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Complete Health Indicator Report of Asthma-related Emergency Department (ED) Visits

Definition

Rate: Emergency department visits due to asthma per 10,000 Utah residents. [[br]] Number: Emergency department visits due to asthma.

Numerator

Rate/number: Number of emergency department visits among the Utah population with asthma as the principle diagnosis.

Denominator

Rate: Utah population. [[br]] Number: Not applicable.

Data Interpretation Issues

Several studies unexpectedly found a reduction in pediatric asthma emergency department (ED) visits during the first year of the COVID-19 pandemic in 2020 (1-3). These studies concluded public health measures like social distancing, mask-wearing, school closures, and stay-at-home orders resulted in reduced exposure to respiratory viruses and reduced asthma exacerbations, and therefore a decline in rates of asthma ED visits (1-3). 1. Arsenault S, Hoofman J, Poowuttikul P, Secord E. Sustained decrease in pediatric asthma emergency visits during the first year of the COVID-19 pandemic. Allergy Asthma Proc. 2021; 42(5): 400-402. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677502/] 2. Ulrich L, Macias C, George A, Bai S, Allen E. Unexpected decline in pediatric asthma morbidity during the coronavirus pandemic. Pediatric Pulmonology. 2021; 56(7): 1951-1956. [https://onlinelibrary.wiley.com/doi/full/10.1002/ppul.25406] 3. Akelma Z, Baskaya N, Cetin S, Bostanci I, Ozmen S. Improvement in school-aged children with asthma during the Covid-19 pandemic. Pediatric Pulmonology. 2022; 57(10): 2518-2523. [https://onlinelibrary.wiley.com/doi/full/10.1002/ppul.26068]

Why Is This Important?

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.

How Are We Doing?

In 2022, Utah's overall emergency department visit rate due to asthma was 20.7 per 10,000 population (crude rate). Asthma emergency department visits per 10,000 were higher among male children aged 0-9 when compared to female children aged 0-9 (50.5 vs. 30.1). However, among those aged 10 years and older, females have a higher rate than males (20.8 vs. 13.7).

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:[[br]] 1. Education on asthma self-management.[[br]] 2. e-Xtinguishing smoking and secondhand smoke.[[br]] 3. Home visits for trigger reduction and asthma self-management.[[br]] 4. Achievement of guidelines-based medical management.[[br]] 5. Linkages and coordination of care across settings.[[br]] 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

A list of Utah Asthma Program services for clinicians, community health workers, and people with asthma can be found here: [https://asthma.utah.gov/] Additionally, individual programs in the Office Health Promotion and Prevention provide information and education to citizens, physicians, and health care providers on chronic conditions. Resources can be found here: [https://dhhs.utah.gov/office-of-health-promotion-and-prevention/]

Health Program Information

Utah Asthma Program website: [https://asthma.utah.gov/] CDC EXHALE package: [https://www.cdc.gov/national-asthma-control-program/php/exhale/index.html]


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Asthma-related emergency department visits by race/ethnicity and age, Utah, 2021-2022

::chart - missing::
confidence limits

Age groups for asthma EDRace/ethnicity groupRate per 10,000 populationLower LimitUpper LimitNote
Record Count: 30
0-4American Indian/Alaska Native30.720.244.6
0-4Asian14.18.621.8
0-4Black/African American85.266.6107.3
0-4Hispanic/Latino38.935.242.9
0-4Native Hawaiian/Pacific Islander157.3128.8190.3
0-4White31.029.332.8
5-14American Indian/Alaska Native21.615.629.1
5-14Asian22.216.329.6
5-14Black/African American70.658.884.0
5-14Hispanic/Latino38.736.041.6
5-14Native Hawaiian/Pacific Islander66.653.981.3
5-14White20.319.421.2
15-34American Indian/Alaska Native21.216.626.7
15-34Asian6.14.48.4
15-34Black/African American46.940.454.1
15-34Hispanic/Latino25.523.827.2
15-34Native Hawaiian/Pacific Islander50.042.059.1
15-34White16.916.317.5
35-64American Indian/Alaska Native44.437.652.2
35-64Asian5.13.67.1
35-64Black/African American47.940.656.1
35-64Hispanic/Latino21.720.123.4
35-64Native Hawaiian/Pacific Islander61.251.772.0
35-64White13.813.314.3
65+American Indian/Alaska Native**6.725.8**
65+Asian12.98.119.5
65+Black/African American**2.220.4**
65+Hispanic/Latino17.814.421.9
65+Native Hawaiian/Pacific Islander61.641.688.0
65+White9.79.010.4

Data Notes

Asthma 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.   [[br]][[br]]Race and ethnicity categories are not mutually exclusive. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication.

