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Health Indicator Report of Carbon Monoxide: Hospitalizations and Emergency Department (ED) Visits

Hospitalization and emergency department (ED) visits for carbon monoxide (CO) poisoning are almost entirely preventable if proper measures are taken, such as always having a working carbon monoxide detector in your home or work.

CO is found in combustion fumes, such as those produced by cars, trucks, small gasoline engines, stoves, lanterns, burning charcoal and wood, gas ranges, and heating systems. Wherever a flame or combustion occurs, some deadly carbon monoxide gas can be produced. CO from these sources can build up in enclosed or semi-enclosed spaces causing people and animals in these spaces to be poisoned by breathing it.

CO poisoning is especially of concern after emergency situations such as power outages or natural disasters because of emergency equipment used that give off CO. Generators, grills, camp stoves, gasoline equipment, propane, natural gas, or charcoal-burning devices should never be used inside a home, basement, garage, camper, or even outside near an open window.

CO poisoning can also occur outdoors and has been reported while boating. In this case, CO poisoning is attributed mostly to generator exhaust that builds up inside and outside a boat in areas near exhaust vents. Dangerous concentrations of CO can accumulate within seconds; due to the possibility of rapid CO accumulation while boating, it is recommended that all boat owners schedule regular engine and exhaust system maintenance for their boats and install and test daily a battery operated CO detector.

CO poisoning is almost entirely preventable. To protect yourself from CO poisoning, use equipment that emits CO responsibly and install a properly working CO detector in your home. These can be purchased at most grocery and home improvement stores for a relatively low cost. Additionally, it is crucial to check and maintain your CO detector including, but not limited to, changing batteries and checking its power source.
Year200020012002200320042005200620072008200920102011201220132014201520162017201820190.050.0100.0150.0200.0250.0300.0350.0400.0450.0Number of ED VisitsCarbon Monoxide Poisoning Emergency Department (ED) Visit Counts by Cause/Intent andYear, Utah, 2000-2019ICD-9 Unintentional Fire-relatedICD-9 Unintentional Non-fire RelatedICD-9 Unknown IntentICD-10 Unintentional Fire-relatedICD-10 Unintentional Non-fire RelatedICD-10 Unknown Intent
 Fire Cause/IntentYearNumber of ED Visits

ICD-9 Unintentional Fire-related

 1ICD-9 Unintentional Fire-related20001
 1ICD-9 Unintentional Fire-related20011
 1ICD-9 Unintentional Fire-related20023
 1ICD-9 Unintentional Fire-related20033
 1ICD-9 Unintentional Fire-related20043
 1ICD-9 Unintentional Fire-related20051
 1ICD-9 Unintentional Fire-related20062
 1ICD-9 Unintentional Fire-related20072
 1ICD-9 Unintentional Fire-related20085
 1ICD-9 Unintentional Fire-related20091
 1ICD-9 Unintentional Fire-related20104
 1ICD-9 Unintentional Fire-related20114
 1ICD-9 Unintentional Fire-related20122
 1ICD-9 Unintentional Fire-related20135
 1ICD-9 Unintentional Fire-related20140
 1ICD-9 Unintentional Fire-related20150
 1ICD-9 Unintentional Fire-related2016
 1ICD-9 Unintentional Fire-related2017
 1ICD-9 Unintentional Fire-related2018
 1ICD-9 Unintentional Fire-related2019

ICD-9 Unintentional Non-fire Related

 2ICD-9 Unintentional Non-fire Related2000200
 2ICD-9 Unintentional Non-fire Related2001221
 2ICD-9 Unintentional Non-fire Related2002227
 2ICD-9 Unintentional Non-fire Related2003148
 2ICD-9 Unintentional Non-fire Related2004277
 2ICD-9 Unintentional Non-fire Related2005171
 2ICD-9 Unintentional Non-fire Related2006246
 2ICD-9 Unintentional Non-fire Related2007288
 2ICD-9 Unintentional Non-fire Related2008344
 2ICD-9 Unintentional Non-fire Related2009234
 2ICD-9 Unintentional Non-fire Related2010187
 2ICD-9 Unintentional Non-fire Related2011180
 2ICD-9 Unintentional Non-fire Related2012101
 2ICD-9 Unintentional Non-fire Related201384
 2ICD-9 Unintentional Non-fire Related201492
 2ICD-9 Unintentional Non-fire Related201562
 2ICD-9 Unintentional Non-fire Related2016
 2ICD-9 Unintentional Non-fire Related2017
 2ICD-9 Unintentional Non-fire Related2018
 2ICD-9 Unintentional Non-fire Related2019

ICD-9 Unknown Intent

 3ICD-9 Unknown Intent200054
 3ICD-9 Unknown Intent200126
 3ICD-9 Unknown Intent200220
 3ICD-9 Unknown Intent200362
 3ICD-9 Unknown Intent200481
 3ICD-9 Unknown Intent200550
 3ICD-9 Unknown Intent200678
 3ICD-9 Unknown Intent200722
 3ICD-9 Unknown Intent200837
 3ICD-9 Unknown Intent200933
 3ICD-9 Unknown Intent201049
 3ICD-9 Unknown Intent201128
 3ICD-9 Unknown Intent201296
 3ICD-9 Unknown Intent2013121
 3ICD-9 Unknown Intent2014117
 3ICD-9 Unknown Intent201570
 3ICD-9 Unknown Intent2016
 3ICD-9 Unknown Intent2017
 3ICD-9 Unknown Intent2018
 3ICD-9 Unknown Intent2019

