.—

r

Utilization of

Short-Stay

Hospitals

United States, 1983

Annual Summary

This report presents statistics on the

utilization of non-Federal short-stay

hospitals based on data collected through

the National Hospital Discharge Suwey

from a national sample of the hospital

records of discharged inpatients. Estimates

are provided by the demographic

characteristics of patients discharged,

conditions diagnosed, and surgical and

nonsurgical procedures performed, and

by geographic region, bed size, and

ownership of hospitals that provided

inpatient care. Measurements of hospital

utilization are given by frequency, rate,

percent, and average length of stay.

Data From the National Health Survey

Series 13, No. 83

DHHS Publication No. (PHS) 85-1744

U.S. Department of Health and Human

Services

Public Health Service

National Center for Health Statistics

Hyattsville, Md.

May 1985
Copyright Information

All material appearing in this report is in the public domain and may

be reproduced or copied without permission; citation as to source,

however, IS appreciated.

Suggested Citation

National Center for Health Statistics, E.J. Graves: Utilization of

short-stay hospitals, United States, 1983 Annual summary. Vita/and

Hea/th Statistics. Ser!es13, No.83. DHHS Pub. NO. (PHS) 85-1744.

Public Health ServKe. Washington. U.S. Government Printing Office,

May 1985.

The Library of Congress hes cataloged this aerielpublicst ion as follows:

Utilization ofshort-stay hospitals. United States. annual summary.-l 981 – —Hyattsville, Md.: U.S. Dept. of Health

and Human Serwces, Public Health Service, National Center

for Health Statistics,

v.; 28 cm. —(DHHS publication) (Vkal &health statistics. Series 13,

Data from the national health survey)

Annual.

Description based on: 1981.

Continues: Utilization of short-stay hospitals. Annual summary for the

~nited States.

‘ *:.llSSN 0748—4798 = Utilization of short-stay hospitals. United States,

annual summary.

1. Hospital utilization—United States—Statistics— Periodicals.

2. Hoapital utilization-United States-Length ofstay-StatiaticsPeriodicals. 3. UnitedStatea—Statistics, Medical—Periodicala.

1. National Center for Health Statistics (U.S.) Il. Series.111. Series:

Vital andhealth statistics. Series 13, Data from thenational health suwey,

RA407.3.U85 362.1 ‘1 ‘0973—dcl 9 84-645596

For ssla by tiaeSapsrintaadd olDoeomSota, Us. ao rasnanmtPshtbu omaeoWmbbute%D.c.m
National Center for Health Statistics

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

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

E. Earl Bryant, 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 Officer

Vital and Health Care 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, Chiex Technical Services Branch

Cooperation of rhe 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, panicipated in

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

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

Utilizationby patient characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Utilizationby hospital characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Utilization by diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

First-listed diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ail-listed diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Utilization by procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- . . . . . . . . . .

Deaths inshort-stay hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Newborn infantdischarges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . - - . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . .

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

List ofdetailedtables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

I. Technical notes onmethods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

II. Definitions ofterms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text tables

A. Selected measures ofhospitalutilization: United States, 1965,1970,1975,1980, and 1983 . . . . . . . . . . . . . . . . . . . . . . .

B. Number and percent distribution ofpatients and days ofcare end average length ofstay for patients discharged from

short-stay hospitals by sex and age ofpatient, accordingtobed size ofhospital: United States, l 983 . . . . . . . . . . . . . . . . .

C. Number and rate ofpatients, days ofcareforpatients discharged from short-stay hospitals, and average length ofstay,

by selected first-listeddiagnosticcategories: United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D. Percent distribution of patients discharged from shoti-stay hospitals by bed size ofhospital, according to diagnostic

chaptec United States, 1983.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E. Number ofpatients discharged from shofi-stay hospitals with andwithout procedures and percent with procedures, by

selected characteristics ofpatients: United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F. Percent distribution of patients discharged from short-stay hospitals by number of procedures, according to selected

characteristics ofpatients: United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

G. Number and rate ofall-listed procedures forpatients discharged from short-stay hospitals, by selected procedure categories: United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

H. Number and rate of all-listed procedures for patients discharged from short-stay hospitals, by sex and ageofpatienti

UnitedStates,1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

J. Percent distribution of all-listed procedures for patients discharged from short-stay hospitak by bed size ofhospital,

accordingto procedure categories: United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

K. Numberofdeathsendfatalityrateofpatients dischargedfromshoti-stayhospitals,by sexandageUnitedStates, 1983....

L. Number ofdeatis ad fatali@ rateofpatients &schmged fiomshofi-stiy hospitals, byagead selected first-listed dagnosex United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

M. Average len@ofstay ofpatienk dschmged fiomshoti-stay hospitals bydsch=ge status, sex, mdage United States,

1

2

3

5

7

7

9

10

14

16

17

18

47

56

3

6

8

9

10

11

12

13

13

14

14

1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

..

Ill
N. Number, percent distribution, and average length of stay for newborn infants discharged from non-Federal short-stay

hospitals bysexand geographic region: United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

0. Number and average length of stay of newborn infanta discharged from non-Federal short-stay hospitals, by sex and

health status: United States, 1983..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

P. Number of all-listed diagnoses for sick newborn infants discharged from short-stay hospitals by selected diagnostic categoriesand sex: United States, 1983.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Symbols

--- Data not available

. . . Category not applicable

Quantity zero

0.0 Quantity more than zero but less than

0.05

z Quantity more than zero but less than

500 where numbers are rounded to

thousands

*

Figure does not meet standard of

reliability or precision

# Figure suppressed to comply with

confidentiality requirements
Utilization of Short-Stay

Hospitals

by Edmund J. Graves, Division of Health Care Statistics

Introduction

This report provides national estimates on the utilization

of non-Federal short-stay hospitals during 1983. Data are

summarized for selected demographic characteristics of the

patients discharged, characteristics of the hospitals where the

patients were treated, conditions diagnosed, and surgical and

nonsurgical procedures performed.

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 (NHDS), which is a continuous voluntary survey in use since 1965. The data for the survey

are obtained from the face sheets 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. Approximately 206,000 medical records from 553

hospitals were included in the 1983 survey. 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 the NHDS was

published in 1970.1

Types of hospitals utilization measurements shown are

frequencies, rates, and percent distributions of discharges, days

of care, and average lengths of stay. The estimates are presented

by age, sex, and race of the patients discharge~ by expected

source of payment, geographic region, bed size, and ownership

of the short-stay hospitals (tables 1–6). Statistics on women

with deliveries (table 7–8), conditions diagnosed (tables 9–14),

and procedures performed (tables 15–22) also are shown by

patient and hospital characteristics. Data for newborn infants

are included only in the section “Newborn infant discharges.”

Because these data are based on a sample, they may not agree

with data on births published in Vital Statistics of the United

States.

Coding of medical data for patients hospitalized is performed according to the International Classz~cation of Diseases, 9th Revision, Clinical lWodzYcation2 (ICD–9–CM).

Earlier data for 1970-78 were coded according to the Eighth

Revision International Classlj7cation of Diseases, Adapted

for Use in the United States3 (ICDA). Differences between

these two systems are discussed in appendix I under the section

entitled “Medical coding and edit.” A maximum of seven

diagnoses and four procedures may be coded for each medical

record in the sample. Although diagnoses included in the

ICD–9–CM section entitled “Supplementary classification of

external causes of injury and poisoning” (codes E800–E999)

are used by the NHDS, these diagnoses are excluded from’this

report. The conditions diagnosed and procedures performed

are presented here by the major diagnostic chapters and procedure groups of the ICD–9–CM. Within these chapters and

groups, some categories of diagnoses and procedures also are

shown. These specific categories were selected primarily because of large frequencies or because they are of special interest.

