Health Indicator Report of Asthma Hospitalizations
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.
Map of Age-adjusted Asthma Hospitalizations per 10,000 Population by Utah Small Area, 2010-2012
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.
Hospitalizations due to Asthma Age-adjusted Rates by Utah Small Area, 2010-2012
NotesThe ICD-9 code used to define asthma is 493. The rates were age-adjusted to the U.S. 2000 standard population. Due to Utah Small Area boundary changes in 2009 and 2012, some of the Small Area rates presented include only select years of data. See chart for details.
- Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health
- Population estimates produced by staff in 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 2013
- Total Charges by Local Health District, Utah, 2012
- Average Charge per Visit by Local Health District, Utah, 2012
- Age-adjusted Rates by Local Health District, Utah, 2009-2012
- by Sex and Age, Utah, 2009-2012
- Age-adjusted Rates by Year, Utah, 2000-2012
- by Age Groups: 0-4, 5-64, and 65+, Utah, 2008-2012
- Counts by Year, Utah, 2000-2012
- Crude Rates by Year, Utah, 2000-2012
DefinitionRate: Number of hospitalizations due to asthma (ICD-9 code 493) per 10,000 population. Number: Number of hospitalizations due to asthma (ICD-9 code 493).
NumeratorRate/Number: Number of hospitalizations among the Utah population with asthma as the principle diagnosis.
DenominatorRate: Number of Utah residents. Number: Not applicable.
Healthy People Objective RD-2:Reduce hospitalizations for asthma
U.S. Target: Not applicable, see subobjectives in this category
Other ObjectivesHealthy 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 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 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?Utah is below the Healthy People 2020 objectives for asthma hospitalizations. In 2012 Utah's overall hospitalization rate was 6.2 visits per 10,000 people. Of particular interest is the high number of hospitalizations due to asthma among males aged 1-4, and females aged 65+.
What Is Being Done?The Utah Asthma Program (UAP) in conjunction with the Utah Asthma Task Force and other partners strives 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. In the coming years, the UAP will focus 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 will have 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 ServicesIndividual 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 Informationwww.health.utah.gov/asthma
Page Content Updated On 12/12/2014, Published on 03/03/2015