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

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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.


Asthma Hospitalizations Age-adjusted Rates by Local Health District, Utah, 2016-2018

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

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]

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.

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]
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 Mon, 27 September 2021 23:28:43 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