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.Data Interpretation Issues
In October 2015, hospital and emergency department data switched from the ICD-9 to the ICD-10 coding system. To accurately report data across both coding systems, the counts or rates for the earlier dates must be "comparability modified". This is accomplished by multiplying the earlier count (or rate) by the comparability ratio for that cause. This report uses the NCHS Comparability Ratios for 113 Selected Causes. 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]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.How Are We Doing?
In 2017-2018, 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 (11.3 per 10,000 people) and females aged 0-4 (6.7 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
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
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, 2017-2018
| Age Group | Inpatient Hospital Visits per 10,000 Population | Lower Limit | Upper Limit | |||
|---|---|---|---|---|---|---|
Record Count: 5 | ||||||
| 0-4 | 9.1 | 8.2 | 9.9 | |||
| 5-14 | 4.3 | 3.9 | 4.7 | |||
| 15-34 | 1.2 | 1.1 | 1.4 | |||
| 35-64 | 1.6 | 1.4 | 1.8 | |||
| 65+ | 2.3 | 2.0 | 2.7 | |||
Data Notes
Asthma was identified using the The National Center for Health Statistics (NCHS) 113 selected causes asthma definition.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, 2016-2018
| Males vs. Females | Age Group | Inpatient Hospital Visits per 10,000 Population | Lower Limit | Upper Limit | Note | |
|---|---|---|---|---|---|---|
Record Count: 36 | ||||||
| Male | Less Than 1 | 3.2 | 2.0 | 4.7 | ||
| Male | 1-4 Yrs | 14.2 | 12.9 | 15.6 | ||
| Male | 5-9 Yrs | 7.5 | 6.7 | 8.4 | ||
| Male | 10-14 Yrs | 2.8 | 2.3 | 3.4 | ||
| Male | 15-17 Yrs | 1.3 | 0.9 | 1.8 | ||
| Male | 18-19 Yrs | 0.7 | 0.3 | 1.3 | * | |
| Male | 20-24 Yrs | 0.7 | 0.5 | 1.0 | ||
| Male | 25-34 Yrs | 1.0 | 0.8 | 1.3 | ||
| Male | 35-44 Yrs | 1.0 | 0.7 | 1.2 | ||
| Male | 45-54 Yrs | 1.0 | 0.7 | 1.3 | ||
| Male | 55-64 Yrs | 1.2 | 0.8 | 1.5 | ||
| Male | 65+ Yrs | 1.3 | 1.0 | 1.7 | ||
| Female | Less Than 1 | 0.8 | 0.3 | 1.8 | * | |
| Female | 1-4 Yrs | 8.5 | 7.5 | 9.6 | ||
| Female | 5-9 Yrs | 6.3 | 5.5 | 7.2 | ||
| Female | 10-14 Yrs | 2.2 | 1.7 | 2.7 | ||
| Female | 15-17 Yrs | 1.8 | 1.3 | 2.4 | ||
| Female | 18-19 Yrs | 1.8 | 1.2 | 2.7 | ||
| Female | 20-24 Yrs | 1.9 | 1.5 | 2.4 | ||
| Female | 25-34 Yrs | 1.9 | 1.6 | 2.3 | ||
| Female | 35-44 Yrs | 2.5 | 2.1 | 2.9 | ||
| Female | 45-54 Yrs | 2.6 | 2.2 | 3.1 | ||
| Female | 55-64 Yrs | 2.2 | 1.8 | 2.7 | ||
| Female | 65+ Yrs | 3.1 | 2.6 | 3.6 | ||
| Total | Less Than 1 | 2.0 | 1.4 | 2.9 | ||
| Total | 1-4 Yrs | 11.4 | 10.6 | 12.3 | ||
| Total | 5-9 Yrs | 6.9 | 6.4 | 7.5 | ||
| Total | 10-14 Yrs | 2.5 | 2.2 | 2.9 | ||
