Demographics and Healthcare Utilization Data, North Carolina
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- Age: age on December 31, 2018
- Hospital admissions: direct hospital admissions or hospital admissions that originated in the ED
- 30-day hospital readmissions: hospital or ED readmission 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 readmission within 30 days of discharge from the initial ED visit
Map 1: More than 80% of the counties in California had at least one person with SCD in 2018. More than 30% of the people with SCD who lived in California resided in Los Angeles County.
| County | Total Number of people with SCD |
|---|---|
| Alameda | 419 |
| Amador | 1–25 |
| Butte | 1–25 |
| Calaveras | 1–25 |
| Contra Costa | 288 |
| El Dorado | 1–25 |
| Fresno | 150 |
| Glenn | 1–25 |
| Humboldt | 1–25 |
| Imperial | 1–25 |
| Kern | 138 |
| Kings | 1–25 |
| Lake | 1–25 |
| Lassen | 1–25 |
| Los Angeles | 2086 |
| Madera | 1–25 |
| Marin | 1–25 |
| Mendocino | 1–25 |
| Merced | 26–50 |
| Monterey | 1–25 |
| Napa | 1–25 |
| Orange | 174 |
| Placer | 1–25 |
| Plumas | 1–25 |
| Riverside | 355 |
| Sacramento | 381 |
| San Benito | 1–25 |
| San Bernardino | 530 |
| San Diego | 326 |
| San Francisco | 120 |
| San Joaquin | 156 |
| San Luis Obispo | 1–25 |
| San Mateo | 26–50 |
| Santa Barbara | 1–25 |
| Santa Clara | 51–100 |
| Santa Cruz | 1–25 |
| Shasta | 1–25 |
| Siskiyou | 1–25 |
| Solano | 140 |
| Sonoma | 1–25 |
| Stanislaus | 26–50 |
| Sutter | 1–25 |
| Tehama | 1–25 |
| Tulare | 1–25 |
| Ventura | 26–50 |
| Yolo | 1–25 |
| Yuba | 1–25 |
| All other counties | 0 |
Figure 1: There were almost 6,000 people with SCD living in California in 2018. Almost 30% of them were 40 years old or older.
| Age group (in years) | Male | Female |
|---|---|---|
| <10 | 424 | 361 |
| 10–19 | 533 | 507 |
| 20–29 | 553 | 690 |
| 30–39 | 440 | 682 |
| 40–49 | 226 | 492 |
| 50–59 | 205 | 418 |
| 60+ | 139 | 310 |
Figure 2: People with SCD living in California in 2018 had a total of more than 6,500 hospital admissions.
| Age group (in years) | Patients, total | Hospital days, total |
|---|---|---|
| <10 | 785 | 201 |
| 10–19 | 1,041 | 652 |
| 20–29 | 1,243 | 1,885 |
| 30–39 | 1,122 | 1,709 |
| 40–49 | 718 | 981 |
| 50–59 | 623 | 843 |
| 60+ | 449 | 547 |
Figure 3: The average number of hospitalizations for people with SCD living in California in 2018 was highest for 20- to 39-year-olds (1.5 hospitalizations) and lowest for <10-year-olds (0.3 hospitalizations).
| Age group (in years) | Patients, total | Hospital days, total |
|---|---|---|
| <10 | 785 | 0.26 |
| 10–19 | 1,041 | 0.63 |
| 20–29 | 1,243 | 1.52 |
| 30–39 | 1,122 | 1.52 |
| 40–49 | 718 | 1.37 |
| 50–59 | 623 | 1.35 |
| 60+ | 449 | 1.22 |
Figure 4: People with SCD living in California in 2018 spent a total of almost 37,000 days in the hospital.
| Age group (in years) | Patients, total | Hospital Days, total |
|---|---|---|
| <10 | 671 | 671 |
| 10–19 | 3,554 | 3,554 |
| 20–29 | 9,444 | 9,444 |
| 30–39 | 9,559 | 9,559 |
| 40–49 | 5,620 | 5,620 |
| 50–59 | 4,568 | 4,568 |
| 60+ | 3,389 | 3,389 |
Figure 5: The average number of days in the hospital for people with SCD living in California in 2018 was highest for 30- to 39-year-olds (8.5 days) and lowest for <10-year-olds (0.9 days).
| Age group (in years) | People with SCD, total | Total hospital days per patient, mean |
|---|---|---|
| <10 | 785 | 0.85 |
| 10–19 | 1,041 | 3.41 |
| 20–29 | 1,243 | 7.60 |
| 30–39 | 1,122 | 8.52 |
| 40–49 | 718 | 7.83 |
| 50–59 | 623 | 7.33 |
| 60+ | 449 | 7.55 |
Figure 6: The average length of stay for a hospitalization for people with SCD living in California in 2018 was highest for people aged 60 years and older (6.2 days) and lowest for <10-year-olds (3.3 days).
