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Complete Health Indicator Report of Asthma-related Emergency Department (ED) Visits

Definition

Rate: Emergency department visits due to asthma (ICD-9 code 493) per 10,000 Utah residents. [[br]] Number: Emergency department visits due to asthma.

Numerator

Rate/Number: Number of emergency department visits among the Utah population with asthma as the principle diagnosis.

Denominator

Rate: Utah Population. [[br]] Number: Not applicable.

Why Is This Important?

Asthma can usually be managed in an outpatient setting, reducing the need for emergency department visits. Tracking rates of emergency department visits can aid in identifying populations or areas with inadequate access to routine medical care. An asthma attack can necessitate an emergency department visit and can be initiated by a variety of triggers. Some of these include exposures 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 emergency department visits, are preventable if asthma is managed according to established guidelines. Effective management includes control of exposures to factors that trigger exacerbations, adequate pharmacological management, continual monitoring of the disease, and patient education in asthma care.

Healthy People Objective RD-3:

Reduce emergency department (ED) visits for asthma
U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

Healthy People 2020 subobjectives and targets for RD-3: Reduce emergency department (ED) visits for asthma: RD-3.1: Children under age 5 years * '''U.S. Target:''' 95.7 ED visits per 10,000 * '''Utah Target:''' 46.7 ED visits per 10,000 [[br]] RD-3.2: Children and adults aged 5 to 64 years * '''U.S. Target:''' 49.6 ED visits per 10,000 * '''Utah Target:''' 21.2 ED visits per 10,000 [[br]] RD-3.3: Adults aged 65 years and older * '''U.S. Target:''' 13.7 ED visits per 10,000 * '''Utah Target:''' 16.3 ED visits per 10,000

How Are We Doing?

In 2014, Utah was well below the Healthy People 2020 (HP2020) objectives for ages 0-4 and 5-64, and met its state ED target for 0-4. The emergency department visit rate among the elderly ages 65+ in 2014 (21.0 per 10,000 population) currently exceeds the HP2020 objective (13.7 per 10,000 population). In 2014, Utah's overall emergency department visit rate due to asthma was 24.7 per 10,000 population (crude rate). Asthma emergency department visits are higher among young male children when compared to young female children. However, among adolescents and adults, females have higher rates.

What Is Being Done?

The Utah Asthma Program (UAP) in conjunction with the Utah Asthma Task Force and other partners strive to maximize the reach, impact, efficiency, and sustainability of comprehensive asthma control services through providing a seamless alignment of the full array of services across the public health and health care sectors, so that people with asthma receive all of the services they need. The UAP focuses on three types of strategies to create and support a comprehensive asthma control program, these include: building infrastructure strategies to support leadership, strategic partnerships, strategic communications, surveillance, and evaluation; linking services strategies to expand school- and home-based services; and creating health systems strategies to improve coverage, delivery, quality, and use of clinical services. These strategies are expected to increase asthma control and quality of life, by increasing access to health care and by 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 self-management, providing a supportive school environment, and referring to or providing home trigger reduction services for those who need them. The linkage function has the added benefit of bringing more people who might be high utilizers of emergency room and hospital services into primary care and also providing a resource for primary care providers to refer people for intensive self-management education and trigger reduction services when needed.

Available Services

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://www.health.utah.gov/asthma/] 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]

Health Program Information

[http://www.health.utah.gov/asthma]


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Emergency Department Visits due to Asthma by Year, Utah, 2000-2014

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confidence limits

YearAge-adjusted Emergency Dept. Visits per 10,000Lower LimitUpper Limit
Record Count: 15
200025.524.826.1
200126.726.027.4
200227.526.828.2
200328.627.929.3
200425.925.226.5
200527.626.928.2
200623.923.324.6
200724.924.225.5
200825.424.826.0
200925.424.826.0
201022.121.622.7
201121.320.821.9
201222.822.323.4
201323.222.723.8
201424.223.624.8

Data Notes

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.   Age-adjusted to the U.S. 2000 standard population.

Data Sources

  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Emergency Department Encounters due to Asthma by Age Groups: 0-4, 5-64, and 65+, Utah, 2014

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confidence limits

Age GroupEmergency Dept. Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 23
0-437.535.240.0
5-6423.823.224.4
65+21.019.422.7

Data Notes

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.