Residual categories of diagnoses and procedures, however, are

not included in the tables. More detailed analyses of these data

will be presented in later reports in Series 13 of the Vital and

Health Statistics reports.

Familiarity with the definitions used in the NHDS is important for interpreting the data and for making comparisons

with statistical data on short-stay hospital utilization that are

available from other sources. Definitions of the terms used in

this report are presented in appendix II.

Information on short-stay hospital utilization also is collected by another program of the National Center for Health

Statistics, the National Health Interview Survey. Estimates

from this survey generally are different from those of the NHDS

because of ditTerences in collection procedures, population

sampled, and definitions. Data from the National Health Interview Survey are published in Series 10 of the Vital and Health

Statistics reports.

1
Highlights

● During 1983 an estimated 38.8 million inpatients, excluding newborn infants, were discharged from non-Federal

short-stay hospitals and an estimated 268.3 million days

of care were used.

● The average length of stay for patients discharged from

non-Federal short-stay hospitals was 6.9 days in 1983.

● About one-half of all patients discharged during 1983

expected private insurance to pay for at least part of their

hospitalization.

● Patients hospitalized during 1983 accounted for about 167

discharges and 1,155 days of care per 1,000 civilian population.

● The number of discharges was about 35 percent higher in

1983 than in 1965. However, because of the increase in

the size of the population, the discharge rate was only 11

percent higher for the same period.

● Females with deliveries was the leading cause of hospitalization during 1983. Of the 38.8 million discharges during

1983, 4.0 million or 10 percent were for femnles with

deliveries.

. The following groups of three procedures were performed

during 1983 more than 1 million times: procedures to assist

delivery (2.4 million), endoscopy of the digestive system

(1.6 million), and biopsy (1.5 million).

● Approximately 14 percent of all patients who were hospitalized had a principal diagnosis of heart disease or,

malignant neoplasms, but over 50 percent of al[l deaths

that occurred in short-stay hospitals in 1983 were the result

of these two diseases.
Utilization by patient

characteristics

Table A shows the selected measures of hospital utilization

for 1965, 1970, 1975, 1980, and 1983. The number of discharges was approximately 35 percent higher in 1983 than in

1965; however. the discharge rate was only 11 percent higher

for the same period. Smaller increases were noted for days of

care. Although the number of days of care was 19 percent

higher, the rate differences were not statistically significant.

Although the rate of discharges and days of care decreased

between 1965 and 1970, these dtierences were not significant.

The decrease was due to an underestimate of hospital utilization

in 1970 because new hospitals that came into the universe of

hospitals were not sampled for NHDS prior to 1972.4 More

information on updating the universe can be found in appendm I.

The 38.8 million patients discharged from short-stay hospitals during 1983 included an estimated 15.6 million males

and 23.2 million females (table 1). The rates per 1,000 population were 139 for males and 193 for females, making the rate

for females about 39 percent higher than the rate for males.

The number and rate of discharges always are higher for females

than for males because of the large number of women in their

childbearing years ( 15–44 years of age) who are hospitalized

for deliveries and other obstetrical conditions. Excluding deliveries, the rate for females discharged was 160, or only about

15 percent higher than the rate for males.

Except for children under 5 years of age and women in

their childbearing years, annual rates of discharges increased

consistently with each older age group for both males and

females. This pattern of increase also applies to women in their

childbearing years if those who were hospitalized only for deliveries are excluded ffom the rates. Discharge rates for older

patients (65 years of age and over) compared with those for

younger patients (under 15 years of age) were more than five

times higher for both sexes.

In 1983, male patients used an estimated 114.8 million

days of care in shofi-stay hospitals, compared with 153.5 million

days of care used by females (table 1). The rate of days of care

per 1,000 population was 1,024 for males and 1,278 for females,

or about 25 percent higher for females than for males. Differences between the rates of days of care for each sex were smaller

than for discharges, mainly because the average length of stay

for about 4.0 million women who were hospitalized for deliveries

was only 3.6 days (table 7). This length of stay compares with

an average length of stay of 7.4 days for males and 7.2 days for

females who were not hospitalized for deliveries.

The annual number of days of care per 1,000 population

increased about 12 times with advancing age from 323 for

patients under 15 years of age to 4,004 for patients 65 years of

age and over (table 1). The much higher increase in the rate of

days of care than of discharges from the youngest to the oldest

age group was due to long average lengths of stay for persons

65 years of age and over (9.7 days). The average length of stay

is longer for the aged because of the greater severity of illness

in this group. This situation is indicated by larger proportions

of older than younger patients with incapacitating chronic illness, and the highest proportion of any age group with multiple

diagnoses, both of which result in long average lengths of stay

and high annual rates of days of care.

In this report, the race of patients is shown as white and all

other. In 1983, 30.1 million patients were identified on the face

sheets of the medical records as white and 5.2 million as all

other. However, race was not reported for an additional 3.4

million patients. Estimates of number and rates of discharges,

days of care, and average lengths of stay are provided. However,

all of the race data should be used with caution due to the notstated category, which for 1983 is approximately 9 percent of

all discharges.

Tabla A. Selected measures of hospital utilization: United States, 1965, 1970, 1975, 1980, and 1983

[Data for non-Federal short-stay hospitals. Excludes newborn infants]

Measure of utilization 1965 1970 1975 1980 7983

Number ofpatients dischargedin thousands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,792 29,127 34,043 37,832 38,783

Rate ofpatients discharged per 1,000 population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150.3 144.3 159.2 167.7 167.0

Number ofdaysof care in thousands. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,011 226,445 262,389 274,508 268,337

Rate ofdaysof care perl,OOO population. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,174.3 1,121.6 1,227.3 1,217.0 1,155.2

Average length ofstay inlays... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.8 7.8 7.7 7.3 6.9

Percent of patients with surgical and nonsurgical procedures. . . . . . . . . . . . . . . . . . . . . . . 138.2 739.7 141.7 52.2 54.7

1Figures for 1965, 1970, and 1975 should be compared with caution to those for 1980 and 1983 because deta prior to 1979 excludes nonsurgical procedures and

the following obstetrical procedures: episiotomy, artificial rupture of membrane, internal version and outlet, and low forceps delivery.

3
The number of days of care in 1983 totaled 210.4 million

for white patients, 37.5 million for all other patients, and 20.5

million for race not stated (table 2). The average length of stay

was 7.0 days for white patients, 7.2 for all other patients, and

6.0 for patients with race not stated (table 2).

The expected principal source of payment for all patients

discharged from short-stay hospitals is presented in table 3.

The expected source of payment recorded on the face sheets of

the medical record may not have been the actual source of

payment. For example, a patient admitted to a hospital following

an automobile accident may have cited Blue Cross as the expected source of payment when, in fact, an automobile insurance

company ultimately made restitution.

Private health insurance that consists of Blue Cross and

other private or commercial insurance was the expected principal source of payment for approximately 18.9 million discharges from non-Federal short-stay hospitals in 1983, about

half of all discharges. Of these 18.9 million discharges, 98.7

percent were under 65 years of age. The remaining 1.3 percent

were 65 years of age and over.

