-CM Codes 390-459 principal diagnosis only.
Data Source N.C. Hospital Discharge Database,
State Center for Health Statistics.
13
Figure 1.13. Cardiovascular Disease Hospital
Discharge Rates by County of Residence, N.C.,
2000-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM Codes 390-459 principal
diagnosis only. Data Source N.C. Hospital
Discharge Database, State Center for Health
Statistics.
14
Figure 1.14. Estimated Direct and Indirect Costs
of CVD, United States, 2007
Total 431.8 billion
Source American Heart Association. Heart
Disease and Stroke Statistics 2007 Update.
Dallas, Tex. American Heart Association 2007.
15
Figure 1.15. Cardiovascular Disease Hospital
Charges, North Carolina, 1995-2004
ICD-9-CM Codes 390-459 principal diagnosis only.
Data Source N.C. Hospital Discharge Database,
State Center for Health Statistics.
16
Figure 1.16. Cardiovascular Disease Average
Hospital Charges per Stay, N.C., 1995-2004
ICD-9-CM Codes 390-459 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
17
Figure 2.1. Leading Causes of DeathNorth
Carolina, 2005
Unintentional injuries other than motor-vehicle
injuries. Data Source N.C. Center for Health
Statistics, NC-DHHS, 2006.
18
Figure 2.2. Stroke Death Rates Healthy People
2010 Target, 2004
Healthy People 2010 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 DATA2010, CDC,
NCHS.
19
Figure 2.3. Stroke Death Rates, 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
20
Figure 2.4. N.C. Stroke Death Rates by Age and
Gender, 2004
ICD-10 codes I60-I69. Rates per 100,000
population. Data Source Compressed Mortality
File, CDC Wonder.
21
Figure 2.5. Stroke Death Rates by Gender, N.C.,
1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
22
Figure 2.6. Death Rates by Race Groups Healthy
People 2010 Target, N.C., 2004
Healthy People 2010 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 DATA2010, CDC,
NCHS.
23
Figure 2.7. Stroke Death Rates by Race, N.C.,
1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
24
Figure 2.8. Stroke Death Rates by Race and
Gender, N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
25
Figure 2.9. Percentage of Total Stroke Deaths by
Age Group, Race, and Gender, N.C., 2000-2004
Stroke ICD-10 codes I60-69. Data Source
Compressed Mortality File, CDC Wonder.
26
Figure 2.10. Stroke Death Rates by County of
Residence, N.C., 2001-2005
Stroke ICD-10 codes I60-I69. Rates per 100,000
population, age-adjusted to the 2000 U.S.
standard population. Source N.C. Center for
Health Statistics. North Carolina Vital
Statistics, Volume 2 Leading Causes of Death,
2005. Raleigh, N.C. N.C. Dept of Health Human
Services 2006.
27
Figure 2.11. Number and Percentage of Total CVD
Hospital Discharges that were Due to Stroke,
North Carolina, 2004
ICD-9-CM codes Cardiovascular Disease 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 N.C. Hospital Discharge
Database, State Center for Health Statistics.
28
Figure 2.12. Stroke Hospital Discharge Rates,
North Carolina, 1995-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 430-438 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
29
Figure 2.13. Stroke Hospital Discharge Rates by
Age and Gender, N.C., 2004
ICD-9-CM codes 430-438 principal diagnosis
only. Age-specific discharge rates per 100,000
population. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
30
Figure 2.14. Percentage of Stroke
Hospitalizations by Age Group, N.C., 2004
ICD-9-CM 430-438 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
31
Figure 2.15. Stroke History and Knowledge among
N.C. Adults by Age Group, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
32
Figure 2.16. Stroke History and Knowledge among
N.C. Adults by Race, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
33
Figure 2.17. Stroke History and Knowledge among
N.C. Adults by Education, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
34
Figure 2.18. Stroke History and Knowledge among
N.C. Adults by Household Income, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
35
Figure 2.19. Stroke Hospital Discharge Rates by
County of Residence, N.C., 2000-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 430-438 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
36
Figure 2.20. Estimated Direct and Indirect Costs
of CVD and Stroke, United States, 2007
Source American Heart Association. Heart
Disease and Stroke Statistics 2007 Update.
Dallas, Tex. American Heart Association 2007.
