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Emergency Department Visits due to Asthma by County, New Jersey, 2023
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Emergency Department Visits due to Asthma by County, New Jersey, 2023
Why Is This Important?
Asthma is a chronic disease that affects the airways that carry oxygen in and out of the lungs. Asthma cannot be cured, but it can be controlled with an effective medical management plan and avoidance of environmental or occupational triggers.
Definition
Emergency department (ED) visits with a primary diagnosis of asthma. *ICD-9-CM code: 493 (2000 through 2015) *ICD-10-CM code: J45 (2016 and onward)
Data Notes
Data have been age-adjusted to the U.S. 2000 standard population.Data Sources
- Hospital Discharge Data Collection System (NJDDCS), Health Care Quality and Assessment, New Jersey Department of Health
(https://nj.gov/health/healthcarequality/health-care-professionals/njddcs/) - U.S. Census Bureau
(https://www.census.gov/)
How the Measure is Calculated
Numerator:
Number of ED visits with a primary diagnosis of asthmaDenominator:
Estimated number of persons in population
Data Issues
'''Missing data in 2022:''' Three hospitals in Camden and Gloucester Counties submitted their fourth quarter data after the file closure deadline so their data are missing from the 2022 inpatient and emergency department datasets. '''Overall Discharge Volume in 2020: ''' Hospital claim volume for the 2020 calendar year was markedly lower (19.9%) than for 2019, mostly due to the COVID-19 pandemic. This reduction was seen in both inpatient discharges (8.2% lower claim volume than 2019) and emergency department visits (27.3% lower claim volume than 2019). This was likely the result of hospital care being redirected to address the care for COVID-19 patients while elective surgeries and other outpatient care services were being postponed. '''Caveats specific to 2017 data:''' NJDOH changed its vendor for hospitalization data collection in 2017 resulting in data loss at some facilities during the transition period. Additionally, The old vendor experienced a global malware incident in June 2017 that possibly resulted in the loss of some data in the system queue at that time. '''ICD Coding between 2015 and 2016: ''' The nationwide switch from ICD-9-CM to ICD-10-CM hospital diagnosis coding on October 1, 2015 disrupted trends for some diseases and conditions. Interpret trend data in this report with caution. Also note that New Jersey's data for October through December, 2015 was recoded to ICD-9-CM so that entire year of data was coded the same way.Related Health Objectives and Indicators
Health Initiative: HP2030
Healthy People 2030 Objective RD-02
U.S. Target: Reduce emergency department visits for asthma among children under 5 years to 64.3 per 10,000 population by 2030
https://health.gov/healthypeople/objectives-and-data/browse-objectives/respiratory-disease/reduce-emergency-department-visits-children-under-5-years-asthma-rd-02Healthy People 2030 Objective RD-03
U.S. Target: Reduce emergency department visits for people aged 5 years and over with asthma to 44.0 per 10,000 population by 2030
https://health.gov/healthypeople/objectives-and-data/browse-objectives/respiratory-disease/reduce-emergency-department-visits-people-aged-5-years-and-over-asthma-rd-03
Health Initiative: HP2020
Healthy People 2020 Objective RD-3
U.S. Target: Reduce hospital emergency department visits for asthma
https://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases
Health Initiative: HNJ2020
Healthy NJ 2020 Objective AS-3a
NJ Target: Reduce asthma ED visits among children under age 5 years to 1,103 per 100,000 population for the total population, 247 for Asians, 3,089 for Blacks, 1,175 for Hispanics, and 556 for Whites by 2020
https://www.nj.gov/health/chs/hnj2020/topics/asthma.shtmlHealthy NJ 2020 Objective AS-3b
NJ Target: Reduce asthma ED visits among persons aged 5-64 years to 534 per 100,000 population for the total population, 64 for Asians, 1,663 for Blacks, 588 for Hispanics, and 267 for Whites by 2020
https://www.nj.gov/health/chs/hnj2020/topics/asthma.shtmlHealthy NJ 2020 Objective AS-3c
NJ Target: Reduce asthma ED visits among persons aged 65 years and older to 151 per 100,000 population for the total population, 60 for Asians, 483 for Blacks, 332 for Hispanics, and 78 for Whites by 2020
https://www.nj.gov/health/chs/hnj2020/topics/asthma.shtml
Health Initiative: EPHT
Environmental Public Health Tracking Indicator AS-90
Description: Emergency department visits for asthma
https://ephtracking.cdc.gov/indicatorPages?selectedContentAreaAbbreviation=3&selectedIndicatorId=90