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Health Indicator Report of COPD Hospitalizations and ED Visits

Chronic Obstructive Pulmonary Disease (COPD) is a large group of lung diseases characterized by airflow obstruction and is often associated with symptoms related to difficulty in breathing, but can be present without any symptoms. The most important and frequent conditions in COPD are chronic bronchitis and emphysema, but also includes other diagnoses. Chronic lower respiratory disease, primarily COPD, was the third leading cause of death in the United States in 2014 (1). Almost 15.7 million Americans (6.4%) reported that they have been diagnosed with COPD (2). However, it is commonly accepted that COPD is frequently underdiagnosed (3), so the actual number may be higher. [[br]] [[br]] ---- # National Center for Health Statistics. Health, United States 2015 with Special Feature on Racial and Ethnic Health Disparities. Hyattsville, MD: US Dept. Health and Human Services; 2016. ([http://www.cdc.gov/nchs/hus/]) Accessed September 12, 2017. # Wheaton AG, Cunningham, TJ, Ford ES, Croft JB. Employment and activity limitations among adults with chronic obstructive pulmonary disease--United States, 2013. MMWR. 2015:64 (11):290-295. # Chi MJ, Lee CY, Wu SC. The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI). Arch Gerontol Geriatr. 2011 May-Jun;52(3):284-9. Epub 2010 May 10.

Notes

Age-adjusted rates were calculated using 25 years of age and older.

Data Source

Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health

Data Interpretation Issues

A measure using all COPD hospitalizations will include some transfers between hospitals for the same person for the same event. Variations in the percentage of transfers or readmissions for the same event may vary by geographic area and could impact rates. Data on race and ethnicity are not routinely collected in all states. This data is not consistently recorded on medical records and when available is complicated further by non-standard definitions of race and ethnicity, the use of combined race/ethnicity, reporting of multiple race categories, and differences in self-report versus registrar reporting. Without reciprocal reporting agreements with abutting states, statewide measures and measures for geographic areas (e.g., counties) bordering other states may be underestimated because of health care utilization patterns. Each state must individually obtain permission to access and, in some states, provide payment to obtain the data. Veterans Affairs, Indian Health Services, and institutionalized (prison) populations are excluded. Practice patterns and payment mechanisms may affect diagnostic coding and decisions by health care providers to hospitalize patients. Sometimes the mailing address of a patient is listed as the residence address of the patient. Patients may be exposed to environmental triggers in multiple locations, but geographic information is limited to residence. Since the data capture hospital discharges (rather than admissions), patients admitted toward the end of the year and discharged the following year could be omitted from the admission year dataset. Data will need to be de-duplicated (i.e., remove duplicate records for the same event). There is usually a two-year lag period before data are available from the data owner.

Definition

__Hospitalizations__ [[br]] 1. Number of hospitalizations for COPD [[br]] 2. Crude rate of hospitalizations for COPD per 10,000 population [[br]] 3. Age-adjusted rate of hospitalization for COPD per 10,000 population aged 25 years or older __Emergency Department (ED) Visits__ [[br]] 4. Number of ED visits for COPD [[br]] 5. Crude rate of ED visits for COPD per 10,000 population [[br]] 6. Age-adjusted rate of ED visits for COPD per 10,000 population aged 25 years or older

Numerator

__Hospitalizations__ [[br]] Hospitalizations during a calendar year with COPD (ICD-9-CM 490-492 or 496 as the primary diagnosis or 493.2 as a primary diagnosis when 490-492 or 496 is present in any of the secondary diagnosis fields; ICD-10-CM codes J40-J44); all hospitalization, transfers to other hospitals included (not considered duplicates); duplicate inpatient records removed __Emergency Department (ED) Visits__ [[br]] Emergency department (ED) visits during a calendar year with COPD (ICD-9-CM 490-492 or 496 as the primary diagnosis or 493.2 as a primary diagnosis when 490-492 or 496 is present in any of the secondary diagnosis fields; ICD-10-CM codes J40-J44) (all ED visits, including those resulting in hospitalization); transfers to other hospitals included (not considered duplicates); duplicate records for ED visits removed

Denominator

Midyear resident population estimates for the state from U.S. Census Bureau (for rate measures) Adjustment: Age-adjustment by the direct method to year 2000 U.S. standard population

Page Content Updated On 09/12/2017, Published on 09/18/2017
The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://epht.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 14 December 2017 23:06:20 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://epht.health.utah.gov ".

Content updated: Mon, 18 Sep 2017 10:40:47 MDT