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Complete Health Indicator Report of Asthma Hospital Discharges - Children

Definition

An asthma hospitalization is a hospital discharge that occurs in state with asthma listed as the primary (first-listed) diagnosis of a New Mexico resident 0 to 17 year-old. A diagnosis of asthma includes the ICD-9 codes 493.0-493.92 and the ICD-10 code J45.

Numerator

Number of child hospital discharges where asthma is the primary (first-listed) diagnosis.

Denominator

Estimated total number of New Mexico residents in a specified population over a specified time period.

Data Interpretation Issues

Currently, the hospital inpatient discharge dataset includes data from NON-FEDERAL HOSPITALS only. It does not include hospital discharges from Veteran's Administration (VA) facilities, nor from Indian Health Service (IHS) facilities, which account for a large proportion of hospitalizations for New Mexico's American Indian population. Until federal hospitals can be included in the data, these results should not be used to make population inferences for New Mexico's American Indian populations.

Why Is This Important?

Asthma is one of the common chronic diseases in New Mexico, with an estimated 45,503 children currently having the disease. People with asthma are more likely to miss school or work, report feelings of depression, and experience an overall reduced quality of life. Asthma is also costly, with expenses from routine checkups, emergency department visits, hospitalizations, and medications putting a significant burden on families, the health care sector, and the economy. Though it cannot be cured, asthma can be controlled through quality health care, appropriate medications, and good self-management skills. When asthma is controlled, people with the disease have few, if any, symptoms, and can live normal and productive lives.

Healthy People Objective: RD-2.1, Reduce hospitalizations for asthma: Children under age 5 years

U.S. Target: 18.1 hospitalizations per 10,000

Other Objectives

New Mexico Community Health Status Indicator (CHSI)

How Are We Doing?

New Mexico children asthma hospitalization rates fluctuate from 2007 to 2017 but starting in 2015, these rates appear to be declining.

How Do We Compare With the U.S.?

Recent National data are not available for comparison.

What Is Being Done?

The New Mexico Department of Health Asthma Control Program collects, analyzes, and disseminates asthma data in order to identify populations that have a high burden of asthma. The Asthma Control Program also works with partners throughout the state (such as hospitals, physician groups, insurance plans, and schools) to design and implement health interventions to lessen the disease burden. Current interventions include providing asthma self-management education to pediatric patients, supporting indoor air quality assessments of homes to limit exposures to potential asthma triggers, and offering provider training on the National Asthma Education and Prevention Program (NAEPP) asthma medical guidelines.

Evidence-based Practices

Asthma and its symptoms can be controlled and related impairments or hospitalizations can be prevented. According to the Centers for Disease Control and Prevention, the NAEPP of the National Institutes of Health-National Heart, Lung, and Blood Institute have issued guidelines for the diagnosis and management of asthma. These guidelines translated advances in scientific and clinical research into practical advice for people with asthma, for the health care providers who look after them, and for the communities where they live.

Available Services

The New Mexico Asthma Program, funded entirely through a cooperative agreement with the Centers for Disease Control, supports health intervention activities aimed at increasing asthma awareness in the state, improving asthma self-management through patient education initiatives, and providing health care provider training on the latest National Heart, Lung, and Blood Institute Asthma Guidelines for medical practice. For more information about the National Asthma Education and Prevention Program's (NAEPP) Guidelines for the Diagnosis and Treatment of Asthma visit https://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines New Mexico Asthma Program Information For information about the asthma program in New Mexico visit https://nmhealth.org/about/erd/eheb/ap/ Asthma Program, New Mexico Department of Health, P.O. Box 26110, 1190 St. Francis Drive, Suite N1300, Santa Fe, NM 87505.

Health Program Information

Asthma Control Program, New Mexico Department of Health, P.O. Box 26110, 1190 St. Francis Drive, Suite N1300, Santa Fe, NM 87505. Heidi Krapfl, Principal Investigator and Bureau Chief, (505) 476-3577, Heidi.Krapfl@state.nm.us.


Related Indicators

Relevant Population Characteristics

Low income and non-English speaking are barriers to access healthcare services; they adversely influence asthma outcomes.

Related Relevant Population Characteristics Indicators:


Risk Factors

Obesity and exposure to or use of Tobacco are asthma triggers.

Health Status Outcomes

Untreated and/or uncontrolled asthma has adverse consequences that may include hospitalization, low quality of life, emergency department visits, and loss of school or work days. .



Graphical Data Views

Asthma Hospital Discharges Among Children (0-17 Year-old) by Year, New Mexico, 2007-2017

::chart - missing::
confidence limits

YearHospitalizations per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 11
200715.514.416.6800516,551
200814.313.215.3738517,668
200916.715.617.8867518,784
2010141315727518,608
201112.311.313.2635517,532
201216.615.517.8856514,471
201314.413.315.4733510,089
20141715.818.1859506,046
201515.714.616.8787502,317
201613.712.714.7681497,207
201711.410.412.3560491,559

Data Sources

  • Hospital Inpatient Discharge Data, New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.


Asthma Hospital Discharges Among Children (0-17 Year-old) by County, New Mexico, 2013-2017 Combined

::chart - missing::
confidence limits

CountyHospitalizations per 10,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 34
Bernalillo17.616.718.61,355768,489
Catron0014Unstable02,427
Chaves17.614.920.415789,010
Cibola15.311.119.65133,230
Colfax93.714.3Unstable1112,206
Curry29.825.733.920368,114
De Baca0016.2Unstable02,094
Dona Ana7.56.58.5206274,246
Eddy8.86.710.96675,065
Grant9.66.113.12930,209
Guadalupe17.15.328.9Unstable84,680
Harding**Rate was suppressed.
Hidalgo7.70.215.2Unstable45,220
Lea29.726.432.9312105,210
Lincoln73.210.81318,556
Los Alamos6.22.89.61320,833
Luna3.41.45.4Unstable1132,386
McKinley6.34.87.869109,473
Mora11.31.421.2Unstable54,431
Otero3.52.24.82777,848
Quay6.61.311.9Unstable69,107
Rio Arriba15.812.219.37547,538
Roosevelt1611213924,358
Sandoval14.412.616.2244169,380
San Juan14.512.816.3259178,075
San Miguel15.811.120.54427,839
Santa Fe11.79.913.5166142,055
Sierra4.50.18.8Unstable48,966
Socorro14.29.119.42920,377
Taos8.65.411.92731,291
Torrance21.414.528.33717,266
Union**Rate was suppressed.
Valencia15.913.318.414792,679
New Mexico14.41414.93,6202,507,218

Data Sources

  • Hospital Inpatient Discharge Data, New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.

References and Community Resources

New Mexico Asthma Control Program. https://nmhealth.org/about/erd/eheb/ap/ Breathing Easy in New Mexico. https://nmhealth.org/publication/view/plan/353/ Breathing Easier. https://www.cdc.gov/asthma/pdfs/breathing_easier_brochure.pdf CDC Asthma. https://www.cdc.gov/asthma/faqs.htm New Mexico Environmental Public Health Tracking https://nmtracking.org/health/breathing/Asthma.html

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/21/2018, Published on 01/18/2019
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Fri, 06 December 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 18 Jan 2019 17:24:48 MST