Stroke

AuthorityManx Care
Date received2021-11-05
OutcomeAll information sent
Outcome date2021-11-24
Case ID2074149

Summary

The requester asked Manx Care for updated statistics on stroke and heart attack admissions at Noble's Hospital from March 2019 to November 2021. Manx Care provided the full dataset in an appendix, noting a potential undercount for 2020 due to a backlog in clinical coding.

Key Facts

  • The request covered admissions for strokes, heart attacks, and elevated blood pressure from March 2019 to November 2021.
  • Manx Care reported a considerable backlog of uncoded consultant episodes from 2020 which may result in lower recorded numbers for that period.
  • The data provided includes monthly breakdowns for various specific diagnoses such as cerebral infarction and myocardial infarction.
  • The total number of recorded events across all listed diagnoses for the period reached 396.
  • The response was issued on November 24, 2021, following a request received on November 5, 2021.

Data Disclosed

  • 396
  • 2021-11-24
  • 2021-11-05
  • 2019
  • 2020
  • 2021
  • March 2019
  • November 2021
  • 2074149
  • 1931457

Original Request

Further to FOI request 1931457, please provide updated numbers to November 2021 for Q1 & Q2. Thank you

Data Tables (3)

Primary Diagnosis d e ific e p s n u ,n o itc ra fn i la id ra c o y m e tu c A n o itc ra fn i la id ra c o y m la id ra c o d n e b u s e tu c A fo n o itc ra fn i la id ra c o y m la ru m lla s nw a rt ro e ire tu c tn Aa fo n o itc ra fn i la id ra c o y m la ru m s lla n a w rt ro e tu ire c fn A i fo n o itc ra fn i la id ra c o y m la ru m s n a rt s e tis e tu re h c Ato fo n o itc ra fn i la id ra c o y m la ru e tis m s d ne a ific rt e e tu p s cn Au fo m s ilo b m e o t e u d n o itc s e ra ire fn tra i la la rbrb ee rere Cc fo s is o b m o rh t o t e u d n o itc s e ra ire fn tra i la la rbrb ee rere Cc s e d ire e ific tra e la p s rb n u e re o t c e fo u d s is n o itc o n e ra ts fn ro i la n o rb is e re u lc c Co s e ire tra d e ific la rb e p s e re n u c e o rp t e fo u d s is n o itc o n e ra ts fn ro i la n o rb is e re u lc c Co d e ific e p s n u ,n o itc ra fn i la rb e re C tu o h tiw ,g n id a e r n e o ru is s s n e e tre rp -d p y oh o lb fo d s is e ta o n vg ea lEid n o is n e tre p y h )y ra m irp ( la itn e s s E m e ts n ia rb n i e g a h rro m e a h la rb e re c a rtn I ,e re h p s im e h n i e g a h rro m e a h la rb e rela c a c itro rtn I c ra lu c irtn e v a rtn i ,e g a h rro m e a h la rb e re c a rtn I e lp itlu m ,e g a h rro m e a h la rb e re d e c a z ila rtn c o Il d e ific e p s n u ,e g a h rro m e a h la rb e re c a rtn I n o itc ra fn i la rb e re c re h tO
Mar.19 5 1 2 2 3 4
Apr.19 7 3 1 5 5
May.19 8 2 1 1 1 1 3
Jun.19 4 1 2 1 1 3 1
Jul.19 4 2 1
Aug.19 2 1 1 2 5
Sep.19 2
Oct.19 1 1
Nov.19 1 1
Dec.19 2 1 1
Jan.20 1 1 1
Feb.20 1 1 1
Mar.20 1
Apr.20 2 1 1
May.20 3 1
Jun.20 1
Jul.20 2
Aug.20 1 1
Sep.20
Oct.20
Nov.20 1 1 1
Dec.20 1 1
Jan.21 1
Feb.21 3 1 1 1 1
Mar.21 1 1 2 3 4 2 1
Apr.21 1 9 3 4 11 1
May.21 15 1 3 1 2 2 1 4 1 1 1
Jun.21 10 1 1 2 2 4 7 1
Jul.21 8 1 2 1 1 1 7 6
Aug.21 2 7 2 2 2 2 1 4 7
Sep.21 2 6 3 1 3 8 1
Oct.21 6 3 1 1 2 1 4 1
Grand Total 5 106 19 25 2 11 3 10 21 1 43 1 71 2 1 1 1 5 3
Primary Diagnosis e g a h rro m e a h la rb e re c a rtn i re h tO e g a h rro m e a h d io n h c a ra b u s re h tO s k c a tta c im e a h c s i la rb s e e m re o c rd tn n e y s is d ne a rt ta le re r h d tOn a ro e g a h rro m e a h s a d e ific e p s to n n o ,e itc k o ra rtS fn i ro ire tn a m o rf e g a h rro y re m tra e a h g d io n ita nc h in c a ra u m b m uo Sc d ito ra c m o rf e g a h rro n o m ita e a h c ru d fib io n h c d n a a n ra o b h up Sis re h to m o rf e g a h rro ms e a e ire h tra d io n la hin c a ra a rc a b rtn u S i d e ific e p s n u ,e g a h rro m e a h d io n h c a ra b u S ro ire tn a fo n o itc ra fn i la id ra c o y m tn e u q e s b lla u S w ,k c a tta c im e a h c s i la rb e re c tn d e ific e is e n p a rT s n u la to T d n a rG
Mar.19 2 1 1 1 3 25
Apr.19 1 2 1 6 31
May.19 5 22
Jun.19 2 15
Jul.19 7
Aug.19 1 2 14
Sep.19 1 1 4
Oct.19 1 3
Nov.19 1 1 4
Dec.19 1 5
Jan.20 3
Feb.20 1 4
Mar.20 1 2
Apr.20 4
May.20 4
Jun.20 1
Jul.20 2
Aug.20 2
Sep.20 0
Oct.20 0
Nov.20 3
Dec.20 2
Jan.21 1
Feb.21 7
Mar.21 3 17
Apr.21 1 2 2 34
May.21 1 3 36
Jun.21 1 1 2 32
Jul.21 1 2 1 1 32
Aug.21 1 1 31
Sep.21 1 2 27
Oct.21 3 22
Grand Total 6 1 1 11 1 1 1 1 1 41 396
Primary Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2019 25 31 22 15 7 14 4 3 4 5
2020 3 4 2 4 4 1 2 2 0 0 3 2
2021 1 7 17 34 36 32 32 31 27 22

