HealthStats NSW
HealthStats NSW
HealthStats NSW

Asthma hospitalisations

Females, All ages, All LHDs
149.7 (145.9, 153.6)Females, 5-34, All LHDs
149.9 (143.8, 156.1)Females, All ages, Far West
250.9 (174.1, 349.1)Females, 5-34, Far West
346.3 (204.9, 547.8)Females, All ages, Western NSW
122.3 (104.6, 142.1)Females, 5-34, Western NSW
102.3 (77, 133.3)Females, All ages, Murrumbidgee
236.1 (208.7, 266)Females, 5-34, Murrumbidgee
208.1 (167.9, 255.1)Females, All ages, Southern NSW
169 (143.3, 197.9)Females, 5-34, Southern NSW
188.6 (145.7, 240.2)Females, All ages, Mid North Coast
152.7 (128.6, 179.8)Females, 5-34, Mid North Coast
182.4 (140.9, 232.2)Females, All ages, Northern NSW
147.9 (127.8, 170.2)Females, 5-34, Northern NSW
138.6 (107.6, 175.7)Females, All ages, Hunter New England
166.1 (154.3, 178.6)Females, 5-34, Hunter New England
149.6 (131.9, 169.1)Females, All ages, Central Coast
142.2 (124.4, 161.8)Females, 5-34, Central Coast
119.1 (93.3, 149.8)Females, All ages, Northern Sydney
114.3 (104.7, 124.5)Females, 5-34, Northern Sydney
126.1 (109.9, 143.9)Females, All ages, Nepean Blue Mountains
195.4 (176, 216.5)Females, 5-34, Nepean Blue Mountains
219.8 (187.5, 256.1)Females, All ages, Western Sydney
181 (169.4, 193.2)Females, 5-34, Western Sydney
201 (182, 221.4)Females, All ages, Illawarra Shoalhaven
116.7 (102, 133)Females, 5-34, Illawarra Shoalhaven
125.1 (101, 153.3)Females, All ages, South Eastern Sydney
121.9 (111.7, 132.8)Females, 5-34, South Eastern Sydney
122.3 (105.6, 140.7)Females, All ages, South Western Sydney
169.1 (158.1, 180.8)Females, 5-34, South Western Sydney
167.8 (150.7, 186.2)Females, All ages, Sydney
120.4 (108.2, 133.6)Females, 5-34, Sydney
120.5 (100.5, 143.2)Males, 5-34, All LHDs
158.9 (152.8, 165.3)Males, All ages, All LHDs
136.9 (133.2, 140.6)Males, 5-34, Far West
99.8 (36.6, 217.2)Males, All ages, Far West
106.7 (60.3, 174.4)Males, 5-34, Western NSW
126.6 (99.7, 158.6)Males, All ages, Western NSW
103.1 (87.2, 121.1)Males, 5-34, Murrumbidgee
172.4 (137.3, 213.9)Males, All ages, Murrumbidgee
159.4 (137.5, 183.7)Males, 5-34, Southern NSW
157 (119.7, 202.3)Males, All ages, Southern NSW
146.9 (123.7, 173.1)Males, 5-34, Mid North Coast
171.7 (133.7, 217)Males, All ages, Mid North Coast
136.9 (115, 161.8)Males, 5-34, Northern NSW
115.3 (88.9, 147.2)Males, All ages, Northern NSW
104.3 (87.8, 122.9)Males, 5-34, Hunter New England
184.6 (165.4, 205.4)Males, All ages, Hunter New England
167.8 (156, 180.2)Males, 5-34, Central Coast
111.6 (87.4, 140.4)Males, All ages, Central Coast
121.2 (104.8, 139.3)Males, 5-34, Northern Sydney
136.9 (120.5, 154.9)Males, All ages, Northern Sydney
114.5 (104.8, 124.9)Males, 5-34, Nepean Blue Mountains
144.1 (119, 173)Males, All ages, Nepean Blue Mountains
139.4 (123.3, 157)Males, 5-34, Western Sydney
195.7 (177.6, 215)Males, All ages, Western Sydney
147.4 (137.2, 158.3)Males, 5-34, Illawarra Shoalhaven
81.1 (62.3, 103.8)Males, All ages, Illawarra Shoalhaven
87.5 (74.7, 101.9)Males, 5-34, South Eastern Sydney
171.1 (151.3, 192.8)Males, All ages, South Eastern Sydney
117.6 (107.2, 128.7)Males, 5-34, South Western Sydney
194.6 (176.6, 213.8)Males, All ages, South Western Sydney
171.7 (160.7, 183.2)Males, 5-34, Sydney
136.9 (115.7, 160.7)Males, All ages, Sydney
110.7 (98.8, 123.6)
  • + Source

    NSW Combined Admitted Patient Epidemiology Data and ABS population estimates (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

  • + Notes

    Only NSW residents are included. Rehabilitation episodes are excluded. Figures are based on where a person resides, rather than where they are treated. Hospital separations were classified using ICD-10-AM. Rates were age-adjusted using the Australian population as at 30 June 2001.

