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Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases

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Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases M ORBIDITY & chart book M ORTALITY : 2012 C HART B OOK ON C ARDIOVAS C ULAR , chart bookL UNG , AND B LOOD chartD ISEASES chartchart book boo chart book bookchart book chart book NATIONAL INSTITUTES OF HEALTH NATIONAL HEART, LUNG, AND BLOOD INSTITUTE M ORBIDITY & M ORTALITY : 2012 C HART B OOK ON C ARDIOVAS C ULAR , L UNG , AND B LOOD D ISEASES F EBRUARY 2012 F OR A DMINISTRATIVE U SE N ATIONAL I NSTITUTES O F H E A LT H National Heart, Lung, and Blood Institute Foreword The mission of the National Heart, Lung, and Blood Institute (NHLBI) is to provide leadership and sup- port for research in cardiovascular, lung, and blood diseases; sleep disorders; women’s health; and blood resources. The ultimate goal is to improve the health and well-being of the American people. Although program priorities are determined primarily by research opportunities, other factors have an influence: the magnitude, distribution, and trends of cardiovascular, lung, and blood diseases in the United States, as well as the ability to improve the Nation’s health; congressional mandates; the health needs of the Nation, as perceived by Institute staff and outside advisory groups; and recommendations from the National Heart, Lung, and Blood Advisory Council. Evaluation of the Institutes program balance and program impact is a continuous process that relies on assessments of morbidity and mortality in the United States from cardiovascular, lung, and blood dis- eases. Consideration is given to their distribution among the population; to their trends over time; and to related statistics on population risk factors, lifestyles, medical care, and economic impact. This Chart Book, like its predecessors, provides information on the progress being made in the fight against cardiovascular, lung, and blood diseases. It serves as a resource for the Institute as it plans and prioritizes future activities. I would like to express my appreciation to Dr. Michael Mussolino of the NHLBI for his time and effort in developing the material presented in this Chart Book. Also, I would like to acknowledge Ms. Nancy Eng of the NHLBI who has for many years demonstrated extraordinary dedication to ensuring the quality of both the Chart Book and the NHLBI Fact Book. [signed] Susan B. Shurin, M.D. Acting Director National Heart, Lung, and Blood Institute iii Contents List of Charts ..............................................................................................................................v 1. Introduction ............................................................................................................................1 Sources of Data ............................................................................................................................................................ 1 Quality of Data ............................................................................................................................................................. 2 ICD Revisions .............................................................................................................................................................. 3 Data Presentation ......................................................................................................................................................... 3 2. Background Data ...................................................................................................................6 Cardiovascular Diseases ............................................................................................................................................. 6 Lung Diseases .............................................................................................................................................................. 7 Blood Diseases ............................................................................................................................................................. 7 Population ................................................................................................................................................................... 7 3. Cardiovascular Diseases ....................................................................................................21 Coronary Heart Disease ............................................................................................................................................. 21 Heart Failure .............................................................................................................................................................. 21 Cardiomyopathy ......................................................................................................................................................... 21 Atrial Fibrillation ....................................................................................................................................................... 21 Cerebrovascular Diseases (Stroke) ............................................................................................................................ 21 Hypertensive Disease ................................................................................................................................................. 22 Peripheral Artery Disease .......................................................................................................................................... 22 Congenital Malformations of the Circulatory System ............................................................................................... 22 4. Lung Diseases .....................................................................................................................68 Chronic Obstructive Pulmonary Disease ................................................................................................................... 68 Asthma ...................................................................................................................................................................... 68 5. Blood Diseases ....................................................................................................................92 Appendices ...............................................................................................................................97 Appendix A. International Classification of Diseases: Codes for Selected Diagnostic Categories (6th, 7th, 8th, 9th, and 10th Revisions) ........................................................................................ 98 Appendix B. Estimated Comparability Ratios for Selected Causes of Death, U.S. ................................................ 99 Appendix C. Definition of Terms ............................................................................................................................. 100 Appendix D. Abbreviations ..................................................................................................................................... 102 Appendix E. References ........................................................................................................................................... 104 iv List of Charts 2. Background Data ...................................................................................................................6 2–1 Total Population by Mean Age, Percent Age 65 and Older, Race/Ethnicity, and Sex, U.S., 2009 .......................................................................................................................................... 8 2–2 Total Projected Population by Mean Age, Percent Age 65 and Older, Race/Ethnicity, and Sex, U.S., 2020................................................................................................................. 8 2–3 Average Remaining Lifetime Years by Age, Race, and Sex, U.S., 2008 ......................................................... 9 2–4 Age–Adjusted Death Rates for All Causes by Race and Sex, U.S., 1950–2008 ............................................ 10 2–5 Unadjusted Death Rates for Selected Causes, U.S., 1950–2008 .................................................................... 11 2–6 Number of Days of Inpatient Hospital Care by Major Diagnosis, U.S., 1990–2009 ..................................... 12 2–7 Age-Adjusted Death Rates by Major Diagnosis, U.S., 1990–2008 ............................................................... 12 2–8 Leading Causes of Death, U.S., 2008 ........................................................................................................... 13 2–9 Leading Causes of Death by Age and Rank, U.S., 2008 ................................................................................ 13 2–10 Leading Causes of Death, White Males, U.S., 2008 ...................................................................................... 14 2–11 Leading Causes of Death, White Females, U.S., 2008 .................................................................................. 14 2–12 Leading Causes of Death, Black Males, U.S., 2008 ...................................................................................... 14 2–13 Leading Causes of Death, Black Females, U.S., 2008 ................................................................................... 15 2–14 Leading Causes of Death, Asian Males, U.S., 2008 ....................................................................................... 15 2–15 Leading Causes of Death, Asian Females, U.S., 2008 ..................................................................................
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