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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

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confidence limits

Age GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 5
0-49.18.29.9
5-144.33.94.7
15-341.21.11.4
35-641.61.41.8
65+2.32.02.7

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

::chart - missing::
confidence limits

Males vs. FemalesAge GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 36
MaleLess Than 13.22.04.7
Male1-4 Yrs14.212.915.6
Male5-9 Yrs7.56.78.4
Male10-14 Yrs2.82.33.4
Male15-17 Yrs1.30.91.8
Male18-19 Yrs0.70.31.3*
Male20-24 Yrs0.70.51.0
Male25-34 Yrs1.00.81.3
Male35-44 Yrs1.00.71.2
Male45-54 Yrs1.00.71.3
Male55-64 Yrs1.20.81.5
Male65+ Yrs1.31.01.7
FemaleLess Than 10.80.31.8*
Female1-4 Yrs8.57.59.6
Female5-9 Yrs6.35.57.2
Female10-14 Yrs2.21.72.7
Female15-17 Yrs1.81.32.4
Female18-19 Yrs1.81.22.7
Female20-24 Yrs1.91.52.4
Female25-34 Yrs1.91.62.3
Female35-44 Yrs2.52.12.9
Female45-54 Yrs2.62.23.1
Female55-64 Yrs2.21.82.7
Female65+ Yrs3.12.63.6
TotalLess Than 12.01.42.9
Total1-4 Yrs11.410.612.3
Total5-9 Yrs6.96.47.5
Total10-14 Yrs2.52.22.9
Total15-17 Yrs1.51.21.9
Total18-19 Yrs1.30.91.8
Total20-24 Yrs1.31.11.6
Total25-34 Yrs1.51.31.7
Total35-44 Yrs1.71.51.9
Total45-54 Yrs1.81.52.1
Total55-64 Yrs1.71.42.0
Total65+ Yrs2.32.02.6

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

::chart - missing::
confidence limits

ICD-9 vs. ICD-10YearCrude Rate per 10,000Lower LimitUpper Limit
Record Count: 20
ICD-920005.85.56.2
ICD-920015.85.56.1
ICD-920026.25.96.5
ICD-920036.66.37.0
ICD-920046.25.96.5
ICD-920056.15.86.4
ICD-920065.24.95.4
ICD-920074.94.65.2
ICD-920085.35.05.6
ICD-920096.15.86.4
ICD-920105.35.05.5
ICD-920115.65.45.9
ICD-920126.15.86.4
ICD-920135.35.05.6
ICD-920145.24.95.4
ICD-920154.74.45.0
ICD-1020153.22.83.6
ICD-1020163.23.03.5
ICD-1020172.72.52.9
ICD-1020182.52.42.7

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.pdf

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, 2000-2018

::chart - missing::

ICD-9 vs. ICD-10YearNumber of Hospitalizations
Record Count: 20
ICD-920001,310
ICD-920011,326
ICD-920021,442
ICD-920031,561
ICD-920041,485
ICD-920051,508
ICD-920061,301
ICD-920071,270
ICD-920081,407
ICD-920091,650
ICD-920101,459
ICD-920111,585
ICD-920121,735
ICD-920131,530
ICD-920141,521
ICD-920151,042
ICD-102015239
ICD-102016990
ICD-102017837
ICD-102018802

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.pdf

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, 2018

::chart - missing::

Local Health DistrictTotal 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 Health


Asthma Hospitalization Average Charge per Visit by Local Health District, Utah, 2016-2018

::chart - missing::
confidence limits

Local Health DistrictAverage Charge per VisitLower LimitUpper 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 Health


