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Alcohol-attributable hospital admissions and alcohol-related emergency department presentations in the Northern Territory Health Gains Planning Department of Health, Northern Territory August 2016

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Page 1: Alcohol-attributable hospital admissions and alcohol ... · 13. G31.2 Degeneration of nervous system due to alcohol 14. G62.1 Alcoholic polyneuropathy 15. G72.0 Alcoholic myopathy

Alcohol-attributable hospital admissions and alcohol-related emergency department

presentations in the Northern Territory

Health Gains Planning

Department of Health, Northern Territory

August 2016

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Report on alcohol-related harm indicators for public hospitals, Aug 2016 1

Table of contents

Section 1…………………………………………………………………………………. 2

Northern Territory hospital alcohol-related harm indicators, definitions and limitations

Section 2…………………………………………………………………………………. 4

Alcohol-attributable hospital admissions, Northern Territory hospitals, 2005-2015

Section 3…………………………………………………………………………….…... 7

Alcohol-related emergency department (ED) presentations, Northern Territory hospitals, 2006-2016 Q2

Appendices …………..………………………………………………………………… 11

Appendix 1 Alcohol-attributable conditions for hospital admission………………………….. 11

Appendix 2 Wholly and partially alcohol-related conditions as either a presenting problem or principal diagnosis for emergency department presentations……..……………………… 12

Appendix 3 Numbers and rates of hospital admissions, adjusted for attributable fractions, for specific alcohol-attributable conditions, Northern Territory hospitals, 2005-2015…....... 14

Appendix 4 Numbers of alcohol-related presentations, Northern Territory hospital emergency departments, 2005-2016 Q2 ……………………………………………………… 18

List of figures ………………………………………………………………………………….. 24

List of tables……………………………………………………………………………………. 25

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Section 1 Northern Territory hospital alcohol-related harm indicators, definitions and limitations

Indicators currently in use for hospital admissions

Definition

Use principal diagnosis only.

Two data streams:

1. Wholly alcohol-attributable conditions

2. A composite indicator that combines:

a. Wholly alcohol-attributable conditions

and

b. Conditions for which all subgroups have a population attributable fraction (PAF) of 40% or greater.

Hospital admissions reporting and analysis

• Admissions are only counted for persons aged 15 years and over

• PAF are applied to aggregate number of admissions for each condition

• Count of admissions and age standardised population rates by:

o Aboriginal/non-Aboriginal

o Sex

o Top End /Central Australia regions of the Northern Territory

• Each data point consist of a three month period

• Admissions are for NT or ‘unknown’ residents only

• Data presented over 10 years to allow assessment of trend. Northern Territory population data was updated following publication of the ABS 2011 census data. Revised population figures have been applied to estimates of adjusted rates in all hospital admission tables and figures from 2005 onwards.

Indicators currently in use for hospital emergency department (ED) presentations

Definition

Use a combination of presenting problem as entered by triage nurse and principal diagnosis as entered by medical officer. Presentation counted if either the recording of a presenting problem or the principal diagnosis reveals an alcohol-related condition for: 1. Wholly alcohol-related conditions

2. A composite indicator that combines:

a. Wholly alcohol-related conditions

and

b. Conditions for which all subgroups have a population attributable fraction (PAF) of 40% or greater for corresponding hospital admissions codes.

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ED presentations reporting and analysis

• Presentations are only counted for persons aged 15 years and over

• All presentations are counted as one presentation. The PAF is not applied to adjust the number of presentations

• Alcohol-related presentations and total number of all presentations by:

o Aboriginal/non-Aboriginal

o All Northern Territory hospitals and all hospitals combined

• Each data point consists of a three month period

• Presentations are from all administrative districts including those recorded as unknown, Interstate and overseas/other Australian territory (typically together approximately 8% of presentations)

• Data presented over 10 years to allow assessment of trend.

ED data sources were revised from the 13/14 financial year and the reporting reflects this updated data.

Data limitations

Alcohol-attributable hospital admissions

Hospital admissions are coded using International Classification of Disease version 10 (ICD-10-AM) by professional coders, providing a reliable foundation for reporting. International studies have developed a series of attributable fractions for health conditions related to alcohol. These measures have not been validated specifically in the NT and there are likely to be some notable differences, however their use provides a picture of alcohol-attributable NT hospital admissions and a useful comparative measure with other jurisdictions.

Alcohol-related emergency department presentations

There is no universal coding and classification system for emergency department (ED) presentations. A standardised subset of ICD-10-AM codes is used in the NT to allow consistent analysis of ED data for all hospitals. Comparison with other states and territories is not available. A major advantage of ED presentation data is that it is available almost in real time. A major disadvantage is that ED coding is undertaken at the time of presentation and medical officers are only required to record the principal diagnosis - the major diagnosis for which the patient is treated. This may or may not reflect an alcohol-related contribution. There is the capacity to record secondary diagnoses in the ED dataset, though in practice this is not a treatment priority and adherence to the practice varies between individuals and hospitals. Inconsistency in ED data collection means there is no national or international basis on which to develop the attributable fractions approach used for hospital admissions.

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Section 2 Alcohol-attributable hospital admissions, Northern Territory hospitals, 2005-2015 Time period: 2005 to end of December (Q4) of 2015. Routine standard indicators reported:

• Rates of hospital admission for 100% alcohol-attributable conditions, for the Northern Territory Top End region

• Rates of hospital admission for 100% alcohol-attributable conditions, for the Northern Territory Central Australia region

• Rates of hospital admission for 40% or greater alcohol-attributable conditions, for the Northern Territory Top End region

• Rates of hospital admissions for 40% or greater alcohol-attributable conditions, for the Northern Territory Central Australia region.

