By Age Group
Diseases of the respiratory system, including chronic obstructive pulmonary diseases (COPD), were the second leading cause of emergency visits in Simcoe Muskoka for the five year period between 2011 and 2015. There were approximately 24,000 COPD emergency visits over this five-year period, accounting for more than 15% of respiratory system disease related emergency visits.
The age-standardized rate for COPD emergency visits in Simcoe Muskoka for all ages and sexes in 2015 was 806 (783.1, 828.6) per 100,000 population, which was significantly higher than the Ontario rate of 593 (589.3, 597.3) per 100,000 population.
There was a small, but significant, downward trend in the Simcoe Muskoka COPD emergency visit rates from 2003 to 2015; however, the Ontario rates remained relatively stable during the same time period. The standardized morbidity ratio (SMR) for COPD emergency visits in Simcoe Muskoka compared with Ontario was 1.46 (1.44, 1.47), which means that there was a 46% greater COPD emergency visit experience in Simcoe Muskoka relative to Ontario from 2003 to 2015.
In 2015, the age-standardized COPD emergency visit rate among Simcoe Muskoka females was 884 (850.8, 917.4) per 100,000, which was significantly higher than the male rate of 734 (702.3, 765.4) per 100,000. The 2015 COPD emergency visit rates for Ontario males and females were significantly lower than the comparable Simcoe Muskoka rates.
Between 2003 and 2015, there was a small, but significant, downward trend in the COPD emergency visit rates among Simcoe Muskoka males; however, the female rates did not change significantly over the same period of time. The COPD emergency visit rates among Simcoe Muskoka females have been significantly higher than male rates since 2012.
By Age Group
Emergency visits for COPD increases with age. The age-specific rate for COPD emergency visits between 2003 and 2015 (combined) in Simcoe Muskoka was highest among those 75 years and older at 3,185 (3,133.4, 3,236.9) emergency visits per 100,000 population. The Simcoe Muskoka age-specific rates were significantly higher than the provincial rates for all age-groups over this 13-year period of time.
For the time period from 2011 to 2015 (combined) in Simcoe Muskoka, emergency visits for COPD were significantly lower among those living in the top 40% of neighbourhood income distribution when compared with those living in the bottom 60%.