Data Sources

  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Emergency Department Visits due to Asthma by Age and Sex, Utah, 2013-2014

::chart - missing::
confidence limits

Males vs. FemalesAge GroupEmergency Dept. Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 36
MaleLess Than 114.811.718.5
Male1-4 Yrs56.753.660.1
Male5-9 Yrs43.741.246.2
Male10-14 Yrs25.023.027.0
Male15-17 Yrs15.013.117.2
Male18-19 Yrs17.815.120.9
Male20-24 Yrs19.017.320.8
Male25-34 Yrs17.816.619.1
Male35-44 Yrs15.614.416.9
Male45-54 Yrs14.913.616.4
Male55-64 Yrs10.99.712.2
Male65+ Yrs12.911.514.3
FemaleLess Than 15.33.47.7
Female1-4 Yrs30.528.133.0
Female5-9 Yrs24.322.426.3
Female10-14 Yrs18.717.020.5
Female15-17 Yrs23.721.226.5
Female18-19 Yrs23.620.527.1
Female20-24 Yrs27.024.929.1
Female25-34 Yrs30.729.032.4
Female35-44 Yrs29.928.231.7
Female45-54 Yrs31.029.133.0
Female55-64 Yrs21.319.623.1
Female65+ Yrs26.825.028.7
TotalLess Than 110.28.312.3
Total1-4 Yrs44.042.046.1
Total5-9 Yrs34.332.735.9
Total10-14 Yrs21.920.623.3
Total15-17 Yrs19.317.721.0
Total18-19 Yrs20.718.623.0
Total20-24 Yrs22.921.624.3
Total25-34 Yrs24.123.125.2
Total35-44 Yrs22.721.623.8
Total45-54 Yrs22.921.824.2
Total55-64 Yrs16.215.117.3
Total65+ Yrs20.419.221.6

Data Notes

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.

Data Sources

  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Asthma-related Emergency Department Visits by Local Health District, Utah, 2013-2014

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confidence limits

Local Health DistrictAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River15.414.016.8Lower than state
Central25.923.428.7
Davis County18.317.319.4Lower than state
Salt Lake County30.429.731.2Higher than state
San Juan15.511.320.9Lower than state
Southeast33.729.738.1Higher than state
Southwest20.118.721.5Lower than state
Summit11.69.214.3Lower than state
Tooele37.534.141.1Higher than state
TriCounty44.640.848.7Higher than state
Utah County14.914.115.7Lower than state
Wasatch16.212.920.1Lower than state
Weber-Morgan25.524.126.9Higher than State
State of Utah23.723.324.2

Map of Asthma Emergency Department Visits per 10,000 Population by Local Health District, Utah, 2013-2014

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

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.   Rates were age-adjusted to the U.S. 2000 standard population. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Sources