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Figure 1 Rates of hospital admission, each quarter, for 100% alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015

Figure 2 Rates of hospital admission, each quarter, for 100% alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015

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Figure 3 Rates of hospital admission, each quarter, for 40% or greater alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015

Figure 4 Rates of hospital admission, each quarter, for 40% or greater alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015

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Section 3 Alcohol-related emergency department (ED) presentations, Northern Territory hospitals, 2006-2016 Q2 Time period: 2006 to end of June (Q2) 2016. Routine standard indicators reported:

• Total ED presentations

• Wholly alcohol-related ED presentations.

• Composite (wholly and partially) alcohol-related ED presentations

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Figure 5 Number of emergency department (ED) presentations, by quarter, for all presentations and alcohol-related presentations, using composite ED alcohol indicator, Northern Territory hospitals, 2006-2016 Q2

*

*Note: scale on Y-axes vary between graphs

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Figure 6 Number of alcohol-related emergency department presentations, by quarter, for wholly alcohol-related presentations, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2

*

*Note: scale on Y-axes vary between graphs

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Figure 7 Number of alcohol-related emergency department (ED) presentations, by quarter, using composite ED alcohol indicator, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2

*

*Note: scale on Y-axes vary between graphs

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Appendices

Appendix 1 Alcohol-attributable conditions for hospital admission

Table 1a Wholly alcohol-attributable conditions with an attributable fraction of 100% for hospital admission

ICD-10-AM code ICD-10-AM description

1. F10.0- F10.9 Mental and behavioural disorders due to alcohol use

2. F10.0 Acute intoxication

3. F10.1 Harmful use

4. F10.2 Dependence syndrome

5. F10.3 Withdrawal state

6. F10.4 Withdrawal with delirium

7. F10.5 Psychotic disorder

8. F10.6 Amnesic

9. F10.7 Residual & late onset psychotic disorder

10. F10.8 Other mental/behavioural disorders

11. F10.9 Unspecified mental/behavioural disorders

12. I42.6 Alcoholic cardiomyopathy

13. G31.2 Degeneration of nervous system due to alcohol

14. G62.1 Alcoholic polyneuropathy

15. G72.0 Alcoholic myopathy

16. K29.2 Alcoholic gastritis

17. K70 Alcoholic liver disease

18. K85.2 Alcohol-induced acute pancreatitis

19. K86.0 Alcohol-induced chronic pancreatitis

20. T51.0 Toxic effects of alcohol - ethanol

21. T51.1 Toxic effects of alcohol - methanol

22. T51.9 Toxic effects of alcohol – alcohol unspecified

23. X45 Accidental poisoning by and exposure to alcohol

24. Y15 Poisoning by and exposure to alcohol, undetermined intent

25. X65 Intentional self-poisoning by and exposure to alcohol

Table 1b Partially alcohol-attributable conditions with an attributable fraction of 40% or greater for hospital admission

ICD-10-AM code ICD-10-AM description

1. C01-C06, C09- C10,

C12 - C14

Oropharyngeal Cancer

2. C15 Oesophageal cancer

3. C22 Liver cancer

4. C32 Laryngeal cancer

5. G40, G41 Epilepsy & status epilepticus

6. I85, I98.2, 198.20, I98.21 Oesophageal varices

7. K22.6 Gastro oesophageal haemorrhage

8. K74.3 - K74.6, K76.0, K76.9 Unspecified liver cirrhosis

9. X85-Y09, Y87.1 Assault

10. K85.9, K86.0 & K85.2 Acute pancreatitis, unspecified (collectively)

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Appendix 2 Wholly and partially alcohol-related conditions as either a presenting problem or principal diagnosis for emergency department presentations

Table 2a Emergency department wholly and partially alcohol-related conditions as principal diagnosis Emergency department code

Emergency department description Wholly alcohol-related

1 C002 malignant neoplasm lip

2 C069/1 malignant neoplasm mouth

3 C069/2 malignant neoplasm oral cavity

4 C109 malignant neoplasm pharynx

5 C109/1 malignant neoplasm oropharynx

6 C159 malignant neoplasm oesophagus X

7 C229 malignant neoplasm liver X

8 C329 malignant neoplasm larynx X

9 E51.2 wernickes encephalopy X

10 F100/1 alcohol intoxication in alcoholic X

11 F100/2 alcohol intoxication X

12 F101 alcohol abuse disorder X

13 F102 alcohol addiction X

14 F104 delirium tremens X

15 F105 alcoholic psychosis

16 F105/1 alcoholic hallucinosis

17 F105/2 alcohol withdrawal syndrome X

18 G405 alcohol related seizure X

19 G934 encephalopathy X

20 I850 oesophageal varices with bleeding

21 I859 oesophageal varices without bleeding

22 K292 gastritis, alcoholic

23 K701 alcoholic hepatitis

24 K703 cirrhosis with alcoholism

25 K729/1 hepatic coma X

26 K729/2 hepatic decompensation

27 K729/3 hepatic encephalopathy X

28 K746/1 hepatic cirrhosis X

29 K766 cirrhosis with portal hypertension

30 K85 pancreatitis

31 K861 pancreatitis chronic

32 K920/1 blood in vomitus

33 K920/2 haematemesis

34 R780 blood alcohol level elevated

35 S0260 fracture, mandible

36 T510 ethyl alcohol poisoning X

37 T518 other alcohol poisoning

38 T749/2 domestic assault

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39 T749/3 assault (not domestic)

