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TRANSCRIPT
Alcohol-attributable hospital admissions and alcohol-related emergency department
presentations in the Northern Territory
Health Gains Planning
Department of Health, Northern Territory
August 2016
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 2
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.
Report on alcohol-related harm indicators for public hospitals, Aug 2016 3
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.
Report on alcohol-related harm indicators for public hospitals, Aug 2016 4
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.
Report on alcohol-related harm indicators for public hospitals, Aug 2016 5
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 6
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 7
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 8
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 9
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 10
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 11
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)
Report on alcohol-related harm indicators for public hospitals, Aug 2016 12
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 13
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 14
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 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
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 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
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 17
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 18
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 19
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 20
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 21
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 22
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 23
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
Report on alcohol-related harm indicators for public hospitals, Aug 2016 24
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
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