Medicare accounted for 12.3 million discharges (31.7

percent). As expected, 10.9 million (88.2 percent) of these

were for patients 65 years and over. Together these two expected sources of payment accounted for 31.2 million discharges

(80.6 percent). Even though patients expecting to pay hospital

costs through Medicare composed only 31.7 percent of all discharges, they composed 44.2 percent of all days of care. This

was due to the longer hospital stay for patients 65 years and

over. This is reflected in the average length of stay—Medicare

patients were hospitalized an average of 9.6 days, and patients

who expected private insuranqe to pay their hospital stays

averaged 5.6 days. The longest average length of stay waa noted

for Medicare patients 65 years of age and over in the Northeast

Region (12. 1 days). However, lengths of stay of less than 5

days were noted for private insurance patients under 15 years

of age in all regions and for those 15–44 years-of age in the

West.

During 1983 there were approximately 4.0 million discharges for women with deliveries (tables 7 and 8). Of these, 36

percent were discharged from hospitals in the South and 55

percent were discharged from hospitals with 300 beds or more.

Variation in rates per 1,000 civilian population by region was

insignificant, with the exception of the Northeast, which had a

rate of 45.7. Rates for all other regions were about 55 per 1,000

population.

The average length of stay was longest in the Northeast

Region with 4.3 days and shortest in the West at 2.8 days. The

South had an average length of stay of 3.4 days, and the North

Central 3.8 days.
Utilization by hospital

characteristics

Discharges ffom shoti-stay hospitals by geographic region

in 1983 ranged from 6.6 million in the West Region to 13.9

million in the South Region (table 3). Regional differences in

the number of discharges are accounted for mainly by variations

in population sizes (see appendix I, table III) and, to a lesser

extent, by variations in the discharge rates.

The rates of regional discharges per 1,000 population in

1983 were 146 in the West, 158 in the Northeast, 177 in the

South and 178 in the North Central Regions (table 5). Among

the geographic regions, the North Central and South Regions

had the higher discharge rates while the Northeast and West

Regions had the lower discharge rates. For those under 15

years of age the West had the lowest discharge rates while for

those 65 years and over the Northeast had the lowest discharge

rates.

Both the number and the rate per 1,000 population of days

of care were lowest in the West Region. The highest number of

days of care was in the South Region for most of the age and

sex categories, although the highest rates primarily were in the

North Central and the Northeast Regions (tables 4 and 5). The

number of days of care for the total population ranged from

38.8 million in the West to 91.1 million in the South Regiom

The rate per 1,000 population was 854 days in the West Region,

1,158 days in the South Region, 1,278 days in the Northeast

Region, and 1,281 days in the North Central Region.

Average lengths of stay by geographic region were 5.9

days in the West, 6.6 days in the South, 7.2 days in the North

Central, and 8.1 days in the Northeast (table 4).

The number of patients discharged from short-stay hospitals and days of care by sex and age of the patients and by

geographic region and bed size of hospitals are shown in table 4.

The percent distributions of these data are shown in table B.

Discharges from shofi-stay hospitals for patients of all ages

were about 40 percent male and 60 percent female in every

hospital bed-size group. Females with deliveries accounted for

about 10 percent of the discharges regardless of hospital size.

However, some variation was found in the distribution of patients by age. Specifically, as the bed size of the hospital increased, the percent of patients who were 65 years of age and

over decreased from 37 percent for those in the smallest hospitals to 25 percent for those in the largest hospitals. An overall

increase was found in the percent of patients aged 15–44 years

horn the smallest to the largest hospitals. The percent of patients

under 15 and 45–64 years of age showed no significant differences with increasing bed size.

Days of care by sex, age, and bed size of hospital were

generally distributed in a fashion similar to discharges (table B).

However, a smaller pattern of days of care than of discharges

was recorded for patients 15–44 years of age regardless of bed

size, and for patients 65 years and over, a larger percent of

days of care than of discharges was recorded for all bed sizes.

The differences for those aged 15–44 years were the result of

short lengths of stay for females with deliveries. However, for

those over 65 years of age the differences were the result of the

older patients being hospitalized longer than those under 65

years of age.

The average length of stay for patients discharged from

short-stay hospitals in 1983 increased steadily from 5.8 days

in the smallest hospitals (6–99 beds) to 7.8 days in the largest

hospitals (500 beds or more) (table B). The average length of

stay was slightly longer for males than for females in all hospitals

except for the smaller hospitals. However, when females who

were hospitalized for deliveries are excluded, the average lengths

of stay for both sexes were virtually the same except for the

larger hospitals. Except for patients 15-44 years of age, the

average length of stay increased as the age of the patient increased regardless of the size of the hospital.

Approximately 7 out of 10 patients in non-Federal shortstay hospitals were discharged from voluntary nonprofit hospitals operated by church and other nonprofit groups during

every year the NHDS was conducted. In 1983, voluntary

nonprofit hospitals provided medical care to an estimated 26.7

million patients, or 69 percent of all patients hospitalized.

Hospitals operated by State and local governments cared for

8.2 million patients, or 21 percent of all discharges, and proprietary hospitals operated for profit cared for 3.9 million patients, or 10 percent of all discharges (table 6).

The estimated 268.3 million days of care utilized by patients

in short-stay hospitals during 1983 were distributed by ownership of hospitals in the following mannec voluntary nonprofit,

190.4 million days, or 71 percenq government, 51.7 million

days, or 19 percenc and proprietary 26.3 million days, or 10

percent. Average lengths of stay were 7.1 days in voluntary

nonprofit hospitals, 6.3 days in government hospitals, and 6.8

days in proprietary hospitals.

5
Table B. Number and percent distribution of patients and days of care and average length of stay for patients discharged from short-stey

hospitals by sex and age of patient, according to bed size of hospital: United Statea, 1983

[Discharges from non-Federal short-stay hospitals. Excludes “S.wborn j“fan~~]

6-99 700-199 200-299 300-499 5(70 beds

Sex and age Number All sizes beds beds beds beds o,r more

Number of patiants discharged in thousands

All patients discharged ...,..... . . . . . . . . . . . . . . . . . . . . . . .

Sex

Both sexes, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female including deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female excluding deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Age

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under 15 years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 years...,.....,.....,,. . . . . . . . . . . . . . . . . . . . . . . .

45-64 years...,....,......,,. . . . . . . . . . . . . . . . . . . . . . . .

65 years and over...,......,.. . . . . . . . . . . . . . . . . . . . . . . .

Alldays of care...,,.....,.. . . . . . . . . . . . . . . . . . . . . . . . . .

Sex

Both sexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female including deliveries, ,.. . . . . . . . . . . . . . . . . . . . . . . . . .

Female excluding deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Age

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under 15 years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 years...,....,.....,,. . . . . . . . . . . . . . . . . . . . . . . . .

45–64 years . .,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female including deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female excluding deliveries ..,, . . . . . . . . . . . . . . . . . . . . . . . .

Age

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 years...,.....,.....,.. . . . . . . . . . . . . . . . . . . . . . . .