Full Response Text

FOI 2074149 Appendix 1 Primary Diagnosis Acute myocardial infarction, unspecified Acute subendocardial myocardial infarction Acute transmural myocardial infarction of anterior wall Acute transmural myocardial infarction of inferior wall Acute transmural myocardial infarction of other sites Acute transmural myocardial infarction of unspecified site Cerebral infarction due to embolism of cerebral arteries Cerebral infarction due to thrombosis of cerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries Cerebral infarction, unspecified Elevated blood-pressure reading, without diagnosis of hypertension Essential (primary) hypertension Intracerebral haemorrhage in brain stem Intracerebral haemorrhage in hemisphere, cortical Intracerebral haemorrhage, intraventricular Intracerebral haemorrhage, multiple localized Intracerebral haemorrhage, unspecified Other cerebral infarction Mar.19 5 1 2 2 3 4 Apr.19 7 3 1 5 5 May.19 8 2 1 1 1 1 3 Jun.19 4 1 2 1 1 3 1 Jul.19 4 2 1 Aug.19 2 1 1 2 5 Sep.19 2 Oct.19 1 1 Nov.19 1 1 Dec.19 2 1 1 Jan.20 1 1 1 Feb.20 1 1 1 Mar.20 1 Apr.20 2 1 1 May.20 3 1 Jun.20 1 Jul.20 2 Aug.20 1 1 Sep.20 Oct.20 Nov.20 1 1 1 Dec.20 1 1 Jan.21 1 Feb.21 3 1 1 1 1 Mar.21 1 1 2 3 4 2 1 Apr.21 1 9 3 4 11 1 May.21 15 1 3 1 2 2 1 4 1 1 1 Jun.21 10 1 1 2 2 4 7 1 Jul.21 8 1 2 1 1 1 7 6 Aug.21 2 7 2 2 2 2 1 4 7 Sep.21 2 6 3 1 3 8 1 Oct.21 6 3 1 1 2 1 4 1 Grand Total 5 106 19 25 2 11 3 10 21 1 43 1 71 2 1 1 1 5 3 FOI 2074149 Appendix 1 Primary Diagnosis Mar.19 Apr.19 May.19 Jun.19 Jul.19 Aug.19 Sep.19 Oct.19 Nov.19 Dec.19 Jan.20 Feb.20 Mar.20 Apr.20 May.20 Jun.20 Jul.20 Aug.20 Sep.20 Oct.20 Nov.20 Dec.20 Jan.21 Feb.21 Mar.21 Apr.21 May.21 Jun.21 Jul.21 Aug.21 Sep.21 Oct.21 Grand Total Other intracerebral haemorrhage Other subarachnoid haemorrhage Other transient cerebral ischaemic attacks and related syndromes Stroke, not specified as haemorrhage or infarction Subarachnoid haemorrhage from anterior communicating artery Subarachnoid haemorrhage from carotid siphon and bifurcation Subarachnoid haemorrhage from other intracranial arteries Subarachnoid haemorrhage, unspecified Subsequent myocardial infarction of anterior wall Transient cerebral ischaemic attack, unspecified Grand Total 2 1 1 1 3 25 1 2 1 6 31 5 22 2 15 7 1 2 14 1 1 4 1 3 1 1 4 1 5 3 1 4 1 2 4 4 1 2 2 0 0 3 2 1 7 3 17 1 2 2 34 1 3 36 1 1 2 32 1 2 1 1 32 1 1 31 1 2 27 3 22 6 1 1 11 1 1 1 1 1 41 396


Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000

Our ref: 2074149 24th November 2021

Dear ###

We write further to your request which was received on 5th November 2021 and which states:

"Further to FOI request 1931457, please provide updated numbers to November 2021 for Q1 & Q2. Thank you"

Our Response

FOI 1931457 requested: Q1 Please can you confirm the number of patients admitted to nobles hospital suffering from a stroke from Mar 2019 - present day July 2021. Q2 Please can you also confirm the number of patients admitted to nobles hospital for heart attacks and elevated heart rates for the same period and following clarification, our results are based on: Q1 Generic Strokes and Haemorrhagic strokes Q2 Heart attacks, high blood pressure and elevated blood pressure without diagnosis of hypertension

For further detail please see Appendix 1 Please note: there is a considerable backlog of uncoded, finished consultant episodes from 2020 which could contribute to lower numbers being seen in these results during this period. Manx Care is actively working to develop a sustainable, accurate and timely clinical coding function to address this situation. Please quote the reference number 2074149 in any future communications.

Your right to request a review

If you are unhappy with this response to your freedom of information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post.

Primary Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 25 31 22 15 7 14 4 3 4 5 2020 3 4 2 4 4 1 2 2 0 0 3 2 2021 1 7 17 34 36 32 32 31 27 22

An electronic version of our complaint form can be found by going to our website at https://services.gov.im/freedom-of-information/Review . If you would like a paper version of our complaint form to be sent to you by post, please contact me and I will be happy to arrange for this. Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded.

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I will now close your request as of this date.