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Maternal deaths in Australia 2008–2012

Maternal deaths in Australia 2008–2012 is the 16th report on women who die in association with pregnancy and childbirth. Maternal death review is one of the oldest known forms of clinical care quality assurance. Maternal death in Australia is a rare event in the context of worldwide maternal deaths. In 2008–2012, there were 105 maternal deaths in Australia that occurred within 42 days of the end of pregnancy, representing a maternal mortality ratio (MMR) of 7.1 deaths per 100,000 women who gave birth. All such deaths should be seen as devastating for the woman’s family and community, and should be carefully examined for possible lessons learned that may prevent future similar events.

Trends in injury deaths, Australia: 1999–00 to 2009–10

This report focuses on trends in deaths due to injury and poisoning that occurred over the period 1999–00 to 2009–10 and shows that: The age-standardised rate of injury deaths decreased by an average of 3% per year between 1999–00 and 2004–05 and changed little after that; Rates of injury deaths involving transport injury, drowning, thermal injury, suicide and homicide, tended to decline from 1999–00 to 2007–08, while rates of poisoning deaths involving pharmaceuticals fell sharply to 2001–02 before rising again;Rates for Aboriginal and Torres Strait Islander people were 2 to 3 times as high as rates for Other Australians over the period from 1999–00 to 2007–08.

Injury deaths data, Australia: technical report on issues associated with reporting for reference years 1999–2010

This technical report is a companion to the statistical report Trends in injury deaths, Australia 1999–00 to 2009–10 and provides additional information on data sources and methods.When comparing estimates of injury deaths based on Cause of Death Unit Record Files (CODURFs), produced by the Australian Bureau of Statistics (ABS) with other supplementary sources of information for external causes of injury mortality, CODURF based estimates for particular major external causes were consistent with estimates based on supplementary sources for several reference years before 2003 and from 2006 onwards, but differ to a noteworthy extent for several external causes from 2003 to 2006.

Australian Burden of Disease Study: fatal burden of disease in Aboriginal and Torres Strait Islander people 2010

This is the second report in the Australian Burden of Disease Study series. It provides estimates of fatal burden for 2010 for the Aboriginal and Torres Strait Islander population as well as estimates of the gap in fatal burden between Indigenous and non-Indigenous Australians. Injuries and cardiovascular diseases contributed the most fatal burden for Indigenous Australians (22% and 21% respectively), followed by cancer (17%).Subsequent reports in this series will provide estimates of the non-fatal burden and the contribution of various risk factors to disease burden in the Aboriginal and Torres Strait Islander population. 

Use of aged care services before death

This bulletin examines people’s use of aged care services in the 8 years before death, using the cohort of 116,481 people who died in 2010–11 aged at least 65. Overall, 80% of these people had used aged care in the 8 years before death, and three-fifths were aged care clients when they died. Just under half of the cohort began using aged care more than 4 years before their death.

Australian Burden of Disease Study: fatal burden of disease 2010

This is the first report in the Australian Burden of Disease Study series. It provides estimates of fatal burden for 2010 showing the contribution of each disease group by age and sex. The three leading disease groups were Cancer (35%), Cardiovascular diseases (23%) and Injuries (13%), and these contributed more than 70% of total fatal burden.

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts: morbidity—hospital care

Cardiovascular disease, diabetes and chronic kidney disease—Australian facts is a series of 5 reports by the National Centre for Monitoring Vascular Diseases at the Australian Institute of Health and Welfare that describes the combined burden of cardiovascular disease (including coronary heart disease and stroke), diabetes and chronic kidney disease.This report on Morbidity presents up-to-date statistics as well as trends on hospitalisations from these chronic diseases. It examines age and sex characteristics, and variations across population groups, including among Aboriginal and Torres Strait Islander people, by geographical location, and by socioeconomic disadvantage.