Hospitalizations due to Asthma Age-adjusted Rates by Utah Small Area, 2016-2018

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 97
Brigham City0.90.41.8*
Box Elder Co (Other) V21.10.42.6*
Tremonton2.91.64.8
Logan V20.90.51.6
North Logan1.20.52.5*
Cache (Other)/Rich (All) V21.60.83.0*
Hyrum1.80.64.1*
Smithfield1.30.52.7*
Ben Lomond2.92.23.7
Weber County (East)1.60.92.5
Morgan County2.11.04.1*
Ogden (Downtown)4.33.25.7
South Ogden2.21.43.3
Roy/Hooper3.02.24.0
Riverdale2.21.33.5
Clearfield Area/Hooper2.51.93.3
Layton/South Weber2.92.33.6
Kaysville/Fruit Heights1.50.92.3
Syracuse1.70.83.1
Centerville1.80.83.4*
Farmington1.20.62.1*
North Salt Lake1.40.62.8*
Woods Cross/West Bountiful3.11.55.7
Bountiful1.71.12.4
SLC (Rose Park)4.63.46.0
SLC (Avenues)1.40.6*
SLC (Foothill/East Bench)0.90.31.9*
Magna2.91.94.2
SLC (Glendale) V26.14.48.3
West Valley (Center)3.93.05.0
West Valley (West) V23.82.75.1
West Valley (East) V24.63.65.8
SLC (Downtown) V22.71.64.1
SLC (Southeast Liberty)3.72.35.7
South Salt Lake3.22.14.7
SLC (Sugar House)3.82.75.3
Millcreek (South)3.01.84.8
Millcreek (East)1.70.93.0
Holladay V23.22.04.9
Cottonwood2.31.53.4
Kearns V25.03.86.5
Taylorsville (E)/Murray (W)4.02.95.3
Taylorsville (West)2.01.22.9
Murray5.64.27.3
Midvale4.83.56.4
West Jordan (Northeast) V23.92.75.4
West Jordan (Southeast)3.62.64.9
West Jordan (W)/Copperton3.32.44.5
South Jordan V23.22.24.4
Daybreak2.51.24.5
Sandy (West)1.91.13.0
Sandy (Center) V22.21.43.4
Sandy (Northeast)2.61.54.1
Sandy (Southeast)2.81.84.2
Draper2.01.42.9
Riverton/Bluffdale2.41.63.5
Herriman4.12.76.1
Tooele County (Other)3.72.25.8
Tooele Valley5.74.67.1
Eagle Mountain/Cedar Valley1.81.12.9
Lehi1.51.02.0
Saratoga Springs1.20.62.1
American Fork1.71.12.5
Pleasant Grove/Lindon2.72.03.7
Orem (North)3.02.14.2
Orem (West)3.12.04.5
Orem (East)1.10.52.2*
Provo/BYU1.50.92.5
Provo (West City Center)3.42.34.8
Provo (East City Center)5.73.68.5
Salem City1.50.53.6*
Spanish Fork2.51.73.6
Springville3.02.14.3
Utah County (South) V23.51.86.0
Payson3.82.55.5
Park City1.30.72.3
Summit County (East)2.21.04.3*
Wasatch County1.60.82.6
Daggett and Uintah County6.44.98.1
Duchesne County4.22.76.2
Nephi/Mona3.71.86.9*
Delta/Fillmore2.71.05.6*
Sanpete Valley1.10.42.3*
Central (Other)2.91.84.4
Richfield/Monroe/Salina2.11.04.1*
Carbon County3.21.95.1
Grand County2.40.95.1*
Blanding/Monticello5.02.68.6
San Juan County (Other)3.01.07.1*
St. George1.51.12.1
Washington Co (Other) V22.61.05.5*
Washington City1.30.62.4*
Hurricane/La Verkin1.70.92.9
Ivins/Santa Clara1.30.53.0*
Cedar City1.30.72.0
Southwest LHD (Other)1.00.41.9*
State of Utah2.62.52.8

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

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Rate per 10,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River1.41.11.7Lower than State
Central2.41.83.1Similar to State
Davis County2.21.92.5Lower than State
Salt Lake County3.33.13.5Higher than State
San Juan3.82.26.1Similar to State
Southeast2.61.73.7Similar to State
Southwest1.51.21.8Lower than State
Summit1.61.02.5Lower than State
Tooele5.24.36.3Higher than State
TriCounty5.54.56.8Higher than State
Utah County2.42.12.6Lower than State
Wasatch1.50.82.6Lower than State
Weber-Morgan2.82.43.2Similar to State
State of Utah2.72.62.8

Map of Asthma Age-adjusted Hospitalization Rates per 10,000 Population by Local Health District, Utah, 2016-2018

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 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

::chart - missing::
confidence limits

ICD-9 vs. ICD-10YearInpatient Hospital Visits per 10,000 PopulationLower LimitUpper Limit
Record Count: 20
ICD-920006.05.76.3
ICD-920016.05.76.4
ICD-920026.25.96.6
ICD-920036.86.57.2
ICD-920046.36.06.6
ICD-920056.36.06.6
ICD-920065.24.95.5
ICD-920074.84.55.1
ICD-920085.14.85.4
ICD-920095.95.66.2
ICD-920105.25.05.5
ICD-920115.55.35.8
ICD-920125.95.66.2
ICD-920135.25.05.5
ICD-920145.14.85.4
ICD-920154.64.34.9
ICD-1020153.12.73.5
ICD-1020163.12.93.3
ICD-1020172.62.42.8
ICD-1020182.42.32.6

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.pdf

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.

Page Content Updated On 11/26/2020, Published on 12/21/2020
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 Sun, 24 January 2021 1:43:07 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, 21 Dec 2020 15:24:04 MST