ICD-10 Unintentional Fire-related

 4ICD-10 Unintentional Fire-related2000
 4ICD-10 Unintentional Fire-related2001
 4ICD-10 Unintentional Fire-related2002
 4ICD-10 Unintentional Fire-related2003
 4ICD-10 Unintentional Fire-related2004
 4ICD-10 Unintentional Fire-related2005
 4ICD-10 Unintentional Fire-related2006
 4ICD-10 Unintentional Fire-related2007
 4ICD-10 Unintentional Fire-related2008
 4ICD-10 Unintentional Fire-related2009
 4ICD-10 Unintentional Fire-related2010
 4ICD-10 Unintentional Fire-related2011
 4ICD-10 Unintentional Fire-related2012
 4ICD-10 Unintentional Fire-related2013
 4ICD-10 Unintentional Fire-related2014
 4ICD-10 Unintentional Fire-related20150
 4ICD-10 Unintentional Fire-related20161
 4ICD-10 Unintentional Fire-related20171
 4ICD-10 Unintentional Fire-related20180
 4ICD-10 Unintentional Fire-related20190

ICD-10 Unintentional Non-fire Related

 5ICD-10 Unintentional Non-fire Related2000
 5ICD-10 Unintentional Non-fire Related2001
 5ICD-10 Unintentional Non-fire Related2002
 5ICD-10 Unintentional Non-fire Related2003
 5ICD-10 Unintentional Non-fire Related2004
 5ICD-10 Unintentional Non-fire Related2005
 5ICD-10 Unintentional Non-fire Related2006
 5ICD-10 Unintentional Non-fire Related2007
 5ICD-10 Unintentional Non-fire Related2008
 5ICD-10 Unintentional Non-fire Related2009
 5ICD-10 Unintentional Non-fire Related2010
 5ICD-10 Unintentional Non-fire Related2011
 5ICD-10 Unintentional Non-fire Related2012
 5ICD-10 Unintentional Non-fire Related2013
 5ICD-10 Unintentional Non-fire Related2014
 5ICD-10 Unintentional Non-fire Related201543
 5ICD-10 Unintentional Non-fire Related2016171
 5ICD-10 Unintentional Non-fire Related2017165
 5ICD-10 Unintentional Non-fire Related2018176
 5ICD-10 Unintentional Non-fire Related2019250

ICD-10 Unknown Intent

 6ICD-10 Unknown Intent2000
 6ICD-10 Unknown Intent2001
 6ICD-10 Unknown Intent2002
 6ICD-10 Unknown Intent2003
 6ICD-10 Unknown Intent2004
 6ICD-10 Unknown Intent2005
 6ICD-10 Unknown Intent2006
 6ICD-10 Unknown Intent2007
 6ICD-10 Unknown Intent2008
 6ICD-10 Unknown Intent2009
 6ICD-10 Unknown Intent2010
 6ICD-10 Unknown Intent2011
 6ICD-10 Unknown Intent2012
 6ICD-10 Unknown Intent2013
 6ICD-10 Unknown Intent2014
 6ICD-10 Unknown Intent20151
 6ICD-10 Unknown Intent20164
 6ICD-10 Unknown Intent20172
 6ICD-10 Unknown Intent20180
 6ICD-10 Unknown Intent20193

Notes

These records use the same data sets that are used for the hospital discharge and emergency department records queries, except the date of admission is used here (instead of the date of discharge). Therefore, small number differences are possible.

Data Source

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

Data Interpretation Issues

Hospitalization and emergency department (ED) data may underestimate carbon monoxide (CO) poisoning prevalence because these data may not include those who call poison control centers and are managed at the scene, those who do not seek any medical care, or those who die immediately from CO exposure without medical care.

The toxic effects of CO exposure are nonspecific and easily misdiagnosed when CO exposure is not suspected. Misdiagnosed cases are not counted.

Due to different surveillance practices, data may not be fully comparable between states or jurisdictions.

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, carbon monoxide hospitalizations and emergency department vists were defined as any diganosis code that included 986, E868.0, E868.2, E868.3, E868.8, E868.9, E982.1, excluding E950.0-E979.9 and E990.0-E999 (ICD-9 codes). These are now defined as codes in T58 (ICD-10 codes). Comparison of data prior to the code change may not be appropriate.

Definition

Carbon monoxide (CO) is an odorless, colorless, and poisonous gas that can cause sudden illness and death if inhaled.

Numerator

Number of hospitalizations or emergency department visits for carbon monoxide (CO) poisoning

Denominator

Midyear resident population estimates.

What Is Being Done?

Organizations, such as the Centers for Disease Control and Prevention (CDC), offer free resources that provide information about CO poisoning and prevention. Also, health promotion and community outreach activities are available to educate the public about CO poisoning and prevention. However, it is primarily up to the individual to practice behaviors that prevent CO poisoning such as installing working CO detectors and using equipment that emits CO gas properly.

Available Services

Utah Poison Control Center
The Utah Poison Control Center (UPCC) is a 24-hour resource for poison information, clinical toxicology consultation, and poison prevention education. This free and confidential service is available 365 days a year. For poison emergencies, questions, and prevention information, call 1-800-222-1222.

Page Content Updated On 11/18/2020, Published on 01/13/2022
The information provided above is from the Utah Department of Health and Human Services IBIS-PH web site (https://ibis.utah.gov/epht-view/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 18 April 2025 8:43:21 from Utah Department of Health and Human Services, Indicator-Based Information System for Public Health Web site: https://ibis.utah.gov/epht-view/ ".

Content updated: Thu, 6 Feb 2025 13:01:19 MST