New York State Community Health Indicator Reports - About Respiratory Diseases

Indicator/Contact for information Data Source Definition
Chronic Lower Respiratory Disease (CLRD) mortality rates, crude and age-adjusted**

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to CLRD per 100,000 population. The ICD-10 codes used for CLRD are: codes J40-J47.
Chronic Lower Respiratory Disease (CLRD) hospitalization rates, crude and age-adjusted**

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to CLRD per 10,000. The ICD-9 codes used for CLRD are: 490-494,496.
Asthma hospitalization rates, crude and age-adjusted and age specific**

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS b
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to asthma among persons ages 0-4, 5-14, 0-17, 5-64, 15-24, 25-44, 45-64, and age 65 and older and all ages* per 10,000 population ages 0-4, 5-14, 0-17, 5-64, 15-24, 25-44, 45-64, and age 65 and older and all ages, respectively. The ICD-9 code used for asthma is: 493.
Asthma mortality rates, crude and age-adjusted**
Vital Records a
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to asthma per 100,000 population. The ICD-10 codes used for asthma are: codes J45-J46.
Percentage of adults with current asthma

Contact: BRFSS Coordinator at (518) 473-0673
New York Sate Expanded Behavioral Risk Factor Surveillance System c The prevalence of currently diagnosed asthma was based on answers to two questions:
  1. Did a health professional tell you that you had asthma?
  2. Do you still have asthma?

Data notes:

a Vital Records:
Information is collected from birth, death and fetal death certificates. Records with missing information for the indicator of interest are excluded when calculating rates and percentages for that indicator. Population based rates use population estimates provided by the U.S. Census Bureau. ICD-10 codes are used for cause of death.
In 2008, New York City Vital Records adopted the National Center for Health Statistics standard birth certificate. This certificate has been used for births occurring in New York State outside of New York City since 2004. According to the New York City Health Department publication, Summary of Vital Statistics 2008 1, the use of the new certificate has resulted in some data quality concerns. A combination of poor data quality and hospital staff adaptation to the new data entry system and worksheets affected data quality. There is a potential for variables such as prenatal care and race/ethnicity to be impacted by a larger than normal number of unknowns and miscoding. Caution should be used when comparing the 2008 data to previous years.
b Statewide Planning and Research Cooperative System-SPARCS:
Information about hospitalizations is collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge that indicates the primary reason for the hospitalization. There are also up to 14 other diagnosis codes recorded to further describe the hospitalization. Statistics presented in these tables are based on the primary diagnosis unless otherwise noted. This data system does not include information about events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Numbers and rates are based on the number of hospitalizations that occurred and not the number of individuals who were hospitalized.
c Expanded BRFSS:
The Expanded BRFSS is a telephone-based survey of adults 18 years of age or older conducted by the New York State Department of Health. The survey is based on the National Behavioral Risk Factor Surveillance System (BRFSS), conducted by the Centers for Disease Control and Prevention and collects information on self-reported health-related behaviors in New York State counties. The most recent survey was conducted between July 2008 and June 2009 and collected data in 57 New York State counties and New York City. Because the Expanded BRFSS only presents data for New York City as a whole, indicator data for the counties of Bronx, Kings, New York, Queens and Richmond are from the 2008 New York City Community Health Survey . The New York City Community Health Survey (CHS) is a telephone survey conducted by the New York City Department of Health and Mental Hygiene that is also based on the BRFSS.

** The standard population used for age adjustment was the 2000 U.S. population.