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Complete Health Indicator Report of Asthma Hospitalizations

Definition

Rate: Number of hospitalizations due to asthma per 10,000 population.[[br]] Number: Number of hospitalizations due to asthma.

Numerator

Rate/Number: Number of hospitalizations among the Utah population with asthma as the principle diagnosis.

Denominator

Rate: Number of Utah residents.[[br]] Number: Not applicable.

Why Is This Important?

Asthma can usually be managed in an outpatient setting, reducing the need for inpatient hospitalization. Tracking rates of hospitalization can aid in identifying populations or areas with inadequate access to routine medical care. An asthma attack can result in hospitalization and can be initiated by a variety of triggers. Some of these include exposure to environmental tobacco smoke, dust mites, cockroach allergen, mold, pets, strenuous physical exercise, and air pollution. Two key air pollutants that can affect asthma are ozone (found in smog) and PM or particulate matter (found in haze, smoke, and dust). The majority of problems associated with asthma, including hospitalization, are preventable if asthma is managed according to established guidelines. Effective management includes control of exposure to factors that trigger exacerbations, adequate pharmacological management, continual monitoring of the disease, and patient education in asthma care.

How Are We Doing?

In 2018-2019, Utah's overall age-adjusted hospitalization rate was 2.5 visits per 10,000 people. There are specific groups with a high number of hospitalizations due to asthma, these include males aged 0-4 (12.1 per 10,000 people) and females aged 0-4 (7.2 per 10,000 people).

What Is Being Done?

The Utah Asthma Program (UAP) works with the Utah Asthma Task Force and other partners to maximize the reach, impact, efficiency, and sustainability of comprehensive asthma control services in Utah. This is accomplished by providing a seamless alignment of asthma services across the public health and health care sector, ensuring that people with asthma receive all of the services they need. The UAP focuses on building program infrastructure and implementing strategies that improve asthma control, reduce asthma-related emergency department visits and hospitalizations, and reduce health care costs. Program infrastructure is strengthened through a focus on strategies to create and support a comprehensive asthma control program, these strategies include: strengthening leadership, building strategic partnerships, and using strategic communication, surveillance, and evaluation. In addition, the UAP implements strategies outlined in the Centers for Disease Control and Prevention (CDC) EXHALE technical package to improve asthma control. The six strategy areas outlined in the EXHALE technical package are: 1. Education on asthma self-management. 2. e-Xtinguishing smoking and secondhand smoke. 3. Home visits to trigger reduction and asthma self-management. 4. Achievement of guidelines-based medical management. 5. Linkages and coordination of care across settings. 6. Environmental policies or best practices to reduce asthma triggers from indoor, outdoor, and occupational sources. These strategies are expected to improve asthma control and quality of life by increasing access to health care and increasing coordination and coverage for comprehensive asthma control services both in the public health and health care sectors. Specifically, these strategies include identifying people with poorly controlled asthma, linking them to health care providers and NAEPP EPR-3 guidelines-based care, educating them on asthma self-management strategies, providing a supportive school environment, and referring to or providing home trigger reduction services for those who need them.

Available Services

A list of Utah Asthma Program services for clinicians, community health workers, and people with asthma can be found here: [http://health.utah.gov/asthma/pdfs/CAC.pdf] Additionally, individual programs in the Bureau of Health Promotion Division of Disease Control and Prevention provide information and education to citizens, physicians, and health care providers on chronic conditions. For instance, users can find helpful information on disease management and prevention at the Utah Department of Health's Asthma Program website: [http://health.utah.gov/asthma/].

Health Program Information

Utah Asthma Program website: [http://www.health.utah.gov/asthma] CDC EXHALE package: [https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf]


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Risk Factors Indicators:




Graphical Data Views

Hospitalizations due to Asthma by Age Group, Utah, 2021

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confidence limits

Age GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 5
0-45.54.86.4
5-144.43.85.0
15-341.41.11.6
35-641.81.62.1
65+2.01.62.5

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.

