Utilization of

Short-Stay

Hospitals by

Diagnosis= Related

“Groups

United States, 1980-84

This report presents statistics on the

utilization of non-Federal short-stay

hospitals by diagnosis-related groups

(DRG’s) based on data collected through

the National Hospital Discharge Survey.

Estimates are provided for patients under

65 years of age and for patients 65 years of

age and older on the frequency and

average length of stay for each DRG from

1980 through 1984. These statistics are

provided by region of the country for the 20

most frequent DRG’s.

Data From the National Health Survey

Series 13, No. 87

DHHS Publication No. (PHS) 86-1748

U.S. Department of Health and Human

Services

Public Health Service

National Center for Health Statistics

Hyattsville, Md.

Jdy 1986
Copyright lnfonmtbn

The National Center for Health Statistics has obtained permission from the

copyright hoMars to rePrOduCScertain quoted material in this report. Further

reproduction of this material is prohibited without specific permission of the

copyright holders. All other material contained in the report is in the public

domain and may be used and reprinted without special permission; citation as

to source, however, is appreciated.

SUg!#estedCitatii

National Center for Health statistics, R. Pokras: UfMzation of short-stay

hospitals by diagnosis-related groups. United States, 1960-64. Vita/ and Health

Statistics. Series 13,No. 87. DHHS Pub. No. (PHS) 661746. Public Health

Service. Washington. U.S. Government Printing Office, July 1966.

Library of congressCstak#@n-wibth Dats

Pokras, Robert.

Utilization of short-stay by diagnosis-related groups.

(Series 13, Data from the National Health Survey;

no. 87) (DHHS publication; no. (PHS) 86-1748)

Author: Robert Pokras.

Siblirqraphy: p.

1. Hospital utilization-lhited States—Statistics. 2. Diagnosis related

*

group~United States-Statistics. 1. National Center for Health Statistics (U.S.)

II. Title. Ill, Series: Vital and health statistics. Series 13, Data from the national

health survay ; no. 87. IV. Series: DHHS publication; no. (PHS) 86-1746.

[DNLM: 1. Diagnostic Related Groups-UnitwJ Statea-sfatiafica. 2. Hospitals—

utilization-United States-statistics. 3. Length of Stay-United States—

statistics. 4. Patient Dischar~United States-statistics. W2 A NI 48vm

no. 87]

RA981 .A2P623 1986 362.1 ‘1‘0973021 86-6637

ISBN 0-640&0340-l

For sale by the Superintendent of Documents, U.S. Goi-ernment Printing Otfice, Washington, D.C. 20402
National Center for Health Statistics

Manning Feinleib, M. D., Dr. P. H., Direcror

Robert A. Israel, Deputy Director

Jacob J. Feldman, Ph. D., Associate Director for Analysis and

Epidemiology

Game J. Losee, Associate Director for Data Processing and

Services

Alvan O. Zarate, Ph. D., Assistant Director for International

Statistics

Peter L. Hurley, Acting Associate Director for Interview and

Examination Statistics

Stephen E. Nieberding, Associate Director for Management

Gail F. Fisher, Ph. D., Associate Director for Program Planning,

Evaluation, and Coordination

Monroe G. Sirken, Ph. D., Associate Director for Research and

Methodology

Peter L. Hurley, Associate Director for Vital and Health Care

Statistics

Alice Haywood, Information Of/icer

Vial and HealthCare Statistics Program

Peter L. Hurley, Associate Director

Gloria Kapantais, Assistant to the Director for Data Policy,

Planning, and Analysis

Division of Health Care Statistics

W. Edward Bacon, Ph. D., Director

Joan F. Van Nostrand, Deputy Director

Mary Moien, ChieJ Hospital Care Statistics Branch

Manoochehr K. Nozary, Chief Technical Services Branch

Cooperation of the U.S. Bureau of the Census

Under the legislation establishing the National Health Survey, the Public Health

Service is authorized to use, insofar as possible, the services or facilities of other

Federal, State, or private agencies.

In accordance with specifications established by the National Center for Health

Statistics, the Bureau of the Census, under a contractual arrangement, participated in

planning the survey and collecting the data,
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospital inpatientutilization by diagnosis-related groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Listofdetailedtables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

I. Technicalnotesonmethods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Definitionsofterrns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Text figure

Average length of stay of patients dkcharged fkom short-stay non-Federal hospitals by age and region, United

States: 1970-84 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Text tsble

Annual pereent change in average length ofstayby age and region, United States:

. . . . . . . . . . . . . . . . . . .

980-84 . . . . . . . . . . . . . . .

symbols

--- Data notavailable

. . . Category nonapplicable

Quantityzero

0.0 Quantity more than zero butless than

0.05

z Quantity more than zero but less than

500wherenumbers are roundedto

thousands

*

Figure does notmeet standardof

reliability or precision

# Figure suppressed to comply with

eonfidentiality requirements

1

2

3

7

8

38

44

5

6

...

1[1
Utilization of Short=Stay

Hospitals by

Diagnosis=ReIated

Groups

by Robert Pokras, Divisionof Health Care

Statistics

Introduction

Diagnosis-related groups (DRG’s) are used by the Health

Care Financing Administration, some States, and some thirdparty payers, as the basis for reimbursing hospitals for inpatient

care. 1The Federal application of DRG’s is in the new prospective payment system for Medicare inpatients. The National

Center for Health Statistics, by means of the National Hospital

Discharge Survey (NHDS), collects the necessary patient information (diagnoses, procedures, age, and dkcharge status) to

determine a patient’s diagnosis-related group, and can thereby

generate national estimates on hospital utilization for these

categories. This report presents estimates from 1980 through

1984 from NHDS on patients discharged from short-stay nonFederal hospitals by DRG’s.

In an attempt to control rising Medicare costs, the Health

Care Financing Administration has changed the basis for determining how hospitals are reimbursed for inpatient care. Under

the Tax Equity and Fkcal Responsibility Act of 1983,2 reimbursement for inpatient care changed from fee-for-service to

a prospective payment system. Under this system a hospital

is reimbursed a preestablished amount based on a series of

calculations used to compute the average cost to care for

patients with similar conditions and treatment. These similar

conditions and treatments are defined as a set of mutually

exclusive categories called diagnosis-related groups, commonly referred to as DRG’s.

The prospective payment system using DRG’s was implemented on October 1, 1983. Individual hospitals started

in the system beginning with their first fiscal year after this

date. Therefore, by September 30, 1984, all hospitals designated to be under DRG reimbursement were in the system.

Data are presented in this report from 1980 through 1984

to give a historical perspective of hospital utilization by DRG’s,

to provide data for trend analysis, and to publish the most

current NHDS data on DRG’s. The estimates from 1980

through 1983 represent baseline dat~ that is, estimates of

hospital utilization prior to DRG implementation. Although

not all hospitals were in the system during all of 1984, the

1984 estimates provide the first glimpse of DRG data under

the new system. Two previous reports on DRG’s have been

published by the National Center for Health Statistics,3’4 but

these only included data on the most frequent DRG’s. This

report includes all DRG’s except those for which the number

of records sampled in NHDS was too small to produce an

estimate (as noted in the tables). The age breaks used in

tables 1-4 (under 65 years and 65 years and over) were

chosen to approximate the Medicare and non-Medicare

populations.

DRG’s were developed at the Yale School of Organization

and Management under the guiding principle that “The primary

objective in the construction of DRG’s was a definition of

case type, each of which could be expected to receive similar

outputs or services horn a hospital.”s Initially there were

470 DRG’s used in the prospective payment system, each

with an associated relative cost weight used to establish the

prospective payment for a patient in each DRG. This approach

to health care reimbursement operates on the premise that

patients with similar medical conditions should receive similar

care and use approximately the same resources. Therefore,

although there is variation in resource consumption among

patients within a DRG, this variation is expected to balance

out across the range of all patients.

A detailed description of the development and construction

of DRG’s is available,5 and current DRG’s and relative cost

weights are published in the Federal Register. DRG’s and

the relative cost weights are subject to modification for any

number of reasons. For example, a new DRG was added

in 1985 to reflect variance in care required for bilateral versus

unilateral joint replacement. It is important for anyone using

DRG data to examine changes in the system that could affect

their analysis. The data in this report are presented using

the 470 DRG’s as defined in the Federal Register of August

1, 1984 (Vol. 49, No. 171) and as used at the inception

of the DRG program.

The statistics in this report are based on data collected

by the National Center for Health Statistics by means of

the National Hospital Discharge Survey, which is a continuous

voluntary survey in use since 1965. The data for the survey

are obtained from the face sheets and discharge summaries

of a sample of inpatient medical records that are obtained

from a national sample of short-stay general and specialty

hospitals located in the United States. A brief description

of the sample design and the sources of data can be found

in appendix I. A detailed report on the design of NHDS

was published in 1970.6
Highlights

● In 1984, the most common diagnosis-related group (DRG)

for patients 65 years of age or older was heart failure

and shock (DRG No. 127) with 456,000 discharges.

. The most common DRG for all patients from 1980 through

1984 was No. 373, vaginal delivery without complicating

diagnoses.

. Medical back problems (DRG No. 243) was the second

most common single DRG. However, it was not as common as the three DRG’s (Nos. 182, 183, 184) that represent esophagitis, gastroenteritis, and miscellaneous digestive disorders for all age groups.

. Patients in the Northeast had a longer average length

of stay than patients in the West even when case complexity was controlled by DRG. These regional differences

are more pronounced for patients 65 years of age and

over than for younger patients.

● Average length stay in short-stay hospitals has been decreasing steadily from 1980 through 1984, m,aking the

decline in 1984, the first year of the prospective payment

system, appear to be in line with the recent past trend.

However, when these changes are examined as percent

change from year to year, it is evident that the decline

in 1984 was relatively larger than the decline in the previous 3 years.
Hospital inpatient

utilization by

diagnosis-related groups

Data on DRG’s for 1980-84 are presented in tables 1,2,3,

and 4. Tables I and 2 list each DRG with its estimated

frequency and average length of stay for patients under 65

and patients 65 years of age and older, respectively. Tables 3 and 4 present these statistics by region of the country,

but only for the most frequent DRG’s in order to present

reliable regional estimates. The DRG’s in tables 3 and 4

were selected and ranked according to their frequency of

occurrence in 1982, the midpoint of the period studied. All

estimates in the tables and figures of this report are derived

from the entire NHDS sample, excluding newborns; DRG

outliers are not excluded from the estimates in this report.

Tables 1-4 present some apparent contradictions, which

may be explained. By definition, some DRG’s are only for

patients in a specific age range. In such a case the DRG

title and the table title together define the age group of the

estimate. That is, the most restrictive case of either the table

or DRG title determines the age group of the estimate. For

example, DRG 294, diabetes age 36 and over (table 1), only

refers to patients between 36 and 64 years of age because

of the table title; likewise, DRG 89, pneumonia age 70 and

over (table 1), does not include a patient under age 65 because

of the restriction in the table title. There are some apparent

contradictions that can be clarified by looking at DRG 89

in table 1. Table 1 represents “.. patients under 65 years

of age...”; DRG 89, on the other hand, is for “.. age 70

or over... .“ But, there were 122,000 such discharges in 1984.

The full name of DRG 89 is “simple pneumonia and pleurisy

age 70 or over and/or substantial complications ancVorcomorbidity.” These 122,000 discharges (table 1, DRG 89) were

persons with pneumonia or pleurisy under age 65 (table title)

with a complication or comorbidity (DRG title). Tables 1

and 2 are complementary; a national annual estimate of the

frequency of any DRG from 1980 through 1984 can be obtained

by adding the appropriate estimates in tables 1and 2.

The most frequent DRG for patients 65 years of age

and older in 1982 was lens procedures (DRG 39), with an

estimated 429,000 discharges (table 4). This fell to 394,000

in 1984, to be replaced by heart failure and shock (DRG

127), which rose from 387,000 in 1982 to 456,000 in 1984

to become the most common DRG for elderly patients. It

is not surprising to find that for patients 65 years of age

and over, 7 of the top 20 DRG’s (Nos. 132, 127, 88, 14,

89, 140, and 138, in ascending order by frequency) were

related to the respiratory system or the cardiovascular system

(table 4).

The drop in lens procedures may represent the application

of new technologies and not an actual decrease in the frequency

of the procedure. These and other procedures are now being

performed in surgi-centers and in hospitals for outpatients.

Although this does not affect the basic quality of NHDS

estimates, it does reduce the comprehensiveness of some estimates because there are no statistics for procedures performed

in other than an inpatient setting. For medical and surgical

treatment that requires inpatient care, NHDS essentially produces estimates for the entire civilian population.

There were some relatively large changes in the frequency

of some DRG’s from their 1980-83 levels to 1984. These

may be reflections of real change in inpatient morbidity, which

reflect the impact of the DRG system on hospital utilization,

or reflections of artifactual change arising from the influence

of the DRG system on medical data. The prospective payment

system places economic importance on medical data, and

in doing so, may influence how medical information is collected and recorded.’

For example, the number of discharges with atherosclerosis (DRG 132) decreased from 442,000 in 1980 to

406,000 in 1983 for patients 65 years of age or over, followed

by a decrease of31 percent in 1984 to 282,000. This occurred

when the. number of elderly discharges declined by only 0.7

percent from 1983 to 1984. Chronic obstructive pulmonary

disease (DRG 88) had been increasing from 1980 through

1983 (270,000 to 320,000 discharges), but decreased to

272,000 discharges in 1984. Likewise diabetes for the elderly

in table 2 (DRG 294) showed between 206,000 and 218,000

discharges in each year from 1980 to 1983, but dropped

to 180,000 in 1984. Other DRG’s showed dramatic incmxses.

Admissions of patients 65 years of age or over with

heart failure and shock (DRG 127) increased by 15 percent

from 1980 to 1983, and then increased by 12 percent alone

in 1984. The number of discharges for nutritional and miscellaneous metabolic disorders for the elderly (DRG 296, table 2) increased by 39,000 from 1980 to 1983 (118,000 to

157,000) and then increased by 46,000 from 1983 to 1984.

Comparisons of 1980-83 data with 1984 data are made

with the assumption that 1984 data reflect the impact of the

DRG system. Actually, not all hospitals were in the system

for all of 1984. Hospitals were inducted between

October 1, 1983 and September 30, 1984 depending on the

hospitals’ fiscal year, so that some hospitals were in the system

for all of 1984 and some for a portion of the year (that

is, hospitals with a fiscal year July 1 to June 30 would have

3
been in the system since July 1, 1984). However, participating

hospitals entered the system no later than September 1984.

This report presents estimates of hospital utilization by

DRG’s for all discharges from non-Federal short-stay hospitals,

so it is not surprising that DRG No. 373, vaginal delivery

without complicating diagnoses, was the most common DRG

in each year horn 1983 through 1984, even though Medicare

pays for very few of these cases.

The nature of DRG’s often requires that sets or groups

of DRG’s be examined in order to study specific areas of

hospital utilization. For example, a current topic of interest

is the increasing proportion of deliveries done by cesarean

section. There are six DRG’s (370-375) related to delivery:

two for cesarean section (DRG’s 370 and 371) and four for

vaginal delivery (DRG’s 372–375). To arrive at a cesarean

section rate, all six of these DRG’s must be used. That is,

the sum of DRG’s 370-371 must be divided by the sum

of DRG’s 37&375. This calculation shows the cesarean section

rate has risen from 16.5 percent in 1980 to 21.2 percent

in 1984.

Similarly, sets of DRG’s offer a good example of how

DRG’s must be aggregated to make accurate statements about

the frequency of various types of hospital utilization. It appears

that DRG 243, medical back problems, was the second most

common condhion for persons under 65 years of age

(table 1). Despite DRG 243 being the second most common

single DRG, DRG’s 183 and 184, which represent the same

digestive disorders for two separate age groups (esophagitis

and gastroenteritis 18-69 years of age and under 18, respectively), and combined were more frequent than medical back

problems.

Another difflctdty arises if one is interested in analyzing

rates of hospital utilization using DRG’s. For many DRG’s

this is not a problem, but for any DRG ending with the

delimiter ”... age 70 or over and/or c.c. ,“ “.. under 70 without

c.c.,” or “... age 18-69 without C.C.,“ the calculation of rates

is problematic. These terms indicate that certain patients can

be classified into one of two DRG’s depending on the existence

of comorbidities and/or complications. It would be inaccurate

to estimate a rate of hospital utilization for persons aged

70 and over for DRG 31, concussion age 70 or over and/or

c .C., using the 70 or over population because some persons

in this DRG are under 70 years of age. For this reason,

rates of discharges by DRG’s are not presented in this paper.

(It might be reasonable to study rates of Medicare discharges

by DRG’s based on the total Medicare enrollee population

to examine Medicare utilization rates.)

These examples illustrate that DRG’s are not an easy

tool for studying disease (they were not developed for this

purpose), but they can be quite useful in examining hospital

utilization. Measuring hospital utilization is a complex task

and usually involves measures of patient case complexity,

or case mix. Data are regularly published in the Vital and

Health Statistics series on numbers and rates of discharges,

average length of stay, and number of days of care using

data from NHDS. However, these measures do not take into

account the effects of patient complications and comorbidities

to measure case complexity. While DRG’s are not a perfect

instrument for measuring hospital utilization, they are readily

available, central to Medlcrue inpatient reimbursement, and

were developed to differentiate patients based on their resource

consumption. DRG’s were developed to group patients into

medically meaningful and statistically homogeneous groups

as measured by resource consumption, with average length

of stay being a key variable used in measuring resource consumption. 5 To the extent that DRG’s accurately perform this

task, an interesting and straightforward analysis is available

by simply comparing the average length of stay for a DRG

(or selected group of DRG’s) across a variable of interest.

For example, NHDS estimates have shown the Northeast Region of the United States to have the highest average overall

length of stay, while length of stay in the West has consistently

been the shortest (figure 1). But does this average length

of stay differential exist when patient complexity is included

in the analysis?

Patterns of care as measured by average length of stay

for DRG’s by age and region are compared in tables 3 and

4 and can help shed light on this question. It is readily apparent

that for individual DRG’s the Northeast demonstrates a longer

length of stay than do other regions of the country

(tables 3 and 4). Average length of hospital stay has been

dropping markedly for the past 4 to 5 years (figure 1) in

all regions; but in spite of this, the Northeast lags behind

the rest of the country. That is, when comparing hospital

utilization as measured by average length of stay, and holding

case complexity constant by DRG, there are still substantial

differences by region. Examining table 3, we see that in

1980 women in the Northeast with uncomplicated vaginal

deliveries (DRG 373) stayed an average of 3.6 days compared

with only 2.3 days in the West. While these same estimates

are 3.2 and 2.1 days in 1984, a substantial gap still exists

for the most common DRG. This general pattern between

regions was also evident for many common surgical DRG’s:

Cesarean section (DRG 371); nonradical hysterectomy (DRG

355); and cholecystectomy (DRG 198). However, there are

some DRG’s for which average length of stay differences

are small across regions: dilation and cumetage of uterus (DRG

364) and tonsillectomy and/or adenoidectomy (DRG (;0).

Table 4 shows that for persons 65 and over average lengths

of stay by region for specific DRG’s are even more disparate.

In 1984, elderly patients with atherosclerosis (DRG 132) stayed

3.9 days longer in the Northeast than in the West. This was

down from a 5.5 day difference for this DRG in 1980. Similarly, in 1980, elderly patients in the Northeast admitted for

heart failure and shock (DRG 127) averaged 12.0 days in

the hospital versus only 7.4 days for their counterpruts in

the West—a difference of 4.6 days. The same comparison

in 1984 still shows a difference of 3.7 days. At least one

surgical DRG, transurethral prostatectomy (No. 336), shows

a dramatic decrease in average length of stay from 1980

to 1984 for patients in the Northeast 13.1 days to 8.7 days.

On the other hand, patients with hip and femur procedures

(DRG 210) in the Northeast were hospitalized more than

a week longer than patients undergoing similar procedures

in the West for each year from 1980 through 1984. It is

apparent that even when case complexity is controlled by

4
14

13

12

11

10

-k,,,,

\West 1

65 yeera of ego

Oroldar

)

under 65yeer9

Ofege

4

3

2

1

0 .

1970 1971 1972 1973 1974 1975 1978 1977 1978 1979 1980 1981 1982 1983 1984

Year of clisoharge

Fiiure 1. Averege length of stay of patients dbcherged from ehort-etay non-f%derel ho@tele by aga and region, United Sates 1970-84

m
grouping patients into DRG’s, there are substantial regional

differences in average length of stay.

The average length of stay associated with a DRG allows

hospitals to compare their experience with that of other hospitals. While comparison is tenuous on a case-by-case basis,

a hospital with an average length of stay that is 2, 3, or

more days longer than the national average for all patients

in a specific DRG may need to examine why it is so far

from the norm. This kind of comparison may be worthwhile

as a starting point, but even within a DRG, average length

of stay is not an exact measure of resource consumption.

A hospital with average length of stay characteristics similar

to hospitals in the same region may be making or losing

money under the prospective payment system depending on

other economic and efficiency factors of the hospital.

In making these comparisons of average length of stay,

it is important to note the general downward trend in the

lengths of hospital visits for the previous fifteen years. There

has been a steady decline in average length of stay in all

regions of the country since 1970, with a more precipitous

fall in the last 4 to 5 years. That is, although average length

of stay for all patients aged 65 and over declined 2.6 days

during the 11-year period 1970-81, an average drop of 0.24

days per year, the drop from 1981 through 1984 was 1.6

days, or 0.4 days per year.

One of the expected outcomes of the prospective payment

system was an overall reduction in length of stay. Given

this existing trend it may be dh%cult to evaluate the effects

of DRG’s on average length of stay because it decreased

significantly before the DRG program and because there is

a threshold effect for this variable. That is, at a certain point,

length of stay cannot be further reduced. The table translates

the data in figure 1 to percent change in length of stay from

one year to the next. It is evident from this analysis that

in 1984 there was a relatively larger reduction in average

length of stay than in previous years for patients 65 years

of age and over—patients most affected by changes in the

Medicare system. However, because length of stay can only

be reduced to a certain point, this trend will at some point

end, and hospitals will have to achieve savings by other means.

Table. Annuelpercent change inavemge length ofetaybyegeutd

region, United Stetew 19S0-64

[Dkdw.rges from short-sky non+edwal hospitals. Exdudea nswbom infants.]

Ymr

Age andragbn 1980 1961 19s2 1933 1934

Under65 years Peroent

Northeast . . . . . . . . . . . . + 0.27 – 1.74 -1.56 -3.0s -2.64

North Central . . . . . . . . . . +1.64 -2.22 + 1.20 -2.71 -2.13

south . . . . . . . . . . . . . . -0.59 -0.03 -2.18 -.0.53 -6.22

Weat . . . . . . . . . . . . . . + 1.92 -0.36 -2.76 -.1.74 -0.22

65 Years and over

Northeast . . . . . . . . . . . . –0.59 -0.46 -6.15 -.1.32 -6.57

NorlhCentral . . . . . . . . . . -0.71 -2.57 -1.55 -6.42 -9.66

South . . . . . . . . . . . . . . -0.96 -0.39 -4.36 -.3.41 -8.05

Weat . . . . . . . . . . . . . . – 4.37 -3.541 -0.52 -2.66 -7.61

6
References

lJ A]sofim: playing the numbers. Medical World New, Oct. 24,

1983, Pp. 38-55.

ZTn ~ui~ ~d F1sc~ Responsibility Act. United States ConiWss,

September 3,1983.

sNational Center for He~th Statistics, R. Pokrax Diagnosis-related

groups using data from the National Hospital Discharge Survey,

United States, 1981. Advance Data From Vital and Health Statistics,

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Hyattsville, Md., July 20,1984.

dNationa] Center for Health Statistics, R. POkMSand K. K. Kubishkti

Diagnosis-related groups using data from the National Hospital Discharge Survey, United States, 1982. Advance Data From Vital and

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Health Service. Hyattsville, Md., Jan. 18, 1985.

5R B Fetter, S. Youngsoo, J.L. Freeman, et al.: Case mix definition . .

by diagnostic related groups. Medical Care 18(2), Supplement.

(Copyright 1980 Used with the permission of Medical Care.)

‘National Center for Health Statistics, W. R. Simmons and G. A.

Schnack Development of the Design of the NCHS Hospital Discharge

Survey. Vital and Health Statistics. Series 2, No. 39. DHEW Pub.

No. (HRA) 77–1 199. Health Resources Admhistration. Washington.

U.S. Government Printing Office, May 1977.

7J3 B Cohen, R. pokras, and M. Kmshati HOWWilldiagnosis-dati

. .

groups affect epidemiologic rmearch? Proc. Society for Epidemiologic Resemh, 1985.

SNational Center for Hedti Statistics: DEWdOpmmt and maintenance

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Statistics. Series 1, No. 3. PHS Pub. No. 1000. Public Health

Service. Washington. U.S. Government Printing Oftlce, Feb. 1965.

%_J.S.Public Health Service and Health Care Financing Administration: International Classification of Diseases, 9th Revision, Clinical

Modzjication. DHHS Pub. No. (PHS) 80-1260. Public Health Service. Washington.U.S. Government Printing Ofllce, Sept. 1980.

‘%. S. National Committee on Vital and Health Statistics, Technical

Consukant Panel: UHDDS Classes of Procedures, [CD-9-CM. Ann

Arbor, Mich, Commission on Professional and Hospital Activities,

Sept. 1, 1978.

IINation~ Center for Health Statistics: Uniform Hospital Discharge

Data Set, Minimum Data Set, Report of the National Committee

on Vital and Health Statistics. DHEW Pub. No. (PHS) 80-1157.

Public Health Service. Washington. U.S. Government Printing Office, Apr. 1980

]2Nation~ C+en@rfor Health Statistics, M. G. Sirken: Utilization

of short-stay hospitals, summary of nonmedlcrd statistics, United

States, 1965. Vital and Health Statistics. Series 13, No. 2. PHS

Pub No. 1000. Public Health Service. Washington. U.S. Government

Printing OffIce, Aug. 1967.

lsNation~ Center for Health Statistics, M. J. Wh.kin: Utilization

of short-stay hospitals by characteristics of discharged patients, United

States, 1965. Vital and Health Statistics. Series 13, No. 3. PHS

Pub. No. 1000. Public Health Service. Washington. U.S. Government

Printing Office, Dec. 1967.

lqNation~ Center for Health Statistics: Eighth Revision international

ClassJication of Diseases, Adapted for Use in the United States.

PHS Pub. No. 1693. Public Health Service. Washington. U.S. Government Printing Office, 1967.

15 Insti~te of Me&lcine: Report of a Study, Reliability of National

Hospital Discharge Survey Data. Washington. National Academy

of Science:, 1980.

‘%stitute of Medicine: Report of a Study, Reliability of Medicare

Hospital Discharge Records. Washington. National Academy of Sciences, Nov. 1977.

lTInsti~te of Medicine: Report of a Stud?, Reliability of Hospital

Discharge Abstracts. Washington. National Academy of Sciences,

Feb. 1977.

7
List of detailed tables

1. Number and average length of stay of patients under 65 years of age discharged from short-stay hospitals, by

years of age discharged from short-stay hospitrds, by diag- selected diagnosis-related groups (DRG’s) and geographic

nosis-related groups (DRG’s): United States, 198W84 . . . 9 region: United States, 1980-84 . . . . . . . . . . . . . . . 33

2. Number and average length of stay of patients 65 years 4. Number and average length of stay of patients 65 years

and older discharged from short-stay hospitals, by diag- of age and over dkcharged from short-stay hospitals,, by

nosis-related groups (DRG’s): United States, 1980-84 . . . 21 selected diagnosis-related groups (DRG’s) and geographic

3. Number and average length of stay of patients under 65 region: United States, 1980-g4. . . . . . . . . . . . . . . 35
TABLE 1. NUN6ER ANO AVERAGE LENGTH OF STAY OF PATIENTS MER ss YEARS. OF AGE OIsCHARUEO FROM SHORT-STAY HOSPITALS, BY DIAGNOSIS -

RELATEO GROUPS (ORQ8S) : IJMTEO STATES. t9B0-84

[DISCHARGES FROM NON-FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWORN INFANTS]

OIAGNOSIS-RELATED GROUP Am ORG MJN6ER 19s0 isaf i9s2 19s3 1984 9980 19s1 1982 $983 1984

ALL DISCHARGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1-47o

MALIOR DIAGNOSTIC CATEGORY 1: OISEASES

Am 01 SOROERS OF THE NERVOUS SYSTEM

CRANIOTOMY AGE 18 OR OVER EXCEPT FOR TRAUNA. . . . ...1

CRANIOTOMY FOR TRAUMA AGE IS OR OVER. . . . . . . . . . . ...2

CRANIOTOMYAGEUNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . ..3

SPINAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..j. ji

EXTRACRANIAL VASCULAR PROCEDURES. . . . . . . . . . . . . . . ...5

CARPAL TUNNEL RELEASE . . . . . . . . . . . . . . . . . . . . . . . . . . ...6

PERIPHERAL ANO CRANIAL NERVE ANO OTHER

NERVOUS SYSTEM PROCEDURES AGE 70 OR OVER

AND/OR C. C..............;.. . . ..i . . . . .. I . . . . . . . ...7

PERIPHERAL Am CRANIAL NERVE ANO OTHER NERVOUS

SysTEM PROCEDURES AGE UNOER 70 WITIUIUT C.C . . . . . . . s

SPINAL OISOROERS ANO INIJURIES . . . . . . . . . - . . . . . . . . ...9

NERVOUS SYSTEM NEOPLASMS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1O

NERVOUS SYSTEM NEOPLASMS AGE UNOER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1!

DEGENERATIVE NERVOUS SYSTEM OISOROERS. . . . . . . . . ...12

MULTIPLE SCLEROSIS ANO CEREBELLA ATAXIA . . . . . . ...13

SPECIFIC CEREBROVASCULAR OISOROERS EXCEPT

TRANSIENT ISCHEMIC ATTACKS . . . . . . . . . . . . . . . . . . . ...14

TRANSIENT ISCHEMIC ATTACKS . . . . . . . . . . . . . . . . . . . . ...15

NONSPECIFIC CEREBROVASCULAR OISOROERS WITH C.C. ..16

NONSPECIFIC CEREBROVASCULAR OISOROERS

WI THOIJTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...17

CRANIAL ANO PERIPHERAL NERVE OISOROERS AGE

7ooRovER ANo/oRc. c....... . . . . . . . . . . . . . . . . . ...18

CRANIAL ANO PERIPHERAL NERVE OISOROERS AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . . ...19

NERVOUS SYSTEM INFECTION EXCEPT VIRAL

MENINGITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20

VI RAL MENINGITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21

HYPERTENSIVE ENCEPHALOPATHY . . . . . . . . . . . . . . . . . . . ...22

NONTRAUMATIC STUPOR ANO cOMA . . . . . . . . . . . . . . . . . . ...23

SEIZURE ANO HEAOACHE AGE 70 OR OVER ANO/OR C.C. ..24

SEIZURE ANO HEAOACHE AGE 18-69 WITHOUT C.C. . . . . . .2S

SEIZURE ANO HEAOACHE AGE UNOER 18................26

TRAUMATIC STUPOR ANO COMA, COMA GREATER

THAN ONE HOUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...27

TRAUMATIC sTUPOR ANO COMA. COMA LESS THAN

ONE HOUR AGE 70 OR OVER ANO/OR C. C . . . . . . . . . . . ...28

TRAUMATIC STUPOR ANO COMA LESS THAN ONE I.XIUR

AGE 18-69 WITHOUT C. C........ . . . . . . . . . . . . . . . . ...29

TRAUMAT XC STUPOR ANO COMA LESS THAN ONE HOUR

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ...30

CONCUSSION AGE 70 OR OVER ANO/OR C. C . . . . . . . . . . ...31

CONCUSSION AGE i8-69 WITHOUT C.C. . . . . . . . . . . .

CONCUSSION AGE UNOER ls . . . . . . . . . . . . . . . . . . . . .

OTHER OISOROERS OF NERVOUS SYSTEM AGE UWER

7ooRovER Atm/oRc. c....... . . . . . . . . . . . . . . .

OTHER OISOROERS OF NERVOUS SYSTEM AGE UNDER

70 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . ...32

,. . ...33

. . ...34

. . ...35

MAdOR DIAGNOSTIC CATEGORY 2: OISEASES

ANO OISOROERS OF THE EYE

RETINAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36

oRBITAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...37

PRIMARY IRIS PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . ..3S

LENS PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...39

EXTRAOCULAR PROCEDURES EXCEPT ORSIT AGE IS

❑R OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40

EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE

UNOER lS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...41

INTRAOCULAR PROCEDURES EXCEPT RETINA , IRIS

ANO LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42

HYPHEMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...43

AcUTE MAJOR EYE INFECT IONS . . . . . . . . . . . . . . . . . . . . ...44

NEUROLOGICAL EYE OISOROERS . . . . . . . . . . . . . . . . . . . . . ..4S

OTHER OISOROERS OF THE EYE AGE i8 OR OVER

WITH C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...46

OTHER OISORDERS OF THE EYE AGE IS OR OVER

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47

oTHER OISOROERS OF THE EYE AGE UNOER 18..........48

NUM6ER IN THOUSANOS

27,66S

35

10

20

14

:;

*6

83

1s

●9

14

4s

31

89

58

lt

Is

13

76

38

22

11

●2

25

158

71

●2

23

47

58

1s

G

16

45

25

12

●7

$18

55

44

29

11

10

12

13

21

23

2s, 13s

38

14

21

1s

::

●5

87

21

10

:

28

92

54

11

!6

11

72

35

27

*10

●

32

i 57

75

●4

20

50

S8

16

74

73

20

44

26

● 10

●7

ils

4t

S2

25

Is

● io

Is

13

24

16

27, S96

38

12

16

::

53

●7

59

19

lt

16

44

37

96

55

4*

13

14

6S

31

28

●7

●3

27

157

68

●4

20

43

49

14

z

18

40

23

●9

●4

127

so

42

30

12

io

i6

13

22

17

27,4S1

39

13

20

16

21

47

●7

66

~7

● 10

20

46

31

90

54

$3

io

13

?f

37

33

12

●2

27

138

60

●s

ts

4!

60

14

2

23

42

30

● 10

11;

37

43

27

1s

13

32

●to

19

● 10

2S ,936

36

11

23

16

24

43

.7

46

1s

●9

:;

37

98

61

10

11

iz

S6

36

26

●lo

●3

3s

136

6i

●6

19

45

54

12

64

4a

21

32

36

12

●2

8S

29

2s

3s

●S

14

●8

15

19

● fo

AVERAGE LENGTH OF STAY IN OAYS

6.0

22.9

2s.0

*3.4

26.4

91.2

3.0

● 19.4

1:::

●15.2

9.2

11.2

11.6

1s.0

5.7

10.2

S.6

10.6

6.3

10.9

5.8

6.4

●4.5

5.5

4.9

3.s

●!6.8

8.3

6.1

3.9

5.2

3.3

2.4

12.3

6.9

6.6

4.6

●3.6

3.2

2.s

2.0

:::

4.9

5.0

6.1

4.3

2.4

6.0

20.7

f9.9

fs. s

25.3

9.2

2.7

●23.4

4.6

14.6

ls. s

11.1

~0.8

10. s

$2. s

5.9

!0.9

5.4

7.7

6.4

11.7

4.4

●6.O

●

7.2

4.4

3.6

●14.5

10.9

5.4

4.7

6.0

3.6

1.8

11.8

5.3

5.3

●4.7

●4.2

3.1

2.4

i.?