37
Figure 2.21. Stroke Hospital Charges, North
Carolina, 1995-2004
Total Hospital Charges
Year
ICD-9-CM codes 430-438 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
38
Figure 2.22. Stroke Average Hospital Charges
per Stay, North Carolina, 1995-2004
ICD-9-CM codes 430-438 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
39
Figure 2.23. Stroke Awareness, N.C. Adults,
2001-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years Data
not available in 2002 or 2004.
40
Figure 2.24. Knowledge of Each Stroke Symptom,
N.C. Adults, 2001-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years Data
not available in 2002 or 2004.
41
Figure 2.25. Stroke Awareness by Hypertension
Status, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
42
Figure 2.26. Knowledge of Each Stroke Symptom by
Hypertension Status, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
43
Figure 2.27. Stroke Awareness by Stroke History
Status, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
44
Figure 2.28. Knowledge of Each Stroke Symptom by
Stroke History Status, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years
45
Figure 3.1. Leading Causes of DeathNorth
Carolina, 2005
Unintentional injuries other than motor-vehicle
injuries. Data Source N.C. Center for Health
Statistics, NC-DHHS, 2006.
46
Figure 3.2. Heart Disease Death Rates, 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
47
Figure 3.3. N.C. Heart Disease Death Rates by Age
and Gender, 2004
Heart Disease ICD-10 codes I00-I09, I11, I13,
I20-I51 Rates per 100,000 population. Compressed
Mortality File, CDC Wonder.
48
Figure 3.4. Heart Disease Death Rates by Gender,
N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
49
Figure 3.5. Heart Disease Death Rates by Race,
N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
50
Figure 3.6. Heart Disease Death Rates by Race and
Gender, N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
51
Figure 3.7. Percentage of Total Heart Disease
Deaths by Age Group, Race, and Gender, N.C.,
2000-2004
Heart Disease ICD-10 codes I00-I09, I11, I13,
I20-I51. Data Source Compressed Mortality File,
CDC Wonder.
52
Figure 3.8. Heart Disease Death Rates by County
of Residence, N.C., 2001-2005
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. Source N.C. Center for Health
Statistics. North Carolina Vital Statistics,
Volume 2 Leading Causes of Death, 2005. Raleigh,
N.C. N.C. Dept of Health Human Services 2006.
53
Figure 3.9. Number and Percentage of Total CVD
Hospital Discharges that were Due to Heart
Disease, N.C., 2004
All Heart Diseases 116,020, 69.5 of CVD
Hospitalizations
ICD-9-CM codes Cardiovascular Disease 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 N.C. Hospital Discharge
Database, State Center for Health Statistics.
54
Figure 3.10. Heart Disease Hospital Discharge
Rates, North Carolina, 1995-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 391-392.0,393-398,402,404,410
-416,420-429 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
55
Figure 3.11. Heart Disease Hospital Discharge
Rates by Age and Gender, N.C., 2004
ICD-9-CM 391-392.0,393-398,402,404,410-416,420-429
principal diagnosis only. Age-specific
discharge rates per 100,000 population. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
56
Figure 3.12. Percentage of Heart Disease
Hospitalizations by Age Group, N.C., 2004
ICD-9-CM 391-392.0,393-398,402,404,410-416,420-429
principal diagnosis only. Data Source N.C.
Hospital Discharge Database, State Center for
Health Statistics.
57
Figure 3.13. Heart Disease Hospital Discharge
Rates by County of Residence, N.C., 2000-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 391-392.0,393-398,402,404,410
-416,420-429 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
58
Figure 3.14. Estimated Direct and Indirect Costs
of CVD and Heart Disease, United States, 2007
Source American Heart Association. Heart
Disease and Stroke Statistics 2007 Update.
Dallas, Tex. American Heart Association 2007.
59
Figure 3.15. Heart Disease Hospital Charges,
North Carolina, 1995-2004
Total Hospital Charges
Year
ICD-9-CM 391-392.0,393-398,402,404,410-416,420-429
principal diagnosis only. Data Source N.C.
Hospital Discharge Database, State Center for
Health Statistics.
60
Figure 3.16. Heart Disease Average Hospital
Charges per Stay, North Carolina, 1995-2004
ICD-9-CM 391-392.0,393-398,402,404,410-416,420-429
principal diagnosis only. Data Source N.C.