Data Source

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


Hospitalizations due to Asthma by Sex and Age, Utah, 2017-2019

::chart - missing::
confidence limits

Males vs. FemalesAge GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 36
MaleLess Than 12.01.13.3
Male1-4 Yrs14.213.015.6
Male5-9 Yrs6.76.07.6
Male10-14 Yrs2.52.03.0
Male15-17 Yrs0.80.51.3
Male18-19 Yrs0.60.21.1*
Male20-24 Yrs0.60.40.9
Male25-34 Yrs1.00.81.2
Male35-44 Yrs1.20.91.4
Male45-54 Yrs0.90.61.2
Male55-64 Yrs1.31.01.7
Male65+ Yrs1.51.21.9
FemaleLess Than 10.60.21.4*
Female1-4 Yrs8.47.49.5
Female5-9 Yrs5.64.96.4
Female10-14 Yrs2.21.82.7
Female15-17 Yrs1.71.22.3
Female18-19 Yrs1.30.82.1
Female20-24 Yrs1.81.42.3
Female25-34 Yrs1.81.52.1
Female35-44 Yrs2.21.92.6
Female45-54 Yrs2.31.92.8
Female55-64 Yrs2.21.82.7
Female65+ Yrs2.92.53.4
TotalLess Than 11.30.82.0
Total1-4 Yrs11.410.612.3
Total5-9 Yrs6.25.66.8
Total10-14 Yrs2.42.02.7
Total15-17 Yrs1.31.01.6
Total18-19 Yrs1.00.61.4
Total20-24 Yrs1.21.01.4
Total25-34 Yrs1.41.21.6
Total35-44 Yrs1.71.41.9
Total45-54 Yrs1.61.41.9
Total55-64 Yrs1.81.52.1
Total65+ Yrs2.22.02.6

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.   *Use caution in interpreting. The estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. As of October 1, 2015, the U.S. is currently using the 10th revision of the International Classification of Diseases (ICD-10) to code hospitalizations and emergency department visits. The 2015 data only includes data from October 1st to the end of the year. In the ICD-10 classification asthma is defined using the J45 code.

Data Source

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


Hospitalizations due to Asthma Crude Rates by Year, Utah, 2015-2021

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confidence limits

ICD-9 vs. ICD-10YearCrude Rate per 10,000Lower LimitUpper Limit
Record Count: 7
ICD-1020153.22.83.6
ICD-1020163.23.03.5
ICD-1020172.72.52.9
ICD-1020182.52.42.7
ICD-1020192.62.42.8
ICD-1020201.81.61.9
ICD-1020212.52.32.6

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.   As of October 1, 2015, the U.S. is currently using the 10th revision of the International Classification of Diseases (ICD-10) to code hospitalizations and emergency department visits. Prior to the change, asthma hospitalizations and emergency department visits were defined as having an ICD-9 primary diagnosis code of 493. In the ICD-10 classification asthma is defined using the J45 code. Comparison of data prior to the code change may not be appropriate.

Data Source

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


Hospitalizations due to Asthma Counts by Year, Utah, 2016-2021

::chart - missing::

ICD-9 vs. ICD-10YearNumber of Hospitalizations
Record Count: 6
ICD-102016990
ICD-102017837
ICD-102018802
ICD-102019833
ICD-102020579
ICD-102021828

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.   As of October 1, 2015, the U.S. is currently using the 10th revision of the International Classification of Diseases (ICD-10) to code hospitalizations and emergency department visits. Prior to the change, asthma hospitalizations and emergency department visits were defined as having an ICD-9 primary diagnosis code of 493. In the ICD-10 classification asthma is defined using the J45 code. Comparison of data prior to the code change may not be appropriate.

Data Source

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


Asthma Hospitalization Total Charges by Local Health District, Utah, 2019

::chart - missing::

Local Health DistrictTotal Charges
Record Count: 14
Bear River$419,540
Central$139,727
Davis County$1,606,980
Salt Lake County$6,107,026
San Juan$24,668
Southeast$151,164
Southwest$593,260
Summit$124,499
Tooele$375,181
TriCounty$601,563
Utah County$2,118,815
Wasatch$67,004
Weber-Morgan$2,046,956
State of Utah$14,376,382

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.