5.7

3.8

.4.0

4.2

10. i

4.7

2.6

.-

5.9

26.5

fs. a

1s.9

2i.5

10.6

2.5

●18.5

4.7

f6. O

14.4

6.8

40.3

9.s

12.4

5.9

9.6

6.0

6.6

6.8

10.3

4.9

●6.7

●7.5

7.0

4.s

3.4

=14.1

12.6

4.9

2.4

4.1

:::

11. s

6.3

5.4

*5.9

*2.2

2.7

2.s

1.6

4.7

4.1

4.8

4.2

9.6

3.8

2.3

5.s

23.5

23.6

9.7

21.6

9.7

2.5

*20.3

4.4

21.4

*1O.2

9.5

10.1

9.s

13.0

5.1

7.8

6.S

6.3

7.4

10.6

4.3

6.i

●3.5

5.2

4.0

3.1

*4.8

7’.6

5.8

3.9

!%. i

3.0

1.9

8.S

4.8

4.9

*4.3

2.;

2.3

1.5

3.6

4.6

4.9

4.6

●6.4

4.f

*2.6

5.6

22.1

20.1

11.0

18.9

8.6

2.4

●19.4

3.7

14.1

●11.6

6.6

10.6

9.3

11.5

5.2

6.5

6.1

7.2

s.?

10.6

4.5

●6.9

*7. O

4.9

3.7

2.9

*6.8

11.1

3.8

3.0

4.i

3.0

1.9

6.7

5.9

4.4

3.4

*4. O

2.s

2.2

1.5

3.7

*3. O

4.0

●4.7

S.6

3.3

●2.7

NOTE : IN THIS TABLE THE ABBREVIATION “C. C. - STA~S FOR “SU6STANT:AL COMPLICATION A~/OR C-R6101TY - .

9
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNDER 65 YEARS OF AGE DISCHARGE FROM SHORT-STAY HOSPITALS, BV DIAGNOSIS -

RELATEO GROUPS (ORGf S) : UNITEO STATES, f9B0-84--CON.

[DISCHARGES FROM NON- FEOERAL SHDRT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER f980 1981 1982 1983 1984 1980 1981 1982 1983 1984

MAJoR DIAGNOSTIC CATEGORY 3: OISEASES

ANO OISOROERS OF THE EAR, NOSE, ANO

THROAT

MAIJOR HEAO ANO NECK PROCEDURE S . . . . . . . . . . . . . . . . . ..49

SIALOADENECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5o

SALIVARY GLANO PROCEDURES EXCEPT

SIALOAOENECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51

CL EFTLIPANO PALATE REPAIR. . . . . . . . . . . . . . . . . . . ...52

SINUS ANO MASTOIO PROCEDURES AGE 18 OR OVER. . . ...53

SINUS ANO MASTOIO PROCEDURES AGE UNOER 18........54

MISCELLANEOUS EAR , NOSE ANO THROAT PROCEDURES. . ..55

RHINOPLASTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58

TONSIL ANO AOENOIO PROCEOURE EXCEPT

TONSILLECTOMY ANO/OR AOENOIOECTOMY AGE

180 R OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...57

TONSIL ANO AOENOIO PROCEOURE EXCEPT

TONSILLECTOMY ANO/OR AOENOIOECTOMY AGE

UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58

TONSILLECTOMY ANO/OR AOENOIOECTOMV ONLY. AGE

I S OR OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TONSILLECTOMY ANO/OR AOENOIOECTOMY ONLY.

. . . . ...59

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60

MYRINGOTOMY AGE 180 R OVER . . . . . . . . . . . . . . . . . . . . ...61

MYRINGOTOMY AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . .62

OTHER EAR, NOSE ANO THROAT OPERATING ROOM

PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...63

EAR, NDSE ANO THROAT MALI GNANCY . . . . . . . . . . . . . . . ...64

OYSEOUILIERIUM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65

EPISTAXIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...66

EPIGLOTTITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...67

OTITIS MEOIA ANO UPPER RESPIRATORY

INFECTION AGE 70 OR OVER ANO/OR C. C . . . . . . . . . . . ..6S

OTITIS MEOIA ANO UPPER RESPIRATORY

INFECTION AGE 1S-69 WITHOUT C. C . . . . . . . . . . .. . . . ...69

OTITIS MEOIA ANO UPPER RESPIRATORY INFECTION

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7o

LARYNGOTRACHE IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...71

NASAL TRAUMA AND DEFORMITY. . . . . . . . . . . . . . . . . . . . ...72

OTHER EAR , NOSE ANO THROAT OIAGNOSES AGE

180 R OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...73

OTHER EAR , NOSE ANO THROAT OIAGNOSES AGE

UNOER lE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...74

MAUOR DIAGNOSTIC CATEGORY 4: OISEASES

ANO DISORDERS OF THE RESPIRATORY SYSTEM

MAJOR CHEST PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . ...75

oPERATING ROOM PROCEOURE ON THE RESPIRATORY

SYSTEM EXCEPT MAdoR CHEST WITH C.C. . . . . . . . . . . ...76

OPERATING ROOM PROCEOURE ON THE RESPIRATORY

SYSTEM EXCEPT MALIOR CHEST WITHOUT C.C. . . . . . . . ...77

PULMONARY EMBOLISM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78

RESPIRATORY INFECTIONS ANO INFLAMMATIONS AGE

7ooRovER ANo/oRc. c...... . . . . . . . . . . . . . . . . . . ...79

RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE

IS-69 WI THOUTC. C....... . . . . . . . . . . . . . . . . . . . . . ...80

RESPIRATORY INFECTIONS ANO INFLAMMATIONS AGE

UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81

RESPIRATORY NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . ...82

MAOOR CHEST TRAUMA AGE 70 OR OVER AND/OR C.C. . ...83

MAJOR CHEST TRAUMA AGE UNDER 70 WITHOUT C . C . . . ...84

PLEURAL EFFUSION AGE 70 OR OVER ANO/OR C.C. . . . . ...95

PLEURAL EFFUSION AGE UNDER 70 WITHOUT C.C. . . . . ...86

PULMONARY EOEMA ANO RESPIRATORY FAILURE. . . . . . . ...87

CHRONIC OBSTRUCTIVE PULMONARY OISEASE. . . . . . . . . . . .8S

SIMPLE PNEUMONIA ANO PLEURISY AGE 70 OR

OVER ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89

SIMPLE PNEUMONIA ANO PLEURISY AGE 18-69

WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...90

SIMPLE PNEUMONIA ANO PLEURISY AGE UNOER 18.......91

INTERSTITIAL LUNG OISEASE AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92

INTERSTITIAL LUNG OISEASE AGE UNOER 70

WITHOUT C. C, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...93

PNEUMOTHORAX AGE 70 OR OVER ANO/OR C . C . . . . . . . . ...94

PNEUMOTHORAX AGE UNDER 70 WITHOUT C.C. . . . . . . . . ...95

BRONCHITIS ANO ASTHMA AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...96

BRONCHITIS ANO ASTHMA AGE 18-69 WITHOUT C.C. . . ...97

BRONCHITIS AND ASTHMA AGE UNOER 18...............98

RESPIRATORY SIGNS ANO SYMPTOMS AGE 70 OR

OVER ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...99

RESPIRATORY SIGNS ANO SYMPTOMS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...100

OTHER RESPIRATORY OIAGNOSES AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...101

oTHER RESPIRATORY OIAGNOSES AGE UNOER 70 . . . . . . . . 102

NUMEER IN THOUSANOS AVERAGE LENGTH OF STAY IN OAYS

*8

i4

*3

*9

45

*7

205

91

*9

114

112

295

*4

61

15

24

40

io

*4

36

113

250

37

24

42

20

45

13

12

34

13

i4

*6

104

11

*8

*6

*7

i5

187

95

160

242

10

18

*1

27

77

230

285

22

26

46

●7

16

*5

11

47

*9

209

93

il

91

113

295

*2

50

19

22

45

*9

*5

38

101

227

43

25

39

25

47

*7

12

32

14

●lo

*5

Its

If

*6

*3

*6

20

194

86

153

243

17

f7

*7

24

81

225

299

●

28

26

48

●8

11

*3

● 10

48

1::

97

●IO

86

111

279

*3

36

15

2i

45

*9

●4

31

98

216

24

19

36

27

46

+9

14

31

17

i3

*5

135

10

*7

*5

*5

14

192

66

162

279

11

14

*8

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84

227

313

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29

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*8

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*4

17

48

●8

196

85

●9

95

92

270

*2

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15

22

43

*7

*6

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61

17

36

28

52

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97

*9

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*6

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176

100

153

256

14

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103

227

320

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161

122

130

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103

207

277

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24

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49

*20. o

4.4

*2.9

*4.4

4.3

*3.3

2.9

2.7

*3.4

i.a

2.3

1.6

*2.2

1.2

4.7

6.6

4.9

3.5

*4.6

5.5

4.0

3.6

3.2

2.2

4.0

3.5

16.3

14.6

0.3

11.5

i3.2

14.5

*ill

1!.4

9.2

*6. O

*9.2

*7.2

7.9

8.2

10.1

6.2

4.8

10.6

6.6

*7.9

5.7

7.0

5.3

4.1

4.0

6.7

5.6

*15.3

3.9

*3.2

4.4

3.4

*5. O

2.5

2.5

4.1

1.7

2.2

1.8

*1.5

1.4

5.2

8.4

4.4

.4.0

*4.8

5.4

4.4

3.3

3.2

2.1

3.7

3.8

16.7

*f2.2

7.7

io.1

15.9

*i7.8

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9.5

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*4.7

*10.5

*7.2

6.9

8.4

9.6

6.6

5.1

15.3

5.8

*9.2

5.4

6.9

5.5

4.1

*

3.5

6.1

4.4

*18.5

4.6

*3. O

*4.2

3.2

*3. O

2.7

2.5

*3.1

1.5

2.1

f.9

*i.7

1.1

4.8

6.7

4.2

*4.3

*3.8

5.0

3.9

3.3

3.2

2.5

3.4

3.0

15.2

*21. O

9.7

10.7

14.4

10.2

*fo.7

8.4

9.2

*4.3

*6.9

*5.5

7.4

6.0

9.5

6.0

4.6

10.2

5.4

$7.0

5.2

6.8

5.3

3.9

*

3.5

6.5

4.0

*19.2

3.3

*2.5

3.6

3.0

*2.7

2.4

2.3

*3.5

1.8

2.2

1.8

*2. O

1.3

5.8

6.6

3.9

*3.2

*4.5

5.5

3.6

3.2

2.7

2.4

3.7

4.7

13.5

*16.6

7.6

10.2

*13.7

*9.9

*6.6

6,7

*7.2

*3.4

*7.6

*6.2

6.1

7.9

8.4

6.1

4.7

9.2

6.2

*6.6

5.4

6.7

5.1

3.8

*

3.2

6.3

3.9

.16.5

3.6

*3.3

4.0

3.1

*3.7

2.2

2.0

*3.4

1.6

1.6

1.6

*2.6

1.4

3.7

5.9

3.7

*3.8

*4.3

4.2

3.7

3.2

2.7

2.3

3.3

3.9

14.4

*f5.6

*6. O

6.9

13.7

12.4

*5.8

6.8

*9.4

*3. O

*7.1

*6.6

9.6

7.7

7.9

5.4

4.6

5.8

5.1

*6.6

4.8

6,2

4.6

3.7

*

3.2

6.5

3.8

NOTE : IN THIS TABLE THE ABBREVIATION ‘C. C. n STANOS FOR “suBsTANTIAL COMPLICATION AND/OR COMORBIOITY” .

10
TABLE i . NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE oISCHARGEO FROM SHORT-STAY HOSPITALS. Ey OIAGNos IsRELATELI GROUPS (ORG’S) : UNITED STATES, 1980-84--CON.

[DIscHARGES FROM FWN-FEOERAL SHORT-STAY HOSPITALS. EXCLLIOES NEWBORN INFANTS]

OIAGNOSIS-RELATED GROUP ANO ORG NUMBER 1980 1981 1982 f983 1984 198o i981 1982 1983 19s4

NUM8ER IN THOUSANDS AVERAGE LENGTH OF STAY IN OAYS

MAJOR DIAGNOSTIC CATEGORY 5: OISEASES

ANO OISOROERS OF THE CIRCULATORY SYSTEM

HEART TRANSPLANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i03

cAROIAC VALVE PROCEDURE WITH PUMP AND WITH

CARDIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . ...104

CAROIAC VALVE PROCEOURE WITH PUMP ANO

WITHOUT CAROIAC CATHETERIZATION. . . . . . . . . . . . . ...105

CORONARY 8YPASS WITH CAROIAC cATHETERIZATION. . . . ID%

cORONARY 8YPASS WITHOUT CAROIAC

CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...107

CARD IOTHORACIC PROCEDURE. EXCEPT VALVE AND

C0RONARyi3ypASS, wITH puMp . . . . . . . . . . . . . . . . . . . . . 108

CAROIOTHORACIC PROCEDURES WITHOUT PUMP. . . . . . . ...109

MALIOR RECONSTRUCTIVE VASCULAR PROCEDURES AGE

7ooRovER ANo/oRc. c....... . . . . . . . . . . . . . . . . ...110

MAIJOR RECONSTRUCTIVE VASCULAR PROCEDURES

AGE UNOER 70 WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . 111

VASCULAR PROCEDURES EXCEPT MAdOR

RECONSTRUCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...112

AMPUTATION FOR CIRCULATORY SYSTEM

DISOROERS EXCEPT UPPER LIMB AND TOE. . . . . . . . . ...113

UPPER LIMB AND TOE AMPUTATION FOR

CIRCULATORY SYSTEM 01 SOROERS . . . . . . . . . . . . . . . . . . ..I14

PERMANENT CAROIAC PACEMAKER IMPLANT WITH

ACUTE MYOCAROIAL INFARCTION OR CONGESTIVE

HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1!5

PERMANENT CAROIAC PACEMAKER IMPLANT

WITHOUT ACUTE MYOCAROIAL INFARCTION OR

CONGEST IVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . ...116

CAROIAC PACEMAKER REPLACE ANO REVISION

EXCEPT PULSE GENERATOR REPLACEMENT oNLY. . . . . ...117

CAROIAC PACEMAKER PULSE GENERATOR

REPLACEMENT ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...118

VEIN LIGATION ANO STRIPPING. . . . . . . . . . . . . . . . . . . ..i19

OTHER OPERATING ROOM PROCEDURES ON THE

CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . ...120

CIRCULATORY OISOROERS WITH ACUTE MYOCAROIAL

INFARCTION ANO CARO1OVASCULAR COMPLICATIONS.

DISCHARGE ALIVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

CIRCULATORY OISOROERS WITH AcUTE MYOCAROIAL

INFARCTION WITHOUT CAR07.OVASCULAR

cOMPLICATIONS, OISCHARGEO ALIVE. . . . . . . . . . . . . . . . i22

CIRCULATORY OISORDERS WITH ACUTE MYOCAROIAL

INFARCTION, EXPIRED . . . . . . . . . . . . . . . . . . . . . . . . . ...123

CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL

INFARCTION. WITH CAROIAC CATHETERIZATION ANO

cOMPLEX DIAGNOSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...124

CIRCULATORY OISOROERS EXCEPT ACUTE MYOCAROIAL

INFARcTION. WITH CAROIAC CATHETERIZATION

WITHDUT COMPLEX DIAGNOSIS . . . . . . . . . . . . . . . . ...-..125

AcUTE ANO SUEACIATE ENDoCAROITIS. . . . . . . . . . . . . . ...126

HEART FAILURE AND SHOCK . . . . . . . . . . . . . . . . . . . . . . . . . i27

OEEP VEIN THROMEDPHLEBITI S . . . . . . . . . . . . . . . . . . . ...128

CARDIAC ARREST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...129

PERIPHERAL VASCULAR OISOROERS AGE 70 OR

OVER ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...130

PERIPHERAL VASCULAR OISOROERS AGE UNOER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...131

ATHEROSCLEROSIS AGE 70 OR OVER ANO/OR C.C. . . . ...132

ATHEROSCLEROSIS AGE UNDER 70 WITHOUT C.C. . . . . ...133

HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...134

CAROIAC CONGENITAL ANO VALVULAR OISOROERS AGE

7ooRovER AND/oRc. c . . . . . . . . . . . . . . . . . . . . . . . ...135

CAROIAC CONGENITAL ANO VALVULAR OISOROERS

AGE 18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . ...136

CAROIAC CONGENITAL AND VALVULAR DISOROERS

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...137

CAROIAC ARRHYTHMIA ANO CONDUCTION OISORDERS

AGE700R OVER ANO/ORC. C.. . . . . . . . . . . . . . . . . ...138

CAROIAC ARRHYTHMIA AND CONOUCTION OISOROERS

AGE UNOER70WITHOUTC. C. . . . . . . . . . . . . . . . . . . . ...139

ANGINA PECTORIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140

SYNCOPE ANO COLLAPSE AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...141

SYNCOPE ANO COLLAPSE AGE UNDER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...142

cHEST PAIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...143

OTHER CIRCULATORY OIAGNOSES WITH C.C. . . . . . . . . . . . i44

OTHER CIRCULATORY OIAGNOSES WITHOUT C.C. . . . . . ...145

*3

16

30

62

11

● fo

16

25

26

*3

●2

●

12

*3

●4

5f

*8

36

192

21

27

187

●3

83

56

12

30

71

t 53

98

2$5

18

28

20

47

94

170

●3

32

49

31

37

*4

44

30

72

*IO

14

18

24

25

*3

*3

●

11

*

●3

58

*8

43

213

21

31

207

*3

81

53

13

29

71

136

91

229

14

21

16

46

99

170

*3

28

56

37

39

●

*4

14

41

70

16

12

20

23

29

*4

*3

*2

14

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45

*9

44

210

26

36

208

●4

88

51

15

37

72

131

91

214

t?i

28

16

54

1%

●4

26

56

33

41

●7

13

38

75

27

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22

34

34

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11

*

*2

45

*lo

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203

21

40

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106

47

14

37

76

132

85

199

12

29

f3

67

91

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62

37

40

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*6

16

47

67

42

If

20

20

30

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●

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42

11

48

201

21

41

213

●6

112

50

16

36

63

103

62

169

10

29

$2

59

85

224

●6

22

51

46

31

●24.4

21.2

15.8

13.4

i6.8

*13.9

24.0

14.3

14.2

*20.4

●26. O

*

10. i

*6.9

*4.9

6.o

●21. O

14.6

11.3

6.0

6.9

3.9

● 15.2

8.9

9.s

11.0

10.5

6.6

7.2

6.0

6.0

8.6

5.0

3.4

5.9

4.2

5.8

*7.8

3.7

3.3

8.5

6.6

*23.5

16.0

15.9

12.5

.15.6

15.1

i8.5

i2.6

13.0

*16.4

.20.7

●

10. s

●

*8.8

5.0

*17.3

12.3

10.5

4.6

7.4

3.7

*35.6

9.6

9.2

8.2

6,9

6.7

6.9

5.5

6.0

7.4

6.3

6.3

6.5

4.2

5.5

●5.3

3.5

3.1

io.3

6.1

*

*20.9

i3.9

f5.7

12.6

11.0

13.6

i6.9

12.4

11.6

*23.6

.17.8

*9.6

9.2

*

*

5.4

●f7.3

12.9

9.9

5.1

6.6

3.4

●27.4

8.5

10.0

6.4

6.2

7.0

6.6

5.4

5.4

5.8

4.7

5.9

6.2

4.2

5.4

*5. t

3.5

3.0

9.0

5.7

.21.0

13.3

16.2

12.2

9.6

!0.8

20.4

12.1

11.3

*2o.4

*17. O

*

8.4

*

*4.3

5.6

.10.7

11.9

9.6

5.2

6.8

3.3

.16.5

9.0

8.6

13.2

8.2

6.5

6.6

5.2

5.5

6.4

3.7

4.0

5.7

3.9

5.2

*6.6

3.1

2.9

8,1

5,2

*

*22.5

13.9

13.8

11.3

7.3

14. !

f7.5

10.6

9.5

*22 .0

*li.9

*

6.9

*8.3

*4. O

4.9

12.0

10.9

8.6

5.5

7.i

3.0

●23. 1

7.6

8.2

12.2

6.9

7.i

5.8

4.4

4.8

5.7

4.4

4.9

5.2

3.6

4.7

*6.3

2.9

2.8

6.9

5.1

NOTE : IN THIS TABLE THE A8EREVIATION *C. C. m STANOS FOR “SUBSTANTIAL COMPLICATION AND/OR CONOR8101TY”

11
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE DISCHARGE FROM sHoRT-STAy Hosp ITALs. By DIAGN(Js IsRELATEO GROUPS (ORG, s) : UNITED STATES. i960-64--CON.

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HoSPITALS. EXCLUOES NEWBORN INFANTS]

DIAGNOSIS-RELATED GRoUP ANO ORG NUM6ER 1980 1981 1982 i 983 1964 1980 1981 1982 1983 1984

NUM8ER IN THOUSANDS

MAJOR DIAGNOSTIC CATEGORY 6: OISEASES

ANO OISOROERS OF THE 01 GE5TIVE SYSTEM

RECTAL RESECTION AGE 70 OR OVER ANo/OR C.C. . . ...146

RECTAL RESECTION AGE UNOER 70 WITHOUT C,C. . . . ...147

MALIOR SMALL ANO LARGE BOWEL PROCEDURES AGE

700 ROVE RAND/• RC. C...... . . . . . . . . . . . . . . . . . ...148

MAiJoR SMALL ANO LARGE BOWEL PROCEDURES AGE

UNOER70WITHOUT C. C..... . . . . . . . . . . . . . . . . . . . ...149

PERITONEAL AOHESIOLYSIS AGE 70 OR OVER

ANo/oRC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...150

PERITONEAL ADHESIOLYSIS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...151

MINOR SMALL ANO LARGE BOWEL PROCEDURES AGE

700 ROVER ANO/ORC. C...... . . . . . . . . . . . . . . . . . ...152

MINOR SMALL ANO LARGE BOWEL PROCEDURES AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...153

STOMACH, ESOPHAGEAL ANO OUODENAL PROCEDURES

AGE700R ovERANo/oRc. c.. . . . . . . . . . . . . . . . . . ...154

STOMACH, ESOPHAGEAL AND OUOOENAL PROCEDURES

AGE 18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . ...155

STOMACH, ESOPHAGEAL ANO OUOOENAL PROCEDURES

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...156

ANAL PROCEDURES AGE 70 OR OVER ANO/OR C.C. . . . ...157

ANAL PROCEDURES AGE UNDER 70 WITHOUT C.C. . . . . . . . 15B

HERNIA PROCEDURES EXCEPT INGUINAL ANO

FEMORAL AGE 70 OR OVER ANO/OR C. C., . . . . . . . . . . ..I59

HERNIA PROCEDURES EXCEPT INGUINAL ANO

FEMORAL AGE IB-69 WITHOUT c,c . . . . . . . . . . . . . . . . ..16O

INGUINAL ANO FEMORAL HERNIA PROCEDURES AGE

70 OR OVER ANO/OR C.C. . . . . . . . . . . . . . . . . . . . . . ...161

INGUINAL ANO FEMORAL HERNIA PROCEDURES AGE

18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . ...162

HERNIA PROCEDURES AGE UNOER 16..................163

APPENDECTOMY WITH COMPLICATED PRINCIPAL

OIAGNOSIS AGE 70 OR OVER ANO/OR C.C. . . . . . . . . ...164

APPENDECTOMY WITH COMPLICATE PRINCIPAL

OIAGNOSIS AGE UNOER 70 WITHOUT c.c . . . . . . . . . . . ..i65

APPENDECTOMY WITHOUT COMPLICATE PRINCIPAL

OIAGNOSIS AGE 70 OR OVER ANO/OR C. C . . . . . . . . . . ..i66

APPENOECTOMV WITHOUT COMPLICATE PRINCIPAL

OIAGNOSIS AGE UNOER 70 WITHOUT C.C. . . . . . . . . . ...167

PROCEDURES ON THE MOUTH AGE 70 OR OVER

ANo/oR C. C........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

PROCEDURES ON THE MOUTH AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...169

OTHER OIGESTIVE SYSTEM PROCEDURES AGE

7ooRovER ANo/oRc. c...... . . . . . . . . . . . . . . . . . ...170

oTHER DIGESTIVE SYSTEM PROCEDURES AGE UNOER

70 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i7t

OX GE STIVE MALIGNANCY AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...172

OIGESTIVE MALIGNANcY AGE UNOER 70

WITI+OUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...173

GAsTROINTESTINAL HEMORRHAGE AGE 70 OR OVER

ANo/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174

GAsTROINTESTINAL HEMORRHAGE AGE UNOER 70

WITHOUT C. C..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175

COMPLICATEO PEPTIC ULCER. . . . . . . . . . . . . . . . . . . . . ...176

UNCOMPLICATED PEPTIC ULCER AGE 70 OR OVER

AND/OR C. C...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 177

UNCOMPLICATED PEPTIC ULCER UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...178

INFLAMMATORY BOWEL 01 SEAS E . . . . . . . . . . . . . . . . . . . ...179

GASTROINTESTINAL OBSTRUCTION AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..f80

GASTROINTESTINAL OBSTRUCTION AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...181

ESOPHAGITIS, GASTROENTERITIS, AND

MISCELLANEOUS DIGESTIVE OISEASE AGE 70

OR oVER ANO/DR C.C. . . . . . . . . . . . . . . . . . . . . . . . . . . ..IE2

ESOPHAGITIS. GASTROENTERITIS, ANO

MISCELLANEOUS DIGESTIVE DISEASE AGE 16-69

WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..183

ESOPHAGI TIS, GASTROENTERITIS, ANO

MISCELLANEOUS OIGESTIVE OISOROERS AGE

UNOER is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i84

OENTAL ANO ORAL OISEASE EXCEPT EXTRACTIONS

ANO RESTORATIONS AGE lB OR OVER . . . . . . . . . . . . . . ..IB5

OENTAL ANO oRAL OISEASE EXCEPT EXTRACTIONS

ANO RESTORATIONS AGE UNOER 16..................186

OENTAL EXTRACTIONS ANO RESTORATIONS. . . . . . . . . . ...187

OTHER OIGESTIVE SYSTEM OIAGNOSES AGE 70

OR OVER AND/OR C. C....... . . . . . . . . . . . . . . . . . . . . ..18B

OTHER OIGESTIVE SYSTEM OIAGNOSES AGE

16-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i89

OTHER OIGESTIVE SYSTEM OIAGNOSES AGE UNOER 18...190

*7

11

33

59

*4

18

*4

20

26

S9

12

Zz

*8

73

18

268

ii7

*8

27

*lo”

210

12

69

11

27

27

28

50

64

10

24

109

38

13

36

1.s3

702

373

43

21

153

21

95

62

●4

11

40

56

*5

20

●9

30

25

56

11

18

215

*9

76

12

253

i 10

* 10

29

12

213

11

90

tl

28

25

27

50

B5

13

24

105

41

12

34

184

688

379

42

i9

t25

24

B2

51

●8

*9

40

56

*6

20

●!O

34

26

so

12

26

194

10

73

16

271

$03

●B

27

12

195

13

82

lf

31

27

27

55

79

*9

26

92

45

~4

41

193

673

392

37

17

85

30

81

4i

●7

15

4f

58

*7

19

11

34

27

48

13

24

176

*9

64

18

255

87

12

27

*8

200

13

7B

Ii

28

29

21

54

76

13

24

86

39

47

40

203

633

348

41

t7

71

28

86

48

10

12

44

57

*5

20

iz

32

29

46

14

21

159

12

68

16

236

71

11

3B

11

197

14

72

13

25

32

21

62

73

11

17

66

37

f7

36

223

543

3i9

37

19

51

21

82

43

AVERAGE LENGTH OF STAY IN OAVS

*21.6

+5.0

22.2

f3.2

*f5.7

11.4

*23.5

7.7

i8.5

12.1

8.0

7.5

5.1

*10.7

6.0

9.B

4.5

2.5

*11.3

B.6

*9.2

4.5

6.2

3.6

18.1

7.6

9.B

9.0

7.1

5.0

7.0

7.1

5.4

7.6

7.4

5.1

5.7

4.5

3.9

4.8

3.1

1.9

6.3

4.0

2.7

*lB.4

t5. f

19.6

12. s

*13.1

9.4

*i4.7

B.1

16.9

10.5

6.8

7.3

5.6

*8.6

6.1

7.6

4.4

2.4

*13.1

8.7

7.9

4.4

6.0

4.i

15.4

6.0

9.5

7.7

7.4

5.0

B.O

6.6

5.1

8.9

6.3

6.1

5.8

4.3

3.7

3.9

4.4

1.6

6.1

3.7

2.9

*21. O

*17.3

IB.9

13.3

*14.8

8.6

*6.9

6.4

15.9

12.4

9.4

6.1

4.8

8.8

5.6

6.0

4.2

2.5

*11.1

8.2

8.3

4.1

6.4

3.5

t4.5

8.6

12.3

7.3

6.5

5.1

*6.2

6.1

4.9

8.7

6.5

5.2

5.2

4.1

3.8

4.3

3,3

2.2

6.3

3.8

2.5

*21. O

14.2

17.5

11.7

*11.4

10.1

9.0

6.1

14.5

10. f

7.6,

5.B

4.4

*9.8

5.5

6.7

3.9

1.9

ill

8.2

*6.5

4.1

7.3

3.6

13.3

5.9

13.1

6.3

6.5

4.3

9.3

6.1

4.4

9.4

6.8

4.0

5.0

4.~

3,6

4.6

3.0

$.7

6.2

3.8

2.7

21.2

13.7

IS. B

Ii. a

*14.3

.

8.i

7.6

5.3

16.3

11.2

7.3

6.2

4.3

8.9

4.8

5.2

3.3

2.5

9.6

8.4

6.6

3.8

6.1

3.s

15.3

5.4

9.8

7.2

6.2

4.2

6.0

5,5

4.3

9.3

5.9

4.6

4.7

3.9

3.3

3.7

3.5

1.7

5.6

3.4

2.3

NOTE : IN THIS TABLE THE ABBREVIATION IIC.C. “ STANOS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY”

12
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNDER 6S YEARs OF AGE OISCHARGEO FROM SHORT-STAY HOSPITALS. BY DIAGNOSISRELATED GROUPS (ORG$S) : UNITEO STATES. t9E0-E14--CON.

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

OIAGNDSIS-RELATEO GROUP ANO ORG NUNBER 1960 1981 !9.62 *983 1984 1980 1981 1982 ?983 19.s4

NUNBER IN THoUSANOS AVERAGE LENGTH OF STAY IN DAYS

MAIJOR 01 AGNOST I C CATEGORY 7: DISEASES

AND OISORDERS OF THE HEPATOBILIARY SYSTEM

ANo PANCREAS

MAdoR pANcREAs, LIVER. AND SHUNT Procedures . . . . . WI

MINOR PANCREAS , LIVER. AND SHUNT PROCEDURES. . . . . t92

BILIARY TRACT PROCEOURE EXCEPT TOTAL

CHOLECYSTECTOMY AGE 70 OR OVER ANO/OR C.C . . . ...193

BILIARY TRACT PROCEOURE EXCEPT TOTAL

CHOLECYSTECTOMY AGE UNDER 70 WITHOUT C.C. . . . ...194

TOTAL CHOLECYSTECTOMY WITH COMMON BILE OUCT

EXPLORATION AGE 70 OR OVER ANO/OR C.C. . . . . . . ...195

ToTAL CHOLECYSTECTOMY WITH COMNON BILE OUCT

EXPLORATION AGE UNOER 70 WITHOUT C.C. . . . . . . . ...196

ToTAL CHOLECYSTECTOMY WITHOUT CONNON BILE OUCT

EXPLORATION AGE 70 OR OVER ANO/OR C.C. . . . . . . ...197

TOTAL CHOLECYSTECTOMY WITHOUT CONWON 81 LE OUCT

EXPLORATION AGE UNDER 70 WITHOUT C.C. . . . . . . . . ..198

HEPATOBILIARY DIAGNoSTIC PRoCEOURE FOR

MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...199

HEPATOBILIARY DIAGNOSTIC PROCEOURE FOR

NON-MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2CKI

OTHER HEPATOBILIARY OR PANcREAS oPERATING

ROOM PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...201

CIRRHOSIS ANU ALCOHOLIC HEPATITIS. . . . . . . . . . . . ...202

MALIGNANcY OF HEPATOSILIARY SYSTEM OR PANCREAS. .203

OISOROERS OF PANCREAS EXCEPT MALIGNANCY. . . . . . . ..204

OISOROERS OF LIVER EXCEPT MALIGNANcY ,

CIRRHOSIS, ALCOHOLIC HEPATITIS AGE

70 OR OVER AND/DR C.C . . . . . . . . . . . . . . . . . . . . . . . ...205

DISOROERS OF LIVER EXCEPT MALIGNANCY,

CIRRHOSIS, ALCOHOLIC HEPATITIS AGE

UNOER 70 WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . ...206

OISOROERS OF THE BILIARY TRACT AGE

70 OR OVER ANO/OR C . C . .,........,..............207

OISOROERS OF THE BILIARY TRACT AGE

UNOER 70 WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . ...208

*9

*3

●2

●3

19

14

58

2$4

*5

25

●2

59

2i

76

23

47

2s

85

●9

*4

●3

●4

22

13

61

Zla

*5

24

●2

56

23

86

26

48

24

83

13

*3

●3

*6

19

12

60

233

●4

16

●5

47

T7

64

26

51

30

79

●lo

*4

*4

*8

i7

10

67

212

*3

fa

*6

44

?0

25

4i

21

72

11

*3

●3

*4

21

13

75

200

●4

13

*5

40

19

90

31

36

22

64

:21.9

:30.3

●22. 1

*18.8

20.7

*23. 1

*21.6

*16.4

16.3

*f7.7

*24.9

*14.9

●24 .3 *23.7 ●21.6 *15.6

*13.5 *16. S :13.4 *8.O

13.5 13.2 12.0 13.2 11.7

11.4 12.0 11.9 10.1 9.3

11.1

8.4

11.3

8.1

10.8

7.8

9.8

7.5

8.7

6.5

*23.3

11.7

*14.3

ill

9.7

8.1

*26.2 ●22 .9 *13. O

9.3 9.4 8.9 8.8

●21. S

ii.9

*11.3

9.6

*li.7

fo.7

9.2

6.8

fo.7

8.5

9.0

7.5

8.5

7.6

11.2 10.6 9.6 10.4 10.2

6.5

8.4

4.2

7.*

7.6

4.7

7.4

6.3

4.5

6.1

6.0

4.0

6.6

5.4

3.4

NoTE : IN THIS TABLE THE ABBREVIATION *C. C. II STAt40S FOR ‘Substantial COMPLICATION ANO/OR CONDRBIOITYN .