Hospital Discharge Database, State Center for
Health Statistics.
61
Figure 4.1. Coronary Heart Disease, CVD, and
Leading Causes of Death, N.C., 2004
Unintentional injuries other than motor-vehicle
injuries. Data Source Compressed Mortality
File, CDC Wonder.
62
Figure 4.2. Coronary Heart Disease Death Rates,
1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
63
Figure 4.3. Coronary Heart Disease Death Rates
Healthy People 2010 Target, 2004
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 DATA2010,
CDC, NCHS.
64
Figure 4.4. N.C. Coronary Heart Disease Death
Rates by Age and Gender, 2004
ICD-10 codes I20-I25 Rates per 100,000
population. Data Source Compressed Mortality
File, CDC Wonder.
65
Figure 4.5. Coronary Heart Disease Death Rates by
Gender, N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
66
Figure 4.6. Death Rates by Race Groups Healthy
People 2010 Target, N.C., 2004
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 DATA2010,
CDC, NCHS.
67
Figure 4.7. Coronary Heart Disease Death Rates by
Race, N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
68
Figure 4.8. Coronary Heart Disease Death Rates by
Race and Gender, N.C., 1979-2004
1999-2004 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 Compressed Mortality
File, CDC Wonder.
69
Figure 4.9. Percentage of Total Coronary Heart
Disease Deaths by Age Group, Race, and Gender,
N.C., 2000-2004
Coronary Heart Disease (CHD) ICD-10 codes
I20-I25. Compressed Mortality File, CDC Wonder.
70
Figure 4.10. Coronary Heart Disease Death Rates
by County of Residence, N.C., 2000-2004
Coronary Heart Disease ICD-10 codes
I20-I25. Rates per 100,000 population,
age-adjusted to the 2000 U.S. standard
population. Data Source Compressed Mortality
File, CDC Wonder.
71
Figure 4.11. Number and Percentage of Total CVD
Hospital Discharges that were Due to Coronary
Heart Disease, North Carolina, 2004
ICD-9-CM codes Cardiovascular Disease 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 N.C. Hospital Discharge
Database, State Center for Health Statistics.
72
Figure 4.12. Coronary Heart Disease Hospital
Discharge Rates, North Carolina, 1995-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 410-414 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
73
Figure 4.13. Coronary Heart Disease Hospital
Discharge Rates by Age and Gender, N.C., 2004
ICD-9-CM 410-414 principal diagnosis only.
Age-specific discharge rates per 100,000
population. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
74
Figure 4.14. Percentage of Coronary Heart Disease
Hospitalizations by Age Group, N.C., 2004
ICD-9-CM 410-414 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
75
Figure 4.15. Coronary Heart Disease History and
Knowledge by Age Group, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years CHD
Coronary Heart Disease
76
Figure 4.16. Coronary Heart Disease History and
Knowledge by Race, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years CHD
Coronary Heart Disease
77
Figure 4.17. Coronary Heart Disease History and
Knowledge by Education, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years CHD
Coronary Heart Disease
78
Figure 4.18. Coronary Heart Disease History and
Knowledge by Household Income, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years CHD
Coronary Heart Disease
79
Figure 4.19. Coronary Heart Disease Hospital
Discharge Rates by County of Residence, N.C.,
2000-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 410-414 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
80
Figure 4.20. Estimated Direct and Indirect Costs
of CVD and Coronary Heart Disease, United States,
2007
Source American Heart Association. Heart
Disease and Stroke Statistics 2007 Update.
Dallas, Tex. American Heart Association 2007.
81
Figure 4.21. Coronary Heart Disease Hospital
Charges, North Carolina, 1995-2004
Total Hospital Charges
Year
ICD-9-CM 410-414 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
82
Figure 4.22. Coronary Heart Disease Average
Hospital Charges per Stay, N.C., 1995-2004
ICD-9-CM 410-414 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
83
Figure 4.23. Heart Attack Awareness, N.C. Adults,
2001-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years Data
not available in 2002 or 2004
84
Figure 4.24. Knowledge of Each Heart Attack
Symptom, N.C. Adults, 2001-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years Data
not available in 2002 or 2004
85
Figure 4.25. Heart Attack Awareness by Coronary
Heart Disease History, N.C. Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years CHD
Coronary Heart Disease
86
Figure 4.26. Knowledge of Each Heart Attack
Symptomby Coronary Heart Disease History, N.C.