| Total | 15-17 Yrs | 1.5 | 1.2 | 1.9 | ||
| Total | 18-19 Yrs | 1.3 | 0.9 | 1.8 | ||
| Total | 20-24 Yrs | 1.3 | 1.1 | 1.6 | ||
| Total | 25-34 Yrs | 1.5 | 1.3 | 1.7 | ||
| Total | 35-44 Yrs | 1.7 | 1.5 | 1.9 | ||
| Total | 45-54 Yrs | 1.8 | 1.5 | 2.1 | ||
| Total | 55-64 Yrs | 1.7 | 1.4 | 2.0 | ||
| Total | 65+ Yrs | 2.3 | 2.0 | 2.6 | ||
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 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, 2000-2018
| ICD-9 vs. ICD-10 | Year | Crude Rate per 10,000 | Lower Limit | Upper Limit | ||
|---|---|---|---|---|---|---|
Record Count: 20 | ||||||
| ICD-9 | 2000 | 5.8 | 5.5 | 6.2 | ||
| ICD-9 | 2001 | 5.8 | 5.5 | 6.1 | ||
| ICD-9 | 2002 | 6.2 | 5.9 | 6.5 | ||
| ICD-9 | 2003 | 6.6 | 6.3 | 7.0 | ||
| ICD-9 | 2004 | 6.2 | 5.9 | 6.5 | ||
| ICD-9 | 2005 | 6.1 | 5.8 | 6.4 | ||
| ICD-9 | 2006 | 5.2 | 4.9 | 5.4 | ||
| ICD-9 | 2007 | 4.9 | 4.6 | 5.2 | ||
| ICD-9 | 2008 | 5.3 | 5.0 | 5.6 | ||
| ICD-9 | 2009 | 6.1 | 5.8 | 6.4 | ||
| ICD-9 | 2010 | 5.3 | 5.0 | 5.5 | ||
| ICD-9 | 2011 | 5.6 | 5.4 | 5.9 | ||
| ICD-9 | 2012 | 6.1 | 5.8 | 6.4 | ||
| ICD-9 | 2013 | 5.3 | 5.0 | 5.6 | ||
| ICD-9 | 2014 | 5.2 | 4.9 | 5.4 | ||
| ICD-9 | 2015 | 4.7 | 4.4 | 5.0 | ||
| ICD-10 | 2015 | 3.2 | 2.8 | 3.6 | ||
| ICD-10 | 2016 | 3.2 | 3.0 | 3.5 | ||
| ICD-10 | 2017 | 2.7 | 2.5 | 2.9 | ||
| ICD-10 | 2018 | 2.5 | 2.4 | 2.7 | ||
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. The decrease in asthma case counts from ICD9 to ICD10 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.pdfData 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, 2000-2018
| ICD-9 vs. ICD-10 | Year | Number of Hospitalizations | ||||
|---|---|---|---|---|---|---|
Record Count: 20 | ||||||
| ICD-9 | 2000 | 1,310 | ||||
| ICD-9 | 2001 | 1,326 | ||||
| ICD-9 | 2002 | 1,442 | ||||
| ICD-9 | 2003 | 1,561 | ||||
| ICD-9 | 2004 | 1,485 | ||||
| ICD-9 | 2005 | 1,508 | ||||
| ICD-9 | 2006 | 1,301 | ||||
| ICD-9 | 2007 | 1,270 | ||||
| ICD-9 | 2008 | 1,407 | ||||
| ICD-9 | 2009 | 1,650 | ||||
| ICD-9 | 2010 | 1,459 | ||||
| ICD-9 | 2011 | 1,585 | ||||
| ICD-9 | 2012 | 1,735 | ||||
| ICD-9 | 2013 | 1,530 | ||||
| ICD-9 | 2014 | 1,521 | ||||
| ICD-9 | 2015 | 1,042 | ||||
| ICD-10 | 2015 | 239 | ||||
| ICD-10 | 2016 | 990 | ||||
| ICD-10 | 2017 | 837 | ||||
| ICD-10 | 2018 | 802 | ||||
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. 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.pdfData Source
Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of HealthAsthma Hospitalization Total Charges by Local Health District, Utah, 2018
| Local Health District | Total Charges | |||||
|---|---|---|---|---|---|---|
Record Count: 14 | ||||||
| Bear River | $609,546 | |||||
| Central | $231,900 | |||||
| Davis County | $1,117,949 | |||||
