joint strategic needs assessment foundation profile - JSNA

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10.1.5 Atrial Fibrillation
10.1.5.1 Diagnosed and Modelled Prevalence
The prevalence of diagnosed atrial fibrillation is given in section 10.1.1.2 on page 434
for each general practice in Hull for 2009/10. Table 217 presents the prevalence of
diagnosed atrial fibrillation for 2009/10 for Hull and comparator areas (see section 3.3.3
on page 44), as well as for England. The prevalence of atrial fibrillation in Hull is lowest
of the comparators with the exception of Leicester City. Atrial fibrillation is a risk factor
for stroke, so if the rate of undiagnosed atrial fibrillation in Hull could be reduced and
these patients properly treated, this could reduce the stroke mortality rate.
Table 217: Prevalence of diagnosed atrial fibrillation based on GP disease registers
2009/10, Hull versus comparator areas
PCT
Number on atrial
fibrillation
Atrial fibrillation
unadjusted
prevalence (%)
Number of Total practice
practices population register
England 8,305 54,836,561 761,965 1.39
Hull 60 289,210 3,170 1.10
Sunderland 55 284,551 4,522 1.59
Middlesbrough 25 153,187 1,924 1.26
Salford 54 242,922 3,460 1.42
Derby City 33 294,438 3,832 1.30
Leicester City 66 360,251 3,069 0.85
Coventry 65 357,743 4,022 1.12
Wolverhampton 55 258,235 3,574 1.38
Sandwell 67 339,020 4,547 1.34
Stoke-On-Trent 57 280,265 3,952 1.41
Plymouth 43 270,338 3,857 1.43
Average of 10 520 2,840,950 36,759 1.29
NE Lincs 34 169,565 2,694 1.59
The number of patients with diagnosed atrial fibrillation and the prevalence as recorded
on the GP QOF disease registers over time is illustrated in Table 218 for 2006/07 to
2009/10 (the registers were introduced during 2004/05 but the atrial fibrillation measure
was introduced 2006/07). The latest list size refers to the registered population as at 1 st
January 2010, but the number and prevalence on the disease register is as at 31 st
March 2010 (the same definitions used in QOF), and this means that the prevalence can
be biased if large population changes have occurred over this three month period (e.g.
Y02747, Y02786, Y02896 and Y02748 all opened between 5 th October 2009 and 11 th
January 2010). The latest list size for B81668 (Dr EG Stryjakiewicz) relates to 2006/07.
Some practices were not in existence for all the years so information is not applicable
(N/A).
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 489