65 years and over . .,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38,783

36,783

15,573

23,210

19,234

38,783

3,654

15,269

8,558

11,302

268,337

268,337

114,827

153,510

139,393

268,337

16,682

76,971

65,029

109,655

6.9

7.4

6.6

7.2

4,6

5.0

7.6

9.7

38,763

100.0

40,2

59.8

49.6

100.0

9.4

39.4

22.1

29.1

268,337

100.0

42.8

57.2

51.9

00.0

6.2

28.7

24.2

40.9

6.9

7.4

6.6

7.2

4.6

5.0

7.6

9.7

6,336 7,481 5,990

Percent distribution

100.0 100.0 100.0

39.8 39.5 41.0

60.2 60.5 59.0

52.0 50.6 49,8

100.0 100,0 100.0

8,6 12.4 8.8

36.6 39.3 37.3

21.0 19.8 21.5

33.8 28.5 32.4

Number of days of care in thousands

36,438 47,797 40,806

Percent distribution

100.0 100.0 100.0

40.7 42.5 42.7

59.3 57.5 57.3

55.1 52.4 52.7

100.0 100.0 100.0

4.7 8.4 5.9

26.1 29.0 25.5

21.8 21.5 23.4

47.4 41.1 45.3

Average length of stay in days

5.8 6.4 6.8

5.9 6.9 7.1

5.7 6.1 6.6

6.1 6.6 7.2

3.2 4.3 4.6

4.1 4.7 4.6

6.0 7.0 7.4

8.1 9.2 9.5

10,041

100.0

40.1

59.9

49.0

100.0

8.1

39.7

23.4

28.7

73,543

100.0

42,4

57.6

52.0

100.0

4.9

28.9

25.7

40.5

7.3

7.6

7.0

7.8

4.4

5.3

8.0

10.3

8,934

100,0

40,5

59.5

47,6

100.0

9.4

42.3

23.5

24.7

69,753

100.0

44.5

55.5

49.5

100.0

7.1

31.5

26.3

35.0

7.8

8.6

7.3

8.1

5.9

5.8

8.7

11.1
Utilization by diagnosis

First-listed diagnosis

Diseases of the circulatory system ranked fust in 1983

among the ICD–9-CM diagnostic chapters as a principal or

first-listed diagnosis among patients discharged from nonFederal short-stay hospitals (table 9). These conditions accounted for an estimated 5.7 million discharges. Other leading

ICD–9–CM diagnostic chapters were diseases of the digestive

system (4.5 million discharges); supplementary classitlcations,

which include females with deliveries (4.5 million discharges);

diseases ofthe respiratory system (3.6 million discharges); injury

and poisoning (3.5 million discharges); and diseases of the

genitourinary system (3.3 million discharges). About two-thirds

of the patients discharged from non-Federal shoti-stay hospitals

were included in these six ICD–9–CM diagnostic chapters.

It should be pointed out that the estimates for first-listed

acute myocardhl infarction have increased substantially since

1981 because of a decision to reorder circulatory diagnoses

involving acute myocardial infarction. For example, in 1981,

60 percent of acute myocardird infarction diagnoses were firstIisted. In 1983, the fust-listed acute myocardial infarction estimate increased to 86 percent because of reordering. The alllisted diagnoses for the 2 years were essentially the same. This

change is discussed more filly in appendix I.

The diagnostic categories presented in this summary repo~

were selected either because they appear as principal or firstIisted diagnoses with great frequency or because the conditions

are of special interest. Although many of these categories—

such as malignant neoplasms, heart disease, psychoses, and

fractures all sites—we combinations of more detailed diagnoses,

they are presented as single categories without showing the

specitlc diagnostic inclusions.

The number and rate of discharges, days of care, and average

length of stay by selected f~st-listed diagnoses in 1983, including females with deliveries, are presented in table C. These

categories accounted for 51 percent of all patients discharged

during 1983 and include the most frequent first-listed diagnoses

for each sex, age, race, region, and bed-size group. The most

common fwst-listed diagnosis for most of these groups, as well

as for all patients, was females with deliveries. Excluding this

category, the two most frequent frost-listeddiagnoses were heart

disease and malignant neoplasms for all groups except patients

under 45 years of age and patients in the smallest hospitals

(6-99 beds). Discussed below are the most common first-listed

diagnoses for the categories not included above.

For patients under 15 years of age, the most frequent firstlisted diagnoses were acute respiratory infections, except influenza, and chronic dkeases of tonsils and adenoids. Some other

frequent diagnoses for these patients were diseases of the ear

and mastoid process, noninfectious enteritis and colitis, fractures of all sites, asthma, and pneumonia, all forms (table 9).

Excluding females with deliveries, the two most frequent

first-listed diagnoses for patients 15–44 years of age were all

abortions, including ectopic and molar pregnancies, and fractures, all sites.

The most frequent first-listed diagnosis, besides deliveries,

for patients other than white was heart disease. Other common

diagnoses for this group included malignant neoplasm~ all

abortions, including ectopic and molar pregnancies; diabetes

mellitus; pneumonia, all forms; fractures, all sites; and asthma.

For hospitals with 6–99 beds, the most common frost-listed

diagnosis was heart disease, followed by females with deliveries.

Other frequent diagnoses in these hospitals were pneumonia,

all formy fractures, all sites; malignant neoplasms; and noninfectious enteritis and colitis.

The number and rate of patients discharged from shortstay hospitals and average length of stay, by ICD-9–CM

diagnostic chapters and selected categories, are presented by

age for 1983 in table 9. Although the estimated rates of discharge from short-stay hospitals generally increased as the age

of the patients increased, especially for patients 15 years of age

and over, some decreases were observed. For example, decreases in rates between the two oldest age groups (45–64 years

and 65 years and over) occurred for the categories of alcohol

dependence syndrome, calculus of kidney and ureter, intervertebral disc disorders, and sprains and strains of back (including

neck). Moreover, the rates generally decreased with increasing

age for the categories of chronic disease of tonsils and adenoids

and disorders of menstruation and other abnormal bleeding.

The average length of stay increased with increasing age,

especially for patients 15 years of age and over, for most

chapters and categories of diagnoses. Overall it tended to be

higher for mental disorders (especially psychosis), cerebrovascular disease, and alcohol dependence. Other average lengths

of stay over 10 days were for malignant neoplasms, diseases of

the central nervous system, acute myocardiai infarctions, and

fractures of neck of femur for patients 45 years and over, and

fractures, all sites, for patients 65 years and over. Short average

lengths of stay occurred for patients under 45 years with a firstlisted diagnosis of chronic disease of tonsils and adenoids and

for patients 15–44 years who are admitted for abortions, including ectopic and molar pregnancies, and sterilization.