13
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE DISCHARGE FROM SHORT-STAY HOSPITALS. By Diagnosis -

RELATEO GROUPS (ORG~S): uN17E0 STATES, 1980-84--cON.

[015cHARGEs FROM NON- FEOERhL SHORT -5TAY HOSPITALS. EXCLUOE5 NEWBORN INFANTS 1

OIAGNOSI S- RELATEO GROUP ANO ORG NUMBER 19B0 i9Bi t9B2 19B3 1984 19B0 1981 19B2 1983 f 984

NUMBER IN THOUSANOS AVERAGE LENGTH OF STAY IN OAYS

MAJOR DIAGNOSTIC CATEGORY B : OISEASES

ANO 01 SORDERS OF THE MUSCULOSKELETAL

SYSTEM ANO CONNECTIVE TIsSUE

MAIJORdOINT PROCEDURE S..... . . . . . . . . . . . . . . . . . . ...209

HIP ANO FEMUR PROCEDURES EXCEPT MALIOR JOINT

AGE700R ovERANo/oRc. c. . . . . . . . . . . . . . . . . . . ...210

HIP ANO FEMUR PROCEDURES EXCEPT MAUOR IJOINT

AGE IB-69WITHOUT C. C....... . . . . . . . . . . . . . . . . ...211

HIP AND FEMUR PROCEDURES EXCEPT MAiJOR IJOINT

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...2 fz

AMPUTATIONS FOR MUSCLILOSKELETAL SYSTEM ANO

CONNECTIVE TISSUE OISOROERS . . . . . . . . . . . . . . . . . . ..213

BACK ANO NECK PROCEDURES AGE 70 OR OVER

ANO/OR C. C...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2i4

BACK ANO NECK PROCEDURES AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2i5

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND

CONNECTIVE TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...216

WOUNO OEBRIOEMENT ANO SKIN GRAFT EXCEPT HANO,

FoR MUSCULOSKELETAL AND CONNECTIVE TISSUE

OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...217

LOWER EXTREMITY ANO HUMERUS PROCEDURE EXCEPT

HIP, FOOT, FEMUR AGE 70 OR OVER ANO/OR C. C.. . ..2I8

LOWER EXTREMITY ANO HUMERUS PROCEOURE ExcEPT

HIP, FOOT, FEMUR AGE 18-69 WITHOUT c.c . . . . . . . ..2I9

LOWER EXTREMITY ANO HUMERUS PROCEOURE EXCEPT

HIP. FOOT. FEMUR AGE UNOERIEJ. . . . . . . . . . . . . . . ...220

KNEE PROCEDURES AGE 70 OR OVER ANO/OR C.C. . . . ...221

KNEE PROCEDURES AGE UNOER 70 WITHOUT C.C. . . . . ...222

UPPER EXTREMITY PROCEOURE EXCEPT HUMERUS ANO

HANOAGE 700 ROVER AND/OR C.C. . . . . . . . . . . . . . ...223

UPPER EXTREMITY PRDCEDURE EXCEPT HUMERUS ANO

HANO AGE UNOER 70 WITHOUT c.c . . . . . . . . . . . . . . . ...224

FOOT PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225

SOFT TISSUE PROCEDURES AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...226

SOFT TISSUE PROCEDURES AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...227

GANGLION (HANOJ procedures . . . . . . . . . . . . . . . . . . . ...228

HANO PROCEDURES EXCEPT GANGLION. . . . . . . . . . . . . . ...229

LOCAL EXCISION ANO REMOVAL OF INTERNAL

FIXATION OEVICES OF HIP ANO FEMUR. . . . . . . . . . . ...230

LOCAL EXCISION ANO REMOVAL OF INTERNAL

FIXATION OEVICES EXCEPT HIP ANO FEMUR. . . . . . .23i

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...232

OTHER MUSCULOSKELETAL SYSTEM ANO CONNECTIVE

TISSUE OPERATING ROOM PROCEDURE AGE

70 OR OVER ANO/OR C.C. . . . . . . . . . . . . . . . . . . . . . . ...233

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE

TISSUE OPERATING ROOM PROCEOURE AGE

UNDER 70 WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . ...234

Fractures OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . ...235

Fractures OF HIP ANO PELVIS. . . . . . . . . . . . . . . . . . ...236

SPRAINS, STRAINS, ANO DISLOCATIONS OF HIP,

PELVIS ANO THIGH . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...237

OSTEOMYELI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...238

PATHOLOGICAL FRACTURES ANO MUSCULOSKELETAL

AND CONNECTIVE TISSUE MALIGNANCY. . . . . . . . . . . . ...239

CONNECTIVE TISSUE OISOROERS AGE 70 OR OVER

ANO/OR C. C..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240

CONNECTIVE TISSUE OISOROERS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...241

SEPTIC ARTHRITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...242

MEOICAL BACK PROBLEMS . . . . . . . . . . . . . . . . . . . . . . . . ...243

BONE DISEASES ANO SEPTIC ARTHROPATHY AGE

70 OR OVER ANO/OR C . C . . . . . . . . . . . . . . . . . . . . . . . ...244

BoNE OISEASES ANO SEPTIC ARTHROPATHY AGE

UNOER70WITHOUT C. C..... . . . . . . . . . . . . . . . . . . . ...245

NON-SPECIFIC ARTHROPATHI ES. . . . . . . . . . . . . . . . . . . ...246

SIGNS ANO SYMPTOMS OF MUSCULOSKELETAL SYSTEM

ANO CONNECT I VE TISSUE . . . . . . . . . . . . . . . . . . . . . . . ...247

TENOONITIS, MYOSITIS ANO BURSITIS . . . . . . . . . . . . . ..24B

AFT ERcARE , MUSCULOSKELETAL SYSTEM ANO

CONNECT I VE TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...249

FRACTURE. SPRAINS, STRAINS ANO DISLOCATION

OF FOREARM, HANO, FOOT AGE TO OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

FRACTURE , SPRAINS. STRAINS ANO DISLOCATION OF

FOREARM, HANO, FDDT AGE IB-69 WITHOUT C.C. . . ...251

FRAcTURE, SPRAINS, STRAINS ANO DISLOCATION OF

FOREARM. HANO, FOOT AGE UNOER 18...............252

FRACTURE. SPRAINS. STRAINS ANO DISLOCATION

OF UPPER ARM, LOWER LEG EXCEPT FOOT AGE

70 OR OVER ANO/OR C.C. . . . . . . . . . . . . . . . . . . . . . . ...253

FRACTURE , SPRAINS, STRAINS ANO DISLOCATION

OF UPPER ARM. LOWER LEG EXCEPT FOOT AGE

f8-69WITHOUT C. C...,,,. . . . . . . . . . . . . . . . . . . . . ...254

FRACTURE, SPRAINS, STRAINS ANO DISLOCATION

OF UPPER ARM. LOWER LEG EXCEPT FOOT AGE

UNOiR 18. ,. .:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..255

OTHER OIAGNDSES OF MUSCULOSKELETAL SYSTEM ANO

CONNECTIVE TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...256

43

13

37

t9

*B

13

191

●8

31

●7

104

29

*5

237

*2

7B

180

●3

6S

45

135

23

107

49

*8

47

26

27

*7

●9

55

18

48

*4

7B 1

*9

46

16

tls

46

11

*6

57

49

15

lt7

53

55

45

14

40

17

*5

15

188

● IO

34

*9

103

24

●4

232

*3

92

19B

●5

79

39

127

27

i13

57

*6

57

22

27

●5

*9

46

25

47

●7

8ca

10

35

15

~oi

55

13

*5

42

46

14

92

52

59

50

17

37

16

*6

14

2i9

tz

3a

*8

114

27

*3

226

*3

B4

Zto

*3

75

33

131

21

114

51

*7

45

19

26

*4

*8

47

22

A7

*6

790

10

37

16

98

4B

*io

*9

45

44

20

106

53

6f

51

16

34

i8

*6

17

240

12

32

11

109

34

●4

214

*6

93

235

*3

66

23

111

20

102

48

*8

51

20

23

●5

*7

43

26

47

*9

827

*7

23

*B

102

40

10

*9

49

40

15

82

43

58

56

19

37

16

*7

23

251

*9

40

*lo

i 09

36

*7

193

*6

89

219

*2

63

15

102

26

103

38

●6

46

*7

25

*6

*9

38

20

36

.7

760

11

27

*8

88

41

*8

*5

4+

4i

16

BO

3s

53

IB.7

33.4

18.9

13.9

*13.5

24.0

12.7

*io.8

14.6

*31.9

7.2

5.3

*15.4

5.0

*10.3

4.3

4.8

*il.3

4.3

2.2

3.2

4.8

4.2

3.1

*16.9

5.B

20.2

13.3

*7.3

*13.3

9.2

14.5

B.6

●lo. t

7.4

*8.7

7.1

5.4

5.3

5.0

4.3

*6.5

4.1

2.2

9.2

5.0

3.5

5.1

16.7

27.6

14.2

11.4

*12.7

22.0

11.3

.12.0

13.5

*17.9

7.4

5.3

*12.3

4.6

*9.5

4.3

4.1

*24.2

4.2

2.0

2.8

4.6

3.4

3.3

*13.9

5.4

18.7

11.5

*7.2

*13.5

8.1

11.1

B.2

*6.8

7.2

9.7

8.5

7.6

5.0

5.5

3.7

*7.1

3.4

1.9

6.8

4.6

4.1

5.3

16.5

24.7

16.8

14.9

*9.9

23.5

!1.1

10.6

12.2

*17.3

6.8

5.7

*13. O

4.0

*7.5

4.3

4.0

*9.2

4.1

2.0

2,8

4.2

4.0

3.1

*12.9

5.2

i9.5

12.4

*7 ..9

*12.5

7.0

10.0

8.7

*11.9

7.2

7.6

5.7

5.3

4.7

4.9

*5.2

*8.3

3.3

1.9

7.6

4.4

3.1

5.1

16. II

21. !1

16.4

11.8

*1 O.:I

21.:!

10.4

7.:!

13. iF

22.9

7.1

6.:!

*12.4

3.7’

*6.~)

4.:!

3.6

*15.9

3.:1

I.a

3.C)

4.6

4.:1

2.s1

*16.7

6.11

$8.<,

11.2

*6. ,1

*15.5

5.()

9.:3

7.6

*13.:2

6.6

*7. G

5.11

*6.4

4.!3

4.!3

3.:2

*6. ”7

3.:2

i.!3

6.’7

4.0

3.0

5.’7

13.7

20.6

14.1

10.4

*20. 8

15.3

9.2

*5.4

13.0

●15.6

6.4

5.2

*6.6

3.3

*7.3

3.9

3.3

*6.9

3.5

1.6

2.9

4.2

3.8

2.2

*14.2

5.2

13.9

tl.4

*6.4

*to.9

6.0

11.6

6.4

*11.5

6.1

6.7

5.0

*6.9

4.6

4.4

*5.9

*6.1

3.1

i.6

6.3

4.0

3.2

4.4

NOTE z IN THIS TABLE THE ABBREVIATION “C. C. ,, STANOS FOR “SUBSTANTIAL COMPLICATION ANO/OR CoMoRBIo ITy” .

14
TABLE i . NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE OISCHARGEO FROM SHORT-STAY HOSPITALS. BY DIAGNOSISRELATEO GROUPS (ORGt S) : UNITEO STATES, 1980 -S4--CON.

[DISCHARGES FROM NON-FE• ERAL SHORT-STAy HOSPITALS. EXCLUOES NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER 1980 1961 1982 1983 1984 1960 1981 1982 1983 1984

NUMBER IN THOUSANOS AVERAGE LENGTH OF STAY IN DAYS

MAdOR DIAGNOSTIC CATEGORY 9: OISEASES

ANO OISOROERS OF THE SKIN, SUBCUTANEOUS

TISSUE AND BREAST

TOTAL MASTECTOMY FOR MALIGNANCY AGE

70 OR OVER ANO/OR C . C . . . . . . . . . . . . . . . . . . . . . . . ...257

TOTAL MASTECTOMY FOR MALIGNANCY AGE

UNDER 70 WI THOUTC. C........ . . . . . . . . . . . . . . . . . ...258

SUBTOTAL MASTECTOMY FOR MALIGNANCY AGE

70 OR OVER ANO/OR C . C . . . . . . . . . . . . . . . . . . . . . . . ...259

SUBTOTAL MAST ECTOMY FOR MALIGNANCY AGE

UP4DER 70 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260

BREAST PROCEOURE FOR NON-MALIGNANCY EXCEPT

BIOPSY ANO LOCAL EXCISION.. . . . . . . . . . . . . . . . . . ...261

BREAST BIOPSY ANO LOCAL EXCISION FOR

NON-MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...262

SKIN GRAFTS FOR SKIN ULCER OR CELLULITIS AGE

700 ROVER ANO/ORC. C...... . . . . . . . . . . . . . . . . . ...263

SKIN GRAFTS FOR SKIN ULCER OR CELLULITIS AGE

70 OR OVER WITHOUT C . C . . . . . . . . . . . . . . . . . . . . . . ...264

SKIN GRAFTS EXCEPT FOR SKIN ULCER OR

CELLULITIS WI THC. C...... . . . . . . . . . . . . . . . . . . . ...265

SKIN GRAFTS EXCEPT FOR SKIN ULCER OR

CELLULITIS WI THOUTC. C... . . . . . . . . . . . . . . . . . . . ...266

PER IANAL ANO PILONICAL PROCEDURES. . . . . . . . . . . . ...267

SKIN. SUBCUTANEOUS TIsSUE ANO BREAST PLASTIC

PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...268

OTHER SKIN, SUBCUTANEOUS TIsSUE ANO BREAST

OPERATING ROOM PROCEOURE AGE 70 OR OVER

ANO/OR C. C...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...269

OTHER SKIN. SUBCUTANEOUS TISSUE ANO BREAST

OPERATING ROOM PROCEDURE AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...270

SKIN ULCERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...27*

MA.JOR SKIN OISOROERS AGE 70 OR OVER

ANO/OR C . C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...272

MAIJOR SKIN OISOROERS AGE UNOER 70

WITHOUT C. C.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...273

MALIGNANT BREAST OISOROERS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...274

MALIGNANT BREAST OISOROERS AGE UNOER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...275

NON-MALIGNANT BREAST OISOROERS. . . . . . . . . . . . . . . . ...27

CELLULITIS AGE 70 OR OVER ANO/OR C.C. . . . . . . . . ...277

CELLULITIS AGE 18-69 WITHOUT C. C . . . . . . . . . . . . . ...278

CELLULITISAGEUNOER 16 . . . . . . . . . . . . . . . . . . . . . . ...279

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE ANO

BREAST AGE 70 OR OVER ANO/OR c.c . . . . . . . . . . . . . ..2.so

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE ANO

BREAST AGE 18-69 WITHOUT C. C . . . . . . . . . . . . . . . . . ..28 I

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE ANO

BREAST AGE UNDER 18 ., . . . . . . . . . . . . . . . . . . . . . . . ...282

MINOR SKIN OISOROERS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...283

MINOR SKIN OISOROERS AGE UNOER 70

WITHOUT C . C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2B4

13

37

*2

●lo

80

473

●5

t2

●IO

75

54

60

21

172

11

●7

19

36

22

15

30

87

38

58

137

58

12

73

*7

38

●3

● 10

73

161

*5

10

*$O

78

51

51

14

178

15

*6

16

43

27

15

24

96

34

55

140

59

14

67

17

42

*2

10

64

i41

*5

13

11

65

48

40

16

156

15

●8

24

33

24

::

92

39

51

14i

53

13

64

17

46

*

11

77

112

*8

*9

11

65

44

43

15

136

tz

15

18

32

21

12

39

97

34

51

i 25

45

14

53

15

43

●4

10

67

99

*9

It

●lo

60

35

4f

16

102

12

13

14

35

19

12

40

114

36

49

124

39

14

46

9.9

9.4

●10.7

*5.7

3.6

3.0

*35.5

16.2

● 14.4

6.2

4.0

3.4

12.4

3.6

17. f

*11.5

7.6

11.1

6.2

3.4

9.1

6.4

4.6

5.2

3.4

2.8

18.5

4.6

10. t

8.4

*14.9

*5.1

3.7

2.7

*24.4

20.2

*1O.8

6.9

3.7

3.B

10. i

3.8

18.0

*10.5

8.3

!2.7

8.4

4.3

9.5

6.1

4.7

4.5

3.3

2..s

7.6

3.6

10.5

8.5

*14.4

3.3

3.5

2.6

*23.8

24.5

16.9

6.5

3.9

3.6

fi. o

3.7

15.3

*9.1

8.2

11.5

6,3

3.4

8.2

6.1

4.4

4.5

3.3

2.B

7.0

3.9

10.1

7.0

●

4.9

3.6

2.9

*36.6

*18. O

14.2

5.7

3.4

3.3

8.4

3.2

16.7

10.6

6.4

10.2

7.8

3.5

9.3

6.4

4.7

4.0

3.3

2.7

6.2

39

7.9

7.1

*7.5

3.2

3.5

2.5

*26.3

19.9

.10.7

5.7

3.1

2.9

8.4

3.4

ti.9

10.4

7.9

9.3

4.8

3.1

8.3

5.9

4.3

4.0

3.4

2.s

6.9

4.5

NOTE : IN THIS TABLE THE ABBREVIATION *C. C .- STANDS FOR *SUBSTANTIAL COMPLICATION ANO/OR COMORBIDITY” .

15
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNDER 65 YEARS OF AGE DIsCHARGED FROM SHORT-STAY HOSPITALS, BY OIAGNaSISRELATEO GROUPS (DRG’S) : UNITEO STATES. 19 S0-84--CoN.

[DISCHARGES FRoM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUDES NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP ANO ORG NUM8ER 1980 19s1 19S2 19E13 i9s4 1980 19s1 1982 f9.63 1984

NUNBER IN THOUSANOS

MAdOR DIAGNOSTIC CATEGORY 10: ENOOCRINE,

NUTRITIONAL, ANO METABOLIC OISEASES ANO

OISOROERS

AMPUTATIONS FOR ENOOCRINE , NUTRITIONAL . ANO

METABOLIC DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . ...285

AORENAL ANO PITUITARY PROCEDURES. . . . . . . . . . . . . ...286

SKIN GRAFTS ANO WOUNO DEBRIOEMENT FOR

ENOOCRINE . NUTRITIONAL AND METABOLISM

Disorders: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...287

OPERATING ROOM PROCEDURES FOR OBESITY. . . . . . . . . . .2Bs

PARATHYROIO PROCEDURES. . . . . . . . . . . . . . . . . . . . . . . ...289

THYROIO PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290

THYROGLOSSAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ...291

OTHER ENOOCRINE , NUTRITIONAL ANO METABOLISM

OPERATING ROOM PROCEOURE AGE 70 OR OVER

ANO/OR C.C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...292

OTHER ENOOCRINE , NUTRITIONAL ANO METABOLISM

OPERATING ROOM PROCEOURE AGE UNOER 70

wITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...293

01 ABETESAGE 360 ROVER.... . . . . . . . . . . . . . . . . . . ...294

DIABETES AGE UNOER 36 . . . . . . . . . . . . . . . . . . . . . . . . ...295

NUTRITIONAL ANO MISCELLANEOUS METABOLIC

OISOROERS AGE 70 OR OVER ANO/OR C.C. . . . . . . . . ...296

NUTRITIONAL ANO MISCELLANEOUS METABOLIC

OISORDERS AGE 18-69 WITHOUT c. C . . . . . . . . . . . . . ...297

NUTRITIONAL AND MISCELLANEOUS METABOLIC

DISOROERS AGE UNDER 18 . . . . . . . . . . . . . . . . . . . . . . ...298

INBORN ERRORS OF Metabolism . . . . . . . . . . . . . . . . . . ...299

ENOOCRINE OISOROERS AGE 70 OR OVER ANO/OR C.C. ..300

ENOOCRINE OISOROERS AGE UNOER 70 WITHOUT C.C. . ..301

MAIJOR DIAGNOSTIC CATEGORY f 1: DISEASES

ANO OISOROERS OF THE KIONEY ANO URINARY

TRAcT

KIONEY TRANSPLANT, . . . . . . . . . . . . . . . . . . . . . . . . . . . ...302

KIONEY , URETER ANO MAdOR 6LAOOER PROCEOURE

FOR NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

KIONEY . URETER ANO MAJOR 8LAOOER PROCEDURE FOR

NON-MALIGNANCY AGE 70 OR OVER ANO/OR C.C. . . . ...304

KIDNEY . URETER AND MA.JOR BLAODER PROCEOURE

FOR NON-MALIGNANCY AGE UNOER 70 WITHOUT C. C . ...305

PROSTATECTOMY AGE 70 OR OVER AND/OR C.C. . . . . . ...306

PRO: TAT ECTOMY AGE UNOER 70 WITHOUT C . C . . . . . . . ...307

MINOR 8LADDER PROCEDURES AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...308

MINoR BLAOOER PROCEDURES AGE UNOER 70

WITHOUT C.C. ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...309

TRANSURETHRAL PROCEDURES AGE 70 OR OVER

ANo/ORC. C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

TRANSURETHRAL PRoCEDURES AGE UNDER 70

WI THOLJTC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...311

URETHRAL PROCEDURES , AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...312

URETHRAL PROCEDURES. AGE 18-69 WITHOUT C.C. . . . . .3!3

URETHRAL PROCEDURES, AGE UNOER 1S. . . . . . . . . . . . . . .3f4

OTHER KIONEY AND URINARY TRACT OPERATING ROOM

PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...345

RENAL FAILURE WITHOUT OIALYSIS . . . . . . . . . . . . . . . . ..3I6

RENAL FAILURE WITH OIALVSIS . . . . . . . . . . . . . . . . . . ...317

KIONEY AND URINARY TRACT NEOPLASMS AGE 70

OR OVER ANO/ORC, C . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3!8

KIONEV ANO URINARY TRACT NEOPLASMS AGE

UNDER 70 WI THOUTC. C..... . . . . . . . . . . . . . . . . . . . . ..3i9

KIDNEY ANO URINARY TRACT INFEcTIONS AGE

700 ROVER AND/OR C. C....... . . . . . . . . . . . . . . . . ...320

KIONEY ANO URINARY TRACT INFECTIONS AGE

IB-69 WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..321

KIONEY ANO URINARY TRACT INFECTIONS AGE

UNOER 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...322

URINARY STONES AGE 70 OR OVER ANO/OR C.C. . . . . ...323

URINARY STONES AGE UNOER 70 WITHOUT C.C. . . . . . ...324

KIDNEY ANO URINARY TRACT SIGNS ANO SYMPTOMS

AGE700R OVER ANO/ORC. C.. . . . . . . . . . . . . . . . . . ...325

KIDNEY ANO URINARY TRACT SIGNS AND SYMPTOMS

AGE IB-69 WITHOUT C.C. . . . . . . . . . . . . . . . . . . . . . . ...326

KIONEY AND URINARY TRACT SIGNS ANO SYMPTOMS

AGE UNOER 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...327

URETHRAL STRICTURE AGE 70 OR OVER ANO/OR C. C. . ..328

URETHRAL STRICTURE AGE 18-69 WITHOUT C.C. . . . . ...329

URETHRAL STRICTURE AGE UNDER 18.................330

OTHER KIONEY ANO URINARY TRACT OIAGNOSES AGE

7ooRovER ANo/oRc. c....... . . . . . . . . . . . . . . . . ...331

OTHER KIONEY ANO URINARY TRACT OIAGNOSES AGE

lB-69 WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .332

OTHER KIONEY ANO URINARY TRACT DIAGNOSES

AGE UNDER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...333

●6

●6

●4

27

●6

57

●4

●4

●8

256

102

41

73

40

is

15

52

*3

●9

20

67

●2

●5

●6

1s

●9

51

●6

24

19

::

*

●6

15

53

157

61

39

183

13

30

17

*7

15

14

24

43

24

●6

*5

*3

25

●5

46

●6

●5

97

249

110

44

71

46

13

18

48

●3

11

17

63

*3

●5

●9

t8

11

57

●5

26

17

:;

*

*9

●8

50

132

60

41

171

10

32

14

●6

10

●8

25

51

20

●8

●6

*4

23

*5

49

*6

*5

●7

259

112

51

67

46

13

15

51

*5

10

19

63

●4

*6

●7

17

i8

56

*4

19

t7

23

32

*7

11

51

142

55

37

166

12

26

15

●6

10

●6

24

46

47

12

●5

●6

17

●5

46

*6

●6

2::

111

55

74

49

13

16

37

*6

●10

23

62

*4

●7

*8

20

11

58

●4

20

*2

19

30

●9

10

58

121

51

47

f75

12

29

12

*4

*7

*5

27

35

20

●9

●5

●5

$4

●6

52

●6

*6

*4

204

105

57

63

56

●9

13

39

*7

●fo

23

64

*3

●4

*9

~7

17

49

*5

14

11

E

●5

*5

59

115

52

50

162

f4

19

*9

●3

●6

●5

30

36

13

AVERAGE LENGTH OF iTAy IN OAYS

●35.5

*13. 1

●i9.7

11.2

*8.5

5.6

*2.9

●18.2

fi7.8

B.6

6.8

6.9

5.4

6.4

6.6

9.3

5.8

*25. 1

●16.3

14.2

9.6

●17.4

*9.2

*“B.8

6.4

●6.2

4.4

●6.5

4.4

3.2

10.1

6.8

*

*8. o

4.2

7.3

4.5

3.6

4.2

2.9

5.4

3.6

4.2

●4.7

3.3

2.0

9.1

5.1

5.0

*36.3

● 13. O

*28. i

9.3

*11.9

5.1

*3.4

*i8. O

*7.7

8.1

6.3

B.4

5.4

7.3

7.*

7.6

5.5

*29.9

16.6

14.0

10. i

*11.2

●7.6

*7.3

5.1

6.2

4.6

*9. B

5.0

2.2

12.6

7.7

*

*7. f

*5.3

6.4

4.6

3.8

3.6

3.0

5.8

3.4

4.6

●4.7

5.1

*2. O

B.4

5.1

4.5

*29. 7

●13.5

●25. i

10.2

*7.4

5.0

*2.9

*12.7

*9.7

8.2

!.!.9

7.2

4.9

5.9

5.9

E.2

5.3

*27.6

16.5

14.0

9.9

●6.9

●7.3

*6.5

6.3

6.7

4.9

●5.6

4.2

1.9

11.3

6.5

*12.2

4.6

6.8

4.9

3.8

3.5

2.7

4.4

3.3

4.1

*5. O

3.5

.1.7

6.7

4.9

3.6

33.1

*95.5

*f5. o

10.6

●7.4

4.5

*2.3

●21.3

●6.7

7.4

6.3

7.3

5.$

5.3

5.s

7.7

4.7

*30. 5

*17. f

14.6

6.9

*9.5

●7.8

*1$. O

5.9

5.9

4.1

*4.6

3.8

2.3

12.9

7.8

*14.8

5.0

6.6

4.6

3.6

3.5

2.7

3.7

3.6

2.7

*3.8

*3.5

●1.4

7.3

5.3

3.4

*23. O

● 17.6

●18.3

7.2

*5.9

4.4

*2.3

*45.8

●4.1

6.9

5.5

6.3

4.4

4.3

*5.1

8.7

4.1

*25.5

*f *.7

10.7

8.0

*1O.2

●6.1

*9.9

4.0

5.8

3.7

●5.6

3.6

1.6

lf.7

7.0

*12. O

●6.6

6.4

4.5

4.3

3.1

2.4

4.2

3.4

*3.1

*5.2

*3.6

*i.2

7.0

4.3

3.9

NoTE : IN THIS TABLE THE ABBREVIATION “C. C. “ STANDS FOR ‘SUBSTANTIAL COMPLICATION ANO/OR C0M0R81D1Ty” -

16
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE OISCHARGEO FROM sHORT-STAY HOSPITALS, BY DIAGNOSIS -

RELATED GROUPS (DRG~S) : UNITEO STATES, 1980-84--coN.

[DISCHARGES FROM NON-FEDERAL SHORT-STAY HOSPITALS . EXCLUOES NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER 1980 1981 1982 1983 1984 1980 1981 1982 1963 1984

NUMBER IN THOUSANOS

MAJOR DIAGNOSTIC CATEGORY 12: OISEASES

ANo OISOROERS OF THE MALE REPRODUCTIVE

SYSTEM

MAJOR MALE PELVIC PROCEDURES WITH C.C. . . . . . . . ...334

MAUOR MALE PELVIC PROCEDURES WITHOUT C.C. . . . . ...335

TRANSURETHRAL PROSTATECTOMY AGE 70 OR OVER

ANO/OR C. C... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...336

TRANSURETHRAL PROSTATECTOMY AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...337

TESTES PROCEDURES, FOR MALIGNANCY. . . . . . . . . . . . ...338

TESTES PROCEDURES , NON-MALIGNANT AGE

IS OR OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...339

TESTES PROCEDURES . NON-MALIGNANT AGE UNOER 18...340

PENIS PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...341

CIRCUMCISION AGE f80R OVER . . . . . . . . . . . . . . . . . . ...342

CIRCUMCISION AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . ...343

OTHER MALE REPRODUCTIVE SYSTEM OPERATING ROOM

PROCEDURES FOR MALIGNANCY . . . . . . . . . . . . . . . . . . . ...344

OTHER MALE REPRODUCTIVE SYSTEM OPERATING ROOM

PROCEOURE EXCEPT FOR MALIGNANCY. . . . . . . . . . . . . ...345

MALIGNANCY . MALE REPRODUCTIVE SYSTEM, AGE

700 ROVER ANO/ORC. C....... . . . . . . . . . . . . . . . . ...346

MALIGNANCY , MALE REPROOLICTIVE SYSTEM. AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...347

8ENIGN PROSTATIC HYPERTROPHY AGE 70

OR OVER ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . ..34s

BENIGN PROSTATIC HYPERTROPHY AGE UNOER 70

WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...349

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM. . ..350

STERILIZATION, MALE . . . . . . . . . . . . . . . . . . . . . . . . . . ...351

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES . . . . . ...352

MAIJOR DIAGNOSTIC CATEGORY 13: OISEASES

ANO OISOROERS OF THE FEMALE REPRODUCTIVE

SYSTEM

PELVIC EVISCERATION, RAOICAL HYSTERECTOMY

AND VULVECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...353

NONRADICAL HYSTERECTOMY AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...354

NONRADICAL HYSTERECTOMY AGE UNOER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...355

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE

PROCEOURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...356

UTERUS ANO AOENEXA PROCEDURES, FOR MALIGNANCY. ..357

UTERUS ANO AOENEXA PROCEOURE FOR

NON-MALIGNANCY EXCEPT TU8AL INTERRUPTION. . . . ...358

TUBAL INTERRUPTION FOR NoN-MALIGNANcY . . . . . . . . ...359

VAGINA, CERVIX ANO VULVA PROCEDURES. . . . . . . . . . ...360

LAPAROSCOPY ANO ENOOSCOPY ( FEMALE) EXCEPT

TUBAL INTERRUPT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . ...361

LAPAROSCOPIC TU8AL INTERRUPTION. . . . . . . . . . . . . . ...362

OILATION ANO CURETTAGE OF UTERUS, IONIZATION

ANO RAOIO-IMPLANT, FOR MALIGNANCY. . . . . . . . . . . ...363

01 LATION ANO CURETTAGE OF UTERUS, IONIZATION

EXCEPT FOR MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . ...364

OTHER FEMALE REPRODUCTIVE SYSTEM OPERATING

ROOM PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..365

MALIGNANcY , FEMALE REPRODUCTIVE SYSTEM AGE

70 OR OVER ANO/OR C.C. . . . . . . . . . . . . . . . . . . . . . . ...366

MALIGNANCY . FEMALE REPRODUCTIVE SYSTEM AGE

UNOER 70 WITHOUT C . C . . . . . . . . . . . . . . . . . . . . . . . . ...367

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM. . . . . . . ...368

MENSTRUAL ANO OTHER FEMALE REPRODUCTIVE

SYSTEM DISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...369

MAJOR DIAGNOSTIC CATEGORY 14: PREGNANCY,

CHI LOB IRTH, ANO THE PUERPERIUM

CESAREAN SECT ION WI THC. C.. . . . . . . . . . . . . . . . . . . . ..37o

CESAREAN SECTION WITHOUT C. C . . . . . . . . . . . . . . . . . ...371

VAGINAL OELIVERY WITH COMPLICATING OIAGNOSES. . ..372

VAGINAL OELIVERY WITHOUT COMPLICATING

DIAGNOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...373

VAGINAL OELIVERY WITH STERILIZATION ANO/OR

OILATION ANO CURETTAGE OF UTERUS. . . . . . . . . . . . ...374

VAGINAL OELIVERY WITH OPERATING ROOM PROCEOURE

EXCEPT STERILIZATION ANO/OR OILATION ANO

CURETTAGE OF UTERUS.

. . . . . . . . . . . . . . . . . . . . . . . . . . .375

POSTPARTUM DIAGNOSES WITHOUT OPERATING ROOM

PROCEOURE . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...376

POSTPARTUM OIAGNOSES WITH OPERATING ROOM

PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...377

ECTOPIC PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...378

THREATENED ABORTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . .379

*2

*6

*7

44

●7

54

35

15

29

30

*3

*8

●6

13

*5

18

56

●7

14

*5

62

513

86

●5

197

115

114

136

149

26

452

24

f7

37

117

123

80

539

151

2,742

236

*3

21

17

48

62

●2

●5

17

45

*4

47

42

16

26

31

●5

●4

●8

f7

*5

13

54

●4

f3

*6

60

527

91

●6

207

101

94

147

142

30

392

23

20

48

1 t4

126

6;!

