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Health Indicator Report of Asthma Hospital Discharges among Adults

Asthma is one of the common chronic diseases in New Mexico, with an estimated 156,782 adults 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.

Notes

ICD Stands for International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death on death certificates and diagnoses, injury causes, and medical procedures for hospital and emergency department visits. These codes are updated every decade or so to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death. The 9th revision (ICD-9) is still used for hospital and emergency department visits.

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/.

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.

Definition

An asthma hospitalization is a hospital admission that occurs in state with asthma listed as the primary (first-listed) diagnosis of a New Mexico resident age 18 years and older. Asthma diagnosis include the ICD-9 codes 493.0-493.92 and, after 10/2015, the ICD-10 code J45.

Numerator

Number of adult 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.

How Are We Doing?

New Mexico adults hospitalization crude rates remained steady from 2004 to 2014 then began to decrease in 2015.

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 Program collects, analyzes, and disseminates asthma data in order to identify populations that have high burden of asthma. The Asthma 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 selfmanagement through patient education initiatives, and providing health care provider training on the latest National Heart, Lung, and Blood Institute Asthma Guidelines for medical practice. The Asthma Program works with partners (e.g., hospitals, physicians, insurance plans, and schools) throughout the state to design and implement health interventions to lessen asthma burden, especially in areas of asthma disparities. Current interventions include providing asthma self-management education to pediatric patients and training Community Health Workers for home visits with people with asthma to assist them in identifying and eliminating irritants and triggers from the house. 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/healthpro/ 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 Program, New Mexico Department of Health, P.O. Box 26110, 1190 St. Francis Drive, Suite N1300, Santa Fe, NM 87505. Heidi Krapfl, Principal Investigator, (505) 476-3577, Heidi.Krapfl@state.nm.us.

Page Content Updated On 02/22/2019, Published on 03/08/2019
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Content updated: Fri, 8 Mar 2019 09:16:43 MST