    Numbers for recent years include an estimate of the small number of hospitalisations of NSW residents in interstate public hospitals, data for which were unavailable at the time of production. Further details can be found in the Methods tab in the following HealthStats NSW indicator: http://www.healthstats.nsw.gov.au/Indicator/bod_hos_cat

    Patients treated solely within the emergency department are excluded from this indicator report due to a policy change (PD2017_015). Please note that a minority of patients being managed in short stay areas of emergency departments are still included. Further information is found in a paper in the HealthStatsPLUS Methods tab on this website.

    Data for some Local Health Districts (LHDs) may not be included individually due to low numbers. All LHDs includes these LHDs where numbers are low, and records where the LHD was missing or not stated. Albury Local Government Area (LGA) is included in All LHDs.

    Local Health District population projections based on pre-2016 Census Estimated Resident Populations have been used in this report (see methods tab for more detail).

    LL/UL 95%CI = lower and upper limits of the 95% confidence interval for the point estimate.

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  • + Methods
  • + Codes
    • Codes: Asthma

      The International Statistical Classification of Diseases and Related Health Problems

      National Centre for Classification in Health, Australia; CM - Clinical Modification; AM - Australian Modification

       

      DescriptionICD-9 & ICD-9-CMICD-10 & ICD-10-AMComments
      Asthma 493 J45,J46

      All records are included for NSW residents only. Records involving rehabilitation are excluded.

      Episodes that are entirely within an emergency department are excluded.

  • + Related Indicators
  • + Associated Information
    • Key points: Asthma

      Latest available information

      Latest available data for adults in NSW

        • 11.5% of adults aged 16 years and over (8.4% of men and 14.4% of women) had asthma, as estimated from the 2019 NSW Adult Population Health Survey (self reported using a Computer Assisted Telephone Interview or CATI).

        • Asthma was responsible for 165 deaths in 2017 and around 11,290 hospitalisations in 2018-19.

      Latest available data for children in NSW

        • In 2018-2019, 20.6% of children aged 2-15 years (24.1% of boys and 16.8% of girls) ever had asthma, as estimated from the NSW Population Health Survey.

      Latest available data for adult Aboriginal persons in NSW

        • 14.2% of adult Aboriginal persons aged 16 years and over had asthma, as estimated from the 2018 NSW Adult Population Health Survey (self reported using a Computer Assisted Telephone Interview or CATI).

      Overall trends in NSW

      Self-reported data on asthma have been collected for adults in NSW since 1997 through the NSW Population Health Survey and parent-reported data on asthma have been collected for children in NSW since 2001 through the NSW Population Health Survey.

      Prevalence estimates, although differing slightly between surveys because of different sampling frames, participation rates and modes of collection (telephone versus face-to-face personal interview) have not changed over time.

      References

      Centre for Epidemiology and Evidence, NSW Ministry of Health. NSW Population Health Survey. Available at: http://www.health.nsw.gov.au/epidemiology/Pages/nsw-population-health-survey.aspx

      Australian Bureau of Statistics, National Health Survey: First Results (4364.0.55.001); NSW Table, 2017-2018. Available at: http://www.abs.gov.au/ausstats/abs@.nsf/mf/4364.0.55.001

    • Introduction: Respiratory disease

      Respiratory diseases

      Respiratory diseases include acute diseases such as influenza and pneumonia, and chronic respiratory diseases (specifically asthma, chronic obstructive pulmonary disease, asbestosis, and respiratory tuberculosis), where preventive measures and better management of conditions can reduce the burden of disease and reduce associated healthcare costs.

      Chronic respiratory diseases were responsible for 7.5% of the total burden of disease and injury in Australia in 2015, with chronic obstructive pulmonary disease and asthma accounting for 51.4% and 33.8% of this burden, respectively (AIHW 2019).