  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


Emergency Department Visits due to Asthma by Utah Small Area, 2013-2014

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confidence limits

Utah Small AreasAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 64
Brigham City20.316.424.9
Box Elder Co (Other)23.519.528.1
Logan12.510.714.7Lower than State
Cache Co (Oth)/Rich Co (All)13.110.815.7Lower than State
Ben Lomond23.020.325.9
Morgan Co (All)/Weber Co (E)10.98.813.3Lower than State
Ogden (Downtown)37.633.442.3Higher than State
South Ogden32.728.537.3Higher than State
Roy/Hooper23.220.126.5
Riverdale31.626.936.9Higher than State
Clearfield/Hill AFB22.419.825.2
Layton18.015.920.3Lower than State
Syracuse/Kaysville9.37.611.3Lower than State
Farmington/Centerville18.315.321.7Lower than State
Woods Cross/North Salt Lake24.821.029.0
Bountiful22.719.726.1
SLC (Rose Park)45.140.150.5Higher than State
SLC (Avenues)30.424.936.8Higer than State
SLC (Foothill/U of U)13.010.016.6Lower than State
Magna35.030.040.8Higher than State
SLC (Glendale)52.046.458.2Higher than State
West Valley (West)42.339.145.7Higher than State
West Valley (East) V251.847.456.4Higher than State
SLC (Downtown)27.223.830.8Higher than State
South Salt Lake57.150.664.2Higher than State
Millcreek28.825.732.1Higher than State
Holladay26.523.230.2
Cottonwood16.213.419.2Lower than State
Kearns V248.943.654.6Higher than State
Taylorsville (E)/Murray (W)39.635.144.6Higher than State
Taylorsville (West)27.924.331.9Higher than State
Murray44.439.350.1Higher than State
Midvale51.445.957.5Higher than State
West Jordan (NE) V235.730.841.1Higher than State
West Jordan (SE)29.225.233.6Higher than State
West Jordan (W)/Copperton22.818.627.5
South Jordan14.412.216.9Lower than State
Sandy (Center)27.624.630.9Higher than State
Sandy (NE)17.513.722.0Lower than State
Sandy (SE)14.111.017.8Lower than State
Riverton/Draper14.612.916.5Lower than State
Tooele Co37.534.141.2Higher than State
Lehi/Cedar Valley12.210.514.1Lower than State
American Fork/Alpine14.912.617.5Lower than State
Pleasant Grove/Lindon13.611.416.1Lower than State
Orem (North)19.216.022.9Lower than State
Orem (West)20.817.025.3
Orem (East)16.412.820.6Lower than State
Provo (North)/BYU10.17.613.1Lower than State
Provo (South)22.018.725.6
Springville/Spanish Fork13.011.314.9Lower than State
Utah Co (South)18.615.422.3Lower than State
Summit Co11.69.214.3Lower than State
Wasatch Co16.112.820.0Lower than State
TriCounty LHD44.740.948.8Higher than State
Juab/Millard/Sanpete Co24.021.027.3
Sevier/Piute/Wayne Co30.125.435.4Higher than State
Carbon/Emery Co35.631.040.8Higher than State
St George21.719.424.2
Washington Co (Other)17.315.119.7Lower than State
Cedar City20.517.523.9
Southwest LHD (Other)20.616.425.5
State23.823.324.2

Map of Age-adjusted Asthma Emergency Department Visits per 10,000 Population by Utah Small Area, 2013-2014

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

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.   [[br]] [[br]] Rates were age-adjusted to the U.S. 2000 standard population. A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Sources

  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2015


Average Number of Emergency Department Visits due to Asthma by Month, Utah, 2000-2014

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MonthAverage Daily Number
Record Count: 12
Jan20.6
Feb22.9
Mar21.4
Apr20.8
May19.7
Jun17.5
Jul13.9
Aug16.0
Sep23.1
Oct20.9
Nov20.9
Dec20.6

Data Notes

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


Asthma-related Emergency Department Visit Average Charge per Visit by Local Health District, Utah, 2014

::chart - missing::
confidence limits

Local Health DistrictAverage Charge per VisitLower LimitUpper Limit
Record Count: 14
Bear River$2,774$1,620$3,316
Central$2,381$1,661$3,100
Davis County$3,949$3,473$4,426
Salt Lake County$4,228$3,969$4,486
San Juan$3,095$1,116$5,074
Southeast$2,827$2,115$3,539
Southwest$3,254$2,454$4,053
Summit$3,553$1,802$5,304
Tooele$4,432$3,386$5,478
TriCounty$3,646$2,922$4,369
Utah County$3,375$2,923$3,827
Wasatch$2,310$765$3,855
Weber-Morgan$4,053$3,163$4,943
State of Utah$3,864$3,685$4,042

Data Notes

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.   Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


Asthma-related Emergency Department Visit Total Charges by Local Health District, Utah, 2014

::chart - missing::

Local Health DistrictTotal Charges
Record Count: 14
Bear River$793,316
Central$471,355
Davis County$2,677,556
Salt Lake County$14,459,065
San Juan$108,319
Southeast$376,018
Southwest$1,350,203
Summit$156,326
Tooele$1,094,748
TriCounty$977,096
Utah County$2,740,496
Wasatch$115,506
Weber-Morgan$2,768,308
State of Utah$28,089,594

Data Notes

The ICD-9 code used to define asthma is 493. All ED encounters are included in the presented data, which includes those that were treat and release visits, as well as those that resulted in hospital admission.   Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, 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.lungusa.org/utah][[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.tobaccofreeutah.org/quitting_resources.html]

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.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/19/2016, Published on 10/31/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 18 January 2018 10:20:46 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 31 Oct 2017 12:16:18 MDT