7
Table C. Number and rate of patients, days of care for patients discharged from short-stay hospitals, and average length of stay, by selected

first-listed diagnostic categories: United States, 1983

[Discharges from non-Federal short-stay hospitals. Excludes newborn infants. Diagnostic groupings and code number inclusions are based on the International

Classification of Diseases, 9th Revision, Clinical Modification]

Average

length

Diagnostic category and ICD–9-CM code Discharged patients Days of care of stay

Allconditionst ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Females with deliveries.......,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,. ..V27

Normeldeliveries2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Complicated deliveriesz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Heart disease . . . . . . . . . . . 391-392.0, 393-398, 402, 404, 41 0–416, 420-429

Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

Atherosclerotic heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

Other iachemic heart disease . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9

Cardiac dysrhythmiaa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428.0

Malignant neoplasma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208. 230-234

Fractures, all sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

Diabetea mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . ...250

8enign neoplasms and neoplasms of uncertain behavior and unspecified

nature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210-229,235-239

Cataract, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

Noninfectious enteritis and colitis . . . . . , . . . . . . . . . . . . . . . . . . ...555-556.558

Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 290-299

Arthropathies and related disorders . . . . . . . . . . . . . . . . . . . . . . . . .710-719

All abortions, including ectopic and molar pregnancies . .,......,....630-639

Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

Inguinal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . ..55o

Intervertebral disc disordera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

Diseases of the central nervous system . . . . . . . . . . . . . . ..320–336. 340-349

Chronic diseaae oftonsils and adenoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

Alcohol dependence syndrome.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

Number in

thousands

38,783

3,976

1,748

2,228

3,597

676

466

938

454

464

2,065

1,090

859

837

675

577

594

584

576

576

492

482

477

473

459

429

397

388

Rate per

1,000

population

167.0

17.1

7.5

9.6

15.5

2.9

2.0

4.0

2,0

2.0

8.9

4.7

3.7

3.6

2.9

2.5

2.6

2,5

2.5

2.5

2.1

2.1

2.1

2.0

2.0

1.9

1.7

1.7

Number in

thousands

268,337

14,117

4,849

9,268

30,781

7,377

3,909

6,455

3,254

4,494

21,768

11,141

10,091

6,731

6,388

3,634

1,511

3,003

8,901

4,774

996

4,173

1,954

3,871

2,509

4,496

733

4,472

Rate per

1,000

population

1,155.2

60.8

20.9

39,9

132,5

31.8

16.8

27.8

14.1

19.3

93.7

48.0

43.4

29.0

27.5

15.6

6.5

12.9

38.3

20.6

4.3

18.0

8.4

16.7

10.8

19,4

3,2

19.3

Days

6.9

3.6

2.8

4.2

8.6

10.9

8.4

6.9

7.4

9.7

10.5

10.2

11.7

8.0

9,5

6.3

2.5

5.1

15.4

8.3

2.0

8.7

4.1

8.2

5.5

10.5

1.8

11.5

1Includes data for diagnostic conditions not shown in table.

‘See appendix for definition.

Data on discharges, rates of discharges, and average lengths

of stay for patients discharged from short-stay hospitals by sex

and race are presented by diagnostic chapters and selected

categories of first-listed diagnosis in table 10.

Rates of discharges per 10,000 population were similar for

the two sexes for most of the diagnostic chapters and categories

shown. However, males had significantly higher rates than

females for the categories of alcohol dependence syndrome,

acute myocardial infarction, other ischemic heart disease, inguinrd hernia, calculus of kidney and ureter, intracranial injuries

(excluding those with skull fracture), and lacerations and open

wounds. For females, higher rates occurred for the categories

of benign neoplasms and neoplasms of uncertain behavior and

unspecified nature, diabetes mellitus, cataract, noninfectious

enteritis and colitis, cholelithiasis, arthropathies and related

disorders, and persons admitted for sterilization.

Seventy-eight percent of all patients discharged were white,

13 percent were all other races (including black) and 9 percent

did not state race in the medical record. However, the racial

distribution of patients for some diagnostic categories was significantly different from that of all patients. For example, the

percents were higher for white patients discharged with a firstlisted diagnosis of acute myocardial infarction (87 percent) and

atherosclerotic heart disease (86 percent). It was lower for

patients with a diagnosis of alcohol dependence (61 percent),

abortions and ectopic and molar pregnancies (63 percent), and

anemias (65 percent). For all other races it was higher for

anemias (29 percent), and abortions and ectopic and molar

pregnancies (29 percent).

Information on patients discharged from short-stay hospitals by geographic region is shown in table 11. The number of

discharges ranged from 13.9 million in the South Region to 6.6

million in the West Region. The North Central Region had

10.5 million discharges while the Northeast Region had 7.8

million discharges. The South Region had the largest number

of discharges for most categories. One major exception to this

was for mental disorders where the number of discharges was

557,000 for the North Central Region and only 471,000 for

the South Region. In 1983, the number of discharges per 1,000

population was 146 in the West Region, 158 in the Northeast

Region, 177 in the South Region, and 178 in the North Central

Region. The diagnostic categories for which variations in the

rates were the largest were malignant neoplasms, alcohol dependence syndrome, heart disease, and females with deliveries.

8
Average length of stay ranged from 8.1 days in the Northeast Region to 5.9 days in the West Region. The North Central

Region had 7.2 days while the South Region had 6.6 days. The

average length of stay was longest in the Northeast Region for

most categories. However, one notable exception was mental

disorders, where the average length of stay was 13.8 days in

the North Central Region and 12.4 days in the Northeast

Region.

During 1983, the number of patients discharged from

shoti-stay hospitals and the average lengths of stay are shown

by bed size of hospital and diagnostic category in tables 12 and

13, respectively. Females with deliveries, and heart disease

ranked as the highest categories for first-listed diagnosis in

hospitals of all sizes.

The proportions of some diagnostic conditions treated in

hospitals varied according to the size of the hospital. Greater

proportions of patients were treated in the smallest hospitals

(6-99 beds) for diseases of the respiratory system (table D).

On the other hand, greater proportions of discharges were from

the largest hospitals (500 beds or more) for neoplasms, complications of pregnancy, childbirth and the pue~erium, congenital anomalies, certain conditions originating in the perinatal

period, and supplemental classifications.

For the most part, the average length of stay for the diagnostic chapters and categories followed the same patterns as

the overall average lengths of stay for each region and bed size

of hospital. That is, short hospital stays were more common in

the WesG long stays occurred more frequently in the Northeast

Region. Similarly, the average length of stay generally increased

as the size of the hospital increased. An exception to this occurred for the diagnostic category alcohol dependence syndrome. For this diagnosis, the longest average lengths of stay

were in hospitals with 100–199 beds (15.5 days).

All-listed diagnoses

An estimated 102.0 million diagnoses were recorded for

the 38.8 million inpatients of non-Federal short-stay hospitals

in 1983 (table 14) for an average of 2.6 diagnoses per discharged patient. The average number of diagnoses per discharge

increased from years prior to 1979 because of changes that

were made in the way data are tabulated. Starting in 1979, up

to seven diagnoses per discharge now are coded and tabulated

on the NHDS data fde; prior to that time, up to five diagnoses

were coded. In addition, the ICD–9–CM, which is the classillcation scheme used for coding medical data since 1979, has

inherent in it a certain amount of “double coding”; the classification used prior to 1979 does not. For example, females with

deliveries all receive one additional diagnostic code that indicates the outcome of their delivery (single livebony twins,

both livebo~ and so forth); however, this was not the case

prior to 1979.

The average number of diagnoses per discharge varied

only slightly by sex and race of the patient and by region and

bed size of the hospital. For each of these categories, the average

was 2.4–2.8 diagnoses per patient. A larger variation occurred

by age. The average number of diagnoses per discharge for the

age groups under 15 years, 15–44 years, 45–64 years, and 65

years and over was 1.8, 2.1,2.7, and 3.5, respectively.

Diseases of the circulatory system ranked first among the

ICD–9–CM diagnostic chapters for all-listed diagnoses, with

19.6 million diagnoses. This was followed by diseases of the

digestive system (9.2 million); supplementary classifications

(8.3 million) diseases of the genitounnary system (7.7 million);

and diseases of the respiratory system (7.6 million). These 5

ICD–9–CM chapters accounted for approximately51 percent

of all-listed diagnoses in 1983.