162

2.790

246

●4

30

:

63

*

●6

18

48

●6

55

40

15

24

25

●4

*6

●6

16

*4

13

47

●3

13

*8

59

495

62

●5

217

89

92

152

121

23

345

24

20

53

116

123

8f

649

171

2,784

247

*4

28

E

99

*3

*5

15

40

*6

52

36

16

19

18

*3

*5

*8

13

●6

12

45

*3

12

*6

65

521

79

●4

203

74

78

140

81

24

283

28

16

48

126

115

97

708

160

2,746

253

●3

26

18

66

101

*2

●5

23

42

*8

50

37

22

;;

●5

●3

●9

●9

●4

::

1;

●9

78

493

83

*6

217

64

72

411

59

15

190

20

20

48

123

110

101

712

177

2.624

225

●4

30

16

72

111

AVERAGE LENGTH OF STAY IN OAYS

●15.1

*13.9

11.0

7.6

*6.7

3.8

2.9

6.4

2.6

f.7

● 11.4

*6.2

*13.4

5.5

●5.7

3.4

4.7

*1.6

3.4

● 14.2

10.0

7.6

7.9

● 11.6

6.2

2.9

3.0

3.1

1.7

3.6

2.2

9.2

9.9

4.0

4.9

3.3

6.1

6.3

4.4

3.1

3.8

●6.2

4.4

2.2

5.8

2.8

*16.5

*13.3

7.9

7.2

*9.3

3.4

2.6

5.3

2.3

1.8

*to. 1

*4.2

*11.2

5.7

*5. O

2.6

4.4

*1.3

2.6

*12.7

9.8

7.3

7.7

*10.9

6.1

2.7

3.0

2.8

1.6

3.8

2.0

7.8

8.2

3.7

4.7

3.3

8.6

6.1

4.3

3.0

3.6

.5.0

4.3

:::

2.7

*

*12.5

10.3

7.3

*4.1

3.5

2.5

4.7

2.5

1.8

*8.3

*4.8

*.6.5

5.6

*3.9

2.9

4.3

.1.5

3.0

*16. O

9.0

7.2

7.1

●13.7

6.1

2.7

2.6

3.0

1.5

3.4

2.0

8.3

12.8

3.6

4.7

3.1

7.9

5.7

4.1

2.9

3.6

*6.5

3.5

2.8

5.2

2.9

*13.4

*i2. o

9.0

7.4

*7.6

3.1

2.0

5.3

1.9

1.7

●.9.7

*3.6

*7,5

4.3

*3.1

2.9

4.3

*1.5

3.5

*10.5

9.0

6.9

7.2

*9.7

5.7

2.5

3.1

2.7

1.4

3.4

1.9

6.0

8.5

3.3

4.7

3.2

7.4

5.6

4.0

2.9

3.6

●4.i

3.7

::;

2.8

*10.5

*11.1

7.2

6.3

*6.7

3.0

;::

2.0

1.T

*6.3

●2.?

*9.3

*6. O

●4.2

::;

*

3.0

*15.1

8.6

6.6

6.3

*10.5

5.5

2.5

2.5

2.6

1.3

3.0

1.6

8.4

6.5

2.8

4.5

2.7

7.2

5.4

3.7

2.7

3.3

*4.8

4.0

3.6

4.6

2.7

NOTE : IN THIS TABLE THE ABBREVIATION “C. C. N STANOS FOR ‘SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY” .

17
TABLE 1. NUM8ER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE DISCHARGED FROM SHORT-STAY HOSPITALS. BY DIAGNOSIS -

RELATEO GR0up5 (ORG, S) : UNITEO STATES, 1980 -84--coN.

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUDES NEWBORN INFANTS]

DIAGNOSIS -RELATEO GROUP ANO ORG NUMBER 1980 !981 1982 1983 1984 1980 19.s1 1982 t98:3 i 984

NUMBER IN THOUSANDS AVERAGE LENGTH DF STAY IN OAYS

MAJoR DIAGNOSTIC CATEGORY 14: PREGNANCY .

CHILOEIIRTH. ANO THE PUERPERIUM--CON.

ABORTION WITHOUT OILATION ANO CURETTAGE OF

UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380

ABORTION WITH OILATION ANO CURETTAGE OF

UTERUS, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...381

FALSE LABOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...382

OTHER ANT EPARTuM OIAGNOSES WITH MEOICAL

COMPLICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...383

OTHER ANT EPARTUM DIAGNOSES WITHOUT MEOICAL

COMPLICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...384

MALIOR DIAGNOSTIC CATEGORY 15: NEWBORNS

AND OTHER NEONATES WITH CONDITIONS

ORIGINATING IN THE PER INATAL PERIOD

NEONATES, OIEO OR TRANSFERRED . . . . . . . . . . . . . . . . ...385

EXTREME IMMATURITY, NEONATE . . . . . . . . . . . . . . . . . . . ..386

PREMATURITY WITH MAdOR PROBLEMS. . . . . . . . . . . . . . . . .3B7

PREMATURITY WITHOUT MAJOR PROBLEMS. . . . . . . . . . . ...388

FULL TERM NEONATE WITH MAUOR PROBLEMS. . . . . . . . ...389

NEONA7ES WITH OTHER SIGNIFICANT PROBLEMS. . . . . ...390

NORMAL NEWBORNS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...391

MAJOR DIAGNOSTIC CATEGORY 18: OISEASES

ANO OISOROERS OF THE BLOOO AND BLOOO -

FORMING ORGANS ANO IMMUNITY OISORDERS

SPLENECTOMY AGE 18 DR OVER . . . . . . . . . . . . . . . . . . . ...392

SPLENECTOMY AGE UNOER IB . . . . . . . . . . . . . . . . . . . . . ...393

OTHER OPERATING ROOM PROCEDURES OF THE ELOOO

AN06L000 FORMING ORGANS... . . . . . . . . . . . . . . . . . ...394

REO BLOOO CELL OISOROERS AGE 18 OR OVER. . . . . . ...395

REO BLOOD CELL OISOROERS AGE UNOER 18...........396

COAGULATION OISOROERS. . . . . . . . . . . . . . . . . . . . . . . . ...397

RET ICULOENOOTHELIAL ANO IMMUNITY OISORDERS

AGE70DR ovERANo/oRc. c. . . . . . . . . . . . . . . . . . . ...398

RET ICULOENOOTHELIAL ANO IMMUNITY DISDROERS

AGE UNOER 70 WITHOUT C.C. . . . . . . . . . . . . . . . . . . . ...399

MAJOR DIAGNOSTIC CATEGORY 17: MYELOPRO -

LIFERATIVE OISEASES ANO DISORDERS, POORLY

OIFFERENTIATEO MALIGNANCY ANO OTHER

NEOPLASMS NOT ELSEWHERE CLASSIFIED

LYMPHOMA OR LEUKEMIA WITH MAdOR OPERATING

ROOM PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4~

LYMPHOMA OR LEUKEMIA WITH MINOR OPERATING

ROOM PROCEOURE AGE 70 OR OVER AND/OR C . C . . . . ...401

LYMPHOMA OR LEUKEMIA WITH MINOR OPERATING

ROOM PROCEOURE AGE UNOER 70 WITHOUT C . C . . . . . ...402

LYMPHOMA OR LEUKEMIA AGE 70 OR OVER

ANO/OR C. C.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...403

LYMPHOMA OR LEUKEMIA AGE 18-69 WITHOUT C.C. . . ...404

LYMPHOMA OR LEUKEMIA AGE UNOER 18...............405

MYELOPROLIFERATIVE OISORDER OR POORLY

DIFFERENTIATE NEDPLASM WITH MAJOR

OPERATING ROOM PROCEOURE ANO/OR C.C. . . . . . . . . ...406

MYELOPROLIFERATIVE OISORDER OR POORLY

DIFFERENTIATED NEOPLASM WITH MALIOR

OPERATING ROOM PROCEOURE WITHOUT C.C. . . . . . . . ...407

MYELOPROLIFERATIVE OISOROER OR POORLY

DIFFERENTIATED NEOPLASM WITH MINOR

OPERATING ROOM PROCEDURE. . . . . . . . . . . . . . . . . . . . ...408

RADIOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...409

CHEMDTHERAPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4f0

HISTORY OF MALIGNANCY WITHOUT ENOOSCOPY , , . . . . . .4 f i

HISTDRY OF MALIGNANCY WITH ENOOSCOPY. . . . . . . . . ...412

OTHER MYELOPROLIFERATIVE DISOROER OR POORLY

OIFFERENTIATEO NEOPLASM OIAGNOSIS AGE

700 ROVER ANO/ORC. C... . . . . . . . . ..’ . . . . . . . . . . ...413

OTHER MYELOPROLIFERATIVE OISOROER OR POORLY

OIFFERENTIATEO NEOPLASM OIAGNOSIS AGE

UNDER 70 WI THOUTC. C..,.. . . . . . . . . . . . . . . . . . . . ...414

97

377

130

148

111

13

●8

*5

*7

33

16

19

●7

●2

18

77

32

23

●9

25

10

*3

●9

26

45

13

*

*4

*5

*

*3

*9

*3

iz

35

89

355

12B

145

i 03

28

22

19

16

42

21

32

●8

*2

19

88

28

23

12

21

* 10

●3

*7

33

55

19

*4

*6

*3

●

.4

12

*2

16

29

90

325

123

175

113

29

26

18

13

42

22

26

●9

*4

21

81

33

18

10

23

11

*

*6

31

55

23

*4

●5

●3

*

*6

12

●2

13

28

94

320

112

20 i

113

30

30

33

19

52

29

39

●7

*2

17

89

27

19

tz

24

13

*

*lo

41

46

34

●2

*5

*

*

*7

15

*5

●8

18

77 1.6

255 1.7

102 1.5

$99 4.0

107 3.1

19 11.1

21 *J7.2

19 *19.6

f4 *14.1

47 7.6

24 4.7

33 2.6

*8 *12.5

* *1O.2

15 5.4

83 6.8

28 4.1

21 4.8

f6 *7.5

22 4.9

11 12.7

*2 *20.6

*6 ‘48.0

30 f5.9

49 7.0

22 6.2

*6 *

*4 *il.7

●3 ●11.1

* *

*6 *2.4

12 *4.6

*4 *5.9

22 i3.1

26 7.f

t.9

1.7

1.2

4.4

2.5

9.4

26.1

23.6

13. B

7.4

4.6

2.6

*tl. o

*8.2

4.3

6.5

3.8

5.8

10.3

5.3

*18.1

*15.3

●9.5

12.6

8.9

7.4

*21.4

*13.6

*16.9

*

*7.7

3.9

*2. B

14.1

6.7

1.6

1.6

1.2

4.1

2.B

10.0

33.2

17.6

14.6

6.7

4.B

2.9

*14.5

*22. 1

5.0

6.o

3.7

5.9

6.7

5.t

~4.7

*

*8. O

13.6

6.7

6.6

*27.4

.16.7

*B.5

*

*3.5

5.0

*5. O

12.4

6.5

1.7

1.5

1.2

4.0

2.’6

9.2

33.1

19.2

10.7

9.{6

4.:3

2.7

*it. o

*8.6

4.3

7.1

3.,3

5.’7

8.13

4.(9

16.:3

,*

*7. !3

11.’7

6.!3

5.4

.17.’7

*11.13

!k

,k

*2.13

4.:2

*1. ”7

*13.13

5.0

1.7

1.8

1.3

3.B

2.6

12.1

36.3

22.1

9.8

7.9

3.B

2.7

*12.4

*

3.9

5.9

4.0

4.4

7.7

4.7

17.6

*io. o

*5.2

13.6

6.6

4.9

*12.4

*9.5

*4.4

*

*2.7

7.6

*2.9

9.0

6.2

NOTE : IN THIS TABLE THE A68REVIATION .c. c. ,, STAt405 FOR “SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY”

18
TABLE 1. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNDER 65 YEARS OF AGE DISCHARGED FRDM SHORT-STAY HOSPITALS. BY DIAGNOSISRELATEO GROUPS (DRG’S): UNITED STATES. 1980 -.94 --cDN.

[DISCHARGES FROM NON-FEDERAL SHORT-STAY HOSPITALS. EXCLUDES NEWBDRN INFANTS I

DIAGNOSIS-RELATEO GROUP ANO DRG NuMBER 1980 1981 1982 1983 1984 i980 1981 1982 1983 1984

NUMBER IN THOUSANUS

MAJOR DIAGNOSTIC CATEGORY 18: INFECTIOUS

ANO PARASITIC OISEASES (SYSTEMIC OR

uNSPECIFIED SITES)

oPERATING RODM PROCEOURE FOR INFECTIOUS ANO

PARASITIC DISEASES . . . . . . . . . . . . . . . . ...-....-.-..415

sEPTICEMIA AGE 180R OVER . . . . . . . . . . . . . . . . . . ..-..416

sEPTICEMIAAGEUNOER 18 . . . . . . . . . . . . . . . . ...-.-...417

POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS. . ...418

FEVER OF UNKNOWN ORIGIN AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . ...--....-419

FEVER OF UNKNOWN ORIGIN AGE 18-69

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...420

VI RAL ILLNESS AGE 180 R OVER . . . . . . . . . . . . . . . . . ...421

VIRAL ILLNESS ANO FEVER OF UNKNOWN ORIGIN

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...422

OTHER INFECTIOUS ANO PARASITIC OISEASES

DIAGNOSE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-423

MAJOR DIAGNOSTIC CATEGORY 19: MENTAL

DISEASES ANO OISOROERS

oPERATING ROOM PROCEDURES WITH PRINCIPAL

OIAGNOSIS OF MENTAL ILI

ACUTE AOd.lSTMENT REACTII

OF PSYCHOSOCIAL OYSFUN(

DE

NE

01

OR

Ps

LNESS . . . . . . . . . . . . . . . . . ...424

ONS ANO OI sTURBANCES

ACTI ON . . . . . . . . . . . . . . . . . . ..425

iPRESSIVE NEUROSES . . . . . . . . . . . . . . . . . . . . . . . . . . ...426

XJROSES EXCEPT OPPRESSIVE . . . . . . . . . . . . . ...-....-427

ISORDERS OF PERSONALITY ANO IMPULSE CONTROL. . ..428

?GANIC DISTURBANCES ANO MENTAL RETARDATION. . ...429

3YCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430

cHILOHDOO MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . ..43 I

OTHER DIAGNoSES OF MENTAL OISORDERS. . . . . . . . . . ...432

MAIJOR DIAGNOSTIC CATEGORY 20: SUBSTANCE

USE ANO SUBSTANCE - INOUCED ORGANIC MENTAL

OISORDERS

SUBSTANCE USE ANO SUBSTANCE - INOUCEO ORGANIC

MENTAL OISOROERS. LEFT AGAINST MEOICAL

ADVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...433

ORUG OEPENOENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..434

ORUGUSE EXCEPT DEPENDENCE. . . . . . . . . . . . . . . . . . . ...435

ALCOHOL DE PENDENCE, . . . . . . . . . . . . . . . . . . . . . . . . . . ...436

ALcOHOL USE EXCEPT OEPENOENCE. . . . . . . . . . . . . . . . ...437

ALCOHOL ANO SUBSTANCE -I NOUCEO ORGANIC MENTAL

SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...438

MAJOR DIAGNOSTIC CATEGORY 21: INJURY.

POISONING, ANO TOXIC EFFECTS OF ORUGS

SK IN GRAFTS FOR INLIURIES. . . . . . . . . . . . . . . . . . . . . ...439

WOUNO OEBRIOEMENTS FOR INdURIES. . . . . . . . . . . . . . ...440

HAND PROCEDURES FOR INJURIES . . . . . . . . . . . . . . . . . . . .441

OTHER OPERATING ROOM PROCEDURES FOR INJURIES

AGE700R oVERANO/ORC. C,.. . . . . . . . . . . . . . . . . ...442

OTHER OPERATING ROOM PROCEDURES FOR INJURIES

AGE UNOER70WITHDUTC. C. . . . . . . . . . . . . . . . . . . . ...443

MULTIPLE TRAUMA AGE 70 DR OVER ANO/OR C.C. . . . ...444

MULTIPLE TRAUMA AGE 18-69 WITHOUT C.C. . . . . . . . ...445

MULTIPLE TRAUMA AGE UNOER 18....................446

ALLERGIC REACTIONS AGE 18 OR OVER . . . . . . . . . . . . ...447

ALLERGIC REACTIONS AGE UNOER 18.................448

ToXIC EFFECTS OF ORUGS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . ...449

TOXIC EFFECTS OF DRUGS AGE 18-69

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...450

TOXIC EFFECTS OF ORUGS AGE UNOER 18.............451

COMPLICATIONS OF TREATMENT AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...452

COMPLICATIONS OF TREATMENT AGE UNOER 70

WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...453

OTHER INIJURIES , POISONINGS AND TOXIC EFFECTS

OIAGNOSIS AGE 70 OR OVER AND/OR C.C. . . . . . . . . ...454

OTHER INIJURI ES . POISONINGS ANO TOXIC EFFECTS

OIAGNOSIS AGE” UNOER 70 WITHOUT C.C. . . . . . . . . . ...455

MAUOR DIAGNOSTIC CATEGORY 22: BURNS

BuRNS , TRANSFERRED TO ANOTHER ACUTE CARE

FACILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...456

EXTENSIVE BURNS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...457

NoN-EXTENSIVE BURNS WITH SKIN GRAFTS. . . . . . . . . ...458

NON-EXTENSIVE 8URNS WITH WOUNO OH3RIOEMENT

ANO OTHER OPERATING ROOM PROCEDURE. . . . . . . . . . . . .4S9

NDN-EXTENSIVE 8URNS WITHOUT OPERATING ROOM

PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460

20

14

*2

~7

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71

100

42

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S8

225

53

58

43

333

12

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83

25

15

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31

386

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19

19

16

55

11

38

14

12

*4

40

118

74

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38

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23

*3

*3

16

*9

44

20

15

11

21

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67

10B

47

20

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50

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383

17

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79

29

20

17

33

403

*9

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16

17

62

13

40

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107

65

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109

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93

166

89

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388

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33

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360

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52

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123

65

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95

35

20

92

149

89

41

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388

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77

39

29

29

35

318

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51

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107

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82

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430

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34

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323

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69

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47

AVERAGE LENGTH OF STAY IN OAYS

13.5

12.3

6.8

6.4

●5.8

4.B

3.4

6.9

17.1

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10.7

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13.4

6.7

9.3

10.2

13.5

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21.8

.6.6

4.9

77.4

16.7

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9.1

4.6

19.2

6.4

5.4

4.3

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17.9

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19.5

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11.3

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9.9

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NOTE : IN THIS TA8LE THE ABBREVIATION ‘c. c. . sTANOs FOR ‘SUBSTANTIAL COMPLICATION ANO/OR COMORBIDITY” .

19
TASLE 1. NUMBER AND AVERAGE LENGTH OF

RELATE• GROUPS (oRGfs): UNITED STATEs,

STAY OF PATIENTS

1980-134--CON.

UNOER 65 YEARS OF AGE DISCHARGED FROM SHORT-STAY HOSPITALS, BY OIAGNOSIS-

[01sc14ARGEs FROM NON- FEOERAL SHORT-STAY HOspITALs. EXCLUOES NEVEEORN xNFANTs]

OIAGNOSIS-RELATEO GROUP ANO ORG NUM3ER 1980 198! 1982 1983 1984 19ao 1981 19B2 196:{ 1984

NUMBER IN THOUSANOS AVERAGE LENGTH OF STAY IN DAYS

MAJOR OX AGNOSTIC CATEGORY 23: FACTORS

INFLUENCING HEALTH STATUS ANO OTHER

CONTACTS WITH HEALTH SERVICES

OPERATING ROOM PROCEOURE WITH OIAGNOSES OF

OTHER CONTACT WITH HEALTH SERVICES . . . . . . . .

REHABILITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SIGNS ANO SYMPTOMS WITH C. C . . . . . . . . . . . . . . . .

SIGNS ANO SYMPTOMS WITHOUT C. C . . . . . . . . . . . . .

AFTERCARE WITH HISTORY OF MALIGNANCY AS

SECONDARY DIAGNOSIS . . . . . . . . . . . . . . . . . . . . . . .

AFTERCARE WITHOUT HISTORY OF MALIGNANCY AS

SECONDARY OX AGNOSIS . . . . . . . . . . . . ... . . . . . . . .

OTHER FACTORS INFLUENCING HEALTH STATUS. . . .

UNRELATEO OPERATING ROOM PROCEOURE . . . . . . . . .

PRINCIPAL OIAGNOSIS INVALIO AS OISCHARGE

OIAQNOSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNGROUPABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.461

.462

.463

.464

6.5

●

*3.3

5.7

*

*

●3.6

47

●

●

●6

35

●

●

●7

36

●

●E

36

●

●

97

29

●

●

●6

5.4

●

●

●3.7

4.0

●

*

●4.1

. . . .

. . . .

. . . .

. . . .

.4e5 ● ● ● ● * ● * ● * . . . .

.4ee

.467

. 4e6

●3

237

429

2::

4of

●4

228

392

2::

337

●2.5

3.8

10.5

●3.4

4.0

10.7

●4.2

3.6

11.2

●2.7

3.7

10.0

*1.9

4.0

9.e

.. . .

.. . .

. . . .

.4e9

.470

10 ●✘

✍

●2.9 2.6 ●3.5 ●2.S

*

.e ●e 94 *2.4

●

. . . .

. . . .

NOTE : IN THIS TABLE THE ABBREVIATION ‘C. C. n STANOS FOR ‘SUBSTANTIAL COMPLICATION ANO/OR CONORBIOITY “ .
TABLE 2. NUMBER AND AVERAGE LENGTH OF sTAY OF PAT IENTs 65 YEARs Aw oLoER OIsCHARGEO FROM SHORT-STAY HOSPITALS. 9Y OIAGNOSIS-RELATED

GRoups (ORGJS): UNITEO STATES, 1980-84

[discharges FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANT2.]

DIAGNOSIS-RELATEO GROUP AND DRG NUMBER 1980 19s1 1982 1983 19s4 1980 1981 1982 1983 1984

ALL DISCHARGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. f-470

MALIoR DIAGNOSTIC CATEGORY 1: DISEASES

Am OISORDERS OF THE NERVOUS SYSTEM

CRANIOTOMY AGE 18 OR OVER EXCEPT FOR TRAUMA. . . . ...1

CRANIOTOMY FOR TRAUMA AGE 18 OR OVER. . . . . . . . . . . ...2

CRANIOTOMY AGE UNDER ICE . . . . . . . . . . . . . . . . . . . . . . . . ..3

SPINAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...4

EXTRACRANIAL VASCULAR PROCEDURES. . . . . . . . . . . . . . . ...5

CARPAL TUNNEL RELEASE . . . . . . . . . . . . . . . . . . . . . . . . . . ...6

PERIPHERAL ANO CRANIAL NERVE ANO OTHER

NERVOUS SYSTEM PROCEDURES AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...7

PERIPHERAL ANO CRANIAL NERVE AND OTHER NERVOUS

SYSTEM PROCEDURES AGE UNDER 70 WITHOUT C .C. . . . ...8

SPINAL DISOROERS ANO INJURIES . . . . . . . . . . . . . . . . . . ...9

NERVOUS SYSTEM NEOPLASMS AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..lo

NERVOUS SYSTEM NEOPLASMS AGE UNDER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...11

DEGENERATIVE NERVOUS SYSTEM DISOROERS. . . . . . . . . ...12

MULTIPLE SCLEROSIS AND CEREBELLA ATAXIA. . . . . . ...13

SPECIFIC CEREBROVASCULAR DISOROERS EXCEPT

TRANSIENT ISCHEMIC ATTACKS . . . . . . . . . . . . . . . . . . . ...14

TRANSIENT ISCHEMIC ATTACKS . . . . . . . . . . . . . . . . . . . . ...15

NONSPECIFIC CEREBROVASCULAR OISORDERS WITH C,C . ..16

NONSPECIFIC CEREEROVASCULAR OISOROERS

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...17

CRANIAL AND PERIPHERAL NERVE DISOROERS AGE

7ooRovER AND/oRc.c . . . . . . . . . . . . . . . . . . . . . . . . ...18

CRANIAL AND PERIPHERAL NERVE DISOROERS AGE

UNDER 70 WITHDUTC. C........ . . . . . . . . . . . . . . . . . ...19

NERVOUS SYSTEM INFECTION EXCEPT VIRAL

MENINGITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20

VI RAL MENINGITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21

HYPERTENSIVE ENCEPHALOPATHY . . . . . . . . . . . . . . . . . . . ...22

NONTRAUMATIC STUPOR AND COMA . . . . . . . . . . . . . . . . . . ...23

SEIZURE AND HEAOACHE AGE 70 OR OVER AND/OR C.C. ..24

SEIZURE AND HEAOACHE AGE 1S-6S WITI-XIUT C.C. . . . ...25

SEIZURE ANO HEAOACHE AGE UNDER 10..,.............26

TRAUMAT XC STUPOR AND COMA. COMA QREATER

THAN ONE HOUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...27

TRAUMATIC STUPOR AND COMA . CONA LESS THAN

ONE tW4JR AGE 700R OVER ANO/ORC. C . . . . . . . . . . . . ..2L3

TRAUMATIC STUPOR AND COMA LESS THAW ONE HOUR

AGE 18-69 WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . ...29

TRAUMATIC STUPOR ANO COMA LESS THAN ONE MUR

AGE UNDER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30

CONCUSSION AGE 70 OR OVER AND/OR C. C . . . . . . . . . . . ..3$

CONCUSSION AGE 1S-69 WITFWT c. C . . . . . . . . . . . . . . ...32

CONCUSSION AGE LWQER 18 . . . . . . . . . . . . . . . . . . . . . . . . . .33

OTHER OISOROERS OF NERVOUS SYSTEM AGE

70 OR OVER ANO/OR C.C . . . . . . . . . . . . . . . . . . . . . . . . ...34

OTilER DISOROERS OF NERVOUS SYSTEM AGE UNOER

70 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35

MAIJOR DIAGNOSTIC cATEGORY 2: OISEASES

ANO OISOROERS OF THE EYE

RETINAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ORBITAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PRIMARY IRI ,S- PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . .

LENS PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE IS

OR OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EXTRAOCULAR PROCEDURES EXCEPT ORSIT AGE

UNDER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INTRAOCULAR PROCEDURES EXCEPT RETINA. IRIS’

ANO LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HYPHEMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ACUTE MAdOR EYE INFECTIONS . . . . . . . . . . . . . . . . . . . . .

NEUROLOGICAL EYE DISORDERS . . . . . . . . . . . . . . . . . . . . .

OTHER DISOROERS OF THE EYE KGE 18 OR OVER

WI THC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OTHER OISOROERS OF THE EYE AGE 18 OR OVER

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . .

OTHER OISORDERS OF THE EYE AGE UNO

. . . . . . . . . . . . .

ER 18 . . . . . . . .

.36

.37

.38

.39

.40

.4f

.42

.43

.44

.45

.46

.47

.48

NUM6ER IN THOUSA~S AVERAGE LENGTH OF STAY IN OAYS

9.s64

13

●4

. . .

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31

*4

●8

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10

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74

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261

148

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313

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. . .

29

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. . .

10.406

17

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38

19

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12

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86

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294

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42

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12

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. . .

14

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$3

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15

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387

22

. . .

33

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16

. . .

10.697

19

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. . .

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41

16

11

94

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295

155

40

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429

18

. . .

32

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11.302

24

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31

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11.226

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●9

●2

●4

15

●3

83

●

339

167

34

26

19

●5

●6

●

14

2;

*6

. . .

●

16

●

. . .

13

●

. . .

13

●2

17

●3

●3

394

16

. . .

36

●

●2

●8

* 10

12

. . .

fo.7

24.5

●25.8

. . .

●25.7

fl.9

3.0

●18.9

94.7

.20.0

23.6

●f5.1

f4.3

●18.2

15.1

1:::

9.2

10.3

99.0

●12.2

●

●8.8

7.;

●4.6

. . .

8.9

●3.1

. . .

7.0

●

. . .

13.4

●9.3

6.0

●7.5

●6.i

3.7

3.0

. . .

5.4

●

●8.6

*7.3

97.5

5.7

. . .

10.5

30.3

*f7.5

. . .

●21.6

12.6

3.5

●13.7

●4.6

●18.2

13.6

●13.2

14.3

*9.7

15.8

7.6

12.1

8.4

7.7

●7.4

●12.9

*

●6.9

a.;

*16.7

. . .

●

7+.7

●5.7

. . .

6.4

●

. . .

12.3

●8.2

6.0

●6.9

●3.4

3.2

3.0

. . .

4.5

●

●

●6.2

917. f

5.6

. . .

10.1

22.7

*16.9

. . .

*33. O

11.6

3.s

!f.4

●9.3

●12.9

f7.5

.14.1

15.0

●1O.6

t5.4

7.6

11.1

8.4

8.6

●7.4

*11.6

7.;

8.;

*5.9

. . .

7.5

●

. . .

6.6

●

. . .

11.6

●8.1

5.0

●S.S

●3.+

2.9

2.8

. . .

4.4

●

●

*7.7

10.7

5.4

. . .

-.. “

3.,

30.3

*21.1

. . .

●37.5

10.6

2.8

*17.9

.9.8

*22.5

13.8

*6.3

13.7

●12.1

14.4

6.7

12.6

10.8

9.0

.9.0

*12.3

●

●8.2

●

7.7

*6.4

. . .

*

6.4

●

. . .

5.4

*3.6

. . .

~2.7

*

5.1

●4.6

●2.7

2.6

4.1

. . .

5.4

●

.11.2

●4.6

*7.3

3.4

. . .

a.=

23.6

●22.5

. . .

●~7.5

9.2

3.5

.14.7

*3.2

*35. O

12.2

*5.5

13.6

*

12.0

6.2

9.1

6.9

7.7

*6.4

*8.2

*

6.9

5.;

●6.8

. . .

●

7.6

●

. . .

8.5

*

. . .

lo. i

*5.6

4.6

.5. B

●3.O

2.3

2.6

. . .

3.3

*

●9.5

*3.4

.7.4

4.0

. . .

NOTE : IN THIS TABLE THE ABBREVIATION ‘C. C. ● STAwS FOR ‘SU13STANTIAL CONPLICATIDN AKO/OR CDNDRBIDITY” .

21
TABLE 2. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS ANO OLOER DISCHARGED FRDM SHORT-STAY HOSPITALS, BY OIAGNos Is-l~ELATED

GROUPS (ORG’S) : UNITED STATES, 1980 -84--CDN.

[DISCHARGES FROM NON- FEOERAL SHORT -STAV HOSPITALS. EXCLUOES NEWBORN INFANTS]

DIAGNos IS- RELATEO GROUP ANO ORG NUMBER 1980 19s1 1982 1983 19s4 1980 19al 1982 19s3 1984

MAJOR DIAGNOSTIC CATEGORY 3: DISEASES

ANO DISOROERS OF THE EAR, NOSE . ANO

THROAT

MAJOR HEAO ANO NECK PROCEDURE S . . . . . . . . . . . . . . . . . ..49

SIALOAOENECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...50

SALIVARY GLANO PROCEDURES EXCEPT

SIALOAOENECTOMY . . . . . . . . . . . . ., ., . . . . . . . . . . . . . . ...5!

CL EFTLIPANO PA LATE REPAIR. . . . . . . . . . . . . . . . . . . ...52

SINUS ANO MASTOIO PROCEDURES AGE lE OR OVER. . . ...53

SINUS ANO MASTOID PROCEDURES AGE UNDER 18. . . . . ...54

MISCELLANEOUS EAR. NOSE ANO THROAT PROCEDURES. . ..55

RHINOPLASTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

TONSIL AND ADENOIO PROCEOURE EXCEPT

TONSILLECTOMY ANO/OR AOENOIOECTOMY AGE

IB OR OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...57

TONSIL ANO AD ENOIO PROCEOLIRE EXCEPT

ToNSILLECTOMY ANO/OR AOENOIOECTOMY AGE

UNDER to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58

TONSILLECTOMY ANO/OR AOENOIOECTOMY ONLY, AGE

180 R OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...59

TONSILLECTOMY AND/OR AOENOIDECTOMY ONLY,

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60

MYRINGOTOMY AGE 180 R OVER . . . . . . . . . . . . . . . . . . . . ...61

MYRINGOTOMY AGE UNDER 18. . . . . . . . . . . . . . . . . . . . . . ...62

OTHER EAR, NOSE ANO THROAT OPERATING ROOM

PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...63

EAR, NOSE ANO THROAT MA LIGNANCY . . . . . . . . . . . . . . . ...64

DYSEOUILIBRIUM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65

EPISTAXIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...66

EPIGLOTTIS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...67

OTITIS MEOIA ANO UPPER RESPIRATORY

INFECTION AGE 70 OR OVER ANO/OR c.c, ., . . . . . . . . ..6B

OTITIS MEOIA ANO UPPER RESPIRATORY

INFECTION AGE 16-69 WITHOUT c.c . . . . . . . . . . . . . . ...69

OTITIS MEOIA ANO UPPER RESPIRATORY INFECTION

AGE UNOER 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70

LA RYNGOTRACHE IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...71

NASA LTRAUMA ANOOEFORMITY. . . . . . . . . . . . . . . . . . . . ...72

OTHER EAR, NOSE ANO THROAT DIAGNOSES AGE

180 R OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...73

OTHER EAR, NOSE AND THROAT OIAGNOSES AGE

UNDER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...74

MAJOR DIAGNOSTIC CATEGORY 4: OISEASES

ANo OISOROERS OF THE RESPIRATORY SYSTEM

MALIORCHEST PFEOCEOURES . . . . . . . . . . . . . . . . . . . . . . . . ...75

oPERATING RoOM PROCELIURE ON THE RESPIRATORY

SYSTEM EXCEPT MAUOR CHEST WITH C. C....., . . . . . ...76

OPERATING ROOM PROCEOURE ON THE RESPIRATORY

SYSTEM EXCEPT MAdOR CHEST WITHOUT c.C. . . . . . . . ...77

PULMONARY EM130LISM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...78

RESPIRATORY INFECTIONS ANO INFLAMMATIONS AGE

7ooRovER ANo/oRc. c...... . . . . . . . . . . . . . . . . . . ...79

RESPIRATORY INFECTIONS ANO INFLAMMATIONS AGE

16-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80

RESPIRATORY INFECTIONS ANO INFLAMMATIONS AGE

UNOER 16 . . . . . . . . . . . . . . . . . . . . . . . . ., ., . . . . . . . . . ...61

RESPIRATORV NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . ..S2

MALIOR CHEST TRAUMA AGE 70 OR OVER ANO/OR C.C. . ...63

MAJOR CHEST TRAUMA AGE UNOER 70 WITHOUT C.C. . . ...84

PLEURAL EFFUSION AGE 70 OR OVER ANO/OR C.C. . . . . . .65

PLEURAL EFFUSION AGE UNOER 70 WITHOUT C.C. . . . . ...86

PULMONARY EOEMA ANO RESPIRATORY FAILURE. . . . . . . . ...97

CHRONIC OBSTRUCTIVE PULMONARY OISEASE . . . . . . . . . ...68

SIMPLE PNEUMONIA ANO PLEURISY AGE 70 OR

OVER ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89

SIMPLE PNEUMONIA ANO PLEURISY AGE 18-69

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

SIMPLE PNEUMONIA ANO PLEURISY AGE UNDER IB. . . . ...91

INTERSTITIAL LUNG OISEASE AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92

INTERSTITIAL LUNG OISEASE AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...93

PNEUMOTHORAX AGE 70 OR OVER ANO/OR C.C. ., . . . . . ...94

PNEUMOTHORAX AGE UNOER 70 WITHOUT C.C, . . . . . . . . ...95

BRONCHITIS ANO ASTHMA AGE 70 OR OVER

ANO/ORC . C.............,.. . . . . . . . . . . . . . . . . . . . ...96

BRONCHITIS ANO ASTHMA AGE 18-69 WITHOUT C.C. . . ...97

BRONCHITIS ANO ASTHMA AGE UNOER i8. . . . . . . . . . .9S

RESPIRATORY SIGNS ANO SYMPTOMS AGE 70 OR

OVER ANO/ORC .C. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ...99

RESPIRATORY SIGNS ANO SYMPTOMS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...100

OTHER RESPIRATORY OIAGNOSES AGE 70 DR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i Oi

OTHER RESPIRATORY OIAGNOSES AGE UNOER 70. , . . . ...102

NUMBER IN THOUSANOS

●4

*6

●2

*6

18

*4

*

. . .