Adults, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System Adults ages 18 years CHD
Coronary Heart Disease
87
Figure 5.1. Heart Failure, CVD, and Leading
Causes of Death, North Carolina, 2004
Unintentional injuries other than motor-vehicle
injuries. Data Source Compressed Mortality
File, CDC Wonder.
88
Figure 5.2. Heart Failure Death Rates, 1979-2004
1999-2004 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. Compressed Mortality File, CDC Wonder.
89
Figure 5.3. N.C. Heart Failure Death Rates by
Age and Gender, 2004
Heart Failure ICD-10 code I50 Rates per 100,000
population. Compressed Mortality File, CDC Wonder.
90
Figure 5.4. Smoothed Heart Failure Death Rates
by Gender, N.C., 1979-2004
3-year moving averages (i.e., smoothed rate
shown for 1982 is an average of the 1981, 1982,
and 1983 rates). 1999-2004 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. Compressed Mortality File,
CDC Wonder.
91
Figure 5.5. Smoothed Heart Failure Death Rates
by Race, N.C., 1979-2004
3-year moving averages (i.e., smoothed rate
shown for 1982 is an average of the 1981, 1982,
and 1983 rates). 1999-2004 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. Compressed Mortality File,
CDC Wonder.
92
Figure 5.6. Smoothed Heart Failure Death Rates
by Race and Gender, N.C., 1979-2004
3-year moving averages (i.e., smoothed rate
shown for 1982 is an average of the 1981, 1982,
and 1983 rates). 1999-2004 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. Compressed Mortality File,
CDC Wonder.
93
Figure 5.7. Percentage of Total Heart Failure
Deaths by Age Group, Race, and Gender, N.C.,
2000-2004
Heart Failure ICD-10 codes I50. Compressed
Mortality File, CDC Wonder.
94
Figure 5.8. Heart Failure Death Rates by County
of Residence, N.C., 2000-2004
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 Compressed Mortality File,
CDC Wonder.
95
Figure 5.9. Number and Percentage of Total CVD
Hospital Discharges that were Due to Congestive
Heart Failure, North Carolina, 2004
ICD-9-CM codes Cardiovascular Disease 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 N.C. Hospital Discharge
Database, State Center for Health Statistics.
96
Figure 5.10. Congestive Heart Failure
Hospitalization Rates Healthy People 2010
Targets, 2004
Congestive Heart Failure ICD-9-CM codes 428.0
principal diagnosis. Rates per 1,000
population. N.C. data source 2004 data, N.C.
Hospital Discharge Database, State Center for
Health Statistics. US data source DATA2010,
CDC, NCHS.
97
Figure 5.11. Congestive Heart Failure Hospital
Discharge Rates, North Carolina, 1995-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 428.0 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
98
Figure 5.12. Congestive Heart Failure Hospital
Discharge Rates by Age and Gender, N.C., 2004
ICD-9-CM 428.0 principal diagnosis
only. Age-specific discharge rates per 100,000
population. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
99
Figure 5.13. Percentage of Congestive Heart
Failure Hospitalizations by Age Group, N.C., 2004
ICD-9-CM 428.0 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
100
Figure 5.14. Congestive Heart Failure Hospital
Discharge Rates by County of Residence, N.C.,
2000-2004
Discharge rates per 100,000 population
age-adjusted to the U.S. 2000 standard
population. ICD-9-CM 428.0 principal diagnosis
only. Data Source N.C. Hospital Discharge
Database, State Center for Health Statistics.
101
Figure 5.15. Estimated Direct and Indirect Costs
of CVD and Heart Failure, United States, 2007
Data on lost productivity due to morbidity was
not available for congestive heart
failure. Source American Heart Association.
Heart Disease and Stroke Statistics 2007
Update. Dallas, Tex. American Heart Association
2007.
102
Figure 5.16. Congestive Heart Failure Hospital
Charges, North Carolina, 1995-2004
ICD-9-CM 428.0 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
103
Figure 5.17. Congestive Heart Failure Average
Hospital Charges per Stay, N.C., 1995-2004
ICD-9-CM 428.0 principal diagnosis only. Data
Source N.C. Hospital Discharge Database, State
Center for Health Statistics.
