California SCDC Data, 2010: Map and Figures

The SCDC program monitors and reports on the health of people with sickle cell disease (SCD) over time. The maps and figures below represent 2010 data on number of patients, hospitalizations, and emergency department (ED) visits for SCD in California (CA). Click below each map or graph to download aggregate data.

The patients included in these data met at least one of the following criteria:

  • Born in 2010 and reported by the state newborn screening program with a confirmed diagnosis of SCD
  • Born prior to 2010 and reported by the state newborn screening program with a confirmed diagnosis of SCD AND had evidence of healthcare utilization* in 2010
  • Received care at one of the state’s hemoglobinopathy specialty treatment centers AND received care 1) at the center during 2010; or 2) had evidence of healthcare utilization* during 2010 AND a laboratory-confirmed diagnosis of SCD. The specialty treatment centers included in the SCDC program are:
    • University of California San Francisco (UCSF) Benioff Children’s Hospital Oakland
    • Valley Children’s Hospital
    • UC Davis Medical Center
    • Loma Linda Medical Center
    • Sickle Cell Disease Foundation of California (community-based organization)
  • Three or more healthcare visits (hospital, emergency department, or outpatient) with an SCD ICD-9-CM (thru September 30, 2015) or ICD-10-CM (after October 1, 2015) code over any 5-year period between January 1, 2004 and December 31, 2016 AND indication of healthcare utilization* 1) during 2010; or 2) before and after 2010

*hospital discharge, emergency department, or Medicaid claims

Key Terms
  • Age: the patient’s age on December 31, 2010
  • Hospital utilization: direct hospital admissions, as well as hospital admissions that originated in the ED
  • 30-day hospital readmissions: hospital or ED admission within 30 days of discharge from the initial hospital admission
  • ED visits: ED visits that resulted in a release after treatment
  • 30-day ED readmissions: hospital or ED admission within 30 days of discharge from the initial ED visit

Demographics

Map 1: Number of patients by county of residence
Number of patients by county of residence, CA, 2010 - details below

California SCDC Data – 2005, Total SCD Patients, by county
County Total Number of patients
Los Angeles 1813
Alameda 445
San Bernardino 430
Sacramento 329
Riverside 294
San Diego 274
Contra Costa 256
Solano 147
San Francisco 124
San Joaquin 116
Orange 108
Fresno 106
Kern 101
Santa Clara 51-100
Merced 21-50
Monterey 21-50
San Mateo 21-50
Stanislaus 21-50
Ventura 21-50
Santa Barbara 12-20
Shasta 12-20
Sonoma 12-20
Tulare 12-20
Yolo 12-20
Butte 1-11
El Dorado 1-11
Glenn 1-11
Humboldt 1-11
Imperial 1-11
Kings 1-11
Lake 1-11
Lassen 1-11
Madera 1-11
Marin 1-11
Mendocino 1-11
Napa 1-11
Placer 1-11
San Benito 1-11
San Luis Obispo 1-11
Santa Cruz 1-11
Siskiyou 1-11
Sutter 1-11
Tuolumne 1-11
Yuba 1-11
All other counties 0
Figure 1: Age and sex
California SCDC Data - 2010, Age and sex

California SCDC Data – 2010, Age and sex
Age group (in years) Male Female
<10 522 468
10-19 495 503
20-29 493 625
30-39 303 461
40-49 230 399
50-59 143 240
60+ 54 110

Hospital Utilization

Figure 2: Total number of hospital admissions
California SCDC Data - 2010, Total number of hospital admissions

California SCDC Data – 2010, Total number of hospital admissions
Age group (in years) Patients, total Admissions, total
<10 990 405
10-19 998 831
20-29 1118 2005
30-39 764 1364
40-49 629 985
50-59 383 543
60+ 164 221
Figure 3: Average number of hospital admissions
California SCDC Data - 2010, Average number of hospital admissions

California SCDC Data – 2010, Average number of hospital admissions
Age group (in years) Patients, total Admissions per patient, mean
<10 990 0.41
10-19 998 0.83
20-29 1118 1.79
30-39 764 1.79
40-49 629 1.57
50-59 383 1.42
60+ 164 1.35
Figure 4: Total number of days in the hospital
California SCDC Data - 2010, Total number of days in the hospital