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2022


Emergency department (ED) visits due to asthma by year, Utah, 2015-2022

::chart - missing::
confidence limits

YearAge-adjusted ED visits per 10,000Lower LimitUpper Limit
Record Count: 7
201621.821.322.4
201720.419.920.9
201819.418.919.9
201919.619.120.1
202015.014.615.4
202117.817.418.3
202220.419.920.9

Data Notes

Asthma 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.   [[br]][[br]]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.

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022
  • Population Estimates for 2000-2019: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020


Emergency department (ED) visits due to asthma by race/ethnicity, Utah, 2022

::chart - missing::
confidence limits

Race/ethnicity groupAge-adjusted ED visits per 10,000Lower LimitUpper Limit
Record Count: 6
American Indian/Alaska Native34.029.039.6
Asian9.57.511.9
Black/African American50.744.957.1
Hispanic/Latino27.726.229.2
Native Hawaiian/Pacific Islander69.861.479.1
White17.417.017.9

Data Notes

Asthma 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.   [[br]][[br]]Race and ethnicity categories are not mutually exclusive. Age-adjusted to the U.S. 2000 standard population.

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2022


Emergency department (ED) encounters due to asthma by age groups: 0-4, 5-14, 15-34, 35-64 and 65+, Utah, 2022

::chart - missing::
confidence limits

Age groupED visits per 10,000 populationLower LimitUpper Limit
Record Count: 5
0-442.439.845.1
5-1428.026.629.5
15-3420.920.021.8
35-6416.115.416.8
65+11.110.112.2

Data Notes

Asthma 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.

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022


Emergency department (ED) visits due to asthma by age and sex, Utah, 2021-2022

::chart - missing::
confidence limits

Males vs. FemalesAge groupED visits per 10,000 populationLower LimitUpper Limit
Record Count: 10
Male0-444.942.347.6
Male5-1427.526.228.9
Male15-3416.015.316.8
Male35-6412.411.813.1
Male65+7.46.58.3
Female0-425.923.928.1
Female5-1419.017.820.2
Female15-3424.823.925.8
Female35-6420.119.321.0
Female65+13.612.614.8

Data Notes

Asthma 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.

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022


Asthma-related emergency department visits by local health district, Utah, 2021-2022

::chart - missing::
confidence limits

Local health districtAge-adjusted rate per 10,000 populationLower LimitUpper LimitNote
Record Count: 14
Bear River14.813.616.0Lower than state
Central20.718.523.2Similar to state
Davis County16.815.817.7Lower than state
Salt Lake County22.822.223.4Higher than state
San Juan22.717.429.1Similar to state
Southeast27.123.431.2Higher than state
Southwest16.615.417.7Lower than state
Summit6.64.98.8Lower than state
Tooele27.024.529.8Higher than state
TriCounty30.227.033.6Higher than state
Utah County14.113.414.7Lower than state
Wasatch12.610.115.5Lower than state
Weber-Morgan23.822.525.1Higher than State
State of Utah19.118.719.5

Age-adjusted asthma emergency department visits by Utah local health district, 2020-2022

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. This map contains 3 years of data so the numbers will be slightly different from the chart. This map also was created using different population estimates.


Data Notes

Asthma 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.   [[br]][[br]]Rates were age-adjusted to the U.S. 2000 standard population.