104
Figure 6.1. Blood Pressure Checked within Past 2
Years, 1991-2005
U.S. Data Source National Behavioral Risk Factor
Surveillance System Data, Center for Disease
Control Prevention. North Carolina Data Source
N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years. Data not
available for N.C. in 1994, 1996, 1998, 2000,
2002-2004 data not available for U.S. in 1991,
1992, 1994, 1996, 1998, 2000-2004.
105
Figure 6.2. Blood Pressure-related Measures among
N.C. Adults by Age Group, 2005
Among those who have high blood pressure. Data
Source N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years.
106
Figure 6.3. Blood Pressure Checked within Past 2
Years, by Gender, N.C., 1991-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002-2004.
107
Figure 6.4. Blood Pressure-related Measures among
N.C. Adults by Race and Gender, 2005
Among those who have high blood pressure. Data
Source N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years.
108
Figure 6.5. Blood Pressure-related Measures among
N.C. Adults by Race, 2005
Among those who have high blood pressure. Data
Source N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years.
109
Figure 6.6. Blood Pressure Checked within Past 2
Years, by Race, N.C., 1991-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002-2004.
110
Figure 6.7. Blood Pressure-related Measures among
N.C. Adults by Education, 2005
Among those who have high blood pressure. Data
Source N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years.
111
Figure 6.8. Blood Pressure-related Measures among
N.C. Adults by Household Income, 2005
Among those who have high blood pressure. Data
Source N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years.
112
Figure 6.9. Estimated Direct and Indirect Costs
of CVD and Hypertensive Disease, United States,
2007
Source American Heart Association. Heart
Disease and Stroke Statistics 2007 Update.
Dallas, Tex. American Heart Association 2007.
113
Figure 6.10. Hypertension Prevalence, 1990-2005
U.S. Data Source National Behavioral Risk Factor
Surveillance System Data, Center for Disease
Control Prevention. North Carolina Data Source
N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years. Data not
available for N.C. in 1994, 1996, 1998, 2000,
2002, 2004 data not available for U.S. in
1990-1994, 1996, 1998, 2000, 2002, 2004.
114
Figure 6.11. Hypertension Prevalence, by Gender,
N.C., 1990-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002, 2004.
115
Figure 6.12. Hypertension Prevalence by Age and
Race, North Carolina, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18 years.
116
Figure 6.13. Hypertension Prevalence, by Race,
N.C., 1990-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002, 2004.
117
Figure 6.14. Percentage of People with Diagnosed
Hypertension who are Taking Anti-Hypertensive
Medication, N.C. Adults, 2001-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available in 2002, 2004.
118
Figure 7.1. Cholesterol Checked within Past 5
Years, 1990-2005
U.S. Data Source National Behavioral Risk Factor
Surveillance System Data, Center for Disease
Control Prevention. North Carolina Data Source
N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years. Data not
available for N.C. in 1994, 1996, 1998, 2000,
2002, 2004 data not available for U.S. in
1990-92, 1994, 1996, 1998, 2000, 2002, 2004.
119
Figure 7.2. Cholesterol-related Measures among
N.C. Adults by Age Group, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Among those who have
ever had their blood cholesterol checked. Adults
ages 18 years.
120
Figure 7.3. Cholesterol Checked within Past 5
Years, by Gender, N.C., 1990-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002, 2004.
121
Figure 7.4. Cholesterol-related Measures among
N.C. Adults by Race and Gender, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Among those who have ever
had their blood cholesterol checked. Adults
ages 18 years.
122
Figure 7.5. Cholesterol-related Measures among
N.C. Adults by Race, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Among those who have ever
had their blood cholesterol checked. Adults
ages 18 years.
123
Figure 7.6. Cholesterol Checked within Past 5
Years, by Race, N.C., 1990-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002, 2004.
124
Figure 7.7. Cholesterol-related Measures among
N.C. Adults by Education, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Among those who have ever
had their blood cholesterol checked. Adults
ages 18 years.
125
Figure 7.8. Cholesterol-related Measures among
N.C. Adults by Household Income, 2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Among those who have ever
had their blood cholesterol checked. Adults
ages 18 years.