40 T749/4 domestic violence

41 X990 stabbing by domestic partner

42 X991 stabbing, domestic, except by partner

43 X999 stabbing, other, not domestic

44 Z032/1 antisocial behaviour

45 Z032/2 violent behaviour

46 Z032/4 behavioural problems, adult

47 Z044 sexual assault examination

48 Z045/1 observation following criminal assault

49 Z045/3 observation of child or wife battering victim

50 Z048/1 blood alcohol level only

51 Z048/2 police request for drug screen only

Table 2b Emergency department wholly and partially alcohol-related conditions as a presenting problem

ED presenting problem code

ED presenting problem description

Wholly alcohol-related

ALCO Alcohol intoxication X

ALWD Alcohol withdrawal X

ASLT Assault

BAL Blood alcohol level X

BPR Blood police request

HAEM Haematemesis

STAB Stab wound

VIOL Violent behaviour

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Appendix 3 Numbers and rates of hospital admission, adjusted for attributable fractions, for specific alcohol-attributable conditions, Northern Territory hospitals, 2005-2015

Table 3 Hospital admission numbers and rates, for 100% alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015

Top End region

Aboriginal male Aboriginal female Non-Aboriginal

male

Non-Aboriginal

female

Total

Year

(quarter) No. Rate No. Rate No. Rate No. Rate No.

2005_1 31 63.5 16 30.7 26 17.9 8 6.0 81

2005_2 17 33.3 19 36.6 26 14.8 5 3.1 67

2005_3 31 75.7 14 26.1 18 12.5 8 5.5 71

2005_4 39 81.4 16 46.1 40 27.8 8 5.7 103

2006_1 19 35.8 16 28.0 28 18.1 14 10.6 77

2006_2 20 44.3 21 48.0 41 27.2 6 3.6 88

2006_3 33 69.0 25 39.7 34 21.3 11 7.1 103

2006_4 31 67.7 14 25.2 29 20.2 16 11.6 90

2007_1 32 59.0 3 3.5 27 16.3 15 9.8 77

2007_2 33 73.9 15 30.0 14 9.7 7 4.1 69

2007_3 30 59.2 17 35.2 23 12.9 16 10.0 86

2007_4 43 98.3 19 35.0 36 20.5 21 12.8 119

2008_1 35 79.7 11 23.1 42 22.4 12 7.3 100

2008_2 31 65.4 18 37.8 47 25.1 15 9.7 111

2008_3 39 75.9 26 64.4 25 14.5 9 7.5 99

2008_4 35 81.2 20 40.7 31 19.2 13 8.1 99

2009_1 25 55.6 24 50.2 25 13.1 5 3.9 79

2009_2 38 81.2 25 47.9 21 11.9 11 6.6 95

2009_3 39 89.2 16 36.4 29 17.5 14 8.7 98

2009_4 25 54.7 25 50.4 25 14.9 15 10.9 90

2010_1 31 68.3 20 36.8 29 16.5 10 6.4 90

2010_2 33 67.6 17 33.2 36 22.0 20 10.8 106

2010_3 36 100.2 28 59.4 28 15.8 26 14.4 118

2010_4 37 69.7 19 33.7 23 13.5 16 10.0 95

2011_1 58 115.6 20 42.4 27 13.6 10 7.9 115

2011_2 51 109.8 21 44.1 31 15.7 3 1.7 106

2011_3 38 83.2 26 58.9 28 13.6 9 5.1 101

2011_4 41 79.6 27 55.6 34 17.1 8 7.0 110

2012_1 37 87.1 32 60.5 30 14.5 9 5.2 108

2012_2 38 71.9 34 59.0 18 8.7 13 8.1 103

2012_3 36 84.1 24 42.8 27 13.3 5 2.7 92

2012_4 43 80.4 31 63.4 37 18.9 12 7.1 123

2013_1 44 87.9 25 48.7 32 16.0 15 8.5 116

2013_2 49 99.4 21 42.3 33 17.3 14 8.3 117

2013_3 32 58.6 20 38.9 27 13.6 7 5.7 86

2013_4 42 92.6 37 71.8 30 15.3 10 5.5 119

2014_1 30 59.4 30 50.7 26 13.1 9 5.1 95

2014_2 37 67.0 31 64.6 22 10.8 7 4.0 97

2014_3 50 97.7 20 47.7 22 10.5 5 3.9 97

2014_4 35 75.0 37 72.6 20 9.9 6 3.2 98

2015_1 29 62.6 39 68.3 23 13.6 12 6.4 103

2015_2 71 143.4 53 105.0 30 18.9 21 12.9 175

2015_3 54 104.8 42 77.9 36 18.6 23 12.2 155

2015_4 109 230.8 66 121.5 43 20.9 24 14.2 242

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Table 4 Hospital admission numbers and rates for 100% alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015

Central Australia region

Aboriginal male Aboriginal female Non-Aboriginal

male

Non-Aboriginal

female

Total

Year

(quarter) No. Rate No. Rate No. Rate No. Rate No.