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022


Emergency department visits due to asthma by Utah Small Area, 2021-2022

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted rate per 10,000 populationLower LimitUpper LimitNote
Record Count: 100
Brigham City23.019.127.5Similar to state
Box Elder Co (Other) V223.017.529.7Similar to state
Tremonton24.219.429.8Higher than state
Logan V212.310.314.6Lower than state
North Logan14.311.118.2Lower than state
Cache (Other)/Rich (All) V28.46.111.3Lower than state
Hyrum9.15.314.6Lower than state
Smithfield9.26.213.1Lower than state
Ben Lomond24.021.526.9Higher than state
Weber County (East)13.310.816.1Lower than state
Morgan County7.84.812.1Lower than state
Ogden (Downtown)29.926.433.6Higher than state
South Ogden24.721.228.6Higher than state
Roy/Hooper25.522.428.8Higher than state
Riverdale29.224.834.1Higher than state
Clearfield Area/Hooper21.919.624.4Higher than state
Layton/South Weber19.417.421.5Similar to state
Kaysville/Fruit Heights10.48.312.9Lower than state
Syracuse13.010.516.1Lower than state
Centerville8.85.912.6Lower than state
Farmington11.18.314.5Lower than State
North Salt Lake19.215.223.9Similar to state
Woods Cross/West Bountiful15.811.820.9Similar to state
Bountiful16.013.518.8Similar to state
SLC (Rose Park)29.725.934.0Higher than state
SLC (Avenues)10.07.213.5Lower than state
SLC (Foothill/East Bench)11.58.415.3Lower than state
Magna31.327.036.0Higher than state
SLC (Glendale) V234.929.840.7Higher than state
West Valley (Center)32.929.436.7Higher than state
West Valley (West) V225.922.030.3Higher than state
West Valley (East) V242.638.846.7Higher than state
SLC (Downtown) V241.536.746.9Higher than state
SLC (Southeast Liberty)12.89.516.9Lower than state
South Salt Lake40.835.646.5Higher than state
SLC (Sugar House)18.015.021.4Similar to state
Millcreek (South)23.819.229.3Similar to state
Millcreek (East)11.58.615.1Lower than state
Holladay V221.417.326.2Similar to state
Cottonwood15.813.019.1Similar to state
Kearns V230.827.134.9Higher than state
Taylorsville (E)/Murray (W)30.226.334.4Higher than state
Taylorsville (West)25.522.029.4Higher than state
Murray31.327.435.6Higher than state
Midvale32.428.336.8Higher than state
West Jordan (Northeast) V227.223.231.7Higher than state
West Jordan (Southeast)22.519.226.1Similar to state
West Jordan (W)/Copperton16.013.219.1Similar to state
South Jordan V213.210.916.0Lower than state
Daybreak9.97.712.4Lower than state
Sandy (West)19.015.722.7Similar to state
Sandy (Center) V222.418.626.7Similar to state
Sandy (Northeast)10.37.413.9Lower than state
Sandy (Southeast)7.25.29.8Lower than state
Draper14.111.816.7Lower than state
Riverton/Bluffdale11.09.113.2Lower than state
Herriman16.514.219.0Similar to state
Tooele County (Other)16.512.721.2Similar to state
Tooele Valley29.526.532.8Higher than state
Eagle Mountain/Cedar Valley14.712.117.7Lower than state
Lehi12.310.514.3Lower than state
Saratoga Springs10.28.312.4Lower than state
American Fork15.313.017.8Lower than state
Alpine8.04.612.8Lower than state
Pleasant Grove/Lindon14.712.517.2Lower than state
Orem (North)22.018.625.9Similar to state
Orem (West)19.716.823.0Similar to state
Orem (East)9.06.612.0Lower than state
Provo/BYU10.27.913.1Lower than state
Provo (West City Center)21.918.226.1Similar to state
Provo (East City Center)18.713.824.8Similar to state
Salem City9.45.714.5Lower than state
Spanish Fork14.311.817.1Lower than state
Springville14.912.218.0Lower than state
Mapleton7.34.411.5Lower than state
Utah County (South) V214.010.418.4Lower than state
Payson16.513.420.2Similar to state
Park City5.13.47.4Lower than state
Summit County (East)9.56.014.3Lower than state
Wasatch County12.09.614.8Lower than state
Daggett and Uintah County25.321.729.4Higher than state
Duchesne County39.933.846.8Higher than state
Nephi/Mona19.613.827.0Similar to state
Delta/Fillmore25.418.733.8Similar to state
Sanpete Valley18.014.022.7Similar to state
Central (Other)21.817.626.8Similar to state
Richfield/Monroe/Salina22.517.428.6Similar to state
Carbon County34.428.640.9Higher than state
Emery County18.812.726.6Similar to state
Grand County21.315.029.4Similar to state
Blanding/Monticello32.123.343.1Higher than state
San Juan County (Other)11.26.518.1Lower than state
St. George16.815.018.8Similar to state
Washington Co (Other) V212.68.018.7Similar to state
Washington City17.113.920.7Similar to state
Hurricane/La Verkin11.58.914.6Lower than state
Ivins/Santa Clara15.511.520.4Similar to state
Cedar City15.012.817.4Lower than state
Southwest LHD (Other)23.018.727.8Similar to state
State of Utah19.018.619.3

