Health Indicator Report of Asthma-related Emergency Department (ED) Visits
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.
Emergency Department Visits due to Asthma by Year, Utah, 2000-2018
NotesAsthma 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. 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
- Emergency Department Encounter Database, Bureau of Emergency Medical Services, 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
DefinitionRate: Emergency department visits due to asthma per 10,000 Utah residents. [[br]] Number: Emergency department visits due to asthma.
NumeratorRate/Number: Number of emergency department visits among the Utah population with asthma as the principle diagnosis.
DenominatorRate: Utah Population. [[br]] Number: Not applicable.
How Are We Doing?In 2017-2018, 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 (30.0 vs. 18.0). However, among those aged 15 years and older, females have a higher rate than males (22.0 vs. 13.0).
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 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://www.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 InformationUtah Asthma Program website: [http://www.health.utah.gov/asthma] CDC EXHALE package: [https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf]
Page Content Updated On 10/27/2020, Published on 12/08/2020