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

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

Definition

Rate: Emergency department visits due to asthma 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 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 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.

How Are We Doing?

In 2018-2019, Utah's overall emergency department visit rate due to asthma was 19.2 per 10,000 population (crude rate). Asthma emergency department visits per 10,000 are almost twice as high among male children aged 0-15 when compared to female children aged 0-15 (29.4 vs. 17.7). However, among those aged 15 years and older, females have a higher rate than males (22.2 vs. 12.9).

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 for 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] 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]

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 Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Emergency Department Visits due to Asthma by Year, Utah, 2015-2019

::chart - missing::
confidence limits

ICD-9 vs. ICD-10YearAge-adjusted Emergency Dept. Visits per 10,000Lower LimitUpper Limit
Record Count: 5
ICD-10201521.820.722.8
ICD-10201621.120.621.6
ICD-10201719.819.320.3
ICD-10201818.017.518.5
ICD-10201919.018.519.5

Data Notes

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

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


Percentage of Emergency Department Visits due to Asthma by Race/Ethnicity, Utah, 2015-2019

::chart - missing::
confidence limits

Race/EthnicityLower LimitUpper Limit
Record Count: 7
American Indian, Alaskan Native19.7%16.9%22.8%
Asian8.3%7.0%9.9%
Black, African American56.4%51.5%61.6%
Hispanic, Latino20.4%19.4%21.4%
Native Hawaiian, Pacific Islander59.8%53.9%66.2%
White15.8%15.5%16.2%
Other64.0%58.8%69.6%

Data Notes

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


Emergency Department Encounters due to Asthma by Age Groups: 0-4, 5-14, 15-34, 35-64 and 65+, Utah, 2017-2019

::chart - missing::
confidence limits

Age GroupEmergency Dept. Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 5
0-431.029.832.3
5-1421.821.022.5
15-3420.419.820.9
35-6417.116.617.5
65+13.012.313.7

Data Notes

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


Emergency Department Visits due to Asthma by Age and Sex, Utah, 2017-2019

::chart - missing::
confidence limits

Males vs. FemalesAge GroupEmergency Dept. Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 10
Male0-441.039.043.0
Male5-1426.024.927.1
Male15-3416.115.416.7
Male35-6411.611.112.2
Male65+8.88.09.7
Female0-420.519.122.1
Female5-1417.316.418.3
Female15-3424.824.025.6
Female35-6422.621.823.3
Female65+16.715.617.8

Data Notes

Asthma was identified using The National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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 Visits 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 River13.712.714.8Lower than state
Central20.118.322.0Similar to state
Davis County15.414.616.2Lower than state
Salt Lake County23.723.224.2Higher than state
San Juan17.113.621.2Similar to state
Southeast24.721.827.9Higher than state
Southwest16.315.317.3Lower than state
Summit8.97.310.8Lower than state
Tooele26.023.828.2Higher than state
TriCounty36.833.939.9Higher than state
Utah County13.312.713.8Lower than state
Wasatch18.916.221.9Similar to state
Weber-Morgan23.722.624.8Higher than State
State of Utah19.218.819.6

Map of Asthma Emergency Department Visits 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 National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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.