Data Source

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


Asthma Hospitalization Average Charge per Visit by Local Health District, Utah, 2017-2019

::chart - missing::
confidence limits

Local Health DistrictAverage Charge per VisitLower LimitUpper Limit
Record Count: 14
Bear River$16,095$9,936$22,255
Central$12,032$9,365$14,699
Davis County$15,679$13,943$17,416
Salt Lake County$15,811$14,932$16,690
San Juan$15,943$8,378$23,509
Southeast$14,291$10,970$17,611
Southwest$13,969$12,137$15,801
Summit$15,830$11,116$20,543
Tooele$15,972$13,455$18,488
TriCounty$14,962$13,450$16,474
Utah County$16,080$14,750$17,410
Wasatch$12,241$7,612$16,870
Weber-Morgan$21,163$17,089$25,238
State of Utah$16,085$15,438$16,732

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.

Data Source

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


Asthma Hospitalizations Age-adjusted Rates by Local Health District, Utah, 2017-2019

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River1.31.01.7Lower than State
Central1.91.42.6Similar to State
Davis County2.11.82.4Lower than State
Salt Lake County3.23.03.4Higher than State
San Juan1.70.73.4Similar to State
Southeast2.51.63.6Similar to State
Southwest1.71.42.0Lower than State
Summit1.50.92.3Lower than State
Tooele3.73.04.6Higher than State
TriCounty5.74.67.0Higher than State
Utah County2.22.02.5Lower than State
Wasatch1.81.12.9Similar to State
Weber-Morgan2.62.33.0Similar to State
State of Utah2.62.42.6

Map of Asthma Age-adjusted Hospitalization Rates per 10,000 Population by Local Health District, Utah, 2017-2019

supplemental image
This map was made using a method called "fixed effect test of significance" where classes are based on statistically higher or lower rates than the state rate.


Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.   *Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards. Rates were age-adjusted to the U.S. 2000 standard population. As of October 1, 2015, the U.S. is currently using the 10th revision of the International Classification of Diseases (ICD-10) to code hospitalizations and emergency department visits. In the ICD-10 classification asthma is defined using the J45 code. Data reported are for all years using the current boundaries.

Data Source

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


Hospitalizations due to Asthma Age-adjusted Rates by Year, Utah, 2015-2021

::chart - missing::
confidence limits

ICD-9 vs. ICD-10YearInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 7
ICD-1020153.12.73.5
ICD-1020163.12.93.3
ICD-1020172.62.42.8
ICD-1020182.42.32.6
ICD-1020192.52.32.7
ICD-1020201.81.61.9
ICD-1020212.52.32.6

Data Notes

Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.   Rates were age-adjusted to the U.S. 2000 standard population. As of October 1, 2015, the U.S. is currently using the 10th revision of the International Classification of Diseases (ICD-10) to code hospitalizations and emergency department visits. Prior to the change, asthma hospitalizations and emergency department visits were defined as having an ICD-9 primary diagnosis code of 493. In the ICD-10 classification asthma is defined using the J45 code. Comparison of data prior to the code change may not be appropriate. The decrease in asthma case counts from ICD-9 to ICD-10 in asthma-related hospitalizations and emergency department visits can be attributed to the availability of new codes as well as changes in coding guidelines and the CCS classification rules for chronic obstructive asthma. More information can be found here: https://www.hcup-us.ahrq.gov/datainnovations/ICD-10_DXCCS_Trends112817.pdf

Data Source

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

References and Community Resources

Utah Asthma Program [http://www.health.utah.gov/asthma][[br]] Asthma and Allergy Foundation of America [http://www.aafa.org][[br]] American Lung Association [http://www.lung.org][[br]] [[br]] Asthma and outdoor air pollution:[[br]] [http://www.epa.gov/airnow/asthma-flyer.pdf] Utah Tobacco Control and Prevention Quitting Resources [http://www.waytoquit.org]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 05/24/2023, Published on 05/24/2023
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 Fri, 19 April 2024 6:11:02 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: Wed, 24 May 2023 10:06:55 MDT