*

.

*

. . .

*4

17

32

*4

5!

10

. . .

*4

17

,..

20

●6

*9

31

18

*3

. . .

122

10

*

16

*

39

270

282

25

.

24

*

*4

*

142

33

. . .

*4

*

36

*5

*9

*4

●

*

*8

16

*3

●

. .

*

. . .

●

. .

*4

37

35

*5

*

56

*lo

.

●2

17

. . .

25

*8

*6

34

24

*

. . .

i 26

11

●

12

●

39

304

281

25

. .

16

●3

*6

*

f 26

30

. . .

*6

●3

37

*3

*4

*4

*

●8

13

●3

*

. . .

*2

. . .

*

. . .

●2

14

32

*6

34

*7

. . .

●

17

. . .

23

*6

●6

26

21

*3

. . .

137

11

*

la

*

45

300

276

20

. . .

21

*2

*4

●

t4e

27

. . .

*4

*

43

*6

●5

*6

●

*8

16

*6

●

. . .

*

. . .

*

. .

*4

f7

38

*6

44

*8

. .

*

*

17

. . .

30

*FJ

●5

28

33

●3

. . .

143

11

*

f6

*2

44

320

303

21

. .

19

*2

*7

*

190

30

. . .

*

*2

39

*4

*7

*4

●

*

lt

18

*5

*

. . .

*

. . .

●

. . .

*6

15

36

●4

41

*5

. . .

*

*

19

. . .

26

*8

*6

35

39

*

. . .

148

13

*

16

*

60

272

350

20

26

*2

*7

*

f86

26

.,.

*4

*

37

*3

AVERAGE LENGTH OF STAY IN DAYS

*26.7

*5.7

*4.4

*5.6

3.0

●3.6

*

. . .

*

. .

*

. . .

.11.9

10.9

5.7

*3.8

7.1

5.5

*5.6

6.6

. .

16.9

*f3.7

*11.2

13.1

13.1

*9.8

. . .

fl.8

10.3

*

12.6

*

10.3

9.8

11.0

7.8

. . .

11.0

*

*13.6

*

S.o

6.2

. . .

*5.6

*

9.5

●5.5

●21.8

*5.6

*

●

*6.1

3.0

*3.4

*

. . .

*

. . .

*

. . .

*10. O

7.0

5.0

*3.2

*

7.6

*6.6

. . .

*5.1

5.0

. . .

18.7

*15.2

*fo.7

13.2

15.4

*

. . .

11.3

11.2

*

11.3

*

6.7

9.9

11.2

8.5

. . .

10.8

*7.7

*f7.7

*

8.7

6.7

. . .

*6.5

*7. *

9.4

*5.2

●21. i

*4.6

*

*4.4

2.7

*3.3

*

. . .

.1.7

. . .

*

. . .

*9.8

9.3

5.7

*4.4

7.s

*4.8

.

*

5.6

. . .

15.9

●13.4

*6.4

14.1

14.1

*8. O

. . .

10.9

9.5

*

6.7

*

10.4

9.8

40.7

8.0

. . .

10.2

*8.2

*12.3

*

6.3

6.6

. . .

*5.9

*

8.5

*6.4

*23.6

●4.1

*

*4.4

3.5

*2.7

*

. . .

*

. . .

*

. . .

●6.7

9.1

5.0

*4.9

7.6

*5.1

. . .

*

*

6.9

. . .

17.5

*12.6

*6.2

14.5

14.4

*9.8

. . .

9.9

12.4

*

9.7

*5.9

9.4

9.6

10.7

6.5

. . .

9.5

*1O.2

*9.6

*

6,4

6.2

. . .

*

*3.9

6.0

*5.5

*24.7

*7.2

*

*

4.7

2.6

*2.4

*

. .

●

. . .

*

. . .

*6.7

t?.8

4.4

*4.1

5.8

*4.1

. .

*

*

7.3

. . .

45.0

*i4.7

*10.8

10.5

14.5

*

. . .

9.6

9.2

*

6.2

*

9.4

9.0

9.3

6.6

8.9

9s.7

*8.1

*

7.5

6.1

. . .

*2.6

*

7.9

*5.5

NOTE : IN THIS TABLE THE ABBREVIATION ,’C. C. “ STANOS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMOREIOITY” .

22
TABLE 2. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS AND OLOER OISCHARGEO FROM sHORT-STAY HOSPITALS, BY OIAGNOSIS-RELATEO

GROUPS (ORGJS): UNITEO STATES, i9B0-84-.coN.

[01 SCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS I

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER 1980 1981 19B2 1983 1984 1980 1981 1982 1983 1984

NUMBER IN THOU SANOS AVERAGE LENGTH OF STAY IN OAYS

MAJOR DIAGNOSTIC CATEGORY 5: OISEASES

ANO OISOROERS OF THE CIRCULATORY SYSTEM

HEART TRANSPLANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i03

CARDIAC VALVE PROCEOURE WITH PUMP ANO WITH

CARDIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . ...104

CAROIAC VALVE PROCEDURE WITH PUMP ANO

WITHOUT CAROIAC CATHETERIZATION. . . . . . . . . . . . . ...105

CORONARY BYPASS WITH CAROIAC CATHETERIZATION. . ..106

CORONARY BYPASS WITHOUT CAROIAC

CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Io7

CAROIOTHORACIC PROCEOURE . EXCEPT VALVE ANO

CORONARY BYPASS, WITH PUMP. . . . . . . . . . . . . . . . . . . ..IOB

CAROIOTHORACIC PROCEDURES WITHOUT PUMP. . . . . . . ...109

MAIJOR RECONSTRUCTIVE VASCULAR PROCEDURES AGE

700 ROVE RANO/ORC. C... . . . . . . . . . . . . . . . . . . . . ...1 10

MALIOR RECONSTRUCTIVE VASCULAR PRoCEDURES

AGE UN0ER70WITHOUT C. C... . . . . . . . . . . . . . . . . . . ..II1

VASCULAR PROCEDURES EXCEPT MAIJOR

REcONSTRUCTION.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...112

AMPUTATION FOR CIRCULATORY SYSTEM

OISOROERS EXCEPT UPPER LIMB ,ANO TOE. . . . . . . . . ...113

UPPER LIMB ANO TOE AMPUTATION FOR

CIRCULATORY SYSTEM OISOROERS . . . . . . . . . . . . . . . . . . ..I14

PERMANENT CAROIAC PACEMAKER IMPLANT WITH

ACUTE MYOCAROIAL INFARCTION OR CONGESTIVE

HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I15

PERMANENT CAROIAC PACEMAKER IMPLANT

WITHOUT ACUTE MYOCAROIAL INFARCTION OR

CONGEST IVE HEART FAILURE. . . . . . . . . . . . . . . . . . . . ...116

CAROIAC PACEMAKER REPLACE ANO REVISION

EXCEPT PULSE GENERAToR REPLACEMENT ONLY. . . . . ...117

CAROIAC PACEMAKER PULSE GENERATOR

REPLACEMENT ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..IIB

VEIN LIGATION ANO STRIPPING. . . . . . . . . . . . . . . . . . ...119

OTHER OPERATING ROOM PROCEDURES ON THE

CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . ..12o

CIRCULATORY OISOROERS WITH ACUTE MYOCAROIAL

INFARCTION ANO CARDIOVASCULAR COMPLICATIONS ,

OISCHARGEO AL ICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Iz I

CIRCULATORY OISOROERS WITH ACUTE MYOCAROIAL

INFARCTION WITHOUT CARDIOVASCULAR

COMPLICATIONS, OISCHARGEO ALIVE. . . . . . . . . . . . . ...122

CIRCULATORY OISOROERS WITH ACUTE MYOCAROIAL

INFARCTION. EXPIRE . . . . . . . . . . . . . . . . . . . . . . . . . ...123

CIRCULATORY OISOROERS EXCEPT ACUTE MYOCAROIAL

INFARCTION, WITH CAROIAC CATHETERIZATION ANO

COMPLEX DIAGNOSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...124

CIRCULATORY OISOROERS EXCEPT ACUTE MYOCAROIAL

INFARCTION, WITH CAROIAC CATHETERIZATION

*5

*8

14

20

●

*3

38

●8

26

16

*5

*8

59

●2

16

*7

13

75

150

82

13

42

34;

36

31

118

16

442

29

149

17

*2

. . .

140

20

147

17

*5

●9

25

f8

●5

*9

18

28

●3

*3

41

●8

35

*7

●3

●5

84

*3

●7

●6

15

82

179

80

13

5s

38;

32

36

111

15

422

25

182

20

●

. . .

168

23

181

20

*5

10

28

20

●5

*9

26

36

●lo

*5

62

*9

42

15

*4

10

63

*7

13

*5

20

102

19t

8i

26

72

*3

456

42

35

114

16

282

17

120

21

*4

. . .

2f8

20

272

21

*5

●9

41

14

●22. 7

*18.1

20.7

f7.2

●

●f7.2

zi. e

*14.6

17.0

29.8

●32.3

*21.1

tl. s

*13.2

6.3

*8.7

22.9

16.6

13.5

8.9

10.6

4.8

*

40.0

11.5

10.2

10.2

7.6

9.6

6.5

8.8

8.9

.8.6

. . .

7.8

6.5

7.1

5.4

●5.9

●4.4

10.9

8.6

●27 .0 *21.7

*20.5

20.0

14.5

● 11.8

*15.9

20.1

14.9

12.6

23.6

●23.5

17.2

10.1

*8. O

.5.1

:9.0

19.6

14.5

11.3

6.1

9.6

3.7

*34.6

9.5

11.2

8.7

8.7

6.8

8.7

6.3

7.2

7.9

*

. . .

7.0

5.1

6.2

5.8

●2.9

*3.4

10.1

8.1

*21.9

*16.1

15.2

14.6

*7.6

*15.6

16.4

*12. O

11.9

17.5

*24.2

13.7

9.7

*8.9

4.4

*7.3

18.3

12.4

10.4

6.5

7.8

3.6

*38.6

8.4

9.1

9.8

7.9

6.0

7.1

5.6

6.8

8.7

*3.1

. . .

6.1

10.0

5.6

6.5

*4.2

●3.1

6.3

8.1

*7 *5 .20.2

*8

18

●7

23

*2f.1

17.2

●24.5

22.6

25 36 13.4 16.0

*23.6

*13.7

●3

●5

●4

●4

*25. 1

*15.7

48 58 19.5 20.2

11 *16.2 12.6

14.6

25.6

● f5.2

32

16

43 19.2

28.3

●3 *6 *20. 7

15 12 *11.5 16.0

62 64 12.0 10.8

*5 *3 *ii.4 *8.3

12

*6

● 10

*6

*7.9

*9.2

5.4

●8.i

ie 15 26.3 25.1

80 86 15.4 i3.7

i 74

94

175

91

12.6

6.8

12.2

6.7

15 20 9.9 10.5

WI THOUTCOMPLEX DIAGNOSIS.. . . . . . . . . . . . . . . . . . ...125

ACUTE ANO SUBACUTE ENOOCAROITIS. . . . . . . . . . . . . . ...128

HEART FAILURE ANO SHOCK.. . . . . . . . . . . . . . . . . . . . . ...127

OEEP VEIN THROMBOPHLEBITIS . . . . . . . . . . . . . . . . . . . . ..I28

CAROIAC ARREST.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...129

PERIPHERAL VASCULAR OISOROERS AGE 70 OR

57

*2

367

33

42

65

4;:

32

43

4.5

9.;

io.8

12.0

4.5

*19.6

9.7

9.8

9.8

OVER ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...130

PERIPHERAL VASCULAR OISOROERS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i31

ATHERoscLEROSIS AGE 70 OR OVER ANO/OR C. C . . . . ...132

ATHEROSCLEROSIS AGE UNOER 70 WITHOUT C.C. . . . . ...133

HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...134

CAROIAC CONGENITAL ANO VALVULAR OISORDERS AGE

700 ROVERANO/OR C. C....... . . . . . . . . . . . . . . . . ...135

CAROIAC CONGENITAL AND VALVULAR OISOROERS

AGE 18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . ..13e

CAROIAC CONGENITAL ANO VALVULAR OISOROERS

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...137

CAROIAC ARRHYTHMIA ANO CONDUCTION OISOROERS

AGE700R OVER ANO/ORC. C. . . . . . . . . . . . . . . . . . ...138

CAROIAC ARRHYTHMIA ANO CONDUCTION OISOROERS

AGE UNOER70WITHOUTC. C. . . . . . . . . . . . . . . . . . . . ...139

ANGINA PECTORIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140

SYNCOPE ANO COLLAPSE AGE 70 OR OVER

ANO/OR C . C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..14f

SYNCOPE ANO COLLAPSE AGE UNOER 70

WITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...142

CHEST PAIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...143

OTHER CIRCULATORY OIAGNOSES WITH C.C. . . . . . . . . ...144

OTHER CIRCULATORY OIAGNOSES WITHOUT C.C. . . . . . ...145

110 f14 10.0 9.7

16

427

27

158

20

406

21

168

7.6

9.4

6.6

7.7

6.6

8.8

7.9

7.9

19 25 9.3 7.8

●2

. * .5.0

. . . . . . . .. . .

181 193 7.3 7.1

23

195

26

217

5.2

7.0

5.1

6.6

24 23 6.2 7.2

●3

*7

34

18

*3

*9

37

15

*4.5

3.9

11.7

6.9

*4.1

*4.1

10.9

6.6

NOTE : IN THIS TABLE THE ABBREvIATION “C. C. ■ STANOS FOR ‘SUBSTANTIAL COMPLICATION ANO/OR COMOR8101TY” .

23
TABLE 2. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS ANO OLOER DISCHARGED FROM SHORT-STAY HOSPITALS, BY DIAGNoSIS-RELATED

GROups (ORG’S): UNITED STATES. 1980 -E4--CON.

[DISCHARGES FROM NoN-FEDERAL SHORT -STAy HOSpITALs. ExcLuDE$ NEwBoRN INFANTsl

DIAGNOSIS -RELATEO GROUP” AND ORG NUMBER 1980 1981 1982 1983 1984 1980 1981 19S2 1983 1984

NUMBER IN THOUSANDS

MAUOR OX AGNOSTIC CATEGORY 6: OISEASES

ANO OISOROERS OF THE OIGESTIVE SYSTEM

RECTAL RESECTION AGE 70 OR OVER ANO/OR C.C. . . ...148

RECTAL RESECTION AGE UNOER 70 WITHOUT C.C. . . . ...147

MAJOR SMALL ANO LARGE BOWEL PROCEDURES AGE

700 ROVER ANO/ORC. C...... . . . . . . . . . . . . . . . . . . ..i48

MAJOR SMALL AND LARGE BOWEL PROCEDURES AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...149

PERIToNEAL AOHESIOLYSIS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i50

PERITONEAL AOHESIOLYSIS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...151

MINOR SMALL ANO LARGE 80WEL PROCEDURES AGE

700 ROVER AND/OR C. C....... . . . . . . . . . . . . . . . . . ..i52

MINOR SMALL AND LARGE BOWEL PROCEDURES AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...153

STOMACH. ESOPHAGEAL AND DUOOENAL PROCEDURES

AGE700R DvERANo/oRc. c... . . . . . . . . . . . . . . . . ...154

STOMACH, ESOPHAGEAL ANO DUOOENAL PROCEDURES

AGE 18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . ...155

STOMACH. ESOPHAGEAL ANO OUOOENAL PROCEDURES

AGE UNDER !8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..!56

ANAL PROCEDURES AGE 70 OR OVER ANO/OR C.C. . . . . . . 1S7

ANAL PROCEDURES AGE UNOER 70 WITHOUT C.C. . . . . ...158

HERNIA PROCEDURES EXCEPT INGUINAL AND

FEMORAL AGE 70 OR OVER ANO/OR C. C . . . . . . . . . . . ...159

HERNIA PROCEDURES EXCEPT INGUINAL ANO

FEMORAL AGE 18-69 WITHOUT c.c . . . . . . . . . . . . . . . ...160

INGUINAL ANO FEMORAL HERNIA PROCEDURES AGE .

700ROVER ANO/ORC. C,...... . . . . . . . . . . . . . . . . ...161

INGUINAL ANO FEMORAL HERNIA PROCEDURES AGE

18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . ...162

HERNIA PROCEDURES AGE UNOER 18 . . . . . . . . . . . . . . . . . . 163

APPENDECTOMY WITH COMPLICATE PRINCIPAL

OIAGNOSIS AGE 70 OR OVER AND/OR C. C . . . . . . . . . . ..I64

APPENDECTOMY WITH COMPLICATE PRINCIPAL

OIAGNOSIS AGE UNOER 70 WITHOUT c.c . . . . . . . . . . . ..I65

APPENDECTOMY WITHOUT COMPLICATE PRINCIPAL

OIAGNOSIS AGE 70 OR OVER ANO/OR C. C . . . . . . . . . ...166

APPENDECTOMY WITHOUT COMPLICATE PRINCIPAL

01 AGNOS2S AGE UNOER 70 WITHOUT c. C . . . . . . . . . . . ..I67

PROCEOtiRES ON THE MOUTH AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...168

PROCEDURES ON THE MOUTH AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..!69

OTHER OIGESTIVE SYSTEM PROCEDURES AGE

700ROVER ANOIORC. C...... . . . . . . . . . . . . . . . . . ...470

oTHER DIGESTIVE SYSTEM PROCEDURES AGE UNOER

70 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47+

DIGESTIVE MALIGNANCY AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. +72

DIGESTIVE MALIGNANCY AGE UNDER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-....173

GASTROINTESTINAL HEMORRHAGE AGE 70 OR OVER

4N0/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-174

GASTROINTESTINAL HEMORRHAGE AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

cOMPLICATE PEPTIC ULCER . . . . . . . . . . . . . .. . . . . . . .

UNCOMPLXCATEO PEPTIC ULCER AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNCOMPLICATED PEPTIC ULCER UNOER 70

wITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFLAMMATORY BOWEL DISEASE . . . . . . . . . . . . . . . . . . .

GASTROINTESTINAL OBSTRUCTION AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

GASTROINTESTINAL OBSTRUCTION AGE UNOER 70

WXTHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ESOPHAGI TIS. GASTROENTERITIS. ANO

. ..475

. ..476

. ..477

. ..f78

. ..179

. . 180

. ..i8$

‘i42scELLANEiIUS oIGEsTIvE OISiASE AGE 70

OR OVER ANO/ORC. C....... . . . . . . . . . . . . . . . . . . . . ..f82

EsOPHAGITIS , GASTROENTERITIS . ANO

MISCELLANEOUS OIGESTIVE OISEASE AGE 18-69

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..f83

ESOPHAGITIS , GASTROENTERITIS , ANO

MISCELLANEOUS OIGESTIVE OISOROERS AGE

UNDER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..f84

DENTAL ANO ORAL OISEASE EXCEPT EXTRACTIONS

ANO RESTORATIONS AGE 48 OR OVER . . . . . . . . . . . . . . ..I65

DENTAL ANO ORAL OISEASE EXCEPT EXTRACTIONS

ANO RESTORATIONS AGE UNOER 18..................186

OENTAL EXTRACTIONS ANO RESTORATIONS. . . . . . . . . . ...187

OTHER OIGESTIVE SYSTEM OIAGNOSES AGE 70

OR OVER AND/OR C. C. ..,...... . . . . . . . . . . . . . . . . . ..iSB

OTHER DIGESTIVE SYSTEM OIAGNOSES AGE

18-69 WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . ...489

OTHER DIGESTIVE SYSTEM OIAGNOSES AGE uNOER le. . . i90

15

●3

88

i3

*6

●2

●8

●3

44

*9

. . .

37

f6

23

*9

85

37

. . .

*3

●

*2

●

11

●5

11

●2

70

12

104

14

*7

44

10

●9

52

●4

353

79

. . .

●8

. . .

*4

50

●lo

16

●6

105

13

●7

●2

14

*3

48

●9

. . .

39

16

21

10

88

34

. . .

●6

*

*6

●

12

*5

12

●

77

11

126

14

*8

47

● 10

●7

45

●9

372

68

. . .

*7

. . .

●6

55

10

. . .

16

●3

101

*4

●6

*4

20

*4

50

●7

. . .

43

18

19

●9

100

34

. . .

*4

*

*5

*

● 10

●6

f2

*

81

f5

127

f3

*6

46

10

*5

50

*5

376

71

. . .

●9

. . .

*6

53

12

. . .

16

●2

I 09

16

i3

●

22

●5

57

●6

. . .

45

17

23

11

90

34

. .

● 7

●

●4

*2

11

94

11

*2

75

*8

i43

12

*6

44

*6

*6

65

●6

394

60

. . .

10

. . .

●4

55

12

. . .

18

●4

i12

If

12

●2

25

*5

53

*5

. . .

44

16

27

●8

96

2s

. . .

●6

*

*5

●2

*9

*4

14

*

79

*8

155

13

*8

37

●5

11

70

*5

345

48

. . .

●to

. . .

*4

55

*9

. . .

AVERAGE LENGTH OF STAY IN OAYS

2f.7

●16.5

21.9

13.9

*19.2

●17.4

●11.9

*9.5

18.9

●14. O

. . .

7.1

5.1

11.3

●7.4

7.*

5.2

. . .

*10.8

*

*11.4

*

5.5

*5.5

17.9

●i2.6

13.1

9.1

9.2

5.8

*8.4

8.0

7.5

*12.5

7.9

*3.6

7.2

5.4

. .

.9.0

. . .

*4.4

7.3

*6.5

. . .

26.4

*17.2

19.5

15.2

*i 7.9

*12.7

12.9

*13.6

19.0

*12.4

. . .

7.4

5.5

10.0

7.3

6.9

4.8

,..

*+4.5

*

*11. O

*

7.2

.4.3

21.3

*

12.2

$0.9

9.2

5.5

*11.2

7.4

*5.9

*1O.4

7.9

.5.1

7.0

5.4

. . .

●10.3

. . .

*3.3

6.9

6.4

. . .

21.9

*15.9

21.3

16.3

*i3.6

*11.5

13.3

*8.5

17.7

913.5

. . .

7.3

5.7

8.7

*6.9

6.8

4.6

. . .

●14.2

*

*9.4

●

*5. O

*4.4

15.6

*

11.8

7.9

6.2

6.5

*11.5

6.9

6.0

*9.7

8.0

*4.6

6.7

4.8

. .

*6.7

. . .

*3.7

6.9

5.0

. . .

19.6

*13.4

19.6

13.6

19.4

*

9.3

.8.0

17.0

*13.8

. . .

6.6

5.0

9.4

6.6

6.1

4.1

. . .

*~4.7

●

*7.8

*5.8

6.2

*4.5

17.1

●9.5

11.4

*8.1

7.6

5.4

*9. O

7.8

*6. O

*8.5

7.2

*4.7

6.7

4.8

. . .

7.7

. . .

*2.9

0.3

4.6

. . .

16.5

.15.4

17.6

13.9

12. f

*li.2

9.7

●6.4

15.4

*13.3

. . .

6.5

4.8

6.4

*6.2

6.0

4.0

. . .

*12. O

*

●7.8

*5. O

*6. O

●2.4

13.7

*

8.9

*6.3

7.5

5.4

*5.6

6.5

*4.4

9.7

7.0

*4.9

6.0

4.2

. . .

*7.3

. . .

*2.5

6.7

*5. i

. . .

NOTE : IN THIS TA8LE THE A66REvIAT10N .c. c. . STANOS FOR .su8sTANT1AL COMPLICATION ANO/OR COMOR81O1TY”.

24
TABLE 2. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS ANO OLOER OISCHARGEO FROM SHORT-STAY HOSPITALS. BY OIAGNOSI S-RELATED

GROUPS (ORG’S) : UNITEO STATES. 1980-84--CON.

[discharges FROM NoN-FEOERAL SHDRT-STAy HOSp ITALS. EXCLUOES NEWBORN INFANTs]

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER 198o 1981 i982 1983 1984 i980 1981 1982 i983 1984

NUMBER IN THOUSANOS AVERAGE LENGTH OF STAY IN OAYS

MAuIOR OIAG~STIC CATEGORY 7: OISEASES

ANO DISOROERS OF THE HEPATOBILIARY SYSTEM

AND PANCREAS

MALIOR PANCREAS, LIVER. ANO SHUNT PROCEDURES. . ...191

MINR PANCREAS. LIVER. ANO SHUNT PI.’ICEOURES. . ...192

BILIARY TRACT PROCEOURE EXCEPT TOTAL

CHOLECYSTECTONY AGE 70 OR OVER ANOjOR C.C. . . ...193

BILIARY TRACT PROCEOURE EXCEPT TOTA..

CHOLECYSTECTOMY AGE UNOER 70 WITHOliT C .C. . . . ...194

TOTAL CHDLECYSTECTOMY WI Tli CO- BILE DUCT

EXPLORATION AGE 70 OR OVER At.M/OR C.C. . . . . . . ...195

TOTAL CHOLECYSTECTOMY WITH CO~ 61 LE DUCT

EXPLORATION AGE tJWER 70 WITHOUT C.C. . . . . . . . ...196

TOTAL CliULECYSTECTOMY WITI+OUT COMMON BILE OUCT

EXPLORATION AGE 70 OR OVER ANO/OR C.C. . . . . . . . . . f97

TOTAL CHOLECYSTECTOMY WI THGUT COMMON BILE OUCT

EXPLORATION AGE UNOER 70 WITHGUT C. C.... . . . . ...198

HEPATOBILIARY DIAGNOSTIC PROCEOURE FOR

MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...199

HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR

NDN-MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...200

OTHER HEPATOBILIARY OR PANCREAS OPERATING

ROOM PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2ol

CIRRHOSIS ANo ALCOHOLIC HEPATITIS. . . . . . . . . . . . ...202

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCR?AS. .203

OISOROERS OF PANCREAS EXCEPT MALIGNANCY. . . . . . ...204

OISOROERS OF LIVER ExCEPT MALIGNANcY ,

CIRRHOSIS , ALCOHOLIC HEPATITIS AGE

70 OR OVER AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . ...205

OISOROERS OF LIVER EXCEPT MALIGNANCY,

CIRRHOSIS . ALCOHOLIC HEPATITIS AGE

UNDER 70 WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . ...206

OISOROERS OF THE BILIARY TRACT AGE

70 OR OVER ANO/OR C. C . . . . . . . . . . . . . . . . . . . . . . . ...207

OISORDERS OF THE BILIARY TRACT AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...208

*3

●

11

*2

24

*2

59

22

*5

●7

f:

27

24

12

●5

61

11

●4

●

11

*

26

*3

66

22

●9

*4

●2

20

31

27

13

●3

66

11

NOTE : IN THIS TABLE THE ABBREVIATION “C .C . “ STANDS FOR “SUBSTANTIAL

●3

●

*4

*

22

*2

71

21

*4

*6

●

16

31

24

14

●2

6s

*9

●4

●

14

●

25

●2

81

22

*6

●6

●

14

37

26

20

*3

68

12

COMPLICATION

*4

●2

13

●

28

●

78

16

●7

●5

●2

15

34

30

22

*2

59

*8

*24. O

●

24.9

*13.6

f7.9

.15.2

14. t

10.6

*22.9

●14.5

●

14.0

fo.7

10.3

11.8

.9.0

8.o

5.1

●23. O

●

20.3

●

i6.3

*13.9

14.5

11.1

*15. O

●10.4

*16.6

13.5

12.6

10.0

13.2

*4.3

8.o

6.1

ANO/OR COMORBIDITY” .

●23.2

*

22.0

*

17.0

●i2.7

i3.6

9.2

●f9.7

*i7. i

●

12.1

12.3

8.9

11.9

*7.1

8.0

*4.7

$22.0

*

20. T

*

16.3

.20.6

13.4

9.6

*16.8

*15.1

*

12.2

1!.6

9.1

11.3

●9.7

7.2

6.1

*24.3

*2f.7

19.9

*

15.2

*

ff.1

7.9

●14.2

*12.3

*i7.3

10.4

10.8

8.6

1~.1

.5.1

7.0

●4.3

25
TABLE 2. NUMBER AND AVERAGE LENGTH OF sTAY OF PAT IENTs 65 YEARs AND oLoER Discharged FROM sHORT-STAY HOSPITALS. BY DIAGNOSIS -RELATEO

GRoups (ORG, S): UNITEO STATES, t980-84--cDN.

[Discharges FROM NON-FEDERAL SHORT-STAY HOSp ITALs. ExcLuOEs NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP ANO DRG NUMBER i9Bo 1981 i9B2 1983 !984 t980 1981 1982 19B3 1984

NUMBER IN THOUSANOS AVERAGE LENGTH OF STAY IN OAYS

MAUOR DIAGNOSTIC CATEGORY 8: OISEASES

ANO OISORDERS OF THE MUSCULOSKELETAL

SYSTEM ANO CONNECTIVE TISSUE

MAdORdOINT PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . ...209

HIP ANO FEMUR PROCEDURES EXCEPT MAJOR JOINT

AGE700R OVER ANO/ORC. C. . . . . . . . . . . . . . . . . . . ...210

116

137

12

. . .

*4

19

17

*4

*5

18

*6

. . .

17

●5

15

*8

56

*6

●3

1:

*5

13

*2

*8

*5

*6

52

●5

●3

73

29

●6

*3

195

64

*6

12

26

12

*4

21

●4

. . .

52

*6

. . .

t6

154

140

10

. . .

*8

25

11

*3

*6

19

11

. . .

18

*6

12

*5

42

*9

*4

*

12

*4

14

*3

*8

●3

*e

54

*4

*6

82

22

*5

*

1B6

58

*7

●6

30

12

●4

19

*4

. . .

48

*9

. . .

18

21. i

2f.7

18.2

. . .

*35 .3

19..9

*16.6

*

*29.6

14.8

*9.1

. . .

*13.8

*7.7

*9.6

*4.2

6.7

*lo. i

●4.6

*

4.7

●8.B

*5. B

*

*12. O

*7.4

*23 . E

15.0

●7.9

*18.6

12.2

13.6

●7.5

*

9.7

9.7

7.0

7.8

7.4

7.4

*5.8

6.7

*4.6

. . .

10.1

*7.7

. . .

9.9

19. s

21.5

*lB.8

. . .

*23. B

22.1

13.4

*17.6

*21.4

19.0

*7.2

. . .

*1O.2

*6.2

*7.3

*4.7

4.8

*8.4

*6. O

*2.4

4.4

*1O.9

*7.4

*4.5

*12.6

*0.7

*25. i

17.9

*8.6

$13.5

it.6

10.9

:s.9

*7.8

8.8

9.4

7.4

8.7

6.3

*8. O

*14.8

7.2

*4.8

. . .

10.3

*6.6

. . .

13.2

19.3

19.5

*16.1

. . .

*34.7

20.5

*15. O

*18.8

*17.3

15.6

*11.2

. . .

10.6

*5.9

B.3

*4.4

4.7

*6.6

*5.2

*2.4

3.4

*12.6

7.3

*8.2

●9.8

*7.8

*21.6

t4.5

*1O.3

*12.7

12.1

10.5

*8.4

*

9.3

9.5

*5.7

7.9

6.7

9.0

*13.2

5.8

*5.6

. . .

9.3

*7. i

. . .

9.0

f7.7

20. !

18.1

. . .

*30. El

16.2!

11.6

●13.5

●20.5

13.1

*8 . S1

. . .

7.7

*4.(3

6.S1

*5.7

4.7

*5.2!

*4.21

*

3.81

*7.6

7.3

*8.9

*13. B

*6.4

*22.2

13.2

*7. O

*19.6

10.0

9.6

*9.1

*1O.7

8.3

6.0

*6.8

6.5

5.s

7.6

.9.0

7.1

*4,7

. .

9.(’

●5.2!

. . .

8.0

15.5

16.7

19.9

. . .

*25.4

17.3

11.1

*14.4

*19. B

10.2

9.0

. . .

6.3

*6.2

7.2

*6.6

4.1

+9.7

*7.2

*

3.1

*7.9

5.6

*6.2

*9.9

*7.4

*22 .6

11.4

*5.3

*12.1

9.7

9.4

*5.9

*

7.4

9.1

*6.9

*7.3

5.2

6.1

*11.5

4.8

*3.4

. . .

7.6

*6.1

. . .

8.5

98

i 25

10

. .

●3

17

●9

●

●5

12

*7

. . .

*8

*4

*6

*3

27

●4

●3

*

16

●6

*6

●

*8

●4

*8

46

*2

●3

66

30

*6

*

156

63

11

11

21

14

*3

22

●7

. . .

57

*6

.

t3

120

121

●8

. . .

●4

14

11

●4

*4

i6

*7

. . .

*9

*5

*7

*5

35

*6

●4

●2

ts

●5

*7

●2

*9

*2

●7

48

*2

*5

68

31

●7

●2

~73

71

11

13

28

●9

*6

21

*5

. . .

46

*!O

,.,

16

110

135

*8

. . .

●5

21

*9

*5

*5

16

●6

. . .

12

●9

12

●4

33

*7

*4

*3

17

●6

12

*5

●9

*3

●9

48

*3

*3

65

33

●5

●

186

70

*6

13

27

11

*3

22

*4

.

47

*9

.

