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Volume 8: No. 6, November 2011

ORIGINAL RESEARCH
The Incidence and Health Economic Burden of Ischemic Amputation in Minnesota, 2005-2008

Three maps depict the state of Minnesota with county borders. The first map displays the incidence of lower limb ischemic amputation; the second, coronary heart disease (CHD) mortality; and the third, stroke mortality.

The legend shows the quartile ranking of the outcome displayed on each map; quartile 1 represents the lowest incidence and quartile 4 represents the highest incidence. Data for counties with fewer than 10 cases over 4 years are suppressed, and data for counties with 11 to 20 cases over 4 years are shown but are noted as unstable.

In general, the highest lower limb ischemic amputation incidence and highest CHD and stroke mortality rates are concentrated in counties in the northern half of Minnesota and in rural counties. The pattern is similar, but not entirely overlapping, for all 3 outcomes.

Figure. Lower limb ischemic amputations, coronary heart disease (CHD) mortality, and stroke mortality per 100,000 by Minnesota county, 2005-2008. Data for lower limb ischemic amputations obtained from Minnesota Hospital Uniform Billing Claims Data; Health Economics Program, Minnesota Department of Health; and the Minnesota Hospital Association. Data for CHD mortality obtained from Minnesota Department of Health Center for Health Statistics and International Classification of Diseases, 10th revision (ICD-10) codes I00-I09, I11, I13,and I20-I51. Data for stroke mortality obtained from Minnesota Department of Health Center for Health Statistics and ICD-10 codes I60-I69.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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