Middlesex County Public Health Profile Report
Asthma Hospitalizations and Emergency Department Visits: Rate per 10,000 Residents, 2020
Middlesex3.1 95% Confidence IntervalNADescription of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
State3.8 U.S. NANA=Data not available.
Middlesex Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
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.
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 Cumberland, Essex, and Camden Counties, and lowest in Somerset, Morris and Hunterdon 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 targets for hospitalizations and ED visits were revised due to the change in medical record coding to ICD-10-CM. Hospital claim volume for the 2020 calendar year was markedly lower than for 2019, mostly due to the COVID-19 pandemic.
What Is Being Done?The NJ Department of Health's [http://nj.gov/health/fhs/chronic/asthma/ Asthma Awareness and Education Program] (AAEP) provides information on asthma for consumers and health professionals. The NJ Department of Health's Occupational Health Service has a [http://www.state.nj.us/health/eoh/survweb/wra/index.shtml Work-Related Asthma Program] that provides information to workers and employers about prevention of asthma in the workplace. State law (Statute Amendment 18A:40-12.3) requires school districts to allow students to carry and administer their own asthma medication. The law further requires both public and non-public schools to provide and maintain at least one nebulizer for students with asthma.
Healthy People Objective RD-2:Reduce hospitalizations for asthma
U.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)
Health Care System Factors:
Health Status Outcomes:
NoteHospital claim volume for the 2020 calendar year was markedly lower than for 2019, mostly due to the COVID-19 pandemic. See Data Interpretation Issues for more information.
Data SourcesPopulation Estimates, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development 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/]
Measure Description for Asthma Hospitalizations and Emergency Department Visits
Definition: Hospitalizations or 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)
Numerator: Number of hospitalizations or ED visits due to asthma occurring among residents of a geographic area in a time period.
Denominator: For rates, estimated population of a geographic area in a time period using mid-year population estimates.