*8

HIP ANO FEMUR PROCEDURES EXCEPT MAdOR .JOINT

AGE 18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . ...211

HIP ANO FEMUR PROCEDURES EXCEPT MALJOR dOINT

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...212

AMPUTATIONS FOR MUSCULOSKELETAL SYSTEM ANO

CONNECTIVE TISSUE OISOROERS . . . . . . . . . . . . . . . . . . ..2f3

BACK ANO NECK PROCEDURES AGE 70 OR OVER

ANO/OR C. C...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...214

BACK ANO NECK PROCEDURES AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...215

BIOPSIES OF MUSCULOSKELETAL SYSTEM ANO

CONNECTIVE TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...216

WOUNO OEBRIDEMENT ANO SKIN GRAFT EXCEPT HANO ,

FoR MUSCULOSKELETAL ANO CONNECTIVE TISSUE

DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...217

LOWER EXTREMITY AND HuMERUS PROCEDURE EXCEPT

HIP, FOOT, FEMUR AGE 70 OR OVER ANO/OR C. C.. ’.. .21S

LOWER EXTREMITY ANO HUMERUS PROCEOURE EXCEPT

HIP. FOOT, FEMUR AGE 18-69 WITHOUT C. C . . . . . . . ..2I9

LOWER EXTREMITY ANO HUMERUS PROCEOURE EXCEPT

HIP, FOOT, FEMUR AGE UNOER 18..................220

KNEE PROCEDURES AGE 70 OR OVER ANO/OR C.C. . . . ...221

KNEE PROCEDURES AGE UNOER 70 WITHOUT C.C. . . . . ...222

UPPER EXTREMITY PROCEOURE EXCEPT HUMERUS ANO

HANOAGE 700 ROVER AND/OR C. C . . . . . . . . . . . . . . ...223

UPPER EXTREMITY PROCEOURE EXCEPT HUMERUS ANO

HANO AGE UNOER 70 WITHOUT C. C . . . . . . . . . . . . . . . ...224

FOOT PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...225

SOFT TISSUE PROCEDURES AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...226

SOFT TISSUE PROCEDURES AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...227

GANGLION (HANO) PROCEDURES . . . . . . . . . . . . . . . . . . . ...228

HANO PROCEDURES EXCEPT GANGLION. . . . . . . . . . . . . . ...229

LOCAL EXCISION ANO REMOVAL OF INTERNAL

FIXATION OEVICES OF HIP ANO FEMuR . . . . . . . . . . . ...230

LOCAL EXCISION ANO REMOVAL OF INTERNAL

FIXATION OEVICES EXCEPT HIP ANO FEMUR. . . . . . ...231

ARTHROSCOPY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...232

OTHER MUSCULOSKELETAL SYSTEM ANO CONNECTIVE

TISSUE OPERATING ROOM PROCEOURE AGE

700 ROVE RANO/DRC. C...... ., . . . . . . . . . . . . . . . ...233

OTHER MUSCULOSKELETAL SYSTEM ANO CONNECTIVE

TISSUE OPERATING ROOM PROCEOURE AGE

UNDER 70 wITHOUT C.C . . . . . . . . . . . . . . . . . . . . . . . . ...234

FRAcTuREs OF FEMUR. . . . . . . . . . . . . . . . . . . . . . . . . . . ...235

FRACTURES OF HIP ANO PELVIS. . . . . . . . . . . . . . . . . . ...236

spRAINS. STRAINS, ANO DISLOCATIONS OF HIP,

PELVIS ANO THIGH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237

OSTEOMYELI TIS. ..,.... . . . . . . . . . . . . . . . . . . . . . . . . . . .238

PATHOLOGICAL FRACTURES ANO MUSCULOSKELETAL

ANO CONNECTIVE TISSUE MALIGNANCY. . . . . . . . . . . . ...239

CONNECTIVE TISSUE DISOROERS AGE 70 OR OVER

AND/OR C. C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24o

CONNECTIVE TISSUE OISOROERS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SEPTIC ARTHRITIS . . . . . . . . . . . . . . . . . . . . . . . . .

MEOICAL BACK PROBLEMS . . . . . . . . . . . . . . . . . . . .

80NE OISEASES ANO SEPTIC ARTHROPATHY AGE

700 ROVE RANOIORC. C...

. . . . . . .

. . . . . . .

. . . . . . .

24 i

242

243

. . . 244

BONE OISEASES ANO SEPTIC ARTHROPATHY AGE

UNOER70WITHOUT C. C..... . . . . . . . . . . . . . . .

NON-SPECIFIC ARTHROPATH I ES . . . . . . . . . . . . . . .

SIGNS ANO SYMPTOMS OF MUSCULOSKELETAL SYS

AND CONNECT I VE TISSUE... . . . . . . . . . . . . . . . .

TENOONITIS, MYOSITIS ANO BURSITIS . . . . . . . .

AFT ERCARE , MUSCULOSKELETAL SYSTEM ANO

245

246

. . . . .

. . . . .

TEM

. . . . . . .

. . . . . . .

247

248

CONNECT IVE TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FRACTURE , SPRAINS. STRAINS ANO DISLOCATION

..249

OF FOREARM. HAND, FOOT AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FRACTURE , SPRAINS, STRAINS ANO DISLOCATION OF

FOREARM, HANO, FOOT AGE lE-69 WITHOUT C.C. . .

FRACTURE , SPRAINS, STRAINS ANO DISLOCATION OF

FOREARM, HANO, FOOT AGE UNOER 18 . . . . . . . . . . . . .

FRACTURE, SPRAINS. STRAINS ANO DISLOCATION

OF UPPER ARM. LOWER LEG EXCEPT FOOT AGE

7ooRovER ANo/oRc. c..... . . . . . . . . . . . . . . . . . .

..250

..251

..252

..253

FRACTURE , SPRAINS, STRAINS ANO DISLOCATION

OF UPPER ARM. LOWER LEG EXCEPT FOOT AGE

18-69 WI THOUTC. C....... . . . . . . . . . . . . . . . . . . . . .

FRACTURE , SPRAINS, STRAINS ANO DISLOCATION

OF UPPER ARM. LOWER LEG ExCEPT FOOT AGE

..254

UNOER lB. ,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...255

OTHER OIAGNOSES OF MUSCULOSKELETAL SYSTEM ANO

CONNECT I VE TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...256

NOTE : IN THIS TABLE THE ABBREVIATION “C. C. “ ST ANOS FOR ,,SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY”

26
TABLE 2. NUMBER AND AVERAGE LENGTH OF $TAY OF PATIENTS 65 YEARS ANO OLOER DISCHARGED FROM SHORT-STAY HOSPITALS. By oIAGNos Is- RELATEo

GROUPS (ORG, S): UNITEO sTATEs. 1980-84--coN.

[DISCHARGES FRoM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

DIAGNOSIS-RELATEO GROUP ANO DRG NUMBER 1980 i981 1982 1983 1984 1980 198t 1982 1983 i 984

MAJOR DIAGNOSTIC cATEGORY 9: DISEASES

ANO OISOROERS OF THE SKIN, SUBCUTANEOUS

TISSUE ANO 8REAST

TOTAL MASTECTOMY FOR MALIGNANCY AGE

700 ROVER ANO/ORC. C....... . . . . . . . . . . . . . . . . ...257

TOTAL MASTECTOMY FOR MALIGNANCY AGE

UNOER70WITHOUT C. C........ . . . . . . . . . . . . . . . . ...258

SUETOTAL MASTECTOMY FOR MALIGNANCY AGE

70 OR OVER ANO/OR C .C . . . . . . . . . . . . . . . . . . . . . . . ...259

SUBTOTAL MASTECTOMY FOR MALIGNANCY AGE

UNOER 70 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260

8REAST PROCEOLIRE FOR NoN-MALIGNANCY EXCEPT

BIOPSY ANO LOCAL EXCISION. . . . . . . . . . . . . . . . . . . ...261

BREAST 810PSY ANO LOCAL EXCISION FOR

NON-MALI GNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...262

SKIN GRAFTS FOR SKIN ULCER OR CELLULITIS AGE

700 ROVER ANO/ORC. C...... . . . . . . . . . . . . . . . . . ...263

SKIN GRAFTS FOR SKIN ULCER OR CELLULITIS AGE

70 OR OVER WITHOUT C .C . . . . . . . . . . . . . . . . . . . . . . ...264

SKIN GRAFTS EXCEPT FOR SKIN ULCER OR

CELLULITIS WITH C. C . . . . . . . . . . . . . . . . . . . . . . . . . ...265

SKIN GRAFTS EXCEPT FOR SKIN ULCER OR

CELLULITIS WITHOUT C. C... . . . . . . . . . . . . . . . . . . . ...266

PER IANAL ANO PILONICAL PROCEDURES. . . . . . . . . . . . ...267

SKIN, SUBCUTANEOUS TIsSUE AND BREAST PLASTIC

PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...268

OTHER SKIN. SUBCUTANEOUS TISSUE ANO BREAST

OPERATING ROOM PROCEOURE AGE 70 OR OVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OTHER SKIN, SUBCUTANEOUS TISSUE ANO BREAST

OPERATING ROOM PROCEOURE AGE UNOER 70

WI THDUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SKI N ULCERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MALIOR SKIN OISOROERS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MAJOR SKIN OISORDERS AGE UNDER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MALIGNANT BREAST OISOROERS AGE 70 OR oVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MALIGNANT BREAsT OISOROERS AGE UNDER 70

WI THOUTC. C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NON-MALIGNANT BREAST OISOROERS. . . . . . . . . . . . . . .

CELLULITIS AGE 70 OR OVER ANO/OR C.C. . . . . . . . .

. .

. .

. .

. .

. .

. .

. .

.269

.270

.271

.272

.273

.274

.275

..27

.277

CELLULITIS AGE 18-69 WITHOUT c. C . . . . . . . . . . . . . ...278

CELLULITISAGEUNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . .279

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND

BREAST AGE 70 OR OVER ANO/OR C. C . . . . . . . . . . . . . ..2.6O

TRAUMA TO THE SKIN. SUBCUTANEOUS TISSUE ANO

BREAST AGE IS-69 WITHOUT c.c . . . . . . . . . . . . . . . . . ..28i

TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND

BREAST AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . ..282

MINoR sKIN OISOROERS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...263

MINOR SKIN OISOROERS AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...284

NUMBER IN THOUSANOS

30

●9

●5

●

*7

20

13

●

●3

15

●

● 10

34

10

17

17

●4

30

●5

4;

.7

...

56

●I3

...

20

●6

28

● 10

*6

●

●6

19

11

●

●3

1s

●

11

32

*8

18

1.9

●3

31

●4

*3

37

●9

. . .

54

●3

. . .

22

●4

30

●7

*7

●3

*7

20

13

*

●3

●9

*

●9

25

●9

19

19

●3

35

●6

*

4B

●9

. . .

54

●6

. . .

22

*4

33

*9

●9

●2

●5

18

15

*2

●5

14

●

*B

33

●8

20

23

●3

44

●4

●2

58

●7

...

58

●7

...

22

*2

39

12

●lo

*3

*5

19

20

*

●5

●7

●

*B

23

*8

20

23

● 4

30

*3

6;

●8

. . .

50

●3

. . .

20

*2

AVERAGE LENGTH OF STAY IN DAYS

11.4

*10.2

●7.2

*

●3.9

4.0

2B.6

*

●18.2

7.8

●

●4.9

9.7

4.5

t8.5

13.3

*7.5

13.8

●14.3

10.;

●7.6

. . .

8.1

●e.o

. . .

7.2

●6.3

10.2

●9.9

*7.8

●

*3.9

3.4

25.8

*

●*9.5

8.0

*

4.9

11.1

*6.5

16.2

9.8

*11.1

12.8

●13.6

●3.8

fo. ?

*7.6

. . .

8.1

●5.7

. . .

7.7

.5.1

10.7

*9.2

*6.8

*5.1

●3.5

3.0

26.0

●

●22. O

*$0.2

*

*5.3

8.4

*5.7

17.7

12.2

●8.O

12.4

*7.6

12.:

*8.3

.

8.4

*5.3

. . .

9.5

●5.7

9.9

●B.O

*1O.7

*6. O

*5.5

2.7

23.5

●21.9

*13.6

5.7

*

*3. 1

9.3

*3.8

15.9

9.8

●6.1

11.0

*9.5

●3.9

9.8

*6.6

. .

6.9

●4.9

. . .

6.6

*5.7

9.5

7.2

●6.3

*4.9

*5.2

2.6

21.4

*

*13. O

*4.7

*

*2.7

10.9

*4.6

12.8

10.3

*4.4

9.7

●8.2

9.;

*7.6

. . .

7.0

●6.O

. . .

8.5

*4.4

NOTE: IN THIS TA8LE THE A88.REVIATION “C. C. w STANOS FOR ‘SUBSTANTIAL COMPLICATION AHO/OR COMOR8. IOITY” .

27
TABLE 2. NUM8ER AND tIVERAGE LENGTH OF STAY cIF PATIENTS 65 YEARS AND IJLOER DISCHARGED FROM SHORT-STAY HOSPITALS, BY O1/IGNOSIS-RELATEO

GROUPS (DRG, S) : UNITED STATES. 1980 -B4--CON.

[DISCHARGES FROM NoN-FEOERAL SHDRT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER 19B0 t98i 1982 !983 i 984 f9so 1981 1982 19s3 1984

MALIOR DIAGNOSTIC CATEGORY 10: ENOOCRINE,

NUTRITIONAL, ANO METABOLIC DISEASES ANO

OISOROERS

AMPUTATIONS FOR ENOOCRINE . NUTRITIONAL. AND

METABOLIC DISORDERS, ...,... . . . . . . . . . . . . . . . . . . ..2S5

AORENAL ANO PITUITARY PROCEDURE S....., . . . . . . . ...286

SKIN GRAFTS ANO WOUND OEBRIDEMENT FOR

ENOOCRINE . NUTRITIONAL ANO METABOLISM

OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...287

OPERATING ROOM PROCEDURES FOR OBESITV . . . . . . . . . . 28B

PARATHVROIO PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . ...289

THYROIO PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290

THYROGLOSSAL PROCEDURES.. . . . . . . . . . . . . . . . . . . . . ...291

OTHER ENOOCRINE. NUTRITIONAL AND METABOLISM

OPERATING ROOM PROCEOURE AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...292

OTHER ENDOCRINE, NUTRITIONAL ANO METABOLISM

OPERATING ROOM PROCEOURE AGE UNDER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...293

01 ABETESAGE 360 ROVER.... . . . . . . . . . . . . . . . . . . ...294

DIABETES AGE UNOER 36.... . . . . . . . . . . . . . . . . . . . . ...295

NUTRITIONAL ANO MISCELLANEOUS METABOLIC

OISORDERS AGE 70 OR OVER AND/OR C. C...... . . . ...296

NUTRITIONAL ANO MISCELLANEOUS METABOLIC

DISOROERS AGE 18-69 WITHOUT C. C....... . . . . . ,297

NUTRITIONAL ANO MISCELLANEOUS METABOLIC

DISOROERSAGEUNOER IB . . . . . . . . . . . . . . . . . . . . . . ...298

INBORN ERRORS OF METABOLISM . . . . . . . . . . . . . . . . . . ...299

ENOOCRINE OISOROERS AGE 70 OR OVER ANO/OR C . C . ..300

ENDOCRINE OISOROERS AGE UNOER 70 WITHOUT C.C. . ..301

MALIOR DIAGNOSTIC CATEGORY 11: OISEASES

ANO OISOROERS OF THE KXONEV ANO URINARY

TRACT

KIONEY TRANSPLANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...302

K1ONEY, URETER ANO MAIJOR BLAOOER PROCEOURE

FOR NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

KIONEY, URETER AND MAtlOR BLADOER PROCEOURE FOR

NON-MALIGNANCY AGE 70 OR OVER ANO/OR C.C. . . . ...304

KIONEY, URETER ANO MAdOR BLADOER PROCEDURE

FOR NON-MALIGNANCY AGE UNOER 70 WI THDUT C.C. . ..305

PROSTATECTOMY AGE 70 OR OVER ANO/OR C.C. . . . . . ...306

PROSTATECTOMY AGE UNOER 70 WITHOUT C.C. . . . . . . ...307

MINOR ELAOOER PROCEDURES AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...308

MINOR BLAOOER PROCEDURES AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...309

TRANSURETHRAL PROCEDURES AGE 70 OR oVER

ANOjORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

TRANsURETHRAL PROCEDURES AGE UNDER 70

WITHOUT C. C..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...311

URETHRAL PROCEDURES , AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...312

URETHRAL PROCEDURES. AGE lB-69 WITHOUT C.C. . . . . .3i3

URETHRAL PROCEDURES; AGE UNOER 18. ., . . . . . . . . . ...314

OTHER KIONEY ANO URINARY TRACT OPERATING ROOM

PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...315

RENAL FAILURE WITHOUT DIALYSIS . . . . . . . . . . . . . . . ...316

RENAL FAILURE WITH oIALYSIS . . . . . . . . . . . . . . . . . . ...317

KIONEY ANO URINARY TRACT NEoPLASMS AGE 70

OR OVER ANO/ORC. C.,..... . . . . . . . . . . . . . . . . . . . . ..31E

KIONEY ANO URINARY TRACT NEOPLASMS AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...319

KIONEY ANO URINARY TRAC7 INFECTIONS AGE

700 ROVER AND/OR C. C.... . . . . . . . . . . . . . . . . . . . ...320

KIONEY ANO URINARY TRACT INFECTIONS AGE

18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . ...321

KIONEY ANO URINARY TRACT INFECTIONS AGE

UNOER 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...322

URINARY STONES AGE 70 OR OVER ANO/OR C.C. . . . . ...323

URINARY STONES AGE UNDER 70 WITHOUT C.C. . . . . . ...324

KIONEY ANO URINARY TRACT SIGNS AND SYMPTOMS

AGE700R OVER AND/OR C.C. . . . . . . . . . . . . . . . . . . ...325

KIONEY ANO URINARY TRACT SIGNS ANO SYMPTOMS

AGE 18-69 wITHOUTC. C......, . . . . . . . . . . . . . . . . ...326

KIONEY ANO URINARY TRACT SIGNS ANO SYMPTOMS

AGE UNOERIB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...327

URETHRAL STRICTURE AGE 70 OR OVER ANO/OR C.C. . ..328

URETHRAL STRICTURE AGE 18-69 WITHOUT C.C. . . . . . . .

URETHRAL STRICTURE AGE UNOER lB. . . . . . . . . . . . . . . . .

OTHER KIONEY ANO URINARY TRACT OIAGNOSES AGE

7ooRovER ANo/oRc. c...... . . . . . . . . . . . . . . . . . . . .

OTHER KIONEY ANO URINARY TRACT OIAGNOSES AGE

18-69 WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OTHER KIONEY AND URINARY TRACT OIAGNOSES

AGE UNOER 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

329

330

33 i

332

333

NUMBER IN THOUSANOS

15

*

*3

*

*

● IO

*

●7

●

206

...

118

*7

. . .

*

21

*5

*7

i3

*5

19

*3

20

*4

45

10

*8

●2

●6

35

28

*5

129

15

. . .

25

●9

22

.4

. . .

*lo

93

. . .

3T

*6

. . .

*IO

●

*3

*

*4

*6

●

*5

●

21B

. . .

123

*9

.,.

●

27

*4

* 10

t4

●7

29

●5

20

●5

4!5

●9

*6

●2

. . .

*8

38

Zf

*3

124

is

. . .

25

12

26

*5

. . .

11

●

44

*7

. . .

*9

*2

.4

*

+3

●9

●

●7

*

206

. . .

131

!0

. . .

●3

21

●5

10

i6

*4

26

+4

23

*5

43

*8

●9

*

. . .

●9

37

27

*6

142

{4

. . .

26

●7

27

.3

.,.

●9

*

. . .

50

*B

. . .

15

*

●5

*

●5

*4

*

*9

24:

. . .

157

11

. . .

*3

23

*3

11

lB

*8

2B

*4

22

*4

51

●9

*9

*2

. . .

●9

37

24

●3

!57

16

. . .

27

14

25

*3

. . .

●7

*

. . .

50

*5

. . .

~7

*

*IO

*

●

*8

*7

*2

180

. . .

203

*B

. . .

●

14

*3

14

21

*7

30

*3

24

*3

50

*8

11

*2

. . .

*8

51

24

*2

164

il

. . .

28

*9

19

*2

. . .

*7

*

. . .

52

*5

. . .

AVERAGE LENGTH OF STAY IN DAYS

34.5

●

*32.7

●

*

●9.O

*

*20. O

*

10.5

. . .

10.4

*6.3

,..

*

10.5

*7.7

*16. .9

16.5

●~2.4

10.9

*9.7

8.0

*4.4

6.9

6.B

*7.1

*6.6

. . .

*15.5

13.2

12.4

*5.7

9.0

6.2

#..

5.4

*3.9

6.4

*7.2

,..

*7.6

*3. B

8.2

*7.9

,..

●35.7

●

*22.6

*

*15. O

*6.6

*

*19.2

*

9.9

. . .

10.1

*5.9

. . .

*

10.3

87.0

*17.9

14.1

*1O.3

11.8

*9.3

9.9

*5.4

7.4

*i.7

*6.4

*B.3

. . .

*13.5

11.8

8.0

*6.4

9.3

8.3

. . .

5.8

4.0

6.2

*2.8

.

6.7

*

. . .

11.7

*7.1

. . .

*27.6

●19.1

*25. 3

*

*14.5

*6.6

*

*14.5

*

10.0

. . .

fo.4

7.9

. . .

*7.1

10.0

*6.8

18.4

16.1

*il. o

11.9

*14.1

9.9

$6.1

6,8

*4.2

*7.2

*

. . .

.21.0

10.9

9.2

*4.5

6.5

6.8

. . .

4.5

*3.7

5.9

*3. O

,..

*6.3

*

. . .

9.2

*5.6

. .

33.6

*

+32.3

*

*io.6

*7.2

*

●44.7

*

9.3

. . .

9.4

6.4

. . .

*4.4

9.8

*3.8

19.5

15.7

*9. B

12.1

*7.1

10.3

*6.1

6.5

*4. B

*B.3

*4. O

. . .

*f4.3

12.6

9.2

*6.6

B.9

5.3

5:;

3.4

5.4

*3.8

. . .

*5.6

*

. .

B.5

*3.6

.,.

22.5

*

*20. 6

*

●

*5.7

● 16.1

*5. O

8.3

. . .

8.6

*6.7

. . .

13.;

*3.5

16.3

i5.6

*9.2

8.9

*6.7

7.4

*4.6

5.3

*3. B

S.1

*3.1

. . .

*10.5

11.9

B.9

*1.9

8.0

5.6

.

5.6

*2.9

5.5

*2.1

,..

*6. o

*

.

B.8

*3.6

. . .

NOTE : IN THIS TABLE THE ABBREvIATION ‘C. C. “ STANDS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMORBIo ITv”

28
TABLE 2. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS AND OLDER DISCHARGE FROM SHORT-STAY HOSPITALS, BY OIAGNoSIS-RELATED

GROUPS (ORGJS): tJNITEO STATES, 1980 -84--coN.

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS 1

OIAGNOSIS-RELATEO GROUP ANO ORG NUMBER 1980 19s1 1982 1983 1984 t 980 f981 1982 19.s3 1984

NUM8ER IN THOUSANUS AVERAGE LENGTH OF STAY IN OAYS

MAJOR DIAGNOSTIC CATEGORY 12: OISEASES

ANO OISOROERS OF THE MALE REPROOUCTIVE

SYSTEM

MAdOR MALE PELVIC PROCEDURES WITH C.C. . . . . . . . ...334

MAIJOR MALE PELVIC PROCEDURES WITHOUT C .C . . . . . ...335

TRANSURETHRAL PROSTATECTOMY AGE 70 OR oVER

AND/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...336

TRANSURETHRAL PROSTATECTOMY AGE UNDER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...337

TESTES PROCEDURES, FOR MALIGNANCY. . . . . . . . . . . . ...338

TESTES PROCEDURES, NON-MALIGNANT AGE

180R OVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...339

TESTES PROCEDURES. NON-MALIGNANT AGE UNDER 18...340

PENIs PROCEDURES . : . . . . . . . . . . . . . . . . . . . . . . . . . . . ...341

CIRCUMCISION AGE 180R OVER . . . . . . . . . . . . . . . . . . ...342

CIRCUMCISION AGE UNDER 18 . . . . . . . . . . . . . . . . . . . . ...343

OTHER MALE REPRODUCTIVE SVSTEM OPERATING ROOM

PROCEDURES FOR Malignancy . . . . . . . . . . . . . . . . . . . ...344

OTHER MALE REPRODUCTIVE SYSTEM OPERATING ROOM

PROCEDURE EXCEPT FoR MALIGNANCY. . . . . . . . . . . . . ...345

MALIGNANCY , MALE REPRODUCTIVE SYSTEM. AGE

700ROVER AND/OR C. C....... . . . . . . . . . . . . . . . . ...346

MALIGNANCY . MALE REPRODUCTIVE SYSTEM. AGE

uNoER70wITt’muT c.c . . . . . . . . . . . . . . . . . . . . . . . . ...347

BENIGN PROSTATIC HVPERTROPHY AGE 70

OR OVER ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . ...348

8ENIGN PROSTATIC HYPERTROPHY AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...349

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM. . ..350

STERILIZATION, MALE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..351

OTHER MALE REPRODUCTIVE sYSTEM OIAGNOSES. . . . . ...352

MAdOR DIAGNOSTIC CATEGORY 13: OISEASES

AND DISOROERS OF THE FEMALE REPRODUCTIVE

SYSTEM

PELVIC EVISCERATION. RAOICAL HYSTERECTOMY

AF41VULVECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...353

NONRADICAL HYSTERECTOMY AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...354

NONRADICAL HYSTERECTOMY AGE UNOER 70

WI THOUTC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...355

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE

PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...356

UTERUS ANO AOENEXA PROCEDURES, FOR MALIGNANCY. ..357

UTERUS ANO AOENEXA PROCEOURE FOR

NON-MALIGNANCY EXCEPT TUBAL INTERRUPTION. . . . ...358

TU8AL INTERRUPTION FOR NoN-MALIGNANCY. . . . . . . . ...359

VAGINA, CERVIX ANO VULVA PROCEDURES. . . . . . . . . . ...360

LAPAROSCOPY AND ENDOSCOPY (FEMALE) EXCEPT

TUBAL INTERRUPT I ON . . . . . . . . . . . . . .: . . . . . . . . . . . ...361

LAPAROSCOPIC TUBAL INTERRUPTION. . . . . . . . . . . . . . ...362

OILATION ANO CURETTAGE OF UTERUS. IONIZATION

AM) RADIO-IMPLANT, FOR MALIGNANCE. . . . . . . . . . . ...363

OILATION ANO CURET7AGE OF UTERUS. IONIZATION

EXCEPT FOR MALIGNANCY . . . . . . . . . . . . . . . . . . . . . . . ...364

OTHER FEMALE REPRODUCTIVE SYSTEM OPERATING

ROOM PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...365

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM AGE

700 ROVER ANO/ORC. C....... . . . . . . . . . . . . . . . . ...366

MALIGNANCY , FEMALE REPRDOUCTIVE SYSTEM AGE

UNOER70WITHOUT C. C....... . . . . . . . . . . . . . . . . . ...367

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM. . . . . . . ...366

MENSTRUAL AND OTHER FEMALE REPRODUCTIVE

SYSTEM OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...369

MALIOR DIAGNOSTIC CATEGORY 14: PREGNANCY .

CHILDBIRTH, AND THE PUERPERIUM

CESAREAN SECT ION WITH C. C.. . . . . . . . . . . . . . . . . . . . ..37o

CESAREAN SECTION WITHOUT c. C . . . . . . . . . . . . . . . . . ...371

VAGINAL OELIVERY WITH COMPLICATING OIAGNOSES. . ..372

VAGINAL OELIVERY WITWUT COMPLICATING

DIAGNOSE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...373

VAGINAL OELIVERY WITH STERILIZATION AND/OR

OILATION ANO CURETTAGE OF UTERUS. . . . . . . . . . . . ...374

VAGINAL OELIVERV WITH OPERATING ROOM PROCEOURE

EXCEPT STERILIZATION ANO/OR OILATION AND

CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . ...375

POSTPARTUM OIAGNOSES WITHOUT OPERATING ROOM

PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...376

POSTPARTUM OIAGNOSES WITH OPERATING ROOM

PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...377

ECTDPIC PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37S

THREATENED A80RTION . . . . . . . . . . . . . . . . . . . . . . . . . . . ..379

*9

14

129

35

●9

●7

. . .

●2

●5

. . .

*4

●6

43

94

30

●6

10

●2

●2

29

12

23

●3

●5

12

●

●

fo

27

●2

22

13

*2

11

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

*8

16

140

24

●7

●7

. . .

*2

●4

. . .

*6

●6

43

●4

24

*6

11

●3

*3

36

16

23

●3

●4

*

*9

●2

*

11

20

●4

30

16

●

*I

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●9

11

144

29

10

!1

. . .

●3

●4

. . .

●6

●7

45

●5

30

*4

13

*2

●3

34

18

30

●4

●5

●

●9

●

●6

23

*5

28

11

*2

10

. . .

. . .

,..

,..

,..

. . .

. . .

. . .

. . .

. . .

●7

14

148

34

●lo

●9

. . .

●4

●4

. . .

*7

●7

49

*8

26

●5

f2

●2

●3

32

f7

26

*3

*6

*8

●

●8

22

●5

33

●9

*

10

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●9

13

158

26

*9

●8

. . .

●6

●4

. . .

●4

*6

40

●4

21

●4

11

*2

●4

36

19

27

●4

●4

10

*

*B

17

●4

37

●7

*

11

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●T7. O

14.4

10.9

6.1

*8.9

●6.f

. . .

*4.9

.4.0

. . .

*47.9

*4.9

10.5

*5.9

6.8

.4.0

6.f

*6.5

●+2.3

tf.~

9.3

fo. o

914.0

*9.4

6.4

*

.

4.9

3.7

*26.9

io.7

6.3

97.7

6.7

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●16.6

13.0

10.5

8.6

●14.5

●6.9

,..

●7.4

*4.6

. . .

*7.5

●6.3

10.5

●4.7

5.4

.4.0

6.8

*5.8

●i6.7

10.9

9.8

9.5

●2i. o

*9.7

●

●5.2

*2.3

*

6.5

3.5

●25 .3

10.2

3.’s

●

5.4

. . .

. . .

. . .

.,.

. . .

. . .

.,.

. . .

. . .

. . .

.17.7

13.3

9.3

7.5

7.5

5.3

. . .

*9.9

●3.1

. . .

*11. O

●7.6

10.6

●5.7

6.0

●3.4

6.4

*6.4

●16.6

10.5

9.2

9.3

.16.0

*9.7

*

*8.6

●

●10.5

3.3

●15.2

8.9

4.7

●7.9

6.5

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

*14.8

12.0

9.3

6.7

*11.1

●4.4

. . .

●5.2

*2.2

. . .

*7.1

●6.4

10.6

*6.2

5.9

*3.6

6.2

*3.9

●14.1

It. z

9.0

6.3

*23. 3

*it. o

*5.1

●

*5.2

3.0

820.7

7.9

●2..9

*

5.2

.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

*14.9

11.6

6.5

5.9

*6.6

*3.5

. . .

●4.8

*2.5

. . .

*6.3

●5.2

8.2

●7.9

5.7

●2.5

6.2

*3.2

*i7.5

9.3

7.5

7.0

●16.7

●6.6

5.6

*

*4.5

3.0

*18.5

6.7

*2.5

*

5.4

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

NOTE : IN THIS TABLE THE ABBREVIATION ‘C. C. “ STANOs FOR “SUBSTANTIAL COMPLICATION AND/OR COMDRSIOITY” .

29
TABLE 2. NUMBER AND AvERAGE LENGTH OF STAY OF PATIENTS 65 YEARS ANO

GROUPS (ORG, S): UNITED STATES, i980-E4--coN.

[DISCHARGES FROM NON-FEDERAL SHORT-STAY Hospl TALs. EXCLU0E5 NEWBORN

OLOER 01 SCHARGEO

INFANTS]

FROM SHORT-STAY HOSPITALS. BY OIAGNOSIS-RELATEIY

DIAGNOSIS -RELATEO GROUP ANO ORG NUMBER 19!30 f9al 1982 t9e3 1984 1960 198i !982 i9B3 1984

UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380

ABORTION WITH DILATION ANO CURETTAGE OF

UT ERUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3B1

FALSE LA80R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...382

OTHER ANTE PARTUM OIAGNOSES WITH MEOICAL

COMPLICATE OHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...383

OTHER ANTEPARTUM OIAGNOSES WITHOUT MEOICAL

COMPLICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...384

MAdOR DIAGNOSTIC CATEGORY 15: NEWBORNS

ANO OTHER NEONATES WITH CONDITIONS

ORIGINATING IN THE PER INATAL PERIOO

NEON4TES, OIEO OR TRANSFERRED . . . . . . . . . . . . . . . . . ..3B5

EXTREME IMMATURITY, NEONATE . . . . . . . . . . . . . . . . . . . . .386

PREMATuRITY WITH MAJOR PROBLEMS. . . . . . . . . . . . . . . .3e7

PREMATURITY WITHOUT MALIOR PROBLEMS. . . . . . . . . . . . . .3S8

FULL TERM NEONATE WITH MAJOR PROBLEMS. . . . . . . ...389

NEONATES WITH OTHER SIGNIFICANT PROBLEMS. . . . . ...390

NORMAL NEWBORNS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...391

MAJoR DIAGNOSTIC CATEGORY 16: OISEASES

ANO OISOROERS OF THE BLOOO AND BLOOO -

FORMING ORGANS AND IMMUNITY DISOROERS

SPLENECTOilY AGE 180 R OVER . . . . . . . . . . . . . . . . . . . . ..392

SpLENECTOMY AGE UNDER 18 . . . . . . . . . . . . . . . . . . . . 393

OTHER OPERATING ROOM PROCEDURES OF THE BLOOO

AND BLOOO FORMING ORGANS . . . . . . . . . . . . . . . . . . . . ...394

REO BLOOO CELL OISOROERS AGE 18 OR OVER. . . . . . ...395

REO BLQOO CELL OISOROERS AGE UNOER 18...........396

COAGULATION OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . ...397

RET ICULOENOOTHELIAL ANO IMMUNITY OISOROERS

AGE700R OVER AND/OR C. C... . . . . . . . . . . . . . . . . . ..39B

RET ICULOENOOTHELIAL ANO IMMUNITY OISOROERS

AGE UNDER 70 WI THOUTC. C. . . . . . . . . . . . . . . . . . . . ...399

MAJOR DIAGNOSTIC CATEGORY 17: MY ELOPRO -

LIFERATIVE OISEASES ANO DISOROERS, POORLY

DIFFERENTIATED MALIGNANCY ANO OTHER

NEoPLASMS NOT ELSEWHERE CLASSI F I EO

LYMPHOMA OR LEUKEMIA WITH MAJOR OPERATING

RoOMPROCEOLIRE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...400

LYMPHOMA OR LEUKEMIA WITH MINOR OPERATING

ROOM PROCEOURE AGE 70 OR OVER ANO/OR C.C. . . . ...401

LYMPHOMA OR LEUKEMIA WITH MINOR OPERATING

ROOM PROCEOURE AGE UNOER 70 WITHOUT C.C. . . . . ...402

LYMPHOMA OR LEUKEMIA AGE 70 OR OVER

ANO/ORC .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...403

LYMPHOMA OR LEUKEMIA AGE 18-69 WITHOUT C.C. . . ...404

LYMPHOMA OR LEUKEMIA AGE UNOER lB . . . . . . . . . . . . ...405

iAYELOPROLI FERATIvE oIsoRoER OR POORLY

DIFFERENTIATE NEoPLASM WITH MAUOR

OPERATING ROOM PROCEOURE ANO/OR C.C. . . . . . . .. . ...406

MVELOPROLIFERATIVE OISOROER OR POORLY

OIFFERENTIATEO NEOPLASM WITH MAOOR

OPERATING ROOM PROCEOURE WITHOUT C.C. . . . . . . . ...407

MvELOPROLI FERATIVE OISOROER OR POORLY

OIFFERENTIATEO NEOPLASM WITH MINOR

OPERATINQR OOMPROCEOURE. . . . . . . . . . . . . . . . . . . . ...408

RADIOTHERAPY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .409

CHEMOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

HISTORY OF MALIGNANCY WITHOUT ENDOSCOPY. . . . . . ...411

HISTORY OF MALIGNANCY WITH ENOOSCOPY. . . . . . . . . ...412

OTHER MY ELOPROLIFERATIVE OISOROER OR POORLY

DIFFERENTIATED NEOPLASM OIAGNOSIS AGE

7ooRovER ANo/oRc. c....... . . . . . . . . . . . . . . . . ...413

OTHER MY ELOPROLIFERATIVE OISOROER OR POORLY

DIFFERENTIATED NEOPLASM OIAGNOSIS AGE

UNOER70WITHOUT C. C..... . . . . . . . . . . . . . . . . . . . ...414

NUM8ER IN THOUSANOS

MAIJOR DIAGNOSTIC CATEGORY 14: PREGNANCY .

