Indicator full name: Hospital discharges, circulatory system disease, per 100 000
Unit: hospital discharges per 100 000 persons
- Country (COUNTRY)
- Supranational group of countries (COUNTRY_GRP)
- Sex (SEX)
- Year of measure (YEAR)
Years data is available: 1970—2016
Last updated: 17 October 2019
- WHO European Region
- Members of the European Union
- Members of the EU before May 2004 (EU15)
- Members of the EU after May 2004 (EU13)
- Commonwealth of Independent States
- Central Asian Republics Information Network members (CARINFONET)
- South-eastern Europe Health Network members (SEEHN)
- Nordic countries
- Small countries
The following abbreviations are used in the indicator titles:
Indicator code: E992923.T This indicator shares the definition with the parent indicator \"Number of hospital discharges, circulatory system disease\".
See WHO indicator no. 992971. Chapter VII of ICD-9 or Chapter IX of ICD-10._
Data collected annually, reference period: 31 December.
The increase in 2014 is due to higher level of hospitalization (increase in the number of referrals
from primary care to the hospital).
Facilities Organisation (DGI), Minimal Clinical Data. 2007 provisional data.
Public Health Institute of Republic of Srpska. Annual report of hospitals.
Department for Health of Brcko District
Hospitalized Patients. Deviation from the definition: Transfers of patients between departments
within a hospital are considered as a discharge.
Only patients discharged from public hospitals are included.
Source: National Patient Registry, Ministry of Health
From 1994 Denmark started using ICD-10.
reported separately to WHO. Due to the different coverage, data may not be completely comparable
with previous years.
transfers to other care units within the same institution. Up to and including the reporting year
2002, data only include discharges in general hospitals and mental health hospitals. From reporting
year 2003, data include additionally discharges in preventive and rehabilitative hospitals, however
discharges of these institutions with less than 100 beds are not included. The years before 2003 are
therefore not comparable with the years following 2003. From the reporting year 2000, for the first
time, data have been collected according to ICD-10. Source: Federal Statistical Office, Hospital
statistics - diagnostic data of the hospital patients.
Source from 2004: National Institute for Strategic Health Research (ESKI) and the data is the case
number for hospital discharge, rather than case number for department discharge.
discharge data from all hospitals. Includes all discharges with a LOS of <90 days. Based on
main/principal diagnosis. When day of discharge is the same as day of admission the length of stay
is 1 day.
Break in series in 2008 due to the fact that data in the National Patient Discharge Register has
been updated /corrected.
records data on discharges from all publicly funded acute hospitals. The Economic and Social
Research Institute (ESRI) is contracted by the Health Service Executive (HSE) to manage the HIPE
system. See http://www.esri.ie/health_information/hipe/.
HIPE data covers all in-patients and day cases receiving curative and rehabilitative care in
publicly funded acute hospitals in the State. HIPE data do not include private hospitals. It is
estimated that in excess of 10% of all hospital activity in Ireland is undertaken in private
The data coverage in HIPE exceeds 96%, i.e. overall approximately 4% of activity in publicly funded
acute general hospitals is missing from HIPE.
The definition of day case is a patient who is formally admitted with the intention of discharging
the patient on the same day, and where the patient is in fact discharged as scheduled (i.e.
excluding deaths and emergency transfers) on the same day. All other patients, including those who
are admitted or discharged as emergencies on the same day, are considered in-patients. In accordance
with WHO guidelines, day cases have been excluded from the data presented for discharges. This
definition is the same as that used in submission of data to the OECD and Eurostat. This ensures
consistency in HIPE data reported by international organisations.
Deviation from the definition: None
Break in time series:
Data for 1994-2004 were classified using ICD-9-CM. All HIPE discharges from 2005 are now coded
using ICD-10-AM (the Australian Modification of ICD-10 incorporating the Australian Classification
of Health Interventions). The change from ICD-9-CM to ICD-10-AM has resulted in some minor changes
in the classification of diagnoses and procedures. This means for certain categories comparisons of
data between years can be difficult. For more information on the introduction of ICD-10-AM in
Ireland see http://www.esri.ie/health_information/hipe/clinical_coding/classifications/.
Hospitalizations, Central Bureau of Statistics and Ministry of Health. Source since 1994: based on
the National Hospital Discharges Database, Department of Health Information, Ministry of Health. Day
treatment cases and inpatients without overnight stay are not included since 1994.
over the first week in each month of the year. Under the hypothesis of uniform distribution of the
discharges in the whole month, an estimation of annual discharges is obtained multiplying the sample
data by a coefficient (4,35 = average number of weeks in month). Source from 1997: Ministry of
Health, National Database Hospital Discharges. Data refer to all public and private hospitals.
Clinical data gathered in the hospital discharges database are coded with the following versions:
until 2005 with ICD9-CM version 1997, from 2006 to 2008 with ICD9-CM version 2002, since 2009 with
the ICD9-CM version 2007.
transferred to another inpatient facility.
Database (coverage 98% of all discharges). Coverage: Data excludes: nursing patients, day cases.
discharge diagnosis falling into the appropriate WHO defined chapter of ICD-10. Source since 1998:
Rapport general de l'IGSS. Annual report of the General Inspection of Social Security.
hospitals. The hospitals included are all general and university hospitals and specialty hospitals
with the exception of epilepsy clinics and long-stay centres for rehabilitation and asthma
treatment. Discharges in Dutch hospitals of non-residents of the Netherlands are excluded. From 2005
onwards the HDR in the Netherlands suffers from a substantial degree of non-response. The
non-response (as a percentage of all discharges) increased from 1% in 2004 to 3% in 2007. Therefore
the figures were raised by imputation of data for the non-responding hospitals. This results in less
accuracy of the figures from 2005 onwards.
In 2003-2004 total number of patients was estimated to adjust for missing data. Since 2005 data have
been reported as they are (data from ca. 90% of the general hospitals are available). Source:
National Institute of Public Health - National Institute of Hygiene.
the acute hospitals that belong to the National Health Service (NHS) on the mainland are included.
The data from the hospitals located in the autonomous regions of Azores and Madeira, and the private
hospitals are not included.
changed departments within the hospital. Since 1999, hospitals provide data only when patient is
discharged from the hospital and not when patient changes departments within the hospital.
(public, private, army). Currently the sample covers 85% of all hospitals and 91% of hospital
discharges. A hospital discharge includes one night stay or more in a hospital. The length of stay=0
is not included. For period 1980-2000 ICD-9 coding used. From 2001 the ICD-9 Revision CM is
Source of data: FSO Federal Statistical Office, Neuchatel; Medical Statistics of Hospitals; yearly
Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day cases
since 2002. Due to a modification of the legislation, day cases are not collected in 2009 anymore.
Deviation from the definition:
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.
?Hospital discharge record?.
Source: Centre of Health Statistics, Ministry of Health.
Scotland - NHS National Services Scotland, Information Services Division(ISD)..
Wales - NHS Wales Informatics Service(NWIS), Patient Episode Database.
N. Ireland - Department for Health, Social Services and Public Safety, HIS.
Coverage: Includes UK NHS hospitals or NHS commissioned activity in the independent sector. Based
on diagnosis recorded at discharge
Scotland have revised their timeseries data due to improvements in data quality.
Break in Time Series: Data from 2000 onwards is not comparable with data from prior to this. This
is due to work conducted to improve compliance with definitions and consistency of methodologies
across the four parts of the UK
2010 - All data is financial year data with the exception of Scotland whose data is calendar year.