Data Source

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


Emergency Department Visits due to Asthma by Utah Small Area, 2017-2019

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 100
Brigham City19.015.922.4Similar to state
Box Elder Co (Other) V218.314.023.4Similar to state
Tremonton20.116.324.5Similar to state
Logan V213.211.315.2Lower than state
North Logan12.710.016.0Lower than state
Cache (Other)/Rich (All) V29.67.512.2Lower than state
Hyrum7.24.211.6Lower than state
Smithfield9.86.913.4Lower than state
Ben Lomond22.420.324.6Higher than state
Weber County (East)9.88.011.9Lower than state
Morgan County10.07.013.9Lower than state
Ogden (Downtown)37.934.541.6Higher than state
South Ogden28.625.432.1Higher than state
Roy/Hooper21.919.624.5Higher than state
Riverdale27.524.031.4Higher than state
Clearfield Area/Hooper22.019.924.1Higher than state
Layton/South Weber14.913.416.4Lower than state
Kaysville/Fruit Heights8.56.910.4Lower than state
Syracuse10.38.013.1Lower than state
Centerville14.111.017.8Lower than state
Farmington10.68.213.4Lower than State
North Salt Lake17.013.920.6Similar to state
Woods Cross/West Bountiful14.210.918.0Lower than state
Bountiful18.416.220.8Similar to state
SLC (Rose Park)36.332.840.1Higher than state
SLC (Avenues)16.613.420.2Similar to state
SLC (Foothill/East Bench)10.48.013.3Lower than state
Magna25.121.928.8Higher than state
SLC (Glendale) V247.642.752.9Higher than state
West Valley (Center)34.831.937.9Higher than state
West Valley (West) V226.423.030.0Higher than state
West Valley (East) V235.933.039.0Higher than state
SLC (Downtown) V231.728.035.8Higher than state
SLC (Southeast Liberty)19.416.123.1Similar to state
South Salt Lake38.934.743.4Higher than state
SLC (Sugar House)27.023.830.5Higher than state
Millcreek (South)19.215.923.0Similar to state
Millcreek (East)11.99.514.8Lower than State
Holladay V228.424.532.8Higher than state
Cottonwood13.511.515.8Lower than state
Kearns V228.025.031.1Higher than state
Taylorsville (E)/Murray (W)32.729.436.2Higher than state
Taylorsville (West)24.521.827.5Higher than state
Murray43.239.347.5Higher than state
Midvale37.433.641.5Higher than state
West Jordan (Northeast) V222.519.425.9Higher than state
West Jordan (Southeast)23.020.326.0Higher than state
West Jordan (W)/Copperton18.616.021.5Similar to state
South Jordan V214.612.417.0Lower than state
Daybreak10.48.312.9Lower than state
Sandy (West)25.622.329.2Higher than state
Sandy (Center) V216.714.019.6Similar to state
Sandy (Northeast)10.38.013.0Lower than state
Sandy (Southeast)12.610.315.3Lower than state
Draper12.410.514.6Lower than state
Riverton/Bluffdale12.110.214.2Lower than state
Herriman16.313.619.4Similar to state
Tooele County (Other)26.822.431.7Higher than state
Tooele Valley26.023.528.6Higher than state
Eagle Mountain/Cedar Valley12.39.815.2Lower than state
Lehi12.710.914.6Lower than state
Saratoga Springs10.48.412.9Lower than state
American Fork13.411.515.4Lower than state
Alpine5.53.38.6Lower than state
Pleasant Grove/Lindon12.911.214.8Lower than state
Orem (North)17.715.320.4Similar to state
Orem (West)16.914.419.6Similar to state
Orem (East)9.87.612.4Lower than state
Provo/BYU8.76.910.9Lower than state
Provo (West City Center)23.420.226.9Higher than state
Provo (East City Center)30.024.636.4Higher than state
Salem City9.76.514.0Lower than state
Spanish Fork11.89.814.0Lower than state
Springville13.211.015.7Lower than state
Mapleton5.43.18.6Lower than state
Utah County (South) V212.59.416.4Lower than state
Payson19.016.022.4Similar to state
Park City10.38.212.8Lower than state
Summit County (East)6.03.89.0Lower than state
Wasatch County17.815.320.6Similar to state
Daggett and Uintah County44.940.949.2Higher than state
Duchesne County22.118.426.4Similar to state
Nephi/Mona20.715.627.0Similar to state
Delta/Fillmore23.017.829.2Similar to state
Sanpete Valley14.811.818.3Lower than State
Central (Other)20.116.923.7Similar to state
Richfield/Monroe/Salina27.122.432.6Higher than state
Carbon County31.226.736.2Higher than state
Emery County13.19.218.0Lower than state
Grand County21.916.628.4Similar to state
Blanding/Monticello23.217.530.0Similar to state
San Juan County (Other)11.67.616.8Lower than state
St. George18.617.020.4Similar to state
Washington Co (Other) V211.78.016.6Lower than state
Washington City17.114.120.5Similar to state
Hurricane/La Verkin17.414.420.9Similar to state
Ivins/Santa Clara11.38.314.9Lower than state
Cedar City13.911.916.1Lower than state
Southwest LHD (Other)14.812.018.1Lower than state
State of Utah19.218.819.6

Map of Age-adjusted Asthma Emergency Department Visits per 10,000 Population by Utah Small Area, 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. White areas are non-Utah zip code areas.


