Health Indicator Report of Asthma Hospitalizations and Emergency Department Visits
Asthma is a disease that affects the airways that carry oxygen in and out of the lungs. People with asthma can experience acute episodes where the small airways constrict. These episodes may result in symptoms such as shortness of breath, coughing, wheezing, chest pain, and chest tightness. Asthma episodes may be caused by a variety of factors: pollen, pet dander, mold, cockroach allergens, dust mites, tobacco smoke, air pollution, strenuous exercise, weather, and some foods and drugs. Asthma is a chronic disease that cannot be cured, but it can be controlled with an effective medical management plan and avoidance of environmental or occupational triggers.
- Population Estimates, State Data Center, New Jersey Department of Labor and Workforce Development, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html]
- Uniform Billing Patient Summary, Division of Health Care Quality and Assessment, New Jersey Department of Health, [http://www.nj.gov/health/healthcarequality/health-care-professionals/njddcs/]
- Hospitalizations, Age-Adjusted Rate by Year, New Jersey, 2000-2016
- Age-Adjusted Hospitalization Rate by County, New Jersey, 2016
- Monthly Hospitalization Counts, New Jersey, 2012-2016
- Emergency Department Visits, Age-Adjusted Rates by County, New Jersey, 2016
- Monthly Emergency Department Visit Counts, New Jersey, 2012-2016
- Hospitalizations among Children Under Age 5 Years by Race/Ethnicity, New Jersey, 2009-2015 (HNJ2020)
- Hospitalizations among Persons Age 5-64 Years by Race/Ethnicity, New Jersey, 2009-2015 (HNJ2020)
- Hospitalizations among Persons Age 65 Years and Older by Race/Ethnicity, New Jersey, 2009-2015 (HNJ2020)
- Emergency Department Visits among Persons Age 5-64 Years by Race/Ethnicity, New Jersey, 2009-2015 (HNJ2020)
- Emergency Department Visits among Persons Age 65 Years and Older by Race/Ethnicity, New Jersey, 2009-2015 (HNJ2020)
DefinitionNumber or rate of hospitalizations or emergency room visits due to asthma in a geographic area in a time period (primary diagnosis of asthma, defined by ICD-9 code 493 for January 2000 through September 2015; and ICD-10 code J45 for the last quarter of 2015 and onward).
NumeratorNumber of hospitalizations or emergency room visits due to asthma occurring among residents of a geographic area in a time period.
DenominatorFor rates, estimated population of a geographic area in a time period using mid-year population estimates.
Healthy People Objective: Reduce hospitalizations for asthmaU.S. Target: a. children under 5 years of age: 18.2, b. persons aged 5 to 64 years: 8.7 (age-adjusted), c. persons aged 65 years and older: 20.1 (age-adjusted)
State Target: a. children under 5 years of age: 32.8, b. persons aged 5 to 64 years: 11.2 (age-specific), c. persons aged 65 years and older: 26.0 (age-specific)
Other ObjectivesObjective AS-2: Reduce the hospitalization rate due to asthma a. among children aged under 5 years to 328 per 100,000 children under age 5 b. among persons aged 5 to 64 years to 112 per 100,000 persons aged 5-64 years c. among persons aged 65 years and older to 260 per 100,000 persons aged 65 years and older. Objective AS-3: Reduce the rate of emergency department (ED) visits due to asthma a. among children aged under 5 years to 1,220 per 100,000 children under age 5 b. among persons aged 5 to 64 years to 501 per 100,000 persons aged 5-64 years c. among persons aged 65 years and older to 128 per 100,000 persons aged 65 years and older.
How Are We Doing?In New Jersey, over 600,000 adults (9.0%) and 167,000 children (8.7%) are estimated to have asthma currently. The number of women with asthma is almost double the number of men with asthma; however, asthma occurs more frequently in boys than girls. Anyone can develop asthma; however, children, Black, Hispanic, and urban residents are most likely to be affected. Individuals with allergies and people with a family history of asthma are also most likely to suffer from this disease. Hospitalization rates for asthma do not represent the total burden of the illness. Most asthma attacks are successfully managed without hospitalization. Many people with asthma prevent serious asthma attacks through avoidance of triggers and effective medical management. In addition, many people with asthma episodes are treated in emergency departments and are not included in hospitalization statistics. Hospitalization rates measure an infrequent, severe outcome of this disease. Asthma inpatient hospitalization and emergency department (ED) visit rates vary widely among New Jersey counties. Rates for emergency visits are highest in Camden, Cumberland and Essex Counties, and lowest in Hunterdon, Morris, and Somerset Counties. Disparities in inpatient hospitalization and emergency department visit rates likely reflect differences in: access to effective medical management; co-existing chronic diseases; and environmental or occupational asthma triggers. The Healthy New Jersey 2020 (HNJ2020) targets for hospitalizations have been met by Whites, Hispanics, and Asians in all three age groups but not by Blacks. The HNJ2020 targets for ED visits have only been met by Asians ages 5-64. No other racial/ethnic or age groups had yet achieved their target as of 2015.
What Is Being Done?The NJ Department of Health's Asthma Awareness and Education Program (AAEP), located within the Division of Family Health Services, provides information on asthma for consumers and health professionals, [http://nj.gov/health/fhs/chronic/asthma/]. The New Jersey Department of Health's Occupational Health Service has a Work-Related Asthma Program that provides information to workers and employers about prevention of asthma in the workplace: [http://www.state.nj.us/health/eoh/survweb/wra/index.shtml]
Available ServicesFor information on services related to asthma, please call the New Jersey Family Health Line at 800-328-3838. The Asthma Awareness and Education Program can be contacted via the web at: [http://www.state.nj.us/health/fhs/asthma/asthma_contact.shtml]
Page Content Updated On 10/20/2017, Published on 10/25/2017