Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content

Complete Health Indicator Report of Asthma Hospitalizations

Definition

Rate: Number of hospitalizations due to asthma (ICD-9 code 493) per 10,000 population.[[br]] Number: Number of hospitalizations due to asthma (ICD-9 code 493).

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 a hospitalization 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 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.

Healthy People Objective RD-2:

Reduce hospitalizations for asthma
U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

Healthy People 2020 subobjectives and targets for RD-2: Reduce hospitalizations for asthma: RD-2.1: Children under age 5 years * '''U.S. Target:''' 18.2 hospitalizations per 10,000 * '''Utah Target:''' 15.4 hospitalizations per 10,000 [[br]] RD-2.2: Children and adults aged 5 to 64 years * '''U.S. Target:''' 8.7 hospitalizations per 10,000 * '''Utah Target:''' 3.7 hospitalizations per 10,000 [[br]] RD-2.3: Adults aged 65 years and older * '''U.S. Target:''' 20.1 hospitalizations per 10,000 * '''Utah Target:''' 6.7 hospitalizations per 10,000

How Are We Doing?

Overall, Utah is below the Healthy People 2020 objectives for asthma hospitalizations. In 2014, Utah's overall age-adjusted hospitalization rate was 5.1 visits per 10,000 people. However, there are specific groups with a high number of hospitalizations due to asthma, these include males aged 0-4 (16.9 per 10,000 people) and females aged 65+ (12.0 per 10,000 people).

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://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 Health Care System Factors Indicators:


Related Risk Factors Indicators:




Graphical Data Views

Hospitalizations due to Asthma by Age Groups: 0-4, 5-64, and 65+, Utah, 2012-2014

::chart - missing::
confidence limits

Age GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 28
0-415.814.916.7
5-644.03.94.2
65+9.18.59.8

Data Notes

The ICD-9 code used to define asthma is 493.

Data Sources

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


Hospitalizations due to Asthma by Sex and Age, Utah, 2010-2014

::chart - missing::
confidence limits

Males vs. FemalesAge GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 36
MaleLess Than 15.14.06.5
Male1-4 Yrs23.622.324.9
Male5-9 Yrs11.210.412.0
Male10-14 Yrs4.23.74.7
Male15-17 Yrs1.20.91.7
Male18-19 Yrs0.60.41.1
Male20-24 Yrs1.20.91.5
Male25-34 Yrs1.41.21.6
Male35-44 Yrs1.61.41.9
Male45-54 Yrs2.62.33.0
Male55-64 Yrs3.22.83.7
Male65+ Yrs6.05.46.6
FemaleLess Than 11.91.22.9
Female1-4 Yrs14.113.115.2
Female5-9 Yrs8.57.89.3
Female10-14 Yrs3.83.34.4
Female15-17 Yrs2.21.82.8
Female18-19 Yrs2.11.52.8
Female20-24 Yrs1.81.52.2
Female25-34 Yrs3.73.34.1
Female35-44 Yrs4.64.15.0
Female45-54 Yrs6.86.27.4
Female55-64 Yrs7.36.68.0
Female65+ Yrs12.111.312.9
TotalLess Than 13.62.94.4
Total1-4 Yrs19.018.219.8
Total5-9 Yrs9.99.410.5
Total10-14 Yrs4.03.74.4
Total15-17 Yrs1.71.42.1
Total18-19 Yrs1.41.01.8
Total20-24 Yrs1.51.31.8
Total25-34 Yrs2.52.32.7
Total35-44 Yrs3.12.83.3
Total45-54 Yrs4.74.45.1
Total55-64 Yrs5.34.95.7
Total65+ Yrs9.38.89.8

Data Notes

The ICD-9 code used to define asthma is 493.

Data Sources

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


Hospitalizations due to Asthma Crude Rates by Year, Utah, 2000-2014

::chart - missing::
confidence limits

YearCrude Rate per 10,000Lower LimitUpper Limit
Record Count: 15
20005.85.56.2
20015.85.56.1
20026.25.96.5
20036.76.47.0
20046.35.96.6
20056.36.06.6
20065.25.05.5
20075.04.75.3
20085.45.15.7
20096.25.96.5
20105.45.15.6
20115.75.46.0
20126.25.96.5
20135.35.15.6
20145.25.05.5

Data Notes

The ICD-9 code used to define asthma is 493.

Data Sources

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


Hospitalizations due to Asthma Counts by Year, Utah, 2000-2014

::chart - missing::

YearNumber of Hospitalizations
Record Count: 15
20001,313
20011,329
20021,443
20031,577
20041,503
20051,549
20061,323
20071,298
20081,430
20091,682
20101,489
20111,612
20121,771
20131,545
20141,538

Data Notes

The ICD-9 code used to define asthma is 493.

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, 2014

::chart - missing::

Local Health DistrictTotal Charges
Record Count: 14
Bear River$550,358
Central$603,160
Davis County$1,761,661
Salt Lake County$9,778,775
San Juan$89,210
Southeast$301,556
Southwest$1,082,404
Summit$131,794
Tooele$777,267
TriCounty$732,536
Utah County$2,367,463
Wasatch$104,465
Weber-Morgan$1,873,552
State of Utah$20,154,200

Data Notes

The ICD-9 code used to define asthma is 493.   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

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, 2013-2014

::chart - missing::
confidence limits

Local Health DistrictAverage Charge per VisitLower LimitUpper LimitNote
Record Count: 14
Bear River$10,334$8,509$12,159
Central$12,922$9,586$16,259
Davis County$11,707$10,595$12,818
Salt Lake County$12,390$11,796$12,983
San Juan$14,145$4,011$24,278*
Southeast$14,533$9,594$19,472
Southwest$14,075$11,742$16,408
Summit$11,199$7,335$15,064
Tooele$15,076$12,548$17,603
TriCounty$10,410$9,010$11,809
Utah County$13,383$12,190$14,576
Wasatch$13,693$4,795$22,591
Weber-Morgan$14,354$11,901$16,806
State of Utah$12,673$12,228$13,119