Table D. Percent distribution of patients discharged from short-stay hospitals by bed size of hospital, according to diagnostic chaptec United

States, 1983

[Discharges from non-Federal short-stay hospitals. Excluding newborn infants. Diagnostic groupings and code number mclus,ons are based on the International

Classification of Diseases, 9th Revision, Clinical Modification]

Diagnosis chapter and ICD-9-CM code

All

sizes

6-99

beds

100-799 200-299

beds beds

300-399

beds

500 beds

or more

All conditions’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Infectious and parasitic diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001-139

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140-239

Endocrine, nutritional and metabolic diseases and immunity

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

Diseases of the blood and blood-forming organs. . . . . . . . . . . . . . ...280-289

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290-315

Diseases of the nervous system and sense organs. . . . . . . . . . . . . ...320-389

Diseases of the circulatory system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390-459

Diseases oftha respiratory system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460-519

Diseases of the digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .520-579

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . ...580-629

Complications of pregnancy, childbirth, and the puerperiuml . . . . ...630-676

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . ...680-709

Diseases of the musculoskeletal system and connective tissue . . ...710-739

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

Certain conditions originating in the perinatal period . . . . . . . . . . ...760-779

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . ...780-799

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

16.3

17.5

8.1

21.1

17.9

18.8

10.4

16.9

23,1

20.1

14.9

13.3

19.6

16.4

8.3

6.0

16.1

17.0

13.2

Percent distribution

19.3 15.4

22.5 14.7

14.0 14.4

18.8 15.5

18.0 17.1

18.9 10.9

19.9 15,8

17.7 17.4

22.0 15.6

20.3 16.8

21.2 15.5

18.3 13.9

18.4 14.7

19.1 15.8

20.1 11.8

20.5 15.2

19.9 16.5

20.6 15.9

18.6 13.8

25.9

24.4

30.3

24.8

24.3

29.9

27.5

26.0

22.6

23.9

26.0

26.2

24.5

25.3

23.9

24.6

24.6

25.4

27.4

23.0

20.9

33.3

19.8

22.7

21.6

26.4

21.9

16.7

18.9

22.4

28.4

22.8

23.4

35.8

33.9

22.8

21.1

27.1

1Females with deliveries are included under “Supplementary classifications.””

9
Utilization by procedures

One or more procedures were performed for an estimated

21.2 million of the 38.8 million inpatients discharged from

short-stay hospitals during 1983. A total of 35.9 million procedures, or an average of 1.7 per patient who underwent at

least one procedure, were recorded in 1983 (table 15).

These figures are higher than those reported prior to 1979

because changes were made in the tabulation and coding of

data for the NHDS that resulted in the reporting of a greater

number of procedures. Beginning in 1979 more procedures,

both in number per patient and in type of procedure, were coded.

SpecFlcally, starting in 1979 up to four procedures, instead of

only three, were coded for each discharge. Furthermore, only

figures for “surgical” operations were published in the past.

However, since 1979 the total number includes many additional nonsurgical procedures. (See appendix I under the section

entitled “Medical coding and edit” and appendix II under the

section entitled “Terms relating to surgical and nonsurgical

procedures” for more information on the differences between

coding the ICDA and the ICD–9–CM.)

The number and percent of patients with surgical and nonsurgical procedures in 1983 and the number and percent of

patients with at least one surgical procedure are shown in

Table E. Number of patients discharged from short-stay hospitals with and without procedures and percent with procedures, by selected

characteristics of patients: United States, 1983

[Discharges from non-Federal short-stay hospitals, Excludes “e~bor” infant~]

Patients with procedures

All Patients Patients

discharged

Patients

without All

Characteristic

with surgical All with surgical

patients procedures patients procedures~ patients procedures 1

All patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Age

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Geographic region

Northeast, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South ..,......,............,.. . . . . . . . . . . . . . . . . . . . . . . .

West. .,,......,...........,.. . . . . . . . . . . . . . . . . . . . . . . . .

Bed size of hospital

6-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200–299 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

300–499 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

500 beds or more...,.....,.. . . . . . . . . . . . . . . . . . . . . . . . . . .

Number in thousands

38,7’63 17,488

3,654

15,269

8,558

11,302

15,573

23,210

30,106

5,235

3,441

7,793

10,492

13,884

6,614

6,336

7,481

5,990

10,041

8,934

17,567

2,109

5,631

3,828

6,000

7,569

9,996

13,628

2,468

1,471

3,305

4,679

6,919

2,663

4,110

3,628

2,583

4,161

3,085

21,216

1,545

9,638

4,731

5,302

8,004

13,211

16,478

2,767

1,970

4,468

5,813

6,964

3,950

2,225

3,854

3,407

5,680

5,650

1,296

8,575

3,652

3,965

6,266

11,222

13,527

2,251

1,710

3,557

4,776

5,874

3,281

1,920

3,195

2,735

4,870

4,767

54.7

42.3

63.4

55.3

46.9

51.4

56.9

54.7

52.9

57.2

57.6

55.4

50.2

59.7

35.1

51.5

56.9

58.6

65.5

45.1

35. !5

56.3

42.7

35.’1

40.2

48.4

44.9

43.0

49.7

45.7

45.5

42.3

49.6

30.3

42.7

45.7

48.5

53.4

I Excludes nonsurgical procedures,

10
table E. About 55 percent of the patients discharged had some

procedure, including diagnostic and nonsurgical procedures. Some

variations in the proportions, however, occurred by age and sex

of the patient, geographic region, and bed size of the hospital.

Patients 15–44 years of age had the highest proportion of all

the age groups with procedures (63 percent). Women had more

procedures than men (57 percent compared with 51 percent),

primarily because of those relating to childbirth. The proportion

of patients with one or more procedures increased with the size

of the hospital, from 35 percent in hospitals with 6–99 beds to

about 66 percent in hospitals with 500 beds or more.

Approximately 55 percent of the patients with procedures

had only one operation or nonsurgical procedure during their

hospitalization (table F). About 28 percent of the patients had

two procedures, about 10 percent had three, and about 7 percent had four or more. By age, patients under 15 years of age

had the lowest proportion of multiple procedures (35 percent)

and those 45–64 and 65 years of age and over had the largest

proportion (51 and 53 percent, respectively). About 41 percent

of the patients discharged from the smallest hospitals had more

than one procedur% about 45 percent of the patients discharged

from hospitals of all other sizes had two or more procedures

during their hospitalization.

Procedures are grouped in the detailed tables of this report

by the 16 major ICD–9–CM groups. Selected procedures

within these groups are presented by specitlc categories within

the detailed tables as well as in the text tables. Some of these

categories-such as repair of inguinal hernia, prostatectomy,

and hysterectomy—are presented as single categories although

they may be divided into more precise subgroups.

Miscellaneous diagnostic and therapeutic procedures (6.3

million) ranked fwst among the surgical and nonsurgical procedures performed during 1983. Other leading ICD–9–CM

groups were operations on the digestive system (5.9 million),

obstetrical procedures (3.9 million), operations on the female

genital organs (3.9 million), and operations on the musculoskeletal system (3.8 million). About two-thirds of the procedures performed in 1983 were included in these five major

groups.