Data Notes

Asthma 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.   [[br]] [[br]]Rates were age-adjusted to the U.S. 2000 standard population. A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.utah.gov/ibisph-view/resource/Guidelines.html].

Data Sources

  • Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services
  • Population estimates used linear interpolation of U.S. Census Bureau, Kem C. Gardner Policy Institute population estimates, and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2022


Asthma-related emergency department visit average charge per visit by local health district, Utah, 2022

::chart - missing::
confidence limits

Local health districtAverage charge per visitLower LimitUpper Limit
Record Count: 14
Bear River$6,018$4,759$7,276
Central$4,639$3,746$5,531
Davis County$5,898$5,427$6,368
Salt Lake County$6,224$5,904$6,545
San Juan$3,105$1,850$4,360
Southeast$4,598$3,572$5,625
Southwest$5,430$4,913$5,947
Summit$6,677$3,650$9,704
Tooele$6,583$5,491$7,675
TriCounty$6,212$5,267$7,157
Utah County$5,797$5,333$6,261
Wasatch$6,112$4,319$7,906
Weber-Morgan$6,404$5,865$6,944
State of Utah$6,019$5,829$6,210

Data Notes

Asthma 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.

Data Source

Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services


Asthma-related emergency department visit average charge per visit by year, Utah, 2012-2022

::chart - missing::
confidence limits

YearAverage charge per visitLower LimitUpper Limit
Record Count: 7
2016$3,915$3,770$4,060
2017$4,160$4,015$4,305
2018$4,623$4,388$4,858
2019$4,892$4,679$5,105
2020$4,918$4,720$5,116
2021$5,626$5,387$5,865
2022$6,019$5,829$6,210

Data Notes

Asthma 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.

Data Source

Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services


Asthma-related emergency department visit total charges by local health district, Utah, 2022

::chart - missing::

Local health districtTotal chargesNote
Record Count: 14
Bear River$2,021,9656
Central$770,0017
Davis County$3,880,7543
Salt Lake County$18,304,8821
San Juan$111,77113
Southeast$400,06611
Southwest$2,595,5785
Summit$207,00010
Tooele$1,533,7748
TriCounty$1,056,0909
Utah County$6,533,2402
Wasatch$317,84912
Weber-Morgan$4,643,0834
State of Utah$42,376,053

Data Notes

Asthma 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.   [[br]][[br]]The numbers in the "Other" column denote the rank of the LHD based on population size. For example, number 1, Salt Lake County LHD has the largest population in Utah.

Data Source

Emergency Department Encounter Database, Healthcare Information & Analysis Programs, Office of Research & Evaluation, Utah Department of Health and Human Services

References and community resources

Utah Asthma Program[[br]] [https://asthma.utah.gov/][[br]][[br]] Asthma and Allergy Foundation of America[[br]] [http://www.aafa.org][[br]][[br]] American Lung Association[[br]] [http://www.lung.org][[br]] [[br]] Asthma and outdoor air pollution:[[br]] [https://www.airnow.gov/sites/default/files/2018-03/asthma-flyer_0.pdf][[br]] [https://air.utah.gov/][[br]][[br]] Utah Tobacco Control and Prevention Quitting Resources[[br]] [http://www.waytoquit.org]

More Resources and Links

Additional indicator data by state and county may be found on these websites:

Medical literature can be queried at PubMed library.

Page Content Updated On 08/07/2024, Published on 09/11/2024
The information provided above is from the Utah Department of Health and Human Services IBIS-PH website (https://ibis.utah.gov/ibisph-view/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 21 November 2024 16:03:19 from Utah Department of Health and Human Services, Indicator-Based Information System for Public Health website: https://ibis.utah.gov/ibisph-view/ ".

Content updated: Wed, 11 Sep 2024 08:47:01 MDT