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Complete Health Indicator Report of Deaths due to Septicemia

Definition

Deaths with septicemia as the underlying cause of death. ICD-10 codes: A40-A41

Numerator

Number of deaths due to septicemia

Denominator

Total number of persons in the population

Data Interpretation Issues

Septicemia refers to the presence of a pathogen in the blood, whereas sepsis is the condition that is caused by the pathogen. In the context of mortality, if the cause of death is septicemia, sepsis is implied.

Why Is This Important?

Septicemia, commonly referred to as sepsis or septic shock, was the seventh leading cause of death among New Jersey residents and twelfth in the U.S. in 2019.

How Are We Doing?

In New Jersey, nearly 2,000 deaths each year are due to septicemia. In the total population and among each racial/ethnic group, males have higher death rates than females. The age-adjusted death rate due to septicemia is significantly higher among Blacks in New Jersey than among other racial/ethnic groups. County rates per 100,000 population (age-adjusted) range from a low of 11 in Hunterdon to a high of 24 in Salem.

How Do We Compare With the U.S.?

The New Jersey age-adjusted death rate due to septicemia is 1.8 times that of the nation as a whole. It is one of only two leading causes of death for which New Jersey's rate is higher than that of the U.S. New Jersey had the second highest age-adjusted death rate due to septicemia among all 50 states and D.C. in 2019 [https://wonder.cdc.gov/ucd-icd10.html ^1^] New Jersey is the northernmost state in a contiguous cluster of states with high sepsis mortality in the Southeastern and mid-Atlantic U.S.[https://ij-healthgeographics.biomedcentral.com/articles/10.1186/1476-072X-9-9 ^2^] A 2013 county-level study found clusters throughout the Midwest, mid-Atlantic, and the South.[https://www.pennmedicine.org/news/news-releases/2013/may/new-penn-medicine-research-ide ^3^]

What Is Being Done?

Under state law, New Jersey hospitals are required to submit uniform data to the New Jersey Department of Health on health care facility-associated infections. The Department reviews and analyzes these data and reports the results in New Jersey's annual [http://www.nj.gov/health/healthcarequality/health-care-professionals/submit-reporting/hais/index.shtml hospital performance report]. (Note that not all cases of septicemia are acquired in a healthcare setting.)

Data Tables


Age-Adjusted Death Rate due to Septicemia by Year, New Jersey and the United States, 2000-2019

US/NJYearDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 40
US200011.311.211.431,224
US200111.511.311.632,238
US200211.911.712.033,865
US200311.711.611.934,069
US200411.311.211.533,373
US200511.411.211.534,136
US200611.211.111.334,234
US200711.211.011.334,828
US200811.311.211.435,927
US200911.010.911.135,639
US201010.510.410.734,812
US201110.510.410.635,748
US201210.310.210.435,842
US201310.710.610.838,156
US201410.710.610.838,940
US201511.010.811.140,773
US201610.710.610.840,613
US201710.610.510.740,922
US201810.210.110.340,718
US20199.59.49.638,431
NJ200019.818.820.71,745
NJ200120.519.621.51,831
NJ200222.021.023.01,987
NJ200320.819.821.71,904
NJ200420.619.721.61,904
NJ200520.719.721.61,932
NJ200619.818.920.81,871
NJ200718.217.319.11,733
NJ200818.517.619.41,794
NJ200917.816.918.71,747
NJ201016.515.717.41,660
NJ201116.815.917.61,726
NJ201216.015.216.81,672
NJ201316.916.017.81,785
NJ201416.415.617.31,764
NJ201517.917.018.81,957
NJ201617.516.618.31,925
NJ201716.816.017.61,897
NJ201817.016.117.81,948
NJ201917.116.218.01,983

Data Sources

  • Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death File. CDC WONDER On-line Database accessed at [https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html]
  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Septicemia by Race/Ethnicity, New Jersey, 2019

Race/EthnicityDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 6
White16.315.217.51,360
Black27.624.630.6325
Hispanic14.412.716.2186
Asian10.28.112.380
New Jersey17.116.218.01,983
United States9.59.49.638,431

Data Notes

Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race.

Data Sources

  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Septicemia by Race/Ethnicity and Sex, New Jersey, 2019

SexRace/EthnicityDeaths per 100,000 PopulationLower LimitUpper LimitNumer- ator
Record Count: 8
MaleWhite18.717.020.4643
MaleBlack29.024.533.6133
MaleHispanic15.913.318.487
MaleAsian10.77.613.838
FemaleWhite14.713.216.2717
FemaleBlack26.822.730.9192
FemaleHispanic13.411.015.799
FemaleAsian9.66.712.542

Data Notes

Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race.

Data Sources

  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development


Age-Adjusted Death Rate due to Septicemia by County, New Jersey, 2019

CountyDeaths per 100,000 Standardized PopulationLower LimitUpper LimitNumer- ator
Record Count: 23
Atlantic15.410.720.255
Bergen13.210.815.5177
Burlington14.911.318.590
Camden18.214.421.9116
Cape May18.19.426.831
Cumberland15.39.021.527
Essex22.919.626.2206
Gloucester18.113.223.064
Hudson18.114.921.3118
Hunterdon10.95.116.721
Mercer13.69.917.464
Middlesex21.017.824.1206
Monmouth13.911.016.9127
Morris13.710.517.096
Ocean20.516.924.0212
Passaic17.714.021.4104
Salem24.212.036.423
Somerset15.511.219.766
Sussex17.910.924.933
Union18.715.122.3123
Warren16.58.724.224
New Jersey17.116.218.01,983
United States9.59.49.638,431

Data Sources

  • Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Population Estimates, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html State Data Center], New Jersey Department of Labor and Workforce Development

References and Community Resources

[1] CDC, NCHS, CDC WONDER Detailed Mortality File, 2017 data. [https://wonder.cdc.gov/ucd-icd10.html] [2] Wang HE, Devereaux RS, Yealy DM, Safford MM, and Howard G: National variation in United States sepsis mortality: a descriptive study. International Journal of Health Geographics 2010, 9:9. [http://www.ij-healthgeographics.com/content/9/1/9/] [3] New Penn Medicine Research Identifies Infection and Sepsis-Related Mortality Hotspots Across the U.S. News release 5/15/13. [http://www.uphs.upenn.edu/news/News_Releases/2013/05/hotspots] NJDOH Health Care Quality Assessment: [http://www.nj.gov/health/healthcarequality/] CDC Sepsis Info: [https://www.cdc.gov/sepsis/index.html] Medline Plus: [https://medlineplus.gov/sepsis.html] Inpatient Care for Septicemia or Sepsis, NCHS Data Brief, No. 62, June 2011: [http://www.cdc.gov/nchs/data/databriefs/db62.pdf]

Page Content Updated On 05/11/2021, Published on 05/11/2021
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 14 June 2021 17:57:58 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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