2005_1 42 197.7 17 70.9 5 14.9 1 2.9 65

2005_2 50 222.7 18 91.0 2 6.0 0 0.0 70

2005_3 52 228.9 15 74.2 4 10.0 1 2.7 72

2005_4 31 149.1 15 66.7 7 21.5 2 6.1 55

2006_1 47 238.1 16 62.6 4 12.6 1 2.6 68

2006_2 51 266.2 19 84.4 6 18.0 1 3.4 77

2006_3 47 212.6 21 93.3 11 34.4 8 23.9 87

2006_4 48 256.9 24 101.1 19 51.8 4 10.6 95

2007_1 43 199.0 22 90.6 9 25.7 3 15.6 77

2007_2 45 210.8 27 100.7 8 34.2 4 11.5 84

2007_3 39 177.5 28 112.2 5 15.2 1 2.6 73

2007_4 55 256.9 37 152.6 8 23.2 7 20.6 107

2008_1 42 212.4 38 155.1 8 21.5 2 12.3 90

2008_2 51 233.4 37 152.9 4 11.3 6 16.7 98

2008_3 36 160.4 44 180.9 12 54.7 3 8.5 95

2008_4 54 225.2 40 148.1 18 63.6 5 14.5 117

2009_1 43 166.8 35 149.7 18 54.5 6 15.1 102

2009_2 47 220.3 39 168.4 12 34.4 4 17.2 102

2009_3 30 132.8 39 153.8 13 50.2 5 13.1 87

2009_4 51 242.8 61 290.5 10 27.7 3 7.8 125

2010_1 55 259.4 60 252.0 11 32.7 5 17.0 131

2010_2 53 229.9 49 192.4 9 21.5 2 5.4 113

2010_3 69 303.6 57 234.9 19 45.6 3 8.8 148

2010_4 68 332.9 57 259.4 23 61.2 9 25.9 157

2011_1 53 259.6 53 218.4 13 33.6 7 20.4 126

2011_2 59 294.5 48 203.4 20 53.4 3 9.3 130

2011_3 62 316.2 52 235.8 11 38.9 6 15.5 131

2011_4 57 269.6 57 243.4 10 27.7 5 13.8 129

2012_1 71 325.3 77 339.3 15 40.0 4 11.3 167

2012_2 78 350.3 61 254.6 15 39.6 1 2.3 155

2012_3 71 342.5 68 290.9 14 35.9 6 16.5 159

2012_4 111 511.0 90 377.6 25 64.6 4 12.7 230

2013_1 112 511.5 115 482.9 24 63.4 10 31.1 261

2013_2 109 527.4 124 544.7 17 39.6 11 27.8 261

2013_3 98 458.4 101 431.4 10 25.4 3 7.5 212

2013_4 98 450.0 117 487.7 16 38.2 7 21.2 238

2014_1 76 340.7 105 415.8 23 56.3 11 35.5 215

2014_2 81 392.7 95 397.5 18 45.7 6 17.5 200

2014_3 73 353.0 77 318.7 20 49.7 10 32.7 180

2014_4 86 405.7 116 499.1 14 36.6 9 25.1 225

2015_1 99 458.7 124 544.1 25 62.5 10 24.7 258

2015_2 113 542.0 128 540.9 16 42.1 11 32.4 268

2015_3 129 627.7 151 660.4 20 51.8 8 21.3 308

2015_4 106 516.8 154 615.3 14 38.1 8 23.2 282

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Table 5 Hospital admission numbers and rates, adjusted by attributable fraction, for 40% or greater alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015

Top End region

Aboriginal male Aboriginal female Non-Aboriginal male Non-Aboriginal

female

Total

Year

(quarter) No. Rate No. Rate No. Rate No. Rate No.