Data Notes

Asthma was identified using The National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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. *Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

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


Emergency Department Visits due to Asthma by Month and 5 Year Group, Utah, 2000-2014

::chart - missing::
confidence limits

5 Year Groups (ending 2014, 2019)MonthAge-adjusted Rate per 10,000 PopulationLower LimitUpper Limit
Record Count: 36
00-04Jan29.228.130.3
00-04Feb30.028.931.1
00-04Mar29.528.430.6
00-04Apr26.825.827.9
00-04May26.425.427.4
00-04Jun22.221.223.1
00-04Jul19.418.520.3
00-04Aug19.318.520.2
00-04Sep27.626.628.6
00-04Oct27.126.028.2
00-04Nov28.427.329.5
00-04Dec27.126.028.2
05-09Jan27.126.128.2
05-09Feb28.627.629.7
05-09Mar29.928.931.0
05-09Apr29.228.130.2
05-09May27.526.628.6
05-09Jun23.322.424.2
05-09Jul19.919.020.8
05-09Aug21.120.222.0
05-09Sep29.028.030.0
05-09Oct29.128.130.2
05-09Nov28.327.329.3
05-09Dec27.326.328.3
10-14Jan25.024.126.0
10-14Feb23.622.724.4
10-14Mar26.525.627.4
10-14Apr24.323.425.2
10-14May24.123.225.0
10-14Jun21.320.522.2
10-14Jul18.217.419.0
10-14Aug20.920.121.7
10-14Sep28.227.329.2
10-14Oct24.823.925.7
10-14Nov23.522.624.4
10-14Dec27.626.628.6

Data Notes

Asthma was identified using The National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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, 2020

::chart - missing::
confidence limits

Local Health DistrictAverage Charge per VisitLower LimitUpper Limit
Record Count: 14
Bear River$3,511$2,934$4,087
Central$3,251$2,609$3,892
Davis County$5,020$4,409$5,632
Salt Lake County$4,823$4,545$5,101
San Juan$2,572$744$4,400
Southeast$3,569$2,686$4,453
Southwest$3,819$3,264$4,374
Summit$3,501$2,270$4,732
Tooele$5,242$4,393$6,091
TriCounty$6,236$4,666$7,807
Utah County$4,686$4,137$5,235
Wasatch$9,663$0$22,206
Weber-Morgan$5,163$4,606$5,720
State of Utah$4,731$4,539$4,923

Data Notes

Asthma was identified using The National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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.   Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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 Total Charges by Local Health District, Utah, 2020

::chart - missing::

Local Health DistrictTotal ChargesNote
Record Count: 14
Bear River$793,3956
Central$409,5747
Davis County$2,158,8053
Salt Lake County$9,713,6821
San Juan$43,72613
Southeast$235,57911
Southwest$1,435,8345
Summit$87,52810
Tooele$859,6918
TriCounty$898,0329
Utah County$3,261,7132
Wasatch$260,90312
Weber-Morgan$2,813,8134
State of Utah$22,972,273

Data Notes

Asthma was identified using The National Center for Health Statistics (NCHS) 113 selected causes asthma definition. 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.   The numbers in the "Other" column denote the rank of the LHD based on population size. For example, number 1, Salt Lake County LHD has the largest population in Utah.

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.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 01/31/2022, Published on 01/31/2022
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 Tue, 16 August 2022 9:54:19 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Mon, 31 Jan 2022 14:46:32 MST