126
Figure 7.9. High Cholesterol Prevalence, 1990-2005
U.S. Data Source National Behavioral Risk Factor
Surveillance System Data, Center for Disease
Control Prevention. North Carolina Data Source
N.C. Behavioral Risk Factor Surveillance
System. Adults ages 18 years. Data not
available for N.C. in 1994, 1996, 1998, 2000,
2002, 2004 data not available for U.S. in
1990-1994, 1996, 1998, 2000, 2002, 2004.
127
Figure 7.10. High Cholesterol Prevalence, by
Gender, N.C., 1990-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002, 2004.
128
Figure 7.11. High Cholesterol Prevalence, by
Race, N.C., 1990-2005
Data Source N.C. Behavioral Risk Factor
Surveillance System. Adults ages 18
years. Data not available for N.C. in 1994, 1996,
1998, 2000, 2002, 2004.
129
Figure 8.1. Prevalence of Physical
Activity-related Measures among Adults
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. U.S. data are
from 2005 N.C. leisure-time physical activity
data are from 2005 N.C. recommended physical
activity data are from 2005. Data Source N.C.
and National Behavioral Risk Factor Surveillance
System Data. Adults ages 18 years
130
Figure 8.2. Prevalence of Physical
Activity-related Measures among High School
Students, 2005
Physically active for a total of 60 minutes or
more per day on 5 or more of the past 7
days. N.C. Data Source 2005 North Carolina Youth
Risk Behavior Survey. U.S. Data Source 2005
National Youth Risk Behavior Survey.
131
Figure 8.3. Prevalence of Daily Consumption of 5
Fruits and Vegetables among Adults, 2005
N.C. Data Source 2005 N.C. Behavioral Risk
Factor Surveillance System. U.S. Data Source
2005 National Behavioral Risk Factor Surveillance
System.
132
Figure 8.4. Prevalence of Daily Consumption of 5
Fruits and Vegetables among High School Students
N.C. Data Source 2003 North Carolina Youth Risk
Behavior Survey. U.S. Data Source 2005 National
Youth Risk Behavior Survey.
133
Figure 8.5. Prevalence of Tobacco Use-related
Measures among Adults, 2005
N.C. Data Source 2005 N.C. Behavioral Risk
Factor Surveillance System. U.S. Data Source
2005 National Behavioral Risk Factor Surveillance
System. U.S. 2005 data on trying to quit smoking
is not available.
134
Figure 8.6. Prevalence of Tobacco Use-related
Measures among Students
N.C. Data Source 2005 North Carolina Youth
Tobacco Survey. U.S. Data Source 2004 National
Youth Tobacco Survey.
135
Figure 8.7. Prevalence of Overweight and Obesity
among Adults, 2005
Overweight BMI gt 25.0 and lt30.0 Obese BMI gt
30.0 Overweight or Obese BMI gt 25.0. N.C. Data
Source 2005 N.C. Behavioral Risk Factor
Surveillance System. U.S. Data Source 2005
National Behavioral Risk Factor Surveillance
System.
136
Figure 8.8. Prevalence of Overweight and At-risk
for Overweight among High School Students, 2005
At-risk for Overweight BMI gt 85th and lt95th
Percentile Overweight BMI gt 95th
Percentile. N.C. Data Source 2005 North Carolina
Youth Risk Behavior Survey. U.S. Data Source
2005 National Youth Risk Behavior Survey.
137
Figure 8.9. Prevalence of Overweight and At-risk
for Overweight among Children seen in N.C. Public
Health Clinics by Age Group, 2005
At-risk for Overweight BMI gt 85th and lt95th
Percentile Overweight BMI gt 95th Percentile
Overweight or At-risk for Overweight BMI gt 85th
Percentile. Data Source 2005 N.C. Nutrition and
Physical Activity Surveillance System data.
138
Figure 8.10. Prevalence of Diagnosed Diabetes
among Adults, 2005
N.C. Data Source 2005 N.C. Behavioral Risk
Factor Surveillance System. U.S. Data Source
2005 National Behavioral Risk Factor Surveillance
System.
139
Figure 8.11. Estimated Number of Adults with
Chronic Hyperglycemia, North Carolina, 2004
1.04 million total
Data Sources Diagnosed diabetes is from N.C.
Behavioral Risk Factor Surveillance System data
undiagnosed diabetes and pre-diabetes is from
National Health and Nutrition Examination Survey
III data. Notes All rounded to the nearest one
thousand.