Suicide and hospitalised self-harm in Australia: trends and analysis

This report describes suicide and hospitalised self-harm in Australia.Suicide occurring in 2010–11 is described statistically, and trends are shown for the period from the early 1920s. Patterns of suicide over time were also examined for selected birth cohorts.Hospitalised intentional self-harm in 2010–11 is also described, and trends are examined for the period from 1999–00. Both suicide and hospitalised intentional self-harm are analysed by mechanism of injury, sex, age group, Indigenous status and other factors.

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts mortality

Cardiovascular disease, diabetes and chronic kidney disease—Australian facts is a series of 5 reports by the National Centre for Monitoring Vascular Diseases at the Australian Institute of Health and Welfare that describe the combined burden of cardiovascular disease (including coronary heart disease and stroke), diabetes and chronic kidney disease. This report on Mortality presents up-to-date statistics as well as trends on deaths from these chronic diseases. It examines age and sex characteristics, and variations across population groups, including among Aboriginal and Torres Strait Islander people, by geographical location, and by socioeconomic disadvantage.

Assessment of the coding of ESKD in deaths and hospitalisation data: a working paper

Monitoring the impact of end-stage kidney disease (ESKD) is important in planning for future health needs of the population. This working paper uses linked data from Western Australia and New South Wales to assess the likelihood that a patient who is hospitalised with ESKD will have ESKD recorded on their death record, in order to establish whether mortality records in Australia reflect the actual disease pattern of people with ESKD.The study confirms that the ESKD codes used in the mortality data to estimate ESKD incidence are likely to underestimate the impact of ESKD—there is a high proportion of patients who are hospitalised with ESKD who do not have ESKD recorded on their death certificates.

Maternal mortality: data linkage methodology

The report presents a data linkage methodology to ascertain the number of maternal and late maternal deaths in Australia. It is one of several components of the National Maternity Data Development Project and is a companion report to the publication, Foundations for enhanced maternity data collection and reporting in Australia: National Maternity Data Development Project Stage 1.

National perinatal mortality data reporting project: issues paper

This paper presents findings on the issues that need to be considered in order to produce a national perinatal mortality report that is relevant to maternity services. It is one of several components of the National Maternity Data Development Project and is a companion report to the publication Foundations for enhanced maternity data collection and reporting in Australia: National Maternity Data Development Project Stage 1.

Stillbirths in Australia 1991-2009

This is the first national report on the epidemiology of stillbirth in Australia. The report makes use of the extensive data about pregnancy and birth that have been collected in all states and territories since 1991. For the period 1991–2009, the stillbirth rate ranged from 6.4–7.8 per 1,000 births.

Mortality and life expectancy of Indigenous Australians 2008 to 2012

This report provides an overview of current patterns and trends in mortality and life expectancy among Aboriginal and Torres Strait Islander people. Circulatory diseases were the leading cause of death of Indigenous Australians for the period 2008–2012 (representing 26% of Indigenous deaths), followed by cancer (20%) and injury (15%). There have been significant declines in overall Indigenous mortality rates as well as mortality rates from circulatory diseases and respiratory diseases between 2001 and 2012. However, there has been little improvement in Indigenous mortality from other causes such as cancer and injury over this period.

Mortality inequalities in Australia 2009–2011

Despite relatively high standards of health and health care in Australia, not all Australians fare equally well in terms of their health and longevity. Substantial mortality inequalities exist in the Australian population, in terms of overall mortality, and for most leading causes of death, and these inequalities are long-standing.

Maternal deaths in Australia 2006-2010

Maternal deaths in Australia 2006–10 is the 15th report on women who die during pregnancy and childbirth. Although maternal deaths are rare in Australia, they are catastrophic events when they do occur and require monitoring and investigation. The report includes information about the women, pregnancy, and cause of death as well as good practice guidance points for clinicians to inform practice improvement.