2005_1 76 170.5 51 104.4 42 27.3 10 7.1 179

2005_2 46 108.3 51 107.7 51 30.2 9 5.7 157

2005_3 60 138.9 38 82.2 40 29.9 12 8.2 150

2005_4 81 183.2 45 108.6 61 39.9 12 9.5 199

2006_1 49 99.2 33 62.1 45 28.1 19 14.4 146

2006_2 58 146.3 42 105.5 60 38.2 11 9.4 171

2006_3 61 135.1 51 86.5 59 40.4 15 11.7 186

2006_4 69 150.3 58 113.7 47 31.2 18 12.8 192

2007_1 83 179.5 29 67.0 59 35.3 24 15.5 195

2007_2 69 166.3 49 95.8 46 30.1 13 7.8 177

2007_3 63 147.4 38 79.1 56 34.5 26 19.2 183

2007_4 84 172.5 51 95.1 69 42.7 26 16.4 230

2008_1 64 145.0 39 96.3 71 39.1 20 16.8 194

2008_2 72 157.8 49 111.9 80 43.8 19 12.7 220

2008_3 92 224.5 53 125.0 47 28.5 20 14.2 212

2008_4 77 171.0 57 136.1 63 37.7 24 17.7 221

2009_1 77 174.7 58 117.6 58 32.5 15 17.2 208

2009_2 73 165.5 55 101.2 47 27.5 20 14.0 195

2009_3 78 199.9 44 87.7 52 30.0 24 15.1 198

2009_4 69 151.1 71 140.0 54 30.7 24 17.4 218

2010_1 71 160.5 50 103.6 59 32.5 16 11.6 196

2010_2 70 151.9 45 81.2 61 35.0 27 15.2 203

2010_3 80 197.4 66 137.5 57 33.7 35 20.2 238

2010_4 94 206.7 53 96.0 50 29.1 26 16.2 223

2011_1 91 184.0 53 104.3 61 30.7 21 16.2 226

2011_2 87 184.3 45 85.9 78 41.1 28 17.8 238

2011_3 84 190.8 60 116.1 56 31.1 16 9.2 216

2011_4 83 171.9 78 138.9 64 35.7 19 13.2 244

2012_1 84 217.7 64 125.6 70 36.1 18 11.0 236

2012_2 68 136.9 60 102.9 52 24.9 32 22.7 212

2012_3 80 184.6 57 102.2 59 33.2 19 12.6 215

2012_4 83 162.8 61 121.3 70 35.8 30 18.9 244

2013_1 89 202.5 71 130.3 64 32.5 27 14.7 251

2013_2 77 151.1 51 102.0 72 36.3 28 17.2 228

2013_3 83 163.2 60 108.2 58 28.8 24 14.8 225

2013_4 85 209.7 67 129.0 61 31.7 28 20.5 241

2014_1 69 148.3 60 102.5 50 25.1 20 14.2 199

2014_2 76 157.3 56 105.7 52 27.3 18 10.3 202

2014_3 88 176.1 52 103.8 53 28.0 14 10.8 207

2014_4 73 149.2 79 142.8 56 29.6 13 8.5 221

2015_1 76 145.4 74 127.6 56 29.7 23 13.0 229

2015_2 114 236.4 102 183.5 63 38.5 36 23.1 315

2015_3 95 192.7 99 172.2 77 38.0 38 22.7 309

2015_4 178 367.6 144 258.8 72 36.3 35 21.9 429

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Table 6 Hospital admission numbers and rates, adjusted by attributable fraction, for 40% or greater alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015

Central Australia region

Aboriginal male Aboriginal female Non-Aboriginal

male

Non-Aboriginal

female

Total

Year

(quarter) No. Rate No. Rate No. Rate No. Rate No.

2005_1 78 347.2 69 272.5 8 24.3 2 5.5 157

2005_2 93 399.4 70 289.5 10 33.6 2 5.1 175

2005_3 84 348.1 80 332.0 9 29.1 2 5.3 175

2005_4 91 435.4 68 284.3 13 40.3 3 9.6 175

2006_1 93 443.7 101 404.2 10 28.9 2 5.1 206

2006_2 95 460.0 83 320.8 10 28.0 1 3.4 189

2006_3 92 417.7 97 395.1 17 52.2 9 26.5 215

2006_4 85 410.9 102 394.7 23 65.3 6 22.8 216

2007_1 102 440.7 117 453.7 17 46.8 4 18.8 240

2007_2 90 400.3 100 421.1 15 54.2 7 20.8 212

2007_3 82 390.3 88 342.5 9 27.1 5 13.8 184

2007_4 106 480.0 127 511.7 16 44.1 8 23.2 257

2008_1 92 433.3 104 414.5 12 32.5 3 14.9 211

2008_2 97 461.5 105 423.5 12 44.6 7 19.6 221

2008_3 67 312.9 91 362.3 16 66.1 3 8.5 177

2008_4 106 454.5 136 524.5 27 91.0 6 17.1 275

2009_1 96 373.0 110 421.2 26 75.1 9 23.3 241

2009_2 96 442.4 92 378.2 17 58.6 4 17.2 209

2009_3 68 306.7 90 337.8 18 65.9 9 23.6 185

2009_4 110 527.4 143 602.9 18 48.1 8 26.8 279

2010_1 112 529.7 140 575.4 19 53.2 6 19.7 277

2010_2 115 492.5 127 500.2 20 49.4 3 9.6 265

2010_3 126 563.2 131 514.6 27 66.5 4 11.4 288

2010_4 136 653.9 138 558.5 29 79.4 11 39.0 314

2011_1 117 513.8 137 532.5 20 53.0 9 26.9 283

2011_2 109 508.3 130 526.2 26 70.3 5 14.5 270

2011_3 103 487.9 131 521.6 19 59.6 9 24.1 262

2011_4 110 507.4 147 590.6 15 40.4 8 23.8 280

2012_1 139 594.0 178 708.5 18 48.7 9 27.0 344

2012_2 124 541.5 165 634.1 24 63.1 5 13.7 318

2012_3 116 531.9 149 580.0 21 54.5 8 22.7 294

2012_4 162 729.5 200 800.1 41 124.5 6 20.6 409

2013_1 174 751.5 225 903.4 38 96.9 16 45.7 453

2013_2 170 781.6 205 836.8 21 53.4 15 38.9 411

2013_3 149 700.3 190 759.8 17 41.9 5 12.2 361

2013_4 151 669.6 210 833.6 29 72.7 11 33.8 401

2014_1 125 552.2 189 716.4 33 80.1 15 46.2 362

2014_2 132 604.7 168 684.3 26 63.5 12 33.0 338

2014_3 118 560.2 150 581.8 26 64.3 17 49.9 311

2014_4 125 557.5 203 814.6 25 64.7 16 41.9 369

2015_1 152 705.4 211 847.2 38 95.4 16 42.8 417

2015_2 156 753.3 204 817.8 25 63.3 13 38.2 398

2015_3 186 888.9 231 943.3 23 59.1 10 27.3 450

2015_4 166 760.2 257 986.7 19 50.2 10 33.3 452

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Appendix 4 - Numbers of alcohol-related presentations, Northern Territory hospital emergency departments

Table 7 Number of emergency department (ED) presentations, by quarter, for all presentations including alcohol-related presentations, using composite ED alcohol indicator, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2

RDH

ASH

KH

GDH

TCH

TOTAL

Year

(quarter)

Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total

2006_1 3098 6780 9878 3582 2784 6366 1339 1197 2536 789 1375 2164 1371 903 2274 23218

2006_2 2901 7431 10332 3116 2845 5961 1049 1598 2647 669 1116 1785 1115 794 1909 22634