| Salt Lake County | $5,278,615 | |||||
| San Juan | $60,665 | |||||
| Southeast | $64,926 | |||||
| Southwest | $548,511 | |||||
| Summit | $106,949 | |||||
| Tooele | $474,399 | |||||
| TriCounty | $344,947 | |||||
| Utah County | $2,246,438 | |||||
| Wasatch | $101,179 | |||||
| Weber-Morgan | $1,386,626 | |||||
| State of Utah | $12,572,650 | |||||
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 HealthAsthma Hospitalization Average Charge per Visit by Local Health District, Utah, 2016-2018
| Local Health District | Average Charge per Visit | Lower Limit | Upper Limit | |||
|---|---|---|---|---|---|---|
Record Count: 14 | ||||||
| Bear River | $17,179 | $9,924 | $24,434 | |||
| Central | $11,334 | $9,002 | $13,666 | |||
| Davis County | $13,533 | $12,378 | $14,688 | |||
| Salt Lake County | $14,349 | $13,714 | $14,985 | |||
| San Juan | $10,773 | $6,642 | $14,905 | |||
| Southeast | $12,168 | $9,214 | $15,123 | |||
| Southwest | $12,848 | $10,995 | $14,701 | |||
| Summit | $15,980 | $11,338 | $20,622 | |||
| Tooele | $15,767 | $13,675 | $17,859 | |||
| TriCounty | $13,399 | $12,034 | $14,765 | |||
| Utah County | $15,020 | $13,763 | $16,278 | |||
| Wasatch | $14,815 | $8,421 | $21,209 | |||
| Weber-Morgan | $16,021 | $13,525 | $18,516 | |||
| State of Utah | $14,481 | $13,977 | $14,985 | |||
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 HealthHospitalizations due to Asthma Age-adjusted Rates by Utah Small Area, 2016-2018
| Utah Small Areas | Age-adjusted Rate per 10,000 Population | Lower Limit | Upper Limit | Note | ||
|---|---|---|---|---|---|---|
Record Count: 97 | ||||||
| Brigham City | 0.9 | 0.4 | 1.8 | * | ||
| Box Elder Co (Other) V2 | 1.1 | 0.4 | 2.6 | * | ||
| Tremonton | 2.9 | 1.6 | 4.8 | |||
| Logan V2 | 0.9 | 0.5 | 1.6 | |||
| North Logan | 1.2 | 0.5 | 2.5 | * | ||
| Cache (Other)/Rich (All) V2 | 1.6 | 0.8 | 3.0 | * | ||
| Hyrum | 1.8 | 0.6 | 4.1 | * | ||
| Smithfield | 1.3 | 0.5 | 2.7 | * | ||
| Ben Lomond | 2.9 | 2.2 | 3.7 | |||
| Weber County (East) | 1.6 | 0.9 | 2.5 | |||
| Morgan County | 2.1 | 1.0 | 4.1 | * | ||
| Ogden (Downtown) | 4.3 | 3.2 | 5.7 | |||
| South Ogden | 2.2 | 1.4 | 3.3 | |||
| Roy/Hooper | 3.0 | 2.2 | 4.0 | |||
| Riverdale | 2.2 | 1.3 | 3.5 | |||
| Clearfield Area/Hooper | 2.5 | 1.9 | 3.3 | |||
| Layton/South Weber | 2.9 | 2.3 | 3.6 | |||
| Kaysville/Fruit Heights | 1.5 | 0.9 | 2.3 | |||
| Syracuse | 1.7 | 0.8 | 3.1 | |||
| Centerville | 1.8 | 0.8 | 3.4 | * | ||
| Farmington | 1.2 | 0.6 | 2.1 | * | ||
| North Salt Lake | 1.4 | 0.6 | 2.8 | * | ||
| Woods Cross/West Bountiful | 3.1 | 1.5 | 5.7 | |||
| Bountiful | 1.7 | 1.1 | 2.4 | |||
| SLC (Rose Park) | 4.6 | 3.4 | 6.0 | |||
| SLC (Avenues) | 1.4 | 0.6 | * | |||
| SLC (Foothill/East Bench) | 0.9 | 0.3 | 1.9 | * | ||
| Magna | 2.9 | 1.9 | 4.2 | |||
