2140041 Cardiology dept appointments and admissions

Summary

The request sought monthly data on cardiology appointments, admissions, and emergency presentations for heart-related issues and strokes between 2017 and 2021. Manx Care provided detailed monthly statistics for Nobles and Ramsey hospitals, noting that data for 'elsewhere on the Island' was unavailable and emergency coding only commenced in 2018.

Key Facts

• Data covers attended outpatient appointments and admissions for Cardiology at Nobles and Ramsey Hospitals from 2017 to 2021.
• Manx Care does not hold data for cardiology services 'elsewhere on Island' outside of Nobles and Ramsey.
• Emergency department coding for cardiac and stroke episodes only commenced in April 2018, meaning no data is available for 2017.
• The response includes specific monthly breakdowns for cardiac attendances, cardiac electric attendances, and stroke attendances from 2018 to 2021.
• Paramedic call-out data for heart-related issues was not included in the provided response text.

Data Disclosed

• 2017-2021
• 333 attended appointments in January 2017
• 464 attended appointments in February 2021
• 13 admissions in January 2017
• 2 admissions in January 2021
• 126 Cardiac ED attendances in April 2018
• 25 Stroke ED attendances in April 2018
• Coding commenced in 2018

Original Request

1. Please could you inform me of the monthly appointments and/or admissions to the cardiology department at nobles or elsewhere on Island for 2017-2021. 2. Could you state how many strokes/heart related issues come into the emergency department between 2017-2021. 3. How many paramedic call outs have been for heart related issues between 2017-2021.

Data Tables (7)

Full Response Text

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

Our ref: 2140041 25 January 2022

Dear ###

We write further to your request which was received on 13 December 2021 and which states:

"1. Please could you inform me of the monthly appointments and/or admissions to the cardiology department at nobles or elsewhere on Island for 2017-2021. 2. Could you state how many strokes/heart related issues come into the emergency department between 2017-2021. 3. How many paramedic call outs have been for heart related issues between 2017- 2021."

Our response: Q1. Please could you inform me of the monthly appointments and/or admissions to the cardiology department at nobles or elsewhere on Island for 2017-2021. The below table shows the number of attended outpatient appointments (for both Consultant and Nurse referrals) under the Cardiology speciality between 01/01/2017 and 31/12/2021. Please note that we hold data for Nobles and Ramsey Hospitals, we do not hold any data for ‘elsewhere on Island’. Year Month Speciality Attended appointments 2017 January Cardiology 333 February Cardiology 343 March Cardiology 311 April Cardiology 267 May Cardiology 304 June Cardiology 292 July Cardiology 309 August Cardiology 302 September Cardiology 329 October Cardiology 355 November Cardiology 311 December Cardiology 252 2018 January Cardiology 292 February Cardiology 316 March Cardiology 340

April Cardiology 322 May Cardiology 279 June Cardiology 324 July Cardiology 351 August Cardiology 344 September Cardiology 387 October Cardiology 418 November Cardiology 414 December Cardiology 367 2019 January Cardiology 388 February Cardiology 361 March Cardiology 366 April Cardiology 369 May Cardiology 382 June Cardiology 344 July Cardiology 401 August Cardiology 304 September Cardiology 397 October Cardiology 389 November Cardiology 409 December Cardiology 342 2020 January Cardiology 404 February Cardiology 393 March Cardiology 379 April Cardiology 343 May Cardiology 327 June Cardiology 364 July Cardiology 319 August Cardiology 345 September Cardiology 358 October Cardiology 285 November Cardiology 394 December Cardiology 317 2021 January Cardiology 363 February Cardiology 464 March Cardiology 380 April Cardiology 331 May Cardiology 241 June Cardiology 416 July Cardiology 365 August Cardiology 416 September Cardiology 464 October Cardiology 400 November Cardiology 405 December Cardiology 215

The below table shows the number of admissions between 01/01/2017 and 31/12/2021 23:59:59 to both Nobles and Ramsey where the admitting speciality is Cardiology. Please note that we hold data for Nobles and Ramsey Hospitals, we do not hold any data for ‘elsewhere on Island’. Year Month Admission speciality Total admissions 2017 January Cardiology 13 February Cardiology 13 March Cardiology 17 April Cardiology 21 May Cardiology 21 June Cardiology 16 July Cardiology 16 August Cardiology 21 September Cardiology 20 October Cardiology 25 November Cardiology 30 December Cardiology 15 2018 January Cardiology 12 February Cardiology 13 March Cardiology 19 April Cardiology 21 May Cardiology 23 June Cardiology 14 July Cardiology 14 August Cardiology 20 September Cardiology 23 October Cardiology 18 November Cardiology 17 December Cardiology 16 2019 January Cardiology 23 February Cardiology 16 March Cardiology 5 April Cardiology 13 May Cardiology 18 June Cardiology 7 July Cardiology 17 August Cardiology 6 September Cardiology 8 October Cardiology 24 November Cardiology 11 December Cardiology 9

2020 January Cardiology 12 February Cardiology 11 March Cardiology 7 April Cardiology 3 May Cardiology 1 June Cardiology 6 July Cardiology 6 August Cardiology 17 September Cardiology 5 October Cardiology 8 November Cardiology 6 December Cardiology 12 2021 January Cardiology 2 February Cardiology 12 March Cardiology 10 April Cardiology 7 May Cardiology 8 June Cardiology 18 July Cardiology 8 August Cardiology 10 September Cardiology 17 October Cardiology 5 November Cardiology 3 December Cardiology 4 Q2. Could you state how many strokes/heart related issues come into the emergency department between 2017-2021. Coding is carried out within our patient administration system for capturing this type of episode when the patient presents within our emergency department. Coding relating to this medical condition referred to only commenced in 2018 and the figures are provided below. Year Month Cardiac ED attendances Cardiac electric ED attendances Stroke ED attendances 2018 April 126 39 25 May 123 59 49 June 107 58 39 July 124 58 24 August 113 55 39 September 91 42 35

October 104 66 48 November 107 60 44 December 97 57 44 2019 January 92 53 43 February 113 53 40 March 115 76 63 April 140 71 50 May 146 53 34 June 142 65 39 July 145 60 44 August 136 43 63 September 109 50 49 October 141 63 37 November 127 51 48 December 143 63 41 2020 January 134 58 26 February 91 68 34 March 88 42 26 April 76 45 29 May 117 49 45 June 132 79 61 July 123 76 43 August 134 65 36 September 122 53 42 October 122 66 55 November 111 49 48 December 131 56 41 2021 January 92 39 38 February 105 52 35 March 112 50 46 April 140 50 56 May 140 50 45 June 123 61 51 July 115 59 46 August 107 52 32 September 125 66 54 October 123 40 39 November 116 46 40 December 98 36 31

Q3. How many paramedic call outs have been for heart related issues between 2017-2021. For the period 1st January 2017 to 31st December, please see table below: Chest Pain / Chest Discomfort (Non Traumatic)
4216 Heart Problems / A.I.C.D

1021 Cardiac or Respiratory Arrest / Death
687 Stroke (CVA) / Transient Ischemic Attack (TIA)
1796

Please quote the reference number 2140041 in any future communications.

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