The number and rate of all-listed procedures in 1983 by

selected ICD–9–CM categories are shown in table G. The

categories presented in this table include procedures that were

performed frequently during the year. Many of the procedures

included in this table are diagnostic and nonsurgical procedures

that were not published by the NHDS prior to 1979, such as

endoscopy on the digestive system, endoscopy of the urinary

Table F. Percent distribution of patients discharged t%om short-stay hospitals by number of procedures, according to selected characteristics

of patients: United States, 1983

[Discharges from non-Federal short-stay hospitala. Excludes newborn infsnta]

All

discharged

patients 4

with 1 2 3 procedures

Characteristic procedures procedure procedures procedures or more]

Percent distribution

All patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,0 55.0 27.6 10.3 7.1

Age

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 years and over...........,.. . . . . . . . . . . . . . . . . . . . .

100.0

100.0

100.0

100.0

64.6

60.9

49.0

46.9

26.1

25.4

28.9

31.1

5.7

8.8

12.9

12.1

3.6

5.0

9.1

10.0

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

100.0

52.6

56.4

28.1

27.4

11.1

9.8

8.2

6.4

Race

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Another . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Not stated.................,.. . . . . . . . . . . . . . . . . . . . .

100.0

100.0

100.0

54. ?

58.3

57.6

28.0

25.5

27.9

10.6

9.1

9.1

7.3

7.1

5.4

Geographic region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

100.0

100.0

100.0

56.2

52.8

55.2

56.7

26.9

27.5

28.3

27.5

9.5

11.2

10.4

9.8

7.5

8.5

6.2

6.1

Bed size of hospital

6-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200-299 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

300-499 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

500 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

100.0

100.0

100.0

100.0

59.2

54.2

54.0

55.6

53.7

25.5

28.4

28.9

27.6

27.3

9.1

10,0

10.7

10.1

10,9

6.1

7.1

6.3

6.6

8,2

1A maximum of 4 procedures was coded for each patient discharged,

11
system through natural orifice, arteriography and angiocardiography using contrast material, and radioisotope scan. Over

one-half million of each of these procedures were performed

during 1983.

Data for the more traditional leading surgical operations

are shown in table G. Some of the most frequently performed

surgeries, of which 500,000 or mor? were performed in 1983,

included cesarean section, excision or destruction of lesion or

tissue of skin or subcutaneous tissue, hysterectomy, diagnostic

dilation and curettage of uterus, extraction of lens, bilateral

destruction or occlusion of fallopian tubes, insertion of prosthetic

lens, and repair of inguinal hernia.

The estimated 35.9 million procedures performed in 1983

are presented for the ICD–9–CM major groups and selected

categories by age, sex, race, and region in tables 15, 17, 19,

and 20, respectively. The corresponding rates by age, sex, and

region are shown in tables 16, 18, and 21, respectively.

Of the 35.9 million procedures performed during 1983,42

percent were performed on patients 15–44 years of age, while

only 6 percent were performed on patients under 15 years of

age. The most common procedures performed on patients under

15 years was tonsillectomy with or without adenoidectomy,

and for those 15–44 years of age it was episiotomy without

forceps and vacuum extraction. The most corrunon procedure

for the 45–64 years age group was arteriography and angiocardiography using contrast material, and for those 65 years

and over it was lens extraction.

The rate of procedures per 1,000 population increased

with advancing age from a rate of 44 for patients under 15

years to 358 for patients 65 years of age and over (table H).

Except for females 15–44 years of age, the rates for both sexes

also increased as age increased. The rate for females 15–44

years of age was higher than that for females 45–64 years of

age because of the large number of females 15–44 years of age

operated on for obstetrical and gynecological conditions.

Of the 35.9 million procedures performed during 1983,

about 14.0 million were for males and 21.9 were for females.

The corresponding rates per 1,000 population were 155 for

both sexes, 125 for males, and 183 for females. Of the procedures shown in table 17, the most common for males were

repair of inguinal hernia and prostatectomy. For females, the

most frequently performed procedures were episiotomy without

forceps and vacuum extraction, cesarean section, hysterectomy,

diagnostic dilation and curettage of uterus, and bilateral ldestruction or occlusion of fallopian tubes.

The distribution of procedures by race is shown in

Table G. Number and rate of all-listed procedures for patients discharged from short-stay hospitals, by selected procedure categories: United

States, 1983

[Discharges from n~n-Federal short-stay hospitals. Excludes newborn fnfants. Procedure groupings and code number inclusions are based on the International

Classification of Diseases, 9th Revision. Clinical Modification]

Procedure category and ICD-9-CM code Procedures

All procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Surgical proceduresl .,,.,...,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonsurgical proceduresl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Procedures to assist delivery,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . ..72–73

Endoscopy of the digestive system. . . .42.21 -42.23,44 .11 –44.13, 45.11 –45.13, 45.21-45.24,48.21-48.22, 51.11, 54.21

Biopsy ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Computerized axial tomography (CAT scan). . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.03. 87.41, 87.71, 88.01, 88.38

Arteriography and angiocardiography by using contrast material. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.4-88.5

Cesarean section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0 -74.2. 74.4,74.99

Endoscopy of the urinary system through natural orifice . . . . . . . . . . . . . . . . 55.21-55.22, 58.31, 57.32, 58.22

Diagnostic ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

Radioisotope scan, . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.01 –92.1

Excision or destruction of lesion or tissue of skin or subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86.2–86.4

Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 –68.7

Diagnostic dilation and curettage of uterus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

Extraction of lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.1 –13.6

Bilateral destruction or occlusionof fallopian tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...66.2-66.3

Insertion of prosthetic lens.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

Oophorectomy andsalpingo-oophorectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

Repair ofinguinal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21 -37.23

Arthroplasty of joints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81 .3–81.8

Operations on spinal cord and spinal canal structures except biopsies. . . . . . . . . . . . . . . . . . . . . 3–3.31 , 3.39-3.9

Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

Repair occurrent obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

Pyelogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.73 -87.75

Tonsil lectomy with orwithout adenoidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

Open reduction of fracture . . . . . . . . . . . . . . . . . . . . . . 76.72, 76.74, 76.76–76.77, 76.79, 79.2-79.3, 79.5 -79.6

Contrast myelogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B7.21

Operations onmuscle, tendons, fascia, and bursa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...82-83.1 ,83.3 -83.9

Prostatectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

Number in

thousands

35,939

26,220

9,718

2,405

1,645

1,495

871

825

808

800

695

685

680

672

632

630

568

516

512

510

508

499

490

487

479

453

424

423

404

403

357

Rate per

100,000

population

15,471.8

11,288.0

4,183.8

1,035.3

708.1

643.1

374.8

355.2

347.6

344.2

299.0

295.0

292.9

289.4

272.1

271.1

244.4

222.3

220.5

219.5

218.8

215.0

210.9

209.6

206.3

195.0

1827

182.1

173.8

173.5

15:3.6

lSee appendix II for ICD–9-CM codes in this categov.

12
Table H. Number and rate of all-listed procedures for patients

discharged from short-stay hospitals, by sex and age of patient

United States, 1983

[Discharges from non-Federal short-stay hospitals. Excludes newborn infanta]

Both

Age sexes Male Female

Alleges . . . . . . . . . . . . . . . . . . . . . . . . .

Under 15 years . . . . . . . . . . . . . . . . . . .

15-44 years . . . . . . . . . . . . . . . . . . . . .

45-64 years . . . . . . . . . . . . . . . . . . . . .

65 years and over . . . . . . . . . . . . . . . . .

Alleges . . . . . . . . . . . . . . . . . . . . . . . . .

Under 15 years . . . . . . . . . . . . . . . . . . .

15-44 years . . . . . . . . . . . . . . . . . . . . .