      Influenza and pneumonia

      Influenza and pneumonia are acute respiratory diseases that can be very severe and, in persons at high risk, can lead to death. Influenza and pneumonia cause around 2.5% of all deaths and around 0.9% of hospital separations and are an important cause of hospitalisations in the very young, and of death and hospitalisations among older age groups.

      Asthma

      Asthma is a significant public health problem in Australia and it is estimated that Australian prevalence rates are among the highest in the world. Fortunately, recent studies in children show no further increase in prevalence. In Australia in 2015, asthma was estimated to account for 2.5% of the disease burden (AIHW 2019).

      Chronic obstructive pulmonary disease

      Chronic bronchitis and emphysema are the two main conditions comprising chronic obstructive pulmonary disease (COPD). In Australia in 2015, COPD was estimated to account for 3.9% of the disease burden (AIHW 2019).

      Tuberculosis

      Tuberculosis (TB) is caused by the bacterial organism Mycobacterium tuberculosis. Despite the increasing burden from respiratory tuberculosis globally, it is not a major public health problem in NSW. In fact the mortality and morbidity from all types of tuberculosis in NSW is one of the lowest in the world.

      Lung cancer

      Lung cancer is usually excluded from analyses of respiratory diseases as it is classified with cancers in the International Classification of Diseases (the coding system used for health data in NSW). It has been included with respiratory diseases here to provide a more appropriate measure of the burden of respiratory disease from a clinical and health services planning perspective.

      Risk factors

      Cigarette smoking is the main risk factor for both COPD and lung cancer and the current incidence rates of these conditions reflect smoking rates 20 years and more in the past. Lung cancer is one of the leading causes of death in Australia.

      References

      Australian Institute of Health and Welfare 2019. Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2015. Australian Burden of Disease Study series no. 19. BOD 22. Canberra: AIHW. Available at: https://www.aihw.gov.au/reports/burden-of-disease/burden-disease-study-illness-death-2015/contents/table-of-contents

    • Interventions: Respiratory diseases

      Asthma

      Written asthma management plans are recommended as part of the national guidelines for the management of asthma: Australian Asthma Handbook (NACA 2015). They enable people with asthma to recognise a deterioration in their condition and initiate appropriate treatment, thereby reducing the severity of acute episodes.

      The Australian Asthma Handbook promotes preventive care activities, proper inhaler technique and adherence and stepped medical management where the use of medicines can be increased or decreased depending on circumstances and the therapy combinations.

      Tuberculosis

      Australia is fortunate in having one of the lowest rates of TB in the world. This has been primarily achieved as a result of a continued commitment to provide specialised health services dedicated to the prevention and control of TB in each of the states and territories. The National TB Advisory Committee’s Strategic Plan for the Control of Tuberculosis, 2011-2015 sets out the goals and objectives of TB control in Australia.

      Despite Australia’s success in reducing TB, there is no room for complacency. Global connectivity through air travel and migration means that TB will remain a public health concern in Australia until worldwide control of TB is achieved. The NSW TB Program is the provider of specialised services for the prevention and control of TB in NSW and plays a vital role in maintaining Australia’s success in reducing the burden of TB.

      Influenza and pneumonia

      Influenza and pneumococcal disease are covered by the National Immunisation Programs in NSW.

      Influenza has been a notifiable disease by all laboratories under the Public Health Act in NSW since 2001. Surveillance is enhanced in winter months when the NSW Ministry of Health collects and reports weekly on influenza-like illness presentations to Emergency Departments, through the Public Health Rapid, Emergency, Disease and Syndromic Surveillance System (PHREDSS), and laboratory-confirmed diagnoses of influenza virus infections.

      Emergency Departments in NSW are prepared for influenza epidemics with peak visit plans and similar measures in winter months.

      References

      National Asthma Council Australia. Australian Asthma Handbook. NACA, 2015. Available at: https://www.nationalasthma.org.au/health-professionals/australian-asthma-handbook

    • For more information: Respiratory diseases

      Useful websites

      Australian Centre for Airways disease Monitoring (ACAM) at http://www.asthmamonitoring.org

      National Asthma Council Australia at http://www.nationalasthma.org.au

      Australian Bureau of Statistics at http://www.abs.gov.au

      Australian Institute of Health and Welfare at http://www.aihw.gov.au

      healthdirect at http://www.healthdirect.gov.au

Last Updated At: Tuesday, 7 April 2020