2006_3 2767 8181 10948 3341 3005 6346 1198 1764 2962 555 1150 1705 1192 797 1989 23950

2006_4 3233 7929 11162 3139 2871 6010 1418 1492 2910 677 1038 1715 1287 829 2116 23913

2007_1 3699 7701 11400 3748 2810 6558 1478 1322 2800 827 1151 1978 1517 797 2314 25050

2007_2 3131 7814 10945 3469 3165 6634 1212 1617 2829 620 934 1554 1454 801 2255 24217

2007_3 2960 8305 11265 3540 3365 6905 1405 1774 3179 541 911 1452 1437 940 2377 25178

2007_4 3626 7752 11378 3695 2998 6693 1476 1455 2931 576 964 1540 1493 852 2345 24887

2008_1 3697 7673 11370 3679 3045 6724 1316 1374 2690 552 857 1409 1670 799 2469 24662

2008_2 3106 7711 10817 3545 3061 6606 1179 1667 2846 385 1046 1431 1657 821 2478 24178

2008_3 3134 8511 11645 3471 3447 6918 1297 1722 3019 439 1110 1549 1651 1048 2699 25830

2008_4 3564 7590 11154 4103 3142 7245 1476 1384 2860 540 1033 1573 1716 979 2695 25527

2009_1 3654 7290 10944 4447 3088 7535 1494 1343 2837 559 966 1525 1752 875 2627 25468

2009_2 3000 8161 11161 3813 3699 7512 1201 1648 2849 425 918 1343 1418 821 2239 25104

2009_3 3047 9235 12282 4248 3922 8170 1248 2045 3293 497 861 1358 1504 962 2466 27569

2009_4 3379 7872 11251 4407 3401 7808 1253 1472 2725 564 910 1474 1319 1039 2358 25616

2010_1 3826 7782 11608 4677 3316 7993 1222 1287 2509 606 891 1497 1497 836 2333 25940

2010_2 3436 8434 11870 4366 3496 7862 1286 1634 2920 459 1208 1667 1511 1021 2532 26851

2010_3 3557 9018 12575 4243 3671 7914 1235 1977 3212 563 1173 1736 1459 997 2456 27893

2010_4 3963 8590 12553 4816 3568 8384 1371 1381 2752 594 1080 1674 1627 1017 2644 28007

2011_1 4066 8520 12586 5464 3546 9010 1388 1476 2864 534 941 1475 2234 986 3220 29155

2011_2 3429 9019 12448 4729 3925 8654 1078 1652 2730 512 988 1500 1889 1121 3010 28342

2011_3 3582 9699 13281 4868 4068 8936 1236 1721 2957 677 1114 1791 1858 1152 3010 29975

2011_4 4013 9103 13116 4909 3457 8366 1458 1485 2943 595 1072 1667 1909 938 2847 28939

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2012_1 4023 9005 13028 5064 3294 8358 1504 1518 3022 537 909 1446 1782 783 2565 28419

2012_2 3560 9377 12937 4656 3797 8453 1284 1671 2955 554 931 1485 1800 1003 2803 28633

2012_3 3645 9952 13597 4700 3662 8362 1398 2026 3424 515 937 1452 1698 1044 2742 29577

2012_4 4052 9571 13623 4829 3572 8401 1727 1642 3369 551 973 1524 1878 829 2707 29624

2013_1 4335 9181 13516 5302 3258 8560 1662 1348 3010 654 879 1533 1859 798 2657 29276

2013_2 3600 9820 13420 5099 3677 8776 1479 1795 3274 578 921 1499 1801 918 2719 29688

2013_3 3535 10097 13632 5462 4057 9519 1500 1977 3477 563 929 1492 1630 947 2577 30697

2013_4 3994 9506 13500 5022 3685 8707 1472 1687 3159 595 831 1426 1563 871 2434 29226

2014_1 4372 9250 13622 4878 3645 8523 1536 1398 2934 537 776 1313 1698 811 2509 28901

2014_2 3738 9211 12949 4471 4151 8622 1323 1849 3172 551 715 1266 1371 668 2039 28048

2014_3 3913 9465 13378 4695 4282 8977 1383 1926 3309 531 656 1187 1473 747 2220 29071

2014_4 4365 8929 13294 5011 3742 8753 1403 1575 2978 540 743 1283 1497 842 2339 28647

2015_1 4741 8464 13205 5507 3640 9147 1121 1313 2434 634 633 1267 1764 785 2549 28602

2015_2 4096 9283 13379 5109 3668 8777 1187 1594 2781 546 701 1247 1427 810 2237 28421

2015_3 4043 10030 14073 5159 3943 9102 1100 1968 3068 621 733 1354 1545 880 2425 30022

2015_4 4491 8744 13235 5689 3520 9209 1270 1532 2802 565 633 1198 1681 837 2518 28962

2016_1 4995 9201 14196 5564 3864 9428 1342 1385 2727 768 640 1408 1679 682 2361 30120

2016_2 4662 9651 14313 4958 4115 9073 1307 1760 3067 652 678 1330 1485 893 2378 30161

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Table 8 Number of emergency department presentations by quarter, for wholly alcohol-related presentations, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2

RDH

ASH

KH

GDH

TCH

TOTAL

Year

(quarter)

Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total

2006_1 68 65 133 162 11 173 46 2 48 10 1 11 12 1 13 378

2006_2 46 46 92 127 11 138 49 14 63 11 0 11 16 1 17 321

2006_3 46 70 116 126 16 142 32 4 36 7 2 9 17 3 20 323

2006_4 86 69 155 106 27 133 47 1 48 16 1 17 33 4 37 390

2007_1 94 43 137 144 18 162 47 5 52 17 3 20 21 1 22 393

2007_2 73 71 144 141 16 157 44 3 47 8 1 9 29 3 32 389

2007_3 70 43 113 182 20 202 49 7 56 9 0 9 44 0 44 424

2007_4 109 58 167 228 28 256 72 2 74 7 1 8 35 3 38 543

2008_1 96 63 159 183 20 203 62 7 69 18 0 18 49 1 50 499

2008_2 117 50 167 195 20 215 33 3 36 7 0 7 37 1 38 463

2008_3 76 56 132 213 25 238 42 4 46 7 2 9 27 2 29 454

2008_4 93 59 152 206 31 237 71 5 76 14 6 20 30 5 35 520

2009_1 114 58 172 253 39 292 75 10 85 9 2 11 17 2 19 579

2009_2 77 66 143 242 31 273 42 5 47 3 1 4 27 2 29 496

2009_3 60 73 133 230 23 253 37 7 44 6 2 8 39 1 40 478

2009_4 106 67 173 266 35 301 32 7 39 3 2 5 31 0 31 549

2010_1 123 57 180 241 27 268 38 2 40 10 1 11 32 0 32 531

2010_2 132 60 192 236 19 255 30 8 38 8 1 9 35 1 36 530

2010_3 107 67 174 279 29 308 38 10 48 8 3 11 44 3 47 588

2010_4 109 73 182 343 47 390 55 10 65 11 1 12 41 0 41 690

2011_1 146 63 209 284 39 323 71 2 73 12 2 14 60 2 62 681

2011_2 100 69 169 260 40 300 55 6 61 8 3 11 40 3 43 584

2011_3 105 85 190 341 28 369 60 11 71 18 5 23 41 2 43 696

2011_4 122 76 198 388 42 430 57 5 62 13 1 14 38 1 39 743

2012_1 140 74 214 453 34 487 82 6 88 7 2 9 55 8 63 861

2012_2 90 85 175 442 35 477 51 8 59 20 0 20 46 0 46 777

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2012_3 111 91 202 464 50 514 104 10 114 13 1 14 44 4 48 892

2012_4 170 119 289 636 59 695 122 9 131 15 1 16 80 5 85 1216

2013_1 176 80 256 822 73 895 139 6 145 23 6 29 112 3 115 1440

2013_2 176 102 278 982 59 1041 139 11 150 18 7 25 117 10 127 1621

2013_3 139 114 253 878 49 927 100 4 104 15 4 19 117 4 121 1424

2013_4 166 78 244 773 53 826 106 4 110 27 3 30 143 2 145 1355

2014_1 186 75 261 660 53 713 131 9 140 14 2 16 88 3 91 1221

2014_2 183 89 272 575 59 634 111 10 121 11 3 14 68 1 69 1110

2014_3 174 76 250 427 43 470 117 8 125 14 2 16 64 2 66 927

2014_4 251 106 357 546 48 594 126 7 133 12 2 14 65 1 66 1164

2015_1 240 88 328 625 51 676 82 6 88 23 2 25 67 2 69 1186

2015_2 251 89 340 562 36 598 83 7 90 19 1 20 54 2 56 1104

2015_3 210 101 311 638 37 675 58 6 64 23 3 26 79 2 81 1157

2015_4 349 105 454 553 33 586 64 3 67 6 3 9 88 4 92 1208

2016_1 342 75 417 462 36 498 91 4 95 14 0 14 61 4 65 1089

2016_2 306 87 393 333 23 356 53 4 57 13 1 14 55 0 55 875

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Table 9 Number of emergency department (ED) presentations, by quarter, using composite ED alcohol indicator, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2

RDH

ASH

KH

GDH

TCH

TOTAL

Year

(quarter)

Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total Aboriginal Non-

Aboriginal

Total

2006_1 362 242 604 742 75 817 160 23 183 53 7 60 125 16 141 1805

2006_2 293 221 514 508 60 568 128 33 161 44 9 53 146 9 155 1451

2006_3 282 275 557 525 67 592 134 22 156 31 6 37 97 11 108 1450

2006_4 335 259 594 549 88 637 175 17 192 52 9 61 121 14 135 1619

2007_1 392 221 613 700 95 795 183 29 212 78 16 94 156 13 169 1883

2007_2 368 272 640 527 58 585 146 19 165 48 6 54 177 18 195 1639

2007_3 326 252 578 552 62 614 158 36 194 46 8 54 181 11 192 1632

2007_4 435 268 703 725 89 814 215 25 240 42 11 53 214 19 233 2043

2008_1 370 275 645 663 72 735 135 19 154 53 9 62 182 21 203 1799

2008_2 399 247 646 597 68 665 133 21 154 31 6 37 137 7 144 1646

2008_3 347 266 613 513 73 586 140 25 165 40 8 48 122 10 132 1544

2008_4 404 297 701 789 103 892 164 19 183 55 15 70 165 17 182 2028

2009_1 461 254 715 847 105 952 173 35 208 33 10 43 126 13 139 2057

2009_2 367 270 637 615 76 691 124 26 150 28 7 35 120 16 136 1649

2009_3 297 284 581 585 58 643 132 27 159 40 11 51 136 12 148 1582

2009_4 441 278 719 784 67 851 129 24 153 41 3 44 156 16 172 1939

2010_1 480 251 731 834 92 926 138 20 158 50 7 57 158 6 164 2036

2010_2 430 245 675 723 49 772 126 28 154 26 5 31 198 14 212 1844

2010_3 444 304 748 742 77 819 158 44 202 51 11 62 168 12 180 2011

2010_4 471 300 771 906 93 999 193 27 220 41 13 54 195 6 201 2245

2011_1 528 268 796 926 102 1028 206 25 231 38 6 44 237 14 251 2350

2011_2 369 309 678 768 95 863 163 31 194 40 7 47 177 12 189 1971

2011_3 432 305 737 824 75 899 176 36 212 57 10 67 147 10 157 2072

2011_4 486 291 777 1045 107 1152 195 21 216 52 6 58 180 7 187 2390

2012_1 454 275 729 1062 86 1148 208 31 239 36 7 43 210 18 228 2387

2012_2 401 316 717 956 71 1027 155 27 182 36 5 41 168 6 174 2141

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2012_3 409 315 724 955 95 1050 210 35 245 36 3 39 157 13 170 2228

2012_4 529 384 913 1190 114 1304 252 41 293 31 5 36 243 11 254 2800

2013_1 537 286 823 1389 126 1515 290 36 326 46 10 56 288 11 299 3019

2013_2 477 322 799 1378 100 1478 272 30 302 41 13 54 309 23 332 2965

2013_3 409 317 726 1354 96 1450 223 26 249 39 4 43 265 15 280 2748

2013_4 472 308 780 1193 103 1296 221 27 248 57 5 62 263 5 268 2654

2014_1 519 269 788 1037 86 1123 248 29 277 27 9 36 191 15 206 2430

2014_2 516 310 826 905 102 1007 218 37 255 29 4 33 142 11 153 2274

2014_3 478 270 748 736 80 816 238 25 263 48 6 54 133 9 142 2023

2014_4 626 332 958 937 98 1035 291 29 320 37 6 43 146 7 153 2509

2015_1 647 260 907 1100 102 1202 130 17 147 47 6 53 176 11 187 2496

2015_2 530 243 773 938 68 1006 158 21 179 39 2 41 133 17 150 2149

2015_3 449 258 707 993 63 1056 134 31 165 62 5 67 154 12 166 2161

2015_4 729 260 989 1064 77 1141 161 18 179 29 4 33 187 11 198 2540

2016_1 733 232 965 900 96 996 180 14 194 45 3 48 182 14 196 2399

2016_2 628 258 886 657 73 730 160 15 175 48 10 58 165 10 175 2024

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List of figures Figure 1 Rates of hospital admission, each quarter, for conditions that are 100% alcohol-attributable, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015 …………………………………………………………………………………………..... 5

Figure 2 Rates of hospital admission, each quarter, for conditions that are 100% alcohol-attributable, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015 ……………………………………………………………………………..…….. 5

Figure 3 Rates of hospital admission, each quarter, for conditions that are 40% or greater alcohol-attributable, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015 ……………………………………………………………………………………..……... 6

Figure 4 Rates of hospital admission, each quarter, for conditions that are 40% or greater alcohol-attributable, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015 ……..…………………………………………………………………….…...….. 6

Figure 5 Number of emergency department (ED) presentations, by quarter, for all presentations and alcohol-related presentations, using composite ED alcohol indicator, Northern Territory hospitals, 2006-2016 Q2 …...………………………………………………….. 8

Figure 6 Number of alcohol-related emergency department presentations, by quarter, for wholly alcohol-related presentations, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2 …..………...………………………………………………...………………………... 9

Figure 7 Number of alcohol-related emergency department (ED) presentations, by quarter, using composite ED alcohol indicator, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2 …...……………………………………………………………..…………………….. 10

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Report on alcohol-related harm indicators for public hospitals, Aug 2016 25

List of tables

Table 1a Wholly alcohol-attributable conditions with an attributable fraction of 100% for hospital admission………………………………………………………………………………......... 11

Table 1b Partially alcohol-attributable conditions with an attributable fraction of 40% or greater for hospital admission…………………………………………………………………...….. 12

Table 2a Emergency department wholly and partially alcohol-related conditions as principal diagnosis…………………………………………………………………………………….………… 13

Table 2b Emergency department wholly and partially alcohol-related conditions as presenting problem…………………………………………………………………………………………………. 14

Table 3 Hospital admission numbers and rates, for 100% alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015 ….……………....15

Table 4 Hospital admission numbers and rates for 100% alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Central Australia region, 2005-2015 …...……16

Table 5 Hospital admission numbers and rates, adjusted by attributable fraction, for 40% or greater alcohol-attributable conditions, by Aboriginal status and sex, Northern Territory Top End region, 2005-2015 ….………………………………………………………………........... 17

Table 6 Hospital admission numbers and rates, adjusted by attributable fraction, for 40% or greater alcohol-attributable conditions, by Aboriginal status, Northern Territory Central Australia region, 2005-2015.……………………………………………………………….. 18

Table 7 Number of emergency department (ED) presentations, by quarter, for all presentations and alcohol-related presentations, using composite ED alcohol indicator, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2 ……...……………………..... 19

Table 8 Number of emergency department presentations by quarter, for wholly alcohol-related presentations, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2…………………………………………………………………………………………. 21

Table 9 Number of emergency department (ED) presentations, by quarter, using composite ED alcohol indicator, by Aboriginal status, Northern Territory hospitals, 2006-2016 Q2…………………………………………………………………………………………. 23