| SLC (Glendale) V2 | 6.1 | 4.4 | 8.3 | |||
| West Valley (Center) | 3.9 | 3.0 | 5.0 | |||
| West Valley (West) V2 | 3.8 | 2.7 | 5.1 | |||
| West Valley (East) V2 | 4.6 | 3.6 | 5.8 | |||
| SLC (Downtown) V2 | 2.7 | 1.6 | 4.1 | |||
| SLC (Southeast Liberty) | 3.7 | 2.3 | 5.7 | |||
| South Salt Lake | 3.2 | 2.1 | 4.7 | |||
| SLC (Sugar House) | 3.8 | 2.7 | 5.3 | |||
| Millcreek (South) | 3.0 | 1.8 | 4.8 | |||
| Millcreek (East) | 1.7 | 0.9 | 3.0 | |||
| Holladay V2 | 3.2 | 2.0 | 4.9 | |||
| Cottonwood | 2.3 | 1.5 | 3.4 | |||
| Kearns V2 | 5.0 | 3.8 | 6.5 | |||
| Taylorsville (E)/Murray (W) | 4.0 | 2.9 | 5.3 | |||
| Taylorsville (West) | 2.0 | 1.2 | 2.9 | |||
| Murray | 5.6 | 4.2 | 7.3 | |||
| Midvale | 4.8 | 3.5 | 6.4 | |||
| West Jordan (Northeast) V2 | 3.9 | 2.7 | 5.4 | |||
| West Jordan (Southeast) | 3.6 | 2.6 | 4.9 | |||
| West Jordan (W)/Copperton | 3.3 | 2.4 | 4.5 | |||
| South Jordan V2 | 3.2 | 2.2 | 4.4 | |||
| Daybreak | 2.5 | 1.2 | 4.5 | |||
| Sandy (West) | 1.9 | 1.1 | 3.0 | |||
| Sandy (Center) V2 | 2.2 | 1.4 | 3.4 | |||
| Sandy (Northeast) | 2.6 | 1.5 | 4.1 | |||
| Sandy (Southeast) | 2.8 | 1.8 | 4.2 | |||
| Draper | 2.0 | 1.4 | 2.9 | |||
| Riverton/Bluffdale | 2.4 | 1.6 | 3.5 | |||
| Herriman | 4.1 | 2.7 | 6.1 | |||
| Tooele County (Other) | 3.7 | 2.2 | 5.8 | |||
| Tooele Valley | 5.7 | 4.6 | 7.1 | |||
| Eagle Mountain/Cedar Valley | 1.8 | 1.1 | 2.9 | |||
| Lehi | 1.5 | 1.0 | 2.0 | |||
| Saratoga Springs | 1.2 | 0.6 | 2.1 | |||
| American Fork | 1.7 | 1.1 | 2.5 | |||
| Pleasant Grove/Lindon | 2.7 | 2.0 | 3.7 | |||
| Orem (North) | 3.0 | 2.1 | 4.2 | |||
| Orem (West) | 3.1 | 2.0 | 4.5 | |||
| Orem (East) | 1.1 | 0.5 | 2.2 | * | ||
| Provo/BYU | 1.5 | 0.9 | 2.5 | |||
| Provo (West City Center) | 3.4 | 2.3 | 4.8 | |||
| Provo (East City Center) | 5.7 | 3.6 | 8.5 | |||
| Salem City | 1.5 | 0.5 | 3.6 | * | ||
| Spanish Fork | 2.5 | 1.7 | 3.6 | |||
| Springville | 3.0 | 2.1 | 4.3 | |||
| Utah County (South) V2 | 3.5 | 1.8 | 6.0 | |||
| Payson | 3.8 | 2.5 | 5.5 | |||
| Park City | 1.3 | 0.7 | 2.3 | |||
| Summit County (East) | 2.2 | 1.0 | 4.3 | * | ||
| Wasatch County | 1.6 | 0.8 | 2.6 | |||
| Daggett and Uintah County | 6.4 | 4.9 | 8.1 | |||
| Duchesne County | 4.2 | 2.7 | 6.2 | |||
| Nephi/Mona | 3.7 | 1.8 | 6.9 | * | ||
| Delta/Fillmore | 2.7 | 1.0 | 5.6 | * | ||
| Sanpete Valley | 1.1 | 0.4 | 2.3 | * | ||
| Central (Other) | 2.9 | 1.8 | 4.4 | |||
| Richfield/Monroe/Salina | 2.1 | 1.0 | 4.1 | * | ||
| Carbon County | 3.2 | 1.9 | 5.1 | |||
| Grand County | 2.4 | 0.9 | 5.1 | * | ||
| Blanding/Monticello | 5.0 | 2.6 | 8.6 | |||
| San Juan County (Other) | 3.0 | 1.0 | 7.1 | * | ||
| St. George | 1.5 | 1.1 | 2.1 | |||
| Washington Co (Other) V2 | 2.6 | 1.0 | 5.5 | * | ||
| Washington City | 1.3 | 0.6 | 2.4 | * | ||