| Age group (in years) | People with SCD, total | Length of stay per admission, mean |
|---|---|---|
| <10 | 785 | 3.34 |
| 10–19 | 1,041 | 5.45 |
| 20–29 | 1,243 | 5.01 |
| 30–39 | 1,122 | 5.59 |
| 40–49 | 718 | 5.73 |
| 50–59 | 623 | 5.42 |
| 60+ | 449 | 6.20 |
Figure 7: More than 55% of hospitalizations for 20- to 49-year-olds with SCD living in California in 2018 were followed by another hospital or ED admission within 30 days of discharge from the first hospitalization.
| Age group (in years) | 30-day hospital readmission | No readmission |
|---|---|---|
| <10 | 34% | 66% |
| 10–19 | 46% | 54% |
| 20–29 | 58% | 42% |
| 30–39 | 55% | 45% |
| 40–49 | 56% | 44% |
| 50–59 | 53% | 47% |
| 60+ | 47% | 53% |
Figure 8: More than 75% of hospitalizations for people aged 20 years and older with SCD living in California in 2018 began in the ED.
| Age group (in years) | Admissions that initiated in the ED | Direct hospital admission |
|---|---|---|
| <10 | 50% | 50% |
| 10–19 | 59% | 41% |
| 20–29 | 79% | 21% |
| 30–39 | 84% | 16% |
| 40–49 | 79% | 21% |
| 50–59 | 79% | 21% |
| 60+ | 78% | 22% |
Figure 9: More than 60% of hospitalizations for people with SCD living in California in 2018 were paid for by public insurance (Medicaid or Medicare).
| Age group (in years) | Payer of hospital admission: Medicaid | Payer of hospital admission: Medicare | Payer of hospital admission: Private Insurance | Payer of hospital admission: Self-Pay | Payer of hospital admission: Other |
| <10 | 63% | 0% | 12% | 4% | 21% |
| 10–19 | 58% | 0% | 20% | 1% | 21% |
| 20–29 | 66% | 12% | 14% | 3% | 5% |
| 30–39 | 57% | 29% | 9% | 3% | 2% |
| 40–49 | 45% | 43% | 11% | 0% | 2% |
| 50–59 | 48% | 36% | 13% | 1% | 1% |
| 60+ | 20% | 69% | 11% | 0% | 0% |
Figure 10: People with SCD living in California in 2018 had a total of more than 14,500 ED visits.
| Age group (in years) | People with SCD, total | ED visits, total |
|---|---|---|
| <10 | 785 | 495 |
| 10–19 | 1041 | 997 |
| 20–29 | 1243 | 4,526 |
| 30–39 | 1122 | 3,749 |
| 40–49 | 718 | 2,289 |
| 50–59 | 623 | 1,679 |
| 60+ | 449 | 970 |
Figure 11: The average number of ED visits for people with SCD living in California in 2018 was highest for 20- to 29-year-olds (3.6 ED visits) and lowest for <10-year-olds (0.6 ED visits).
| Age group (in years) | Patients, total | ED visits per patient, mean |
|---|---|---|
| <10 | 785 | 0.63 |
| 10–19 | 1,041 | 0.96 |
| 20–29 | 1,243 | 3.64 |
| 30–39 | 1,122 | 3.34 |
| 40–49 | 718 | 3.19 |
| 50–59 | 623 | 2.70 |
| 60+ | 449 | 2.16 |
Figure 12: More than 50% of ED visits for 20- to 59-year-olds with SCD living in California in 2018 were followed by another hospital or ED admission within 30 days of discharge from the first ED visit.
| Age group (in years) | 30-day ED readmission | No readmission |
|---|---|---|
| <10 | 21% | 79% |
| 10–19 | 34% | 66% |
| 20–29 | 55% | 45% |
| 30–39 | 54% | 46% |
| 40–49 | 54% | 46% |
| 50–59 | 53% | 47% |
| 60+ | 47% | 53% |
Figure 13: More than 70% of ED visits for people with SCD living in California in 2018 were paid for by public insurance (Medicaid or Medicare).
| Age group (in years) | Medicaid | Medicare | Private insurance | Self-pay | Other |
|---|---|---|---|---|---|
| <10 | 74% | 4% | 12% | 2% | 8% |
| 10–19 | 68% | 1% | 21% | 1% | 8% |
| 20–29 | 69% | 12% | 14% | 3% | 2% |
| 30–39 | 59% | 21% | 13% | 5% | 2% |
| 40–49 | 56% | 26% | 14% | 3% | 2% |
| 50–59 | 47% | 32% | 18% | 1% | 1% |
| 60+ | 27% | 56% | 16% | 0% | 1% |
