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.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 hospitalization 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 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 2018-2019, 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 (12.1 per 10,000 people) and females aged 0-4 (7.2 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
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] Additionally, 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/].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
Age Group | Inpatient Hospital Visits per 10,000 Population | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 5 | ||||||
0-4 | 5.5 | 4.8 | 6.4 | |||
5-14 | 4.4 | 3.8 | 5.0 | |||
15-34 | 1.4 | 1.1 | 1.6 | |||
35-64 | 1.8 | 1.6 | 2.1 | |||
65+ | 2.0 | 1.6 | 2.5 |
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 HealthMales vs. Females | Age Group | Inpatient Hospital Visits per 10,000 Population | Lower Limit | Upper Limit | Note | |
---|---|---|---|---|---|---|
Record Count: 36 | ||||||
Male | Less Than 1 | 2.0 | 1.1 | 3.3 | ||
Male | 1-4 Yrs | 14.2 | 13.0 | 15.6 | ||
Male | 5-9 Yrs | 6.7 | 6.0 | 7.6 | ||
Male | 10-14 Yrs | 2.5 | 2.0 | 3.0 | ||
Male | 15-17 Yrs | 0.8 | 0.5 | 1.3 | ||
Male | 18-19 Yrs | 0.6 | 0.2 | 1.1 | * | |
Male | 20-24 Yrs | 0.6 | 0.4 | 0.9 | ||
Male | 25-34 Yrs | 1.0 | 0.8 | 1.2 | ||
Male | 35-44 Yrs | 1.2 | 0.9 | 1.4 | ||
Male | 45-54 Yrs | 0.9 | 0.6 | 1.2 | ||
Male | 55-64 Yrs | 1.3 | 1.0 | 1.7 | ||
Male | 65+ Yrs | 1.5 | 1.2 | 1.9 | ||
Female | Less Than 1 | 0.6 | 0.2 | 1.4 | * | |
Female | 1-4 Yrs | 8.4 | 7.4 | 9.5 | ||
Female | 5-9 Yrs | 5.6 | 4.9 | 6.4 | ||
Female | 10-14 Yrs | 2.2 | 1.8 | 2.7 | ||
Female | 15-17 Yrs | 1.7 | 1.2 | 2.3 | ||
Female | 18-19 Yrs | 1.3 | 0.8 | 2.1 | ||
Female | 20-24 Yrs | 1.8 | 1.4 | 2.3 | ||
Female | 25-34 Yrs | 1.8 | 1.5 | 2.1 | ||
Female | 35-44 Yrs | 2.2 | 1.9 | 2.6 | ||
Female | 45-54 Yrs | 2.3 | 1.9 | 2.8 | ||
Female | 55-64 Yrs | 2.2 | 1.8 | 2.7 | ||
Female | 65+ Yrs | 2.9 | 2.5 | 3.4 | ||
Total | Less Than 1 | 1.3 | 0.8 | 2.0 | ||
Total | 1-4 Yrs | 11.4 | 10.6 | 12.3 | ||
Total | 5-9 Yrs | 6.2 | 5.6 | 6.8 | ||
Total | 10-14 Yrs | 2.4 | 2.0 | 2.7 | ||
Total | 15-17 Yrs | 1.3 | 1.0 | 1.6 | ||
Total | 18-19 Yrs | 1.0 | 0.6 | 1.4 | ||
Total | 20-24 Yrs | 1.2 | 1.0 | 1.4 | ||
Total | 25-34 Yrs | 1.4 | 1.2 | 1.6 | ||
Total | 35-44 Yrs | 1.7 | 1.4 | 1.9 | ||
Total | 45-54 Yrs | 1.6 | 1.4 | 1.9 | ||
Total | 55-64 Yrs | 1.8 | 1.5 | 2.1 | ||
Total | 65+ Yrs | 2.2 | 2.0 | 2.6 |
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 Source
Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of HealthICD-9 vs. ICD-10 | Year | Crude Rate per 10,000 | Lower Limit | Upper Limit | ||
---|---|---|---|---|---|---|
Record Count: 7 | ||||||
ICD-10 | 2015 | 3.2 | 2.8 | 3.6 | ||
ICD-10 | 2016 | 3.2 | 3.0 | 3.5 | ||
ICD-10 | 2017 | 2.7 | 2.5 | 2.9 | ||
ICD-10 | 2018 | 2.5 | 2.4 | 2.7 | ||
ICD-10 | 2019 | 2.6 | 2.4 | 2.8 | ||
ICD-10 | 2020 | 1.8 | 1.6 | 1.9 | ||
ICD-10 | 2021 | 2.5 | 2.3 | 2.6 |
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.Data Source
Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of HealthHospitalizations due to Asthma Counts by Year, Utah, 2016-2021
ICD-9 vs. ICD-10 | Year | Number of Hospitalizations | ||||
---|---|---|---|---|---|---|
Record Count: 6 | ||||||
ICD-10 | 2016 | 990 | ||||
ICD-10 | 2017 | 837 | ||||
ICD-10 | 2018 | 802 | ||||
ICD-10 | 2019 | 833 | ||||
ICD-10 | 2020 | 579 | ||||
ICD-10 | 2021 | 828 |
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.Data Source
Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of HealthAsthma Hospitalization Total Charges by Local Health District, Utah, 2019
Local Health District | Total Charges | |||||
---|---|---|---|---|---|---|