California SCDC Data – 2010, Total number of days in the hospital
Age group (in years) Patients, total Hospital days, total
<10 990 1390
10-19 998 4070
20-29 1118 11514
30-39 764 8832
40-49 629 5558
50-59 383 3240
60+ 164 1191
Figure 5: Average number of days in the hospital
California SCDC Data - 2010, Average number of days in the hospital

California SCDC Data – 2010, Average number of days in the hospital
Age group (in years) Patients, total Total hospital days per patient, mean
<10 990 1.40
10-19 998 4.08
20-29 1118 10.30
30-39 764 11.56
40-49 629 8.84
50-59 383 8.46
60+ 164 7.26
Figure 6: Average length of stay in the hospital
California SCDC Data - 2010, Average length of stay in the hospital

California SCDC Data – 2010, Average length of stay in the hospital
Age group (in years) Admissions, total Length of stay per admission, mean
<10 405 3.43
10-19 831 4.90
20-29 2005 5.74
30-39 1364 6.48
40-49 985 5.64
50-59 543 5.97
60+ 221 5.39
Figure 7: 30-day hospital readmissions
California SCDC Data - 2010, 30-day hospital readmissions

Georgia SCDC Data – 2010, 30-day hospital readmissions
Age group (in years) 30-day hospital readmission No readmission
<10 37% 63%
10-19 37% 63%
20-29 56% 44%
30-39 56% 44%
40-49 53% 47%
50-59 46% 54%
60+ 47% 53%
Figure 8: Hospital admissions that initiated in the ED
California SCDC Data - 2010, Hospital admissions that initiated in the ED

California SCDC Data – 2010, Hospital admissions that initiated in the ED
Age group (in years) Admissions that initiated in the ED Direct hospital admission
<10 49% 51%
10-19 60% 40%
20-29 81% 19%
30-39 82% 18%
40-49 77% 23%
50-59 76% 24%
60+ 88% 12%
Figure 9: Payer of hospital admissions
California SCDC Data - 2010, Payer of hospital admissions
Payer of hospital admissions, GA, 2010
Age group (in years) Medicaid Medicare Private insurance Self-pay Other
<10 53% 0% 16% 0% 31%
10–19 54% 0% 23% 2% 22%
20–29 57% 17% 17% 3% 6%
30–39 48% 33% 12% 4% 3%
40–49 43% 36% 14% 2% 4%
50–59 38% 41% 14% 3% 4%
60+ 14% 65% 19% 1% 1%

ED Utilization

Figure 10: Total number of ED visits
California SCDC Data, 2010: Total number of ED visits

California SCDC Data, 2005: Total number of ED visits
Age group (in years) Patients, total ED visits, total
<10 990 555
10–19 998 803
20–29 1118 3241
30–39 764 2181
40–49 629 1817
50–59 383 1003
60+ 164 307
Figure 11: Average number of ED visits
California SCDC Data - 2010, Average number of ED visits

California SCDC Data – 2010, Average number of ED visits
Age group (in years) Patients, total ED visits per patient, mean
<10 990 0.56
10–19 998 0.80
20–29 1118 2.90
30–39 764 2.85
40–49 629 2.89
50–59 383 2.62
60+ 164 1.87
Figure 12: 30-day ED readmissions
California SCDC Data - 2010, 30-day ED readmissions

California SCDC Data – 2010, 30-day ED readmissions
Age group (in years) 30-day ED readmission No readmission
<10 23% 77%
10–19 32% 68%
20–29 59% 41%
30–39 59% 41%
40–49 60% 40%
50–59 63% 37%
60+ 57% 43%
Figure 13: Payer of ED visits
California SCDC Data - 2010, Payer of ED visits

California SCDC Data – 2010, Payer of ED visits
Age group (in years) Medicaid Medicare Private insurance Self-pay Other
<10 73% 0% 16% 2% 9%
10–19 64% 0% 24% 5% 7%
20–29 56% 12% 17% 9% 6%
30–39 36% 32% 14% 15% 3%
40–49 36% 31% 15% 14% 4%
50–59 30% 32% 32% 5% 1%
60+ 17% 50% 25% 7% 1%