| Hurricane/La Verkin | 1.7 | 0.9 | 2.9 | |||
| Ivins/Santa Clara | 1.3 | 0.5 | 3.0 | * | ||
| Cedar City | 1.3 | 0.7 | 2.0 | |||
| Southwest LHD (Other) | 1.0 | 0.4 | 1.9 | * | ||
| State of Utah | 2.6 | 2.5 | 2.8 | |||
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. 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, 2016-2018
| Local Health District | Age-adjusted Rate per 10,000 Population | Lower Limit | Upper Limit | Note | ||
|---|---|---|---|---|---|---|
Record Count: 14 | ||||||
| Bear River | 1.4 | 1.1 | 1.7 | Lower than State | ||
| Central | 2.4 | 1.8 | 3.1 | Similar to State | ||
| Davis County | 2.2 | 1.9 | 2.5 | Lower than State | ||
| Salt Lake County | 3.3 | 3.1 | 3.5 | Higher than State | ||
| San Juan | 3.8 | 2.2 | 6.1 | Similar to State | ||
| Southeast | 2.6 | 1.7 | 3.7 | Similar to State | ||
| Southwest | 1.5 | 1.2 | 1.8 | Lower than State | ||
| Summit | 1.6 | 1.0 | 2.5 | Lower than State | ||
| Tooele | 5.2 | 4.3 | 6.3 | Higher than State | ||
| TriCounty | 5.5 | 4.5 | 6.8 | Higher than State | ||
| Utah County | 2.4 | 2.1 | 2.6 | Lower than State | ||
| Wasatch | 1.5 | 0.8 | 2.6 | Lower than State | ||
| Weber-Morgan | 2.8 | 2.4 | 3.2 | Similar to State | ||
| State of Utah | 2.7 | 2.6 | 2.8 | |||
Map of Asthma Age-adjusted Hospitalization Rates per 10,000 Population by Local Health District, Utah, 2016-2018
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 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, 2000-2018
| ICD-9 vs. ICD-10 | Year | Inpatient Hospital Visits per 10,000 Population | Lower Limit | Upper Limit | ||
|---|---|---|---|---|---|---|
Record Count: 20 | ||||||
| ICD-9 | 2000 | 6.0 | 5.7 | 6.3 | ||
| ICD-9 | 2001 | 6.0 | 5.7 | 6.4 | ||
| ICD-9 | 2002 | 6.2 | 5.9 | 6.6 | ||
| ICD-9 | 2003 | 6.8 | 6.5 | 7.2 | ||
| ICD-9 | 2004 | 6.3 | 6.0 | 6.6 | ||
| ICD-9 | 2005 | 6.3 | 6.0 | 6.6 | ||
| ICD-9 | 2006 | 5.2 | 4.9 | 5.5 | ||
| ICD-9 | 2007 | 4.8 | 4.5 | 5.1 | ||
| ICD-9 | 2008 | 5.1 | 4.8 | 5.4 | ||
| ICD-9 | 2009 | 5.9 | 5.6 | 6.2 | ||
| ICD-9 | 2010 | 5.2 | 5.0 | 5.5 | ||
| ICD-9 | 2011 | 5.5 | 5.3 | 5.8 | ||
| ICD-9 | 2012 | 5.9 | 5.6 | 6.2 | ||
| ICD-9 | 2013 | 5.2 | 5.0 | 5.5 | ||
| ICD-9 | 2014 | 5.1 | 4.8 | 5.4 | ||
| ICD-9 | 2015 | 4.6 | 4.3 | 4.9 | ||
| ICD-10 | 2015 | 3.1 | 2.7 | 3.5 | ||
| ICD-10 | 2016 | 3.1 | 2.9 | 3.3 | ||
| ICD-10 | 2017 | 2.6 | 2.4 | 2.8 | ||
| ICD-10 | 2018 | 2.4 | 2.3 | 2.6 | ||
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.pdfData 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:
- CDC Prevention Status Reports for all 50 states
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- CDC WONDER DATA2010, the Healthy People 2010 Database.
Medical literature can be queried at the PubMed website.
Page Content Updated On 11/26/2020,
Published on 12/21/2020