Record Count: 14 | ||||||
Bear River | $419,540 | |||||
Central | $139,727 | |||||
Davis County | $1,606,980 | |||||
Salt Lake County | $6,107,026 | |||||
San Juan | $24,668 | |||||
Southeast | $151,164 | |||||
Southwest | $593,260 | |||||
Summit | $124,499 | |||||
Tooele | $375,181 | |||||
TriCounty | $601,563 | |||||
Utah County | $2,118,815 | |||||
Wasatch | $67,004 | |||||
Weber-Morgan | $2,046,956 | |||||
State of Utah | $14,376,382 |
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 HealthLocal Health District | Average Charge per Visit | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 14 | ||||||
Bear River | $16,095 | $9,936 | $22,255 | |||
Central | $12,032 | $9,365 | $14,699 | |||
Davis County | $15,679 | $13,943 | $17,416 | |||
Salt Lake County | $15,811 | $14,932 | $16,690 | |||
San Juan | $15,943 | $8,378 | $23,509 | |||
Southeast | $14,291 | $10,970 | $17,611 | |||
Southwest | $13,969 | $12,137 | $15,801 | |||
Summit | $15,830 | $11,116 | $20,543 | |||
Tooele | $15,972 | $13,455 | $18,488 | |||
TriCounty | $14,962 | $13,450 | $16,474 | |||
Utah County | $16,080 | $14,750 | $17,410 | |||
Wasatch | $12,241 | $7,612 | $16,870 | |||
Weber-Morgan | $21,163 | $17,089 | $25,238 | |||
State of Utah | $16,085 | $15,438 | $16,732 |
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 HealthLocal Health District | Age-adjusted Rate per 10,000 Population | Lower Limit | Upper Limit | Note | ||
---|---|---|---|---|---|---|
Record Count: 14 | ||||||
Bear River | 1.3 | 1.0 | 1.7 | Lower than State | ||
Central | 1.9 | 1.4 | 2.6 | Similar to State | ||
Davis County | 2.1 | 1.8 | 2.4 | Lower than State | ||
Salt Lake County | 3.2 | 3.0 | 3.4 | Higher than State | ||
San Juan | 1.7 | 0.7 | 3.4 | Similar to State | ||
Southeast | 2.5 | 1.6 | 3.6 | Similar to State | ||
Southwest | 1.7 | 1.4 | 2.0 | Lower than State | ||
Summit | 1.5 | 0.9 | 2.3 | Lower than State | ||
Tooele | 3.7 | 3.0 | 4.6 | Higher than State | ||
TriCounty | 5.7 | 4.6 | 7.0 | Higher than State | ||
Utah County | 2.2 | 2.0 | 2.5 | Lower than State | ||
Wasatch | 1.8 | 1.1 | 2.9 | Similar to State | ||
Weber-Morgan | 2.6 | 2.3 | 3.0 | Similar to State | ||
State of Utah | 2.6 | 2.4 | 2.6 |
Map of Asthma Age-adjusted Hospitalization Rates per 10,000 Population by Local Health District, Utah, 2017-2019
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 Source
Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of HealthICD-9 vs. ICD-10 | Year | Inpatient Hospital Visits per 10,000 Population | Lower Limit | Upper Limit | ||
---|---|---|---|---|---|---|
Record Count: 7 | ||||||
ICD-10 | 2015 | 3.1 | 2.7 | 3.5 | ||
ICD-10 | 2016 | 3.1 | 2.9 | 3.3 | ||
ICD-10 | 2017 | 2.6 | 2.4 | 2.8 | ||
ICD-10 | 2018 | 2.4 | 2.3 | 2.6 | ||
ICD-10 | 2019 | 2.5 | 2.3 | 2.7 | ||
ICD-10 | 2020 | 1.8 | 1.6 | 1.9 | ||
ICD-10 | 2021 | 2.5 | 2.3 | 2.6 |
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.pdfData Source
Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of HealthReferences 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.lung.org][[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.waytoquit.org]More Resources and Links
Additional indicator data by state and county may be found on these websites:- Centers for Disease Control and Prevention (CDC) WONDER database, a system for disseminating public health data and information.
- United States Census Bureau data dashboard.
- Utah Healthy Places Index, evidence-based and peer-reviewed tool, supports efforts to prioritize equitable community investments, develop critical programs and policies across the state, and much more.
- County Health Rankings
- Kaiser Family Foundation's State Health Facts
Medical literature can be queried at PubMed library.
Page Content Updated On 05/24/2023,
Published on 05/24/2023