Data Notes

The ICD-9 code used to define asthma is 493.   [[br]][[br]]*Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards. 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

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


Hospitalizations due to Asthma Age-adjusted Rates by Utah Small Area, 2012-2014

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 64
Brigham City2.61.64.2Lower than State
Box Elder Co (Other)2.91.84.3Lower than State
Logan2.72.03.6Lower than State
Cache Co (Oth)/Rich Co (All)2.71.93.8Lower than State
Ben Lomond5.64.66.9
Morgan Co (All)/Weber Co (E)2.71.93.8Lower than State
Ogden (Downtown)5.74.47.3
South Ogden6.45.08.2
Roy/Hooper4.33.25.6
Riverdale5.23.87.0
Clearfield/Hill AFB5.14.06.4
Layton3.93.14.8Lower than State
Syracuse/Kaysville2.51.83.4Lower than State
Farmington/Centerville4.53.36.0
Woods Cross/North Salt Lake4.53.36.1
Bountiful4.73.65.9
SLC (Rose Park)11.08.913.4Higher than State
SLC (Avenues)8.76.211.8Higher than State
SLC (Foothill/U of U)4.02.65.9
Magna10.58.113.4Higher than State
SLC (Glendale)10.78.613.1Higher than State
West Valley (West)9.38.010.7Higher than State
West Valley (East) V211.59.813.4Higher than State
SLC (Downtown)8.06.59.8Higher than State
South Salt Lake13.410.816.4Higher than State
Millcreek5.74.67.0
Holladay5.24.06.6
Cottonwood5.34.16.8
Kearns V214.812.417.5Higher than State
Taylorsville (E)/Murray (W)8.87.110.8Higher than State
Taylorsville (West)5.74.47.4
Murray11.49.313.8Higher than State
Midvale12.510.315.1Higher than State
West Jordan (NE) V29.27.111.7Higher than State
West Jordan (SE)9.27.211.5Higher than State
West Jordan (W)/Copperton6.64.69.2
South Jordan4.83.86.0
Sandy (Center)7.05.88.4Higher than State
Sandy (NE)3.62.35.4Lower than State
Sandy (SE)4.02.75.8
Riverton/Draper6.05.07.1
Tooele Co9.88.311.4Higher than State
Lehi/Cedar Valley4.33.45.5
American Fork/Alpine2.41.73.4Lower than State
Pleasant Grove/Lindon3.22.34.3Lower than State
Orem (North)3.72.65.0Lower than State
Orem (West)3.52.35.1Lower than State
Orem (East)3.62.35.3Lower than State
Provo (North)/BYU3.02.04.4Lower than State
Provo (South)6.04.67.6
Springville/Spanish Fork3.83.04.7Lower than State
Utah Co (South)5.23.86.9
Summit Co3.22.24.5Lower than State
Wasatch Co2.21.23.7Lower than State
TriCounty LHD8.97.510.4Higher than State
Juab/Millard/Sanpete Co6.04.87.3
Sevier/Piute/Wayne Co4.43.06.2
Carbon/Emery Co7.66.09.6Higher than State
Grand/San Juan Co3.62.35.3Lower than State
St George2.51.93.3Lower than State
Washington Co (Other)2.51.93.2Lower than State
Cedar City2.92.04.1Lower than State
Southwest LHD (Other)4.02.65.8
State5.55.35.6

Map of Age-adjusted Asthma Hospitalizations per 10,000 Population by Utah Small Area, 2012-2014

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. Please note that the years aggregated to create the map are different than the years aggregated in the data table. This difference is unlikely to yield different results.


Data Notes

The ICD-9 code used to define asthma is 493.   The rates were age-adjusted to the U.S. 2000 standard population. More information about the Utah Small Areas can be found at [[br]][https://ibis.health.utah.gov/pdf/resource/SmallAreas.pdf].

Data Sources

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


Asthma Hospitalizations Age-adjusted Rates by Local Health District, Utah, 2011-2014

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 26
Bear River2.92.53.4Lower than State
Central5.74.96.6Similar to State
Davis County4.23.84.6Lower than State
Salt Lake County7.67.47.9Higher than State
San Juan2.61.44.3Lower than State
Southeast7.05.88.4Higher than State
Southwest2.72.43.1Lower than State
Summit3.22.44.4Lower than State
Tooele9.68.311.0Higher than State
TriCounty9.28.010.5Higher than State
Utah County3.73.44.0Lower than State
Wasatch2.51.53.8Lower than State
Weber-Morgan5.24.85.7Similar to State
State of Utah5.55.45.6

Map of Asthma Age-adjusted Hospitalization Rates per 10,000 Population by Local Health District, Utah, 2011-2014

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.   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

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


Hospitalizations due to Asthma Age-adjusted Rates by Year, Utah, 2000-2014

::chart - missing::
confidence limits

YearInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 15
20006.05.76.4
20016.15.76.4
20026.25.96.6
20036.96.67.3
20046.46.16.7
20056.46.16.8
20065.35.05.6
20074.94.65.2
20085.24.95.5
20096.05.76.3
20105.45.15.6
20115.75.45.9
20126.05.76.3
20135.35.05.5
20145.14.95.4

Data Notes

The ICD-9 code used to define asthma is 493.   Rates were age-adjusted to the U.S. 2000 standard population.

Data Sources

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

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 10/18/2016, Published on 11/15/2016
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 Wed, 18 July 2018 11:48:36 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:42 MDT