Mortality from asthma and COPD in Australia

Asthma death rates in Australia are high compared with many other countries and chronic obstructive pulmonary disease (COPD) is a leading cause of deaths in Australia and internationally. This report provides current information about mortality due to these conditions in Australia, examining trends over time, seasonal variation, international comparison and variation by age, sex, remoteness, Indigenous status, country of birth and socioeconomic disadvantage.

Trends in coronary heart disease mortality: age groups and populations

Coronary heart disease is Australia’s leading cause of death, and although death rates have fallen substantially over recent decades, declines among some age groups appear to have slowed.Trends in coronary heart disease mortality: age groups and populations examines how the decline has varied between young adults, middle-aged and older persons, and among different population groups, including by Aboriginal and Torres Strait Islander status, geographic location and socioeconomic status.

Obesity and injury in the National Hospital Morbidity Database

Obesity and injury are major health burdens on society. This report studies the feasibility of using the National Hospital Morbidity Database to investigate the relationship between obesity and hospitalised injury in Australia. The database does not currently provide a reliable basis for measuring obesity among admitted patients or for assessing the characteristics of injury cases with obesity. Inclusion of height and weight information in separations data would enable analysis of the effects of body mass index on injury occurrence, treatment and outcomes.

Multiple causes of death in Australia: an analysis of all natural and selected chronic disease causes of death 1997-2007

Multiple causes of death data are useful for describing the role of all diseases involved in deaths. This bulletin is the first comprehensive application of multiple causes of death statistics to natural causes of death and specific chronic diseases of public health importance in Australia. It may be useful for guiding and improving policy for reducing deaths from these chronic diseases and for targeting future investment in health prevention. When describing patterns of causes of death using only the underlying cause, important cause information is overlooked. Analyses using multiple cause data complement routine descriptions of mortality that use only the underlying cause and offer broader insight into the disease processes occurring at the end of life.

An enhanced mortality database for estimating Indigenous life expectancy: a feasibility study

The aim of an enhanced mortality database for estimating Indigenous life expectancy, a feasibility study is to improve reporting of information on Indigenous deaths by linking death registrations data with several additional data sets that contain information on Indigenous deaths. Linkage of registered deaths data to the additional data sets identified 10.2 per cent more deaths that were not identified as Indigenous on the registered deaths data set. The enhanced data also showed that expectation of life at birth for Indigenous Australians over the period 2001-2006 was 66.6 years for males and 72.7 years for females. This report shows that data linkage is an effective tool for improving estimates of mortality and life expectancy for Indigenous Australians.

Trends in palliative care in Australian hospitals

Trends in palliative care in Australian hospitals provides an overview of the nature and extent of palliative care separations in public and private hospitals across Australia for the 10-year period from 1999-00 to 2008-09. These separations may have occurred in a dedicated palliative care ward, a hospice or in other admitted patient beds in a hospital. The report indicates that there has been a substantial increase in the number of palliative care separations in admitted patient settings over time.

Identifying palliative care separations in admitted patient data: technical paper

This technical paper explores the most appropriate method of identifying those separations that occurred in Australian hospitals for which palliative care was a substantial component of the care provided. Coding and collection rules are considered, as well as national admitted patient data for 1999-00 to 2008-09.

The health of Australia's prisoners 2009

The health of Australia's prisoners 2009 is the culmination of several years' development of national indicators in relation to prisoner health in Australia. This first national report shows that prisoners in Australia have poor health compared to the general community. A week-long snapshot of prison entrants in Australia during 2009 showed: 25% had a chronic condition (such as asthma, cardiovascular disease or diabetes); 81% were current smokers; 52% consumed alcohol at risky levels; and 71% had used illicit drugs during the previous 12 months; 37% of prison entrants reported having received a mental health diagnosis at some time, 43% had received a head injury resulting in a loss of consciousness, and 31% had been referred to prison mental health services. The report also contains data relating to communicable diseases, educational attainment, deaths in custody, the use of health services and the types of medications used by prisoners.

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