CHIL081RTH, ANO THE PUERPERIUM--CON.

ABORT ION WITHOUT OILATION ANO CURETTAGE OF

. . .

. . .

. .

. . .

. . .

. .

. . .

. .

. . .

. . .

. . .

. . .

●

✎ ✎ ✎

●2

91

. . .

●6

●9

●2

●6

96

●3

74

● to

.

●

●4

●2

●

●5

.3

31

●5

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●

✎ ✎ ✎

●4

110

. . .

●7

●9

●3

●6

●5

●2

77

12

. . .

●3

●4

●4

●

●2

●5

●2

35

96

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

.. .

. . .

. . .

*

. . .

●4

122

. . .

●7

10

●

●6

●5

.

75

11

. . .

●6

●4

●3

●

*5

●3

30

●4

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

. . .

●2

. .

.4

118

. . .

●9

12

●

*8

●5

●

94

●9

. . .

●3

●3

●2

●

●2

*7

●4

22

*4

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●2

. .

●2

115

. . .

10

13

●

●7

●8

●2

Be

●9

. . .

●9

●2

●3

●2

●3

●3

4B

●7

AVERAGE LENGTH OF STAY IN OAYS

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

●

✎ ✎ ✎

*8.8

9.5

. . .

●1O.7

*9.1

●6.2

*17.2

.18.5

.9.0

12.6

*9.9

. . .

*

*12.5

●16.5

*

*6.2

●3.7

14.1

●1O.4

.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

. . .

*

. . .

●8.4

8.6

. . .

*10.4

*6.4

*7.7

*IB.2

●13.1

●13.3

12.7

10.2

. . .

●19.8

*i4.7

.14.1

*

*1. O

*7.3

*2.7

11.2

*11.1

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

. . .

. . .

*

. . .

*6.6

8.3

. . .

●6.6

11.4

*

*21.5

*10.4

*

11.2

8.3

. . .

*17.1

●16.4

● 13.6

*

●8.3

93.0

14.0

913.5

. . .

. . .

. .

. . .

. . .

. . .

. .

. . .

. . .

. . .

. . .

. . .

*27 .5

. . .

*12.3

6.9

. . .

*8.7

8.2

*

*18.1

*14.5

●

11.5

●11.5

. . .

●24.9

*20.5

*14.7

*

●2.1

*4.9

●4.3

10.5

●6.9

. . .

. . .

.

. . .

. . .

. . .

. . .

. . .

. . .

. .

. . .

. . .

*9. B

.

*6.7

6.9

. . .

6.5

6.6

●

*17.2

*11.4

*5.3

9.9

*5.6

. .

*lB.5

*16.9

.17.4

.4.0

.3.0

*1.7

11.0

*6.8

NOTE : IN THIS TABLE THE ABBREVIATION “C.C. “ STANOS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY “ .

30
TABLE 2. NUMBER AND AVERAGE LENGTH OF sTAY OF PAT IENTs 65 YEARs Am OLOER OIsCHARGEO FROM SHORT-STAY HOSPITALS, BY OIAGNOSIS-RELATEO

GROUPS (ORGt S) : UNITEO STATES, 1980 -E14--CON.

[01scH4RGEs FROM NON-FEOERAL sHoRt-sTAy tiSPITNS. EXCLUOES NEWBORN INFANTs J

OIAGNOSIS-RELATEO GROUP AND ORG NUMBER 1980 f981 1982 19s3 i 984 1980 1981 1982 1983 1984

MAUOR DIAGNOSTIC CATEGORY 18: INFEcTIOUS

AND PARASITIC OISEASES (sYsTEMrc OR

UNSPECIFIED SITES)

OPERATING ROOM PROCEOURE FOR INFECTIOUS ANO

PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . ...415

SEPTICEMIA AGE 180 R OVER . . . . . . . . . . . . . . . . . . . . ...416

SEPTICEMIA AGE UNDER 18 . . . . . . . . . . . . . . . . . . . . . . ...417

POSTOPERATIVE ANO POST-TRAUMATIC INFECTIONS. . ...418

FEVER OF UNKNOWN ORIGIN AGE 70 OR OVER

ANO/OR C . C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419

FEVER OF UNKNOWN ORIGIN AGE III-69

WITHOUT C . C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 420

VIRAL ILLNESS AGE 180 RoVER . . . . . . . . . . . . . . . . . ...421

VIRAL ILLNESS AND FEVER OF UNKNOWN ORIGIN

AGE UNOER 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...422

OTHER INFECTIOUS ANO PARAsITIC OISEASES

OIAGNOSES .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423

MALIOR DIAGNOSTIC CATEGORY 19: MENTAL

OISEASES ANO OISOROERS

DPERATING ROOM PROCEDURES WITH PRINCIPAL

OIAGNOSIS OF MENTAL ILLNESS . . . . . . . . . . . . . . . . . . .

ACUTE ADJUSTMENT REACTIONS ANO DISTURBANCES

OF PSYCHOSOCIAL DYSFUNCTION. . . . . . . . . . . . . . . . . . .

OPPRESSIVE NEUROSES . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NEUROSES EXCEPT DEPRESS IVE . . . . . . . . . . . . . . . . . . . . .

OISOROERS OF PERSONALITY ANO IMPULSE CONTROL. . .

ORGANIC DISTURBANCES ANO MENTAL RETARDATION. . . .

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CHILOHOOO MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . .

OTHER OIAGNOSES OF MENTAL OISOROERS. . . . . . . . . . . .

.424

.425

.426

.427

.428

.429

.430

.431

.432

MALIOR DIAGNOSTIC CATEGORY 20: SUBSTANCE

USE ANO SUBSTANCE -INOUCEO ORGANIC MENTAL

OISOROERS

SUBSTANCE USE ANO SUBSTANCE- INOUCEO ORGANIC

MENTAL OISOROERS, LEFT AGAINST MEDICAL

AOVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 433

ORUG DEPENDENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...434

ORUG USE EXCEPT OEPENOENCE . . . . . . . . . . . . . . . . . . . . ..43s

ALCOHOL DEPENDENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...436

ALCOHOL USE EXCEPT OEPENOENCE. . . . . . . . . . . . . . . . ...437

ALCOHOL ANO SUBSTANCE -INOUCEO ORGANIC MENTAL

SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...438

MAI.JOR DIAGNOSTIC CATEGORY 21: I NdURY .

POISONING, ANO TOXIC EFFECTS OF ORUGS

SKIN GRAFTS FOR INWJRIES . . . . . . . . . . . . . . . . . . . . . ...439

WOUNO OEBRIOEMENTS FOR INdURIES. . . . . . . . . . . . . . ...440

HANO PROCEDURES FOR INIJURIES . . . . . . . . . . . . . . . . . . ..44 I

OTHER OPERATING ROOM PROCEDURES FOR INIJURIES

AGE700R OVERANO/ORC. C... . . . . . . . . . . . . . . . . . ..44z

OTHER OPERATING ROOM PROCEDURES FOR INULIRIES

AGEuNOER 70wITHouTc. c... . . . . . . . . . . . . . . . . . ...443

MULTIPLE TRAUMA AGE 70 OR OVER ANO/OR C.C. . . . ...444

MULTIPLE TRAUMA AGE 18-69 WITHOUT C.C. . . . . . . . ...445

MULTIPLE TRAUMA AGE UNOER 18...............,....446

ALLERGIC REACTIONS AGE 18 OR OVER. . . . . . . . . . . . ...447

ALLERGIC REACTIONS AGE UNOER 18 . . . . . . . . . . . . . . . . .44I3

TOXIC EFFECTS DF oRUGS AGE 70 OR OVER

ANO/ORC. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...449

TOXIC EFFECTS OF ORUGS AGE 18-69

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 450

TOXIC EFFECTS OF ORUGS AGE UNDER 16.............451

COMPLICATIONS OF TREATMENT AGE 70 OR OVER

ANO/OR C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...452

COMPLICATIONS OF TREATMENT AGE UNOER 70

WITHOUT C. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...453

OTHER INIJURIES , POISONINGS ANO TOXIC EFFECTS

OIAGNOSIS AGE 70 OR OVER AND/OR C. C . . . . . . . . . ...454

OTHER INdJRIES, POISONINGS AND TOXIC EFFECTS

OIAGNOSIS AGE UNOER 70 WITHOUT C.C. . . . . . . . . . ...455

MAIJOR DIAGNOSTIC CATEGORY 22: BURNS

BURNS . TRANSFERRED TO ANoTHER ACUTE CARE

FACILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EXTENSIVE BURNS, . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NON-EXTENSIVE BURNS WITH SKIN GRAFTS. . . . . . . . .

NON-EXTENSIVE BURNS WITH WOUND OEBRIDEMENT

ANO OTHER oPERATING ROOM PROCEOURE . . . . . . . . . .

NON-EXTENSIVE BURNS WITHOUT OPERATING ROOM pRocr -----

EOURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. .

. .

. .

. .

.456

.4s7

. 4s8

.459

.460

MJNBER IN THOUSANDS

:;

. ..

●5

●

2:

. . .

* 10

●6

14

33

●2

●

82

55

●3

●

●

●

●4

35

●

●

●

19

●6

● 10

*

. . .

●3

. . .

30

*5

. . .

16

*3

●9

●

●

●

●2

●

●6

●8

29

. . .

●5

●

●

27

. . .

15

●9

14

33

●5

8;

S7

●

●

●4

●

●

●3

36

*2

●2

*

21

●6

10

*

. . .

●2

. . .

32

*s

. . .

~7

●5

●9

*

●

●2

●

●2

● 10

33

. . .

●5

●

●

23

. . .

17

●9

15

35

●5

8:

67

●

*

●2

●

*2

●

●3

37

*

●

●

25

●4

*7

●

. . .

●5

. . .

41

●7

. . .

●5

*6

●

*

●

●

● 3

●IO

47

. . .

●6

*

*

16

. . .

●7

● 10

19

30

●6

●2

86

75

●

●

*3

●

●

●

●3

32

●

*3

*

26

●6

●9

●2

. . .

*3

. . .

45

●6

. . .

20

●4

●7

●

●

●

●

*

●3

11

75

. . .

●8

*

●

15

. . .

●6

97

16

2a

●6

●

70

ES

●

●

●2

*

*

●3

●3

34

*

●3

●2

29

●5

11

●

. . .

●4

. . .

48

●4

. . .

20

●4

●7

●

●

●

●

●3

AVERAGE LENGTH OF STAY IN OAYS

*31.7

13.4

. . .

*11.6

*

*

6.9

. . .

●8.6

●22.8

7.3

12.5

●9.3

14.:

18.4

●4.6

●

*

●

*6.6

9.7

*

●

●

15.1

●5.2

*8.4

●

. . .

●4.9

. . .

7.8

●5.8

. . .

8.7

●5.6

●9.8

●

●

*

940.1

●

●f.6.2

*22.7

f4.7

. . .

●9.7

*

*

7.1

. . .

72.8

●19.9

5.7

11.5

●12.2

12.;

19.1

●

●

●6.6

●

*

●5.4

12.4

●24.6

●15.4

*

11.3

● 14.4

9.9

*

. . .

●4.7

. . .

a.o

*3.6

. . .

10.4

●6.O

*7.7

●

*

●31.5

*

.15.3

●26.2

10.6

. . .

*9.5

●

*

6.B

. . .

10.6

*18.5

6.2

9.9

913.0

13.;

17.0

*

*

●B.9

*

●B.4

●

*3.9

12. i

*

*

*

13.7

*t6.9

●7.8

*

. . .

*7.2

. . .

7.9

*6. O

. . .

7.8

●6.3

*7.2

●

●

*

●

*2i .0

*25 .3

13.7

. . .

●9.B

*

*

6.4

. .

*tl.9

*26.8

&.7

li.4

●17.6

*6.3

12.1

17.3

*

*

*9.5

*

*

*

●6.1

11.9

*

*7.6

●

13.8

● 11.4

● 10.8

97.3

. . .

*4.3

. . .

7.3

*5.7

. . .

7.2

●7.4

*7.4

*

●

*

●

●

*12.8

29,1

10.1

. . .

*16.9

*

*

4.9

. . .

*12.3

●28.4

6.2

9.7

●12.6

*

fo.7

14.9

*

*

*4. O

●

*

*14.3

*4.4

12.5

*

*13.9

*4.6

13.3

●7.3

5.8

*

. . .

*3.9

. . .

6.5

●3.3

. . .

5.9

*5.5

●9.9

*

●

●

●

*9.7

NOTE : IN THIS TABLE THE ABBREVIATION “C. C. “ STANDS FOR “SUBSTANTIAL COMPLICATION AND/OR COMORBIOITY”
TABLE 2. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS ANO OLOER OISCHARGEO FROM SHORT -STAv Hospitals Bv oIAGNos Is-RELATED

GROUPS (ORG, S): UNITEO STATES. 1980 -E4--CON.

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

DIAGNOSIS -RELATEO GROUP ANO DRG NUMBER 1980 1981 i9B2 1983 1904 1980 1981 19S2 19B3 1984

NUMBER IN THOUSANDS AvERAGE LENGTH OF STAY IN OAVS

MAIJOR DIAGNOSTIC CATEGORY 23: FAcTORS

INFLUENCING HEALTH STATUS ANO OTHER

CONTACTS WITH HEALTH SERVICES

OPERATING ROOM PROCEOURE WITH OIAGNOSES OF

OTHER CONTACT WITH HEALTH SERVICES. . . . . . . . . . ...461

REHABILITATE ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...462

SIGNS ANOSYMPTOMS WI THC. C. . . . . . . . . . . . . . . . . . ...463

SIGNS ANO SYMPTOMS WITHOUT C. C . . . . . . . . . . . . . . . ...464

AFTERcARE WITH HISTORY OF MALIGNANCY AS

SECONDARY DIAGNOSIS . . . . . . . . . . . . . . . . . . . . . . . . . ...465

AFT ERcARE WITHOUT HISTORY OF MALIGNANCY AS

SECONDARY DIAGNOSIS . . . . . . . . . . . . . . . . . . . . . . . . . ...466

OTHER FACTORS INFLUENCING HEALTH STATUS . . . . . . ...467

UNRELATEO OPERATING ROOM PROCEOURE. . . . . . . . . . . ...468

PRINCIPAL OIAGNOSIS INVALIO AS OISCHARGE

DIAGNOSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...469

UNGROUPABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...470

● 10 *6 ●9 ●7 ●7

● * * *

* *

*2 *2 ●4 ●3 *2

* ●

● ☛ ●

3: 3; 27

Zz 211 226 2: 224

●

*12.5

*5.9

7.:

18.5

*

*li.4

*

*3.8

*

6.;

18.5

*7.4 *11.2

* *

* *

*6.5 *3.7

*

*

6.; 6.2

17.3 16.5

*9.1

*

*6.6

*

7.6

15.5

NOTE : IN THIS TABLE THE ABBREVIATION ‘C. C. “ STANDS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMOR8101TY” .
TABLE 3. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNOER 65 YEARS OF AGE DISCHARGE FROM SHORT-STAY HOSPITALS, BY SE LECTEO

DIAGNOSIS-RELATED GROUPS (DRG, s) AND GEOGRAPHIC REGION: UNITEO STATES, 1980-84

[discharges FROM NON-FEDERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

!JIAGNOSIS-RELATEO GROUP, ORG NUMBER, ANO REGION 1980 1981 19S2 1983 1984 1980 1981 1982 1983 1984

ALL DISCHARGES, ALL REGIONS . . . . . . . . . . . . . . . . . .. I-470

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

VAGINAL OELIVERY WITHOUT COMPLICATING

OIAGNOSES, ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . ...373

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MEOICAL BACK PROBLEMS, ALL REGIONS. . . . . . . . . . . ...243

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ESOPHAGITIS, GASTROENTERITIS, ANO

MISCELLANEOUS OIGESTIVE OISEASE AGE 18-69

WI THOUTC. C., ALL REGIONS . . . . . . . . . . . . . . . . . . . ...183

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CESAREAN SECTION WITHOUT C.C. , ALL REGIONS. . . ...371

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NONRADICAL HYSTERECTOMY AGE UNOER 70

WITHOUT C. C.. ALL REGIONS . . . . . . . . . . . . . . . . . . . ...355

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNRELATEO OPERATING ROOM PROCEOURE ,

AL L REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...468

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ESOPHAGITIS, GASTROENTERITIS, ANO

MISCELLANEOUS OIGESTIVE OISOROERS AGE

UNOER 18, ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . ...184

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PSYCHOSES, ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . . ..43o

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ALCOHOL ANO SUBSTANCE -I NOUCEO ORGANIC MENTAL

SYNOROME, ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . ...438

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OILATION ANO CURETTAGE OF UTERUS, IONIZATION

EXCEPT FOR MALIGNANCY, ALL REGIONS. . . . . . . . . . ...364

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ABORTION WITH OILATION ANO CURETTAGE OF

UTERUS, ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . ...381

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BRONCHITIS AND ASTHMA AGE UNOER 18. ALL REGIONS. .98

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NUMBER IN THOUSANOS

27.968

5.693

8.058

9.686

4,531

2.742

5i9

76B

922

533

78 i

115

230

288

148

702

90

200

338

75

539

122

130

195

93

513

81

334

213

86

429

76

i 25

155

72

373

69

113

162

29

333

86

96

82

69

386

192

104

56

34

452

137

132

133

49

377

137

91

104

45

285

63

89

107

27

28,136

5.621

8,1T7

9,715

4,624

2,790

517

796

922

555

8~

126

268

280

~27

688

83

188

340

76

631

i 33

1S4

228

115

527

71

t 30

218

109

406

71

i 17

148

70

379

68

1 IQ

168

32

383

99

129

B6

69

403

182

112

66

44

392

114

101

i 35

42

355

140

71

101

44

299

62

95

i08

33

27.698

5.564

7,930

9,804

4.596

2,784

524

765

937

559

790

121

245

298

i 25

673

97

178

320

78

649

125

145

?58

121

495

70

120

212

85

401

75

116

145

65

392

69

111

173

39

388

95

118

108

68

360

157

90

66

45

34s

111

85

118

32

325

136

65

86

39

313

65

96

ils

34

27.48f

5.42o

7.396

10,025

4.640

2,746

515

724

940

568

827

134

226

311

157

633

84

i57

312

8i

708

142

168

267

131

521

86

124

219

93

392

69

110

146

67

348

59

90

160

40

388

79

130

115

64

318

137

98

47

39

283

97

59

96

3i

320

127

59

103

31

320

54

92

136

38

25.936

5.o23

6.806

9,644

4,463

2.624

467

691

911

555

780

120

214

323

123

543

78

135

273

58

712

126

161

28 f

144

493

70

115

212

97

337

63

94

122

59

319

55

8f

152

31

423

76

141

ff8

88

323

138

84

62

39

190

67

33

67

24

255

9$

52

82

30

277

58

72

i 06

40

AVERAGE LENGTH OF STAY IN OAVS

6.0

6.8

6.4

5.7

5.2

3.1

3.6

3.6

2.9

2.3

7.4

8.7

7.9

7.i

6.0

4.5

4.8

4.6

4.4

3.9

6.3

7.4

6.7

5.7

5.2

7.6

8.4

8.o

7.4

6.4

10.5

12.8

11.0

9.9

8.3

3.9

3.9

3.8

3.9

3.8

15.8

f8. o

18.0

12.0

13.4

10.0

8.9

11.7

Ii. z

8.7

2.2

2.1

2.2

2.3

2.1

i.7

t.5

1.9

1.9

1.3

4.1

4.5

4.2

4.0

3.2

6.0

6.7

6.2

5.7

5.2

3.0

3.5

3.5

2.8

2.3

7.2

8.9

7.4

6.9

5.9

4.3

5.0

4.4

4.3

3.3

6.1

7.3

6.3

5.7

5.0

7.3

8.2

B.O

7.i

6.1

10.7

14.3

10.4

10. i

8.9

3.7

3.9

3.4

3.7

4.0

i6.9

20.1

17.0

13.3

16.4

10.0

8.7

12.9

9.9

8.6

2.0

1.9

2.1

2.3

1.5

1.7

1.5

1.9

f.8

t.4

4.1

4.3

4.2

4.3

3.0

5.9

6.5

6.3

5.6

5.0

2.9

3.4

3.3

2.7

2.2

7.2

9.0

7.3

6.8

6.2

4.1

4.5

4.3

4.2

3.3

5.7

6.7

6.2

5.4

4.8

7.2

7.9

7.6

7.1

6.2

il.2

13.8

12.0

9.8

10.1

3.8

4.0

3.8

3.8

3.3

16.5

19.1

19.7

13.8

ft.7

10.6

9.8

11.9

10.7

10.9

2.0

1.9

2.0

2.1

1.5

1.8

1.4

1.8

1.7

i.4

3.9

4.6

3.9

3.8

3.3

5.8

6.3

6.1

5.6

5.0

2.9

3.5

3.2

2.6

2.2

6.6

8.0

6.6

6.7

4.9

4.1

4.6

4.2

4.1

3.2

5.6

6.4

5.9

5.5

4.8

6.9

7.7

7.2

6.9

5.6

10.0

12.1

10.4

9.2

9.i

3.6

4.0

3.7

3.5

2.8

16.4

20.2

17.6

14.4

12.8

ii. o

9.7

12.6

11.6

10.7

1.9

i.8

2.0

2.1

1.3

1.5

1.4

1.7

1.6

1.4

3.8

4.0

3.8

3.8

3.4

5.6

6.2

6.o

5.2

4.9

2.7

3.2

3.0

2.7

2.1

6.1

7.6

6.3

6.0

5.0

3.9

4.2

3.8

3.8

38

5.4

6.0

5.9

5.2

4.5

6.6

7.2

6.9

6.7

5.8

9.8

12.3

9.1

8.7

10.5

3.3

3.2

3.2

3.5

3.1

15.7

19.8

17.1

13.0

13.7

10.0

9.1

12.5

8.5

10.0

1.8

1.6

2.1

2.0

1.4

1.8

1.6

2.0

1.9

1.5

3.7

3.7

4.0

3.8

2.9

NoTE : IN THIS TABLE THE ABBREVIATION “C.C. “ STANDS FOR “SUBSTANTIAL COMPLICATION AND/OR COMORBIOITY”

33
TABLE 3. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS UNDER 65 YEARS OF AGE OISCHARGEO FROM SHORT-STAY HOSPITALS, BY SE LECTEo

OIAGNOSIS-RELATEtI GROUPS (DRG’s) ANO GEOGRAPHIC REGION: UNITEO STATES, 19 EI0-84--CON.

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS 1

OIAGNOSIS-RELATEO GROUP, ORG NUMBER, ANO YEAR 1980 1961 1982 1983 1984 1980 1981 1982 1983 $984

SIMPLE PNEUMONIA ANO PLEURISY AGE UNOER 18,

ALL REGIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NoRTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TONSILLECTOMY ANO/OR ADENOIOECTOMV ONLY.

AGE UNOER 18, ALL REGIONS . . . . . . . . . . . . . . . . . . . . ...60

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INGUINAL ANO FEMORAL HERNIA PROCEDURES AGE

18-69 WITHOUT C. C., ALL REGIONS . . . . . . . . . . . . . . ..f62

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

01 A8ETES AGE 36 OR OVER, ALL REGIONS. . . . . . . . . ...294

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NoRTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

VAGINAL OELIVERY WITH STERILIZATION ANO/OR

OILATION ANO CURETTAGE OF UTERUS, ALL REGIONS. .374

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OTHER FACTORS INFLUENCING HEALTH STATUS .

ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...467

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TOTAL CHOLECYSTECTOMV WITHOUT COMMON BILE OUCT

EXPLORATION AGE UNOER 70 WITHOUT C . C .,

ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...198

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BRONCHITIS ANO ASTHMA AGE 18-69 WITHOUT C . C . .

AL L REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...97

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NuM8ER IN THOUSANOS

242

35

67

122

18

295

49

101

90

55

268

74

78

70

46

256

55

73

99

29

236

33

57

113

34

237

44

65

81

47

214

44

64

74

33

230

44

57

67

41

243

29

70

120

25

295

49

i 09

90

48

253

68

71

67

47

249

52

66

103

27

246

39

51

119

37

220

45

59

81

35

218

45

61

77

35

225

44

61”

85

35

279

36

86

131

28

279

43

106

83

48

271

76

74

80

42

259

52

72

i 04

30

247

44

57

1 to

37

242

53

68

75

46

233

:

83

39

227

45

256

41

74

119

22

270

41

92

98

39

255

61

65

B2

46

243

47

65

102

29

253

37

50

127

39

228

52

62

71

43

212

35

65

77

34

227

48

62 - 53

61 83

38 44

216

29

61

97

29

218

37

71

62

28

236

57

64

81

35

204

46

52

79

26

225

30

45

108

43

212

51

45

7B

3B

208

41

55

73

39

207

44

49

8f

34

AVERAGE LENGTH OF STAY IN OAYS

4.9

5.4

5.0

4.8

3.7

1.8

1.6

1.9

2.0

1.5

4.5

4.8

4.9

4.8

3.4

8.6

9.4

8.7

8.6

6.8

3.8

4.4

4.2

3.6

3.2

3.8

3.6

3..9

4.0

3.9

6.4

9.4

8.3

8.6

7.0

5.3

6.0

5.1

5.6

4.5

5.1

5.6

5.2

5.2

3.6

1.8

1.6

1.8

2.0

1.5

4.4

4.4

4.7

4.9

3.3

8.1

10.8

7.7

7.4

6.9

3.6

4.5

3.9

3.4

3.1

4.0

4.7

3.9

4.1

3.3

8.1

8.8

6.1

8.3

6.9

5.5

6.0

5.7

5.5

4.5

4.8

5.4

5.0

4.6

4.i

1.9

1.8

i.9

2.1

1.4

4.2

4.0

4.4

4.7

3.1

8.2

9.9

B.7

7.4

6.4

3.6

4.3

4.1

3.3

2.8

3.6

3.8

4.0

3.3

3.6

7.8

8.1

7.9

8.1

6.7

5.3

6.0

5.B

4.9

4.6

4.7

5.1

4.9

4.6

3.8

1.8

1.5

3.7

2.2

1.4

3.9

3.7

4.1

4.1

3.2

7.4

8.7

7.4

7.3

6.0

3.5

4.1

3.9

3.3

2.7

3.7

3.2

3.4

3.5

5.3

7.5

B.O

7.2

7.9

8.4

5.1

5.2

5.7

5.3

4.1

4.6

4.7

5.1

4.3

4.4

t.6

1.5

1.6

1.9

1.2

3.3

3.5

3.5

3.5

2.3

6.9

8.3

6.8

6.6

5.0

3.3

4.1

3.7

3.2

2.7

4.0

5.4

4.3

3.1

3.8

6.5

7.0

6.8

6.6

5.4

4.6

5.0

4.9

4.6

3.9

NOT E : IN THIS TA6LE THE ABBREVIATION “C. C. “ STANDS FOR “SUBSTANTIAL COMPLICATION AND/OR COMORBIOITY “ .

34
TABLE 4. NUMBER AND AVERAGE LENGTH DF STAY OF PATIENTS 65 YEARS OF AGE ANO OVER DISCHARGED FROM SHORT-STAY HOSPITALS. EY SE LECTEO

OIAGNOSIS-RELATEO GROUPS (ORG’S) ANO GeOgraphiC REGION: UNITEO STATES, 1980-84

[DISCHARGES FROM NON- FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEWBORN INFANTS]

OIAGNOSIS-RELATEO GROUP, ORG NiJMEER , ANO REGION 1980 1981 1982 1983 1984 i9B0 1981 1982 1983 1984

NUMBER IN THOUSANOS AVERAGE LENGTH OF STAY IN DAYS

ALL DISCHARGES. ALL REGIONS . . . . . . . . . . . . . . . . . . .1-470

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

LENS PROCEDURES, ALL REGIONS . . . . . . . . . . . . . . . . . . . ..39

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ATHEROSCLEROSIS AGE 70 OR OVER ANO/OR C . C. ,

AL L REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...132

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HEART FAILURE ANO SHOCK, ALL REGIONS. . . . . . . . . ...127

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ESOPHAGITIS, GASTROENTERITIS, ANO

MISCELLANEOUS OIGESTIVE OISEASE AGE 70

OR OVER ANO/OR C. C., ALL REGIONS . . . . . . . . . . . . . ..I82

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CHRONIC OBSTRUCTIVE PULMONARY OISEASE ,

ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SPECIFIC CERE6ROVASCULAR OISOROERS EXCEPT

TRANSIENT ISCHEMIC ATTACKS, ALL REGIONS. . . . . . ...14

NOR THEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SIMPLE PNEUMONIA ANO PLEURISY AGE 70 OR

OVER AND/OR C. C., ALL REGIONS . . . . . . . . . . . . . . . . . ..89

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNRELATEO OPERATING ROOM PROCEOURE ,

ALL REGIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46S

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OIABETES AGE 36 OR OVER. ALL REGIONS. . . . . ..’ . . ...294

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ANGINA PECTORIS. ALL REGIONS . . . . . . . . . . . . . . . . . . ..I4O

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MEOICAL BACK PROBLEMS. ALL REGIONS. . . . . . . . . . . ...243

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CAROIAC ARRHYTHMIA ANO CONDUCTION OISOROERS

AGE 70 OR OVER ANO/OR C.C. , ALL REGIONS. . . . ...138

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9,864

2, 176

2.820

3.297

1.572

313

64

9t

85

73

442

120

112

150

60

349

78

9B

121

52

353

56

102

157

38

27o

60

66

103

40

2.s1

60

77

95

49

262

57

74

i 09

42

200

52

56

61

32

206

50

62

72

22

147

34

38

55

21

156

30

50

50

26

140

32

39

46

23

10.408

2.201

2.955

3.488

1.764

387

75

114

too

97

422

93

107

161

60

363

83

100

122

59

372

58

111

i 54

49

304

59

79

116

50

294

67

83

95

48

281

50

75

114

41

211

55

66

62

28

218

44

61

90

23

161

35

47

58

21

173

31

49

64

28

168

36

49

51

32

10.697 11,302

2.283 2,373

3,008 3.097

3,631 3,859

f .774 1,974

429

81

127

119

102

427

99

109

157

62

387

88

108

132

59

376

63

102

169

42

300

54

76

117

54

295

64

76

103

52

27B

51

80

106

3B

226

59

65

72

29

208

49

56

77

24

195

49

47

67

32

186

38

58

63

27

161

35

5i

65

30

473

93

!47

134

99

406

95

102

144

66

402

89

112

153

48

394

68

105

168

53

320

6f

80

li9

50

305

62

77

99

66

303

54

B6

116

46

225

49

69

71

35

214

45

59

85

25

217

57

48

80

32

195

34

56

66

39

193

38

49

72

35

[1,226

2.385

3.093

3.807

1.941

394

81

126

100

87

282

70

67

103

41

456

105

126

162

64

345

66

90

145

43

272

60

66

99

48

339

68

79

t 19

73

350

67

94

140

49

224

55

60

72

37

160

41

48

72

i9

272

68

70

93

42

1B6

34

49

67

35

2*8

41

53

84

40

70.7

13.2

10.8

9.9

8.6

3.7

3.7

4.3

3.6

3.2

9.8

12.7

9.3

8.9

7.2

10.0

12.0

10.1

9.9

7.4

7.2

9.6

7.1

6.7

5..7

9.8

12.0

9..s

9.2

8.3

15.1

18.3

15.9

13.5

13.1

tl. o

i3.1

11.3

10.4

9.3

18.5

23.7

17,4

17.0

14. B

10.5

13.2

10.6

9.0

6.6

7.1

8.6

7.1

6.3

6.7

9.7

12.4

9.6

8.7

8.4

7.8

10.8

7.7

6.7

6.2

10.5

13.1

10.6

9.9

8.3

3.2

3.4

3,4

3.1

2.9

9.4

11.7

9.5

8.9

6.8

9.9

12.6

9.9

9.2

7.5

7.0

8.9

7.0

6.9

5.4

9.9

il.7

10.1

9.3

9.0

15.8

20.4

14.7

15.2

12.2

11.2

13.9

11.4

10.5

9.7

18.5

24.8

16.1

17.2

14.3

9.9

14. i

9.4

8.9

7.4

7.0

8.4

8.0

6.1

5.1

8.8

10.1

8.6

E!.4

6.4

7.3

9.0

8.2

6.9

5.1

10.1

12.3

io.3

9.4

8.2

2.9

3.0

3.3

3.0

2.4

8.B

10.9

9.0

8.2

6.4

9.7

11.8

10.4

8.8

7.7

6.7

8.3

6.9

6.3

5.9

9.8

12,0

10.2

8.8

9.3

*5.4

20.4

16.2

13.2

12.2

10.7

il.8

10.6

10.7

9.5

17.3

20.0

17.5

15. B

15.0

10.0

13.9

9.7

8,4

8.1

6.6

8.0

6.4

6.6

4.9

9.3

il.5

9.7

7.7

8.9

7.!

9.1

7.3

7.1

4.8

9.7

12.1

9.7

9.1

8.0

2.6

2.7

2.6

2.7

2.2

8.7

11.2

8.5

8.2

6.5

9.5

12.3

9.3

8.9

6.7

6.7

B.4

6.4

Li.7

5.5

9.6

11.9

8.9

9.6

8.3

14.4

1!3 3

14.3

13.2

ii.6

10.7

13.2

10.7

10.0

9.7

16.5

18.5

16.3

i5.2

16.3

9.3

13.0

9.0

7.7

8.4

6.2

7.3

6.7

5.6

4.B

8.3

9.6

6.9

7.6

7.3

7,0

9.4

7.0

6,7

5.0

8.9

tl.3

8.7

8.4

7.4

2.3

2.7

2.4

2.4

1.9

7.1

8.9

7.3

6.7

5.0

8.4

10.2

8.1

8.2

6.5

6.0

7.5

5.B

5.8

4.6

9.0

11.9

8.6

8.1

7.7

12.0

16.3

f2,3

10.4

10.0

9.3

11.6

9.4

8.7

7.9

45.5

23.2

13.6

13.9

io.5

8.3

10.5

7.7

7.7

7.0

5.6

6.5

5.4

5.6

4.1

7.4

9.0

8.4

6.S

5.7

6.1

6.9

6.4

6.2

4.5

NoTE : IN THIS TABLE THE ABBREVIATION ‘C. C . H STANOS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY “ .

35
TABLE 4. NUMBER AND AVERAGE LENGTH OF STAY OF PATIENTS 65 YEARS OF AGE AND OVER DISCHARGE FROM SHORT-STAY HOSPITALS, BY SELECIEO

OIAGNOSIS-RELATED GROUPS (ORG, S) ANO GeOgraphiC REGION: UN17ED STATES. 1980-84--CON.

[DISCHARGES FROM NoN-FEOERAL SHORT-STAY HOSPITALS. EXCLUOES NEW130RN INFANTS]

oIAGNOSIS-RELATEO GROUP. ORG NUMBER, ANO REGION 19B0 1981 1982 1983 1984 19!30 19s1 1982 1983 1984

NUM8ER IN THOUSANOS

CIRCULATORY OISOROERS WITH ACUTE MYOCAROIAL

INFARCTION WITHOUT CARDIOVASCULAR

COMPLICATIONS. OISCHARGEO ALIVE. ALL REGIONS. .. 122

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HYPERTENSION. ALL REGIONS . . . . . . . . . . . . . . . . . . . . . ..f34

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NoRTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TRANSIENT ISCHEMIC ATTACKS, ALL REGIONS. . . . . . . ...15

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8RoNCHITIS ANO ASTHMA AGE 70 OR OVER

AND/OR C. C., ALL REGIONS . . . . . . . . . . . . . . . . . . . . . ...96

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TRANSURETHRAL PROSTATECTOMY AGE 70 OR OVER

ANO/OR C . C ., ALL REGIONS . . . . . . . . . . . . . . . . . . . . ...336

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NoRTHcENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

KIONEY ANO URINARY TRACT INFECTIONS AGE

70 OR OVER ANO/OR C. C., ALL REGIONS . . . . . . . . . . ..32O

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENT RAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

RESPIRATORY NEOPLASMS, ALL REGIONS. . . . . . . . . . . . ...82

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HIP ANO FEMUR PROCEDURES EXCEPT MALIOR .JOINT

AGE 70 OR OVER ANO/OR C.C. , ALL REGIONS. . . . . ...210

NoRTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

<50

38

41

48

24

149

28

34

7+

15

14E

37

42

51

19

142

26

40

49

27

129

29

43

35

23

129

18

H

13

122

27

41

33

21

125

28

39

34

24

179

42

44

56

37

162

26

47

68

22

150

35

39

53

24

126

25

34

46

21

140

32

39

44

24

124

19

30

59

16

126

33

29

40

23

121

26

39

33

23

174

44

44

62

24

158

28

43

70

i7

155

39

42

52

22

14B

22

38

59

29

144

29

42

45

28

142

23

34

67

17

137

36

34

43

24

135

27

45

38

25 -

175

45

43

55

32

t 68

29

41

74

25

175

37

50

60

29

190

36

44

75

35

14B

33

45

45

25

157

26

45

67

f7

143

33

39

45

25

137

32

3s

37

191

48

48

65

29

120

28

34

43

16

167

37

46

61

22

186

33

49

72

31

i 58

33

45

51

29

164

28

38

79

19

148

32

42

47

27

$40

29

38

40

32

AVERAGE LENGTH OF STAY IN OAYS

13.5

14.8

14.0

13.7

10.2

8.6

9.6

8.5

8.5

7,6

7.2

8.9

7.3

6.8

4.5

8.0

8.4

7.9

8.4

7.3

10.9

13.1

11.1

10.4

8.6

9.0

10.7

8.0

9.5

6.6

11.8

13.8

11.8

12.9

7.6

21.7

26.8

22.2

19.5

10.1

12.6

t4.1

13.7

12.5

9.7

7.7

9.5

7.6

7.7

5.7

7.6

10.3

8.1

6.7

4.9

8.7

12.0

.s.4

8.2

6.6

10.5

13.4

10.7

9.9

7.3

9.3

11.0

9.8

9.2

6.4

11.3

13.4

11.2

il.4

8.3

21.5

29.4

20.8

19.3

17.2

12.2

13.6

i2.9

11.8

9.4

7.9

8.8

7.7

7.8

8.4

7.6

9.6

7.8

7.3

4.3

8.3

9.2

8.0

8.3

8.0

1::!

9.5

9.4

6.8

8.5

9.9

8.8

8.2

7.1

10.9

11.1

11.9

11.2

9.0

19.5

25.1

19.9

18.5

14.3

11.3

13.3

12.0

10.5

9.0

7.2

9.7

6.9

6.9

5.3

6.7

9.2

6.6

6.1

4.8

B.4

9.8

8.4

6.0

7.6

9.3

10.7

9.7

9.2

7.2

8.9

11.8

8.4

8.5

7.4

9.9

12.9

9.7

9.0

7.7

20.1

29.3

18.1

18.3

33 15.5

10.4

12.5

10.2

10.0

7.9

6.S

6.0

5.8

6.6

7.0

6.2

B.9

6.1

5.5

4.1

7.5

9.6

6.8

7.5

6.2

8.5

8.7

9.3

B.4

7.1

8.0

10.0

7.6

7.7

6.5

9.6

15.1

9.2

7.5

7.6

16.7

21.9

16.2

15.6

13.6

NOTE : IN THIS TABLE THE ABBREVIATION “C. C. “ STANOS FOR “SUBSTANTIAL COMPLICATION ANO/OR COMORBIOITY” .

36
Appendixes

,

Contents

I. Technicrd notes on methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Statistical design of the National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Datacollection andprocessing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Reliability ofestimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Tests ofsignificance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

11. Definitions ofterms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Hospitals and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Terms relating todiagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 44

Terms relating to surgical andnonsurgical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Demographic terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Listofsppendmfigures

I. Medical abstractforthe National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

II. Approximate relative standmderrors ofestimated numbers ofpatients discharged, 1980-84 . . . . . . . . . . . . . . . . 42

Iistofsppendixtables

I.

II.

III.

Number ofhospitrds in the National Hospital Dischmge Survey (NHDS) universe and numberofhospitals added tothe

NHDSuniverse, by yearofaddition and year ofMaster Facility Inventory (MFI)used: United States,1963-81 . . . . 38

Number of hospitals in the National Hospital Discharge Survey (NHDS) universe, number of hospitals in the NHDS

sample, number of hospitals participating in NHDS, and numkr of abstracts of medicrd records collected. United States,

1980-84 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Approximate standard errors of average lengths of stay by number of discharges . . . . . . . . . . . . . . . . . . . . . . . 41

.,

37
Appendix I

Technical notes on methods

Statistical design of the National

Hospital Discharge Survey

Scope of the survey

The National Center for Health Statistics, by means of

the National Hospital Discharge Survey (NHDS), samples

records of inpatients discharged from noninstitutional hospitals, exclusive of military and Veterans Administration hospitals, located in the 50 States and the District of Columbia.

Only hospitals with six beds or more for patient use and

those in which the average length of stay for all patients

is less than 30 days are included in the survey. Discharges

of all patients from Federal hospitals are excluded.

Sample size

The Master Facility Inventory of Hospitals (MFI) is the

universe from which the NHDS sample is drawn. A detailed

description of the development, contents, maintenance plans,

and assessment of coverage was published in 1965.8 As shown

in table I, the original universe for the survey consisted of

6,965 short-stay hospitals contained in the 1963 Master Facility

Inventory.

As shown in table I, the universe was updated five times

from 1965–83. The sample for the survey, which was composed of315 hospitals in 1965, has been increased six times;

it contained 553 hospitals in 1984. Each year some of the

sampled hospitals refused to participate in the survey or were

found to be out of scope either because they had gone out

of business or failed to meet the definition of a short-stay

,, .“. hospital. Thus, the number of hospitals participating in the

survey varied from year to year, as did the number of abstracts

of medical records provided by participating hospitals. These

data for 1980-84 are provided in table II.

Table 1. Number of hospitals in the National Hospital Dmcharge Survey

(NHDS) universe and number of hosp”tils added to the NHDS universe,

by year of eddiiin and year of Maater Faailii Inventory (MFI) used:

United Stateq 19S3-S1

NHDS universe

Year Number

hfFl data year added added

1963 . . . . . . . . . . . . . . . . . . . . 1965 6,965

1969 . . . . . . . . . . . . . . . . . . . . 1969 442

1972 . . ... . . . . . . . . . . . . . . . . 1975 223

1975 . . :,.’. . . . . . . . . . . . . . . . 1977 273

:,

1977 .;L’ 1979 114

1979..:;;::,::::::::::::: 1961 63

1981 . . . .’. .. .!. . . . . . . . . . . . . 1963 50

Table IL Number of hospitals in the Natiinal Hospital Dieeherge Survey

(NHDS) universe, number of hospitals in the NHDS sample, number of

hospitela participating in NHDS, and numbar of abstracts of mediil

reoorde eollecteck United Stste& 1980-84

Hospitals Number of

abstracts

Year In universe In samde ParticiDatirra collected

1960 . . . . 6,017 544 420 224,000

1961 . . . . 6,060 550 426 227,000

1982 . . . . 8,080 550 426 214,000

1963 . . . . 6,130 553 416 206,000

1964 . . . . 8,130 553 407 192,000

Sample design

All hospitals with 1,000 -beds or

of short-stay hospitals were selected

sample. All hospitals with fewer than

more in the universe

with certainty in the

1,000 were stratified,

the primary strata being 24 bed size-by-region classes. Within

each primary stratum, the allocation of the hospitals was made

through a controlled selection technique so that hospitals in

the sample would be distributed properly with regard to ownership and geographic division. Sample hospitals were drawn

with probabilities ranging tlom certainty for the largest hospitals to 1in 40 for the smallest hospitals.

The within-hospital sampling ratio for selecting sample

discharges varied inversely with the probability of hospital

selection. The smallest sampling fraction of dkcharged patients

was taken in the largest hospitals, and the largest fraction

was taken in the smallest hospitals. This sampling was done

to compensate for hospitals that were selected with probabilities

proportionate to their size class and to ensure that the overall

probability of selecting a discharge would be approximately

the same in each size class.

In nearly all hospitals, the daily listing sheet of discharges

was the frame from which the subsamples of discharges were

selected within the sample hospitals. The sample dkcharges

were selected by a random technique, usually on the basis

of the terminal digit(s) of the patient’s medical record number

that was assigned when the patient was admitted to the hospital.

If the hospital’s daily discharge listing dld not show the medical

record numbers, the sample was selected by starting with

a randomly selected discharge and taking every kth discharge

thereafter.

NOTE A list of references follows the text,

38
Data collection and processing

Data cdection

Depending on the study procedure agreed on with the

hospital administrator, the sample selection and the transcription of information from the hospital records to abstract forms

were performed by either the hospital staff or representatives

of the National Center for Health Statistics (NCHS) or by

both. Whenever possible, this work was performed by the

medical records department of the hospital. In the remaining

hospitals, the work was performed by personnel of the U.S.

Bureau of the Census acting for NCHS.

Survey hospitals used an abstract form to transcribe data

from the hospital records. The form provides space for recording demographic data, admission and discharge dates, zip

code of the patient’s residence, expected sources of payment,

disposition of the patient at discharge, and information on

discharge diagnoses and surgical operations or procedures (figure I). All discharge diagnoses and procedures were listed

on the abstract in the order of the principal one, or the firstlisted one if the principal one was not identified, followed

by the order in which all other diagnoses or procedures were

entered on the face sheet of the medical record.

Diagno*related groups

The DRG’s referred to in this report were produced using

the DRG program available in the summer of 1983, and

are identical to those in the Friday, August 31, 1984 issue

of the Federal Register. This is a computer program that

groups patients into DRG’s based on diagnostic, surgical,

and patient information. The program is maintained and is

commercially available at Health Systems International (DRG

Support Group, 100 Broadway, New Haven, Corm. 0651 1).

However, the actual program used to produce estimates in

this report was obtained from the Health Care Financing Administration. The entire NHDS file was used to produce estimates, includlng outliers. No data were excluded, or trimmed,

because of an abnormal length of stay.

In publications from the National Center for Health Statistics using NHDS data, several schemes have been used to

group patients into categories based on either their diagnoses

or the procedures performed. These groups were developed

to report general purpose statistics to the many users of NHDS

data, and any similarity between the titles of those categories

and DRG titles is coincidental.

Patient characteristics not stated

The age and sex of the patient were not stated on the

hospital records (the face sheet of the patient’s medical record)

for about one-half of 1 percent of the discharges. Imputations

of these missing items were made by assigning the patient

an age or sex consistent with the age or sex of other patients

with the same diagnostic code.

If the dates of admission or discharge were not given

and could not be obtained from the monthly sample listing

sheet transmitted by the sample hospital, a length of stay

was imputed by assigning the patient a length of stay characteristic of the stays of other patients of the same age. About

one-tenth of 1 percent of the records were missing the date

of admission or discharge.

Rounded numbers

Estimates of the numbers of inpatient discharges have

been rounded to the nearest thousand for tabular presentation.

Therefore, detailed figures within the tables do not always

add to totals.

Completed abstract forms for each sample hospital were

shipped, along with sample selection control sheets, to a Census Regional OffIce. Every shipment of abstracts was reviewed, and each abstract form was checked for completeness.

Abstracts then were sent to NCHS for processing.

Medd coding and edti

The medical information recorded on the sample patient

abstracts was coded centrally by the NCHS staff. The system

currently used for coding the diagnoses and procedures on

NHDS sample patient abstracts is the International Classijlcation of Diseases, 9th Revision, Clinical Modifzcation9 (ICD-9-

CM). A maximum of seven diagnostic codes were assigned

for each sample abstract; in addition, if the medical information

included surgical or nonsurgical procedures, a maximum of

four codes for these procedures were assigned. Following

conversion of the data on the medical abstract to computer

tape, a final medical edit was accomplished by computer

inspection runs and a review of rejected abstracts. If the

sex or age of the patient was incompatible with the recorded

medical information, priority was given to the medical information in the editing decision.

NHDS medical coders code from abstracts of medical

records in the order the diagnoses and procedures are entered.

For most abstracts, this coding procedure is relatively free

of problems. It was noted, however, that acute myocardial

infarction frequently was not the lead entry in a group of

circulatory diagnoses. For example, the patient’s recoti may

have arteriosclerosis listed first and arteriosclerotic heart disease listed second with acute myocardial infarction listed third.

If the usual procedure were followed as it was until 1982,

acute myocardial infarction would be coded in third place”

and retrievable only under the heading of all-listed diagnoses.

A decision was made to reorder some acute myocardial infarction diagnoses. The new procedure, based on accepted medical

coding practice, states that whenever an acute myocardkd

infarction is encountered with other circulatory diagnoses and

is other than the first entry, it should be reordered to first

position.

Some ICD-9-CM diagnostic codes cannot appear alone;

they must appear with another diagnostic code. Specifically,

the following codes cannot be first listed 320.7, 321.1-321.8,

323.0-323.4, 323.6-323.7, 330.2–330.3, 331.7, 334.4,

336.2–336.3, 337.1, 357. 1–357.4, 358.1, 359.5–359.6,

362.01–362.02, 362.71–362.72, 364.11, 365.41-365.44,

366.41–366.44, 370.44, 372.15, 372.31–372.33, 373.4-

373.6, 374.51, 376.13-376.22, 380.13, 380.15, 382.02,

420.0, 421.1, 422.0, 424.91, 425.7-425.8, 443.81, 456.20-

NOTE A list of references follows the text.

39
Fnrrn Annrmm+: O.M. B. No. 09374004

40

.,,,,,,.r F. -. ”-,

CONFIDENTIAL - All Information which would perm!t Idenl!f!catlon of an Indwdual or of an establishment will be held confidential, will be used only

—

by persons engaged In and for the purposes of the survey, and WIII no! be disclosed or released to other persons or used for any other purpose,

:y2HDS-1 DEPARTMENT OF HEALTH ANO HUMAN SERVICES

—

US PUB LICHEALTH SERVICE

NATIONAL CENTER FOR HEALTH STATISTICS

MEDICAL ABSTRACT – NATIONAL HOSPITAL DISCHARGE SURVEY

1. PATlENT IDENTIFICATION

—

Month Day Year

l. Hospital number . ., ..,..,.., r-l-n-l 4.Date of admission. ml- ~-~]

2. HDSnumber . . . . . ..1 . . . . . ..l 5. Date of discharge m-m-m

3. Medical record number 6. Residence ZIP code ~_

1. PATlENT CHARACTERISTICS

8. Age (Complete only if date of

Units 7❑ Years

Month Day Year

m-m-~

birth notgiven) . . . . . . m{ 2❑ Months

7. Date of birth so Days

I

9. Sex (Mark (X) one) 1❑ Male

—

2❑ Female 3 ❑ Not stated

—

10. Race I ~ While 3 UAmerlcan lnd!an/Alasken Natwe 5 ❑ Other (Spec(fy)

I

2D Black 4 ❑ Astan/Pac!flc Islander 6 ❑ Not stated

I

1

11.Ethnicity (Mark (X) one) I I ❑ Hmpanlc orlgln

—

2 ❑Non- Hlspantc 3 ❑ Not stated

—

12. Marital status I ~ Married I ❑ Widowed 5 ❑ Separated

(Mark (X) one) 1-

2U Single 4 ~ Dworced 6 ❑ Not stated

I

13. Expected source(s) of payment

—

Prlnclpal Other addmonal 14. Status/ Disposition of patient

(Mark one only) sources

lMark accordingly)

(Mark (X) appropriate box(es))

{

1.Workmen’s Compensation

u •1

Status Disposition

2. Medicare, .,....., .,, .,. n

Government

c!

1❑ Alive ~ e. ❑ Routine discharge/

3. Medlcald ,,, ,.0

discharged home

sources ❑

4. Title V ... IJ

b. D Left against medical advice

5. Other government payments ., ❑ ;

c. ❑ Discharged, transferred t[c

(

6. Blue Cross ,. ., c

anothershort-termhospital

Private ❑

sources 7. Other private or commercial

d. ❑ Discharged, transferred to

insurance ,. ❑ •1 long-term care institution

{

8. Self pay ,, .,...,,

Other

❑ ❑ e. ❑ Disposition not stated

sources

9. Nocharge. , .,,.,,,.,.,...,.0

10. Other (Specify) D E

2uOied

❑ No source of payment indicated 3 ❑ Status not stated

:. FINAL DIAGNOSES

Principal:

Other/additional:

—

❑ See reverse side

D. SURGICAL AND DIAGNOSTIC PROCEDURES 0;:;:

Month Ysat

Principal: m-m-m

Other/additional: m-m-m

m-m-m

— m-m-m

EINONE ❑ See reverse side

~ompleted by Date

—

.. . ......... ,... > ... ,,,,0,..

+7 U.S. GOVERNMENT PI{INTIN(Jur,,tiu,L,00 . ..a . . . . o.

Fqure 1. Medical abetraotfor the Natiinal HospitalDischarge Survey
456.21, 484.1484.8, 516.1, 517.1–517.8, 567.0, 573.1–

573.2, 580.81, 581.81, 582.81, 583.81, 590.81, 595.4,

598.01, 601.4, 604.91, 608.81, 616.11, 616.51, 628.1,

711.10-711.89, 712.10-712.39, 713.0-713.8, 720.81,

727.01,730.70-730.89, 731.1,731.8,737.40-737.43, 774.0,

774.31, 774.5. In addition, all discharges with the diagnostic

codes 640.0-643.9 and 645.0-676.9 with a fifth digit of 1

or 2 or 650 (indicating delivery) must have a code V27.0-

V27.9 as a first-listed diagnosis. Conversely, every discharge

with a first-listed diagnosis of V27.O-V27.9 also must have

one of these delivery codes.

Starting with 1979 data, procedures coding has followed

the guidelines of the Uniform Hospital Discharge Data Set

(UHDDS). 10’*1 UHDDS is a minimum data set of items uniformly defined and abstracted from hospital medical records.

These items were selected on the basis of their continuous

usefulness to organizations and agencies requiring hospital

information. According to UHDDS guidelines, all procedures

are allocated into one of four classes. Classes 1–3 consist

of procedures that carry an operative or anesthetic risk or

require highly trained personnel, special facilities, or special

equipment. Class 4 procedures do not meet these criteria.

See appendix II for the procedure codes included in these

classes.

Until 1983, the only Class 4 procedures coded in NHDS

were circumcision (ICD–9-CM code 64.0), episiotomy (code

73.6), and removal of intrauterine contraceptive device (code

97.7 1). The coding of additional Class 4 procedures, listed

in appendix II, that are used in the assignment of diagnosisrelated groupings, was begun in mid-1983.

Reliability of estimates

Estimation

Statistics produced by NHDS are derived by a complex

estimating procedure. The basic unit of estimation is the sample

inpatient discharge abstract. The estimating procedure used

to produce essentially unbiased national estimates in NHDS

has three principal components: Inflation by reciprocals of the probabilities of sample selection, adjustment for

nonresponse, and ratio adjustment to fixed totals. These components of estimation are described in appendix I of two

earlier publications. 12$13

Measurement errors

As in any survey, results are subject to nonsampling

or measurement errors, which include errors because of hospital nonresponse, missing abstracts, information incompletely

or inaccurately recorded on abstract forms, and processing

errors. Some of these errors were discussed in an earlier

section entitled “Patient characteristics not stated.”

The Institute of Medicine (IOM) has conducted three

studies on the reliability of hospital abstract data collection;

the most recent study was on NHDS. The IOM NHDS study

was performed by using data coded according to ICDA;’4

however, some of the findings are relevant to cument NHDS

data even though these data were coded according to ICD-9–

CM. Of special interest to this report is the finding that,

in a number of cases, the first-listed diagnosis in NHDS

was not the principal diagnosis as determined by IOM after

a study of the entire medical record. For example, when

diagnoses at the ICDA class level were examined, the principal

diagnosis from IOM matched the first-listed diagnosis from

NHDS in approximately 86 percent of the cases. Detailed

accounts of this and other IOM findings have been

published. *S17

Sampling errora

The standard error is primarily a measure of the variability

attributed to a value obtained from a sample as an estimate

of a population value. In this report it also reflects part of

the measurement error. The value that would have been obtained if a complete enumeration of the population had been

made will be contained in art interval represented by the

sample estimate plus or minus 1 standard emor about 68

of every 100 times and plus or minus 2 standard errors about

95 of every 100 times.

The relative standard error is obtained by dividing the

standard error by the estimate. The resulting value is multiplied

by 100, which expresses the standard error as a percent of

the estimate.

The standard error of one statistic generally is different

from that of another, even when the two come from the

same survey. To derive standard errors that would be applicable

to a wide variety of statistics that could be prepared at a

moderate cost, a number of approximations are required. As

a result, the figures in this appendix provide general relative

standard errors for a wide variety of estimates rather than

the specific error for a particular statistic.

Approximate relative standard errors and standard errors

have been prepared for measuring the variances applicable

to DRG’s. These are presented in figure 11. Approximate

relative standard errors for estimates of average length of

stay are presented in table III.

mietbie:ofm~- Standd elmsof&verags lengths ofstaYbY

Averaga length of stay in days

Number of discharges 2 6 10 20

Standard error in days

10,000 . . . . . . . . . . . . . . . . . . 0.7 1.2 1.7 2.2

50,000 . . . . . . . . . . . . . . . . . . 0.3 0.7 1.0 1.4

100,COO.................. 0.3 0.6 0.9 1.2

600,000 . . . . . . . . . . . . . . . . . . 0.2 0.5 0.8 0.9

I,ooo,ooo. . . . . . . . . . . . . . . . . 0.2 0.5 0.8 0.7

5,000,000. . . . . . . . . . . . . . . . . 0.2 0.5 0.8 ...

NOTE A iist of referencesfollows the text.
50

40

30

20

10

0

50

40

30

20

10

n

A 23 456789 A 2 3 456789

A

2 3 4 5 6789 A

2 3 4 56789

A

2 3 456789

A

1 10 100 1,000 10,000 100,000

SiZe of estimate (in thousands)

EXAMPLE As shown in table 4, an estimated 1,941,000 patients 65 years of age or older were discharged from short-stay non-Federal hospitsls in the West Region in 1984. The relative standard error of this estimate as read from the cuwe is

approximately 3.9 percent. Thus. the standard error is approximately 75,7oo (3.9 percent of 1,941 ,000).

Fgure Il. Appmdmate relstive standard errora of estfrnet.af numbers of patients cfiacha~ 1980-84
Tests of significance tally significant. Terms such as “similar” or “no difference”

In this report, the determination of statistical inference

mean that no statistically significant difference exists between

the estimates being compared. A lack of comment on the

is based on the t-test with a critical value of 1.96 (0.05

level of significance). Terms relating to differences, such

difference between any two estimates does not mean that

the difference was tested and found to be not significant.

as “higher” and “less, “ indicate that the differences are statisti4s
Appendix II

Definitions of terms

Hospitals and hospital characteristics

Ho@&--Short-stay special and general hospitals have

six beds or more for inpatient use and an average length

of stay of less than 30 days. Federal hospitals and hospital

units of institutions are not included.

Patient~A person who is formally admitted to the inpatient service of a short-stay hospital for observation, care,

diagnosis, or treatment is considered a patient. In this report

the number of patients refers to the number of discharges

during the year, including any multiple discharges of the

same individual from one short-stay hospital or more. Infants

admitted on the day of birth, directly or by transfer from

another medical facility, with or without mention of a disease,

disorder, or immaturity, are included. All newborn infants,

defined as those admitted by birth to the hospital, are excluded

from the tables in this report except those in the newborn

section of the report. The terms “patient” and “inpatient”

are used synonymously.

Newborn infant—A newborn infant is defined as a patient

admitted by birth to a hospital.

Discharge—Discharge is the formal release of a patient

by a hospital; that is, the termination of a period of hospitalization by death or by disposition to place of residence, nursing

home, or another hospital. The terms “discharges” and “patients discharged” are used synonymously.

Average length of sta&The average length of stay is

the total number of patient days accumulated at time of discharge by patients discharged during the, year divided by the

number of patients discharged.

Terms relating to diagnoses

Discharge diagnoses-One or more diseases or injuries

(or some factor that influences health status and contact with

health services that is not itself a current illness or injury)

listed by the attending physician on the medical record of

patients. In NHDS, all discharge (or final) diagnoses listed

on the face sheet (summary sheet) of the medical record

for patients discharged from the inpatient service of short-stay

hospitals are ‘transcribed in the order listed. Each sample discharge is assigned a maximum of seven 5-digit codes according

to ICD-9-CM. The number of principal or first-listed diagnoses is equivalent to the number of discharges.

Principal diagnosis—The condition established after study

to be chiefly responsible for occasioning the admission of

the patient to the hospital for care is called the principal

diagnosis.

First-listed diagnosis—The coded diagnosis identified as

the principal diagnosis or listed first on the face sheet of

the medical record is the first-listed diagnosis. The number

of first-listed diagnoses is equivalent to the number of

discharges.

Terms relating to surgical and

nonsurgical procedures

Procedure—A procedure is one or more surgical or nonsurgical operations, diagnostic procedures, or special treatments assigned by the physician to the medical record of

patients discharged from the inpatient service of short-stay

hospitals. In NHDS, all terms listed on the face sheet of the

medical record under captions such as “operation ,“ “operative

procedures, “ “operations and/or special treatments” are transcribed in the order listed. A maximum of four 4-digit codes

are assigned per sample discharge according to ICID-9-CM

and NHDS directives. (See “Medical coding and edh” in

the “Data collection and processing” section of appendix I

for further details.)

UHDDS classes of procedures—Procedures are categorized into four classes according to UHDDS guidelines.

Classes 1–3 consist of significant procedure%that is, procedures that carry an operative or anesthetic risk or require

highly trained personnel, special facilities, or special equipment. Class 4 procedures do not meet these criteria.

UHDDS Class 1 procedures—All procedures not categorized as Class 2,3, or4 procedures.

UHDDS Class 2 procedures—The following ICLW-CM

procedure codes identify Class 2 procedures as categorized

by the UHDDS:

03.31, 03.91-03.92, 04.80-04.89, 21.01, 24.7,31 .41–

31.42, 34.91–34.92, 37.92–37.93, 42.22-42.23, 44. 12–

44.13, 45.1245.13, 45.2245.24, 48.22, 50.92, 54.91,

54.97–54.98, 57.31, 58.22, 59.95, 62.91, 66.8, 69.6-

69.7, 69.93, 70.0, 73.01-73.1, 73.3, 73.51-73.59,

76.96, 81.91–81.92, 82.92–82.96, 83.94-83.98, 85.91–

85.92, 86.01, 87.03-87.08, 87.13–87.15, 87.31-87.35,

87.38, 87.41–87.42, 87.51–87.52, 87.54-87.66, 87.71–

87.73, 87.75, 87.77–87.78, 87.81-87.84, 87.91, 87.93–

87.94, 88.01–88.03, 88.12–88.15, 88.38, 88.71-88.89,

89.14, 89.21–89.25, 89.32, 89.41–89.44, 89.54, 89.61–

89.65, 89.8, 92.01–92.29, 93.45–93.54, 93.56-93.59,

93.92–93.93, 93.95, 93.97, 94.24, 94.26-94.27, 95.04,

95.12–95.13, 95.16-95.26, 96.01–96.08, 96.2!1–96.25,

44
96.31-96.33, 97. 11–97.13, 98.02-98.04, 98.14-98.16,

98.19,99.01,99.60-99.69, 99.81.

UHDDS Class 3 procedures—The following ICD-9-CM

procedure codes identify Class 3 procedures as categorized

by UHDDS:

29.11, 57.94-57.95, 60.19, 84.41–84.43, 84.45–84.47,

86.26, 93.98,98.01,98.05-98.13, 98.17,98.18, 98.2&

98.29,99.25.

UHDDS Class 4 procedures—From 1979 through the

middle of 1983, only three Class 4 procedures were coded

for NHDS: circumcision (ICD-9-CM code 64.0), episiotomy

(code 73.6), and removal of intrauterine contraceptive device

(code 97.7 1). The ICD-9-CM codes for the Class 4 procedures

coded from the last half of 1983 and onward areas follows:

01.18+1.19, 03.39, 04.19,05.19,06.19,07.19, 08.91–

08.93, 09.19, 09.41-09.49, 10.29, 11.29, 12.29, 14.19,

15.09, 16.29, 20.39, 28.19, 33.28–33.29, 34.28–34.29,

38.29,40.19,50.19,51. 19,52.19,54.29,55.29, 56.39,

57.39, 59.29, 60.18, 62.19, 63.09, 64.0, 65.19, 66.19,

67.19, 68.19, 70.29, 71. I’9, 73.6, 76.19, 78.8, 81.98,

83.29,97.71.

The following ICD-9-CM procedure codes identi~ Class 4

procedures not coded by NHDS:

08.19, 16.21, 18.01, 18.11, 18.19, 21.21, 21.29, 22.19,

24.19,25.09,25.91,26.19, 27.29,27.91,29.19, 31.48–

31.49,37.29,41.3841,39, 42.29,44.19,45.19, 45.28–

45.29,48.23,48.29,49.21, 49.29,49.41,58.29, 61.19,

64.19,64.91, 64.94, 69.92,70.21, 73.91–73.92, 75.35,

85.19, 86.19, 86.92, 87.09-87.12, 87.16-87.17,87.22-

87.29, 87.36-87.37, 87.39, 87.43-87.49, 87.69, 87.79,

87.85–87.89, 87.92, 87.95–87.99, 88.09, 88.16-88.31,

88.33, 88.35, 88.37, 88.39, 89.01–89.13, 89.: ,.16,

89.26-89.31, 89.33–89.39, 89.45–89.53, 89.5. .$9.59,

89.66, 89.7, 90.01–91.99, 93.01–93.25, 93.? ?-93.28,

93.31-93.39, 93.42-93.44, 93.61-93.91, 93.94, 93.96,

93.99-94.23, 94.25, 94.29-95.03, 95.05-95.11,95.14-

95.15, 95.31–95.49, 96.09–96.19, 96.26-96.28, 96.34-

97.04, 97.14-97.69, 97.72-97.89, 99.02–99.24, 99.26-

99.59, 99.71-99.79, 99.82-99.99,45.14-45.15, 45.25-

45.27, 48.24-48.26, 49.22-49.23, 50,1 1–50.12, 51.12–

51.13, 52. 11–52. 12, 54.22–54.23, 55.23-55.24, 56.32–

56.33, 57.33–57.34, 58.23–58.24, 59.21,60.11-60.15,

61.11, 62.11-62.12, 63.01, 64.11, 65.11-65.12, 66.11,

67.11-67.12, 68.13-68.14, 70.23-70.24, 71.11, 76.11,

77.40-77.49,80.30-80.39, 83.21 ,85.11-85.12,86.1 1.

Nonsurgical procedures—Procedures generally not considered to be surgery are listed as nonsurgical procedures.

These include diagnostic endoscopy and radiography,

radiotherapy and related therapies, physical medicine and rehabilitation, andother nonsurgical procedures. The following

ICD–9-CM codes are for diagnostic and nonsurgical

procedures:

03.31, 11.21, 12.21, 14.11, 16.22,20.31,29.11, 31.41–

31.42, 33.21–33.23, 34.21–34.22, 39.95, 42.2142.23,

44.11-44.13, 45.1145.13, 45.21-45.24, 48.2148.22,

51.11, 54.21, 55.21–55.22, 56.31, 57.31–57.32, 58.21–

58.22, 60.19, 68.11-68.12,70.22, 80.20-80.29, 87.01–

99.99.

Demographic terms

Age—Patient’s age refers to age at birthday prior to admission to the hospital inpatient service.

Geographic region—Hospitals are classified by location

in one of the four geographic regions of the United States

that correspond to those used by the U.S. Bureau of the

Census.

Region States included

Northeast . . . . . . . . . Maine, New Hampshire, Vermont, Msssachuseffs, Rhode Island, Connecticut, New

York, New Jersey, and Pennsylvania

North Central . . . . . . Michigan, Ohio, Illinois, Indiana, Wiswnsin,

Minnesota, lowa, Missouri, North Dakota,

South Dakota, Nebraska, and Kansas

South . . . . . . . . . . . . Delaware, Maryland, District of Columbia, Vtrginia, Wast Virginia, North Carolina, South

Carolina, Gcwrgia, Florida, Kentucky, Tennessee, Alabama, Mississippi, Arkansas,

Lousiana, Oklahoma, and Texas

West . . . . . . . . . . . . . Montana, Idaho, Wyoming, Cobrado, New

Mexico, Arizona, Utah, Nevada, Washington,

Oregon, California, Hawaii, and Alaska

45

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