45-64 years, . . . . . . . . . . . . . . . . . . . .

65 years and over . . . . . . . . . . . . . . . . .

Number of procedures

in thousands

35,939 13,993 21,946

2,293 1,346 947

15,214 4,013 11,201

8,615 4,078 4,538

9,816 4,556 5,261

Rate per 1,000 population

154.7 124.7 182.7

44.5 51.0 37.6

139.8 74.8 203.1

~ 93.5 192.7 194.2

358.5 414.5 320.9

table 19. Seventy-eight percent of all procedures were performed on white patients, 13 percent were performed on all

other races (includlng black), and 9 percent were performed on

patients with no race stated. Generally, the percent distribution

of total procedures for white patients was similar to that for all

other patients and those with race not stated. However, the

percents for all other patients were higher for obstetrical procedures and operations on the female genital organs.

The number of procedures for patients discharged from

short-stay hospitals by procedure category and geographic

region is presented in table 20, and the corresponding rates are

shown in table 21. The rate of procedures per 1,000 population

was 173 in the North Central Region, 153 in the Northeast,

148 in the South, and 144 in the West. Rates were highest in

all regions for operations on the digestive system, the female

genital organs, the musculoskeletal system, obstetrical procedures, and miscellaneous diagnostic and therapeutic procedures.

The number of procedures in short-stay hospitals during

1983 for each ICD–9–CM categov by bed size of hospital

where the procedure was performed is shown in table 22.

Operations on the digestive system were observed to rank

highest of all-listed procedures in hospitals with less than 300

beds. The most common procedures for hospitals of 500 beds

or more were miscellaneous diagnostic and therapeutic procedures and operations on the digestive system.

The percent distributions of the major groups of procedures

by bed size of hospital are shown in table J. Hospitals with 300

beds or more treated an estimated 49 percent of the patients

hospitalized during 1983, but performed about 56 percent of

the procedures. Procedures for which large percents were performed in hospitals with 300 beds or more were operations on

the cardiovascular system (74 percent) and on the endocrine

system (67 percent). Other groups having 60 percent or more

of the procedures performed in hospitals with 300 beds or more

were operations on the respiratory system (64 percent), operations on the heroic and lymphatic system(61 percent), operations

on the nervous system (61 percent), and miscellaneous diagnostic and therapeutic procedures (61 percent).

Table J. Percent distribution of all-listed procedures for patients discharged from short-stey hospitals by bed size of hospital, eccording to

procedure cetegorie= United States, 1983

[Discharges from ncm-Federal short-stay hospitals. Excludes newborn infants. Procedure group!ngs and code number mc!us,ons are based on the Intematmnal

Classification of Diseases, 9th Revision, Clinical Modification]

6-99 100-799 200-299 300-499 500 beds

Procedure category and ICD-9-CM code All beds beds beds beds or more

All procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Operations onthe nervous system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01-05

Operations ontha endocrine system . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

Operations on the eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

Operations on the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

Oparstions on the nose, mouth, and pharynx . . . . . . . . . . . . . . . . . . . . .. 21-29

Operations onthe respiratory system. . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

Operations on the cardiovascular system. . . . . . . . . . . . . . . . . . . . . . . ...35-39

Operations on the heroic and lymphatic system . . . . . . . . . . . . . . . . . . . . 40-41

Operations onthe digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

Operations onthe urinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

Operations onthemale genital organs . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

Operations on the famale genital organs. . . . . . . . . . . . . . . . . . . . . . . ...65-71

Obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

Operations on the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . ...76-84

Operations on the integumantaty system . . . . . . . . . . . . . . . . . . . . . . ...85-86

Miscellaneous diagnostic and therapeutic procedures. . . . . . . . . . . . ...87-99

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Percent dlstnbutlon

10.0 18.2 16.1 27,4

6.9 16.9 15.4 26.2

4.8 11.4 16.2 30.5

8.8 20.4 15.5 30,0

5.6 18.3 20.4 29.8

13.6 ! 8.3 18.3 26.9

4.4 16.4 15.3 29.0

2.6 9.7 14.2 32.7

7.1 15.3 15.9 26.0

12.2 19.3 17.7 26.3

9.5 20.1 17.5 29.6

11.0 20.4 16.4 28.2

11.9 21.3 14.9 25.4

11.3 18.3 72,7 28.0

14.4 19.9 16.3 26.0

14,6 17.0 14,9 28.1

5.7 16.4 17,1 27.7

28.3

34.7

36.2

25.4

25.8

22.9

34.5

40.8

35.3

24.4

23.3

24.0

26.5

29,7

23,3

25,3

33.7

13

.
Deaths in short-stay hospitals

In 1983, 96.0 percent of patients, excluding newborn infants, who were discharged form short-stay hospitals were discharged alive, 2.6 percent were discharged dead, and for 1.2

percent a discharge status was not ascribed. Of the estimated

996,000 patients who died, 51.8 percent were male and 48.2

percent were female (table K). As expected, patients 65 years

and over accounted for the majority of hospital deaths-72.9

percent. Patients under 65 years of age accounted for 27.1

percent of the deaths. The 996,000 who were discharged dead

from these hospitals represented about one-half of all persons

who died during 1983.5

The hospital fatality rate is the number of deaths divided

by the number of total discharges multiplied by 100. This is a

conservative rate since the formula assumes that all those patients whose discharge status was not stated were discharged

alive. A fatality rate of 2.6 has been computed for patients in

1983. The rate for males was higher than that for females–-3.3

for males compared with 2.1 for females.

The 65 years and over age group had a hospital fatality

rate of 6.4 per 100 discharges; however, patients under 65 years

of age had a fatality rate of 1.0. The fatality rates for males and

females did not vary significantly from each other in each of

the age groupings.

The estimated number of hospital deaths and hospital fatality rates for patients under 65 years of age and for those 65

years and over are shown for selected conditions in table L,

These data are not synonymous with data for underlying cause

of death as rep,orted in Vital Statistics in the United States, Of

Table K. Number of deaths and fatality rate of patients discharged from short-stay hospitals, by sex and age: United States, 1983

[Deaths in nonfederal short-stay hospitals. Excludes newborn infants]

Both Both

Age sexes Male Female sexes Male Female

Number in thousands Rate per 100 discharges

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 996 516 480 2.6 3.3 2.1

Allages exluding obstetric conditions . . . . . . . . . . . . . . . . . . . . . . . 995 516 478 2.9 3.3 2.6

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270 156 114 1.0 1.4 0.7

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 17 13 0.8 0.8 0.9

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 27 19 0.3 0.6 0.2

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 726 360 365 6.4 7.5 5.6

Table L. Number of deaths and fatality rate of patients discharged from short-stay hospitals, by age and selected first-listed diagnoses: United

States, 1983

[Deaths in non-Federal short-stay hospitals. Diagnostic groupings and code number inclusions are based on the International Classification of Diseases, 9th Revision,

Clinical Modification]

All Under 65 years All Under 65 years

Diagnostic category and ICD–9-CM code ages 65 years and over ages 65 years and over

Number in thousands Rate per 100 discharges

All deaths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 996 270 726 2.6 1.0 6.4

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208. 230–234 233 82 151 11.5 8.4 14.3

Heart disease . . . . . . . . . . . . . 391-392,0, 393-398, 402, 404, 41 0–416, 420-429 302 63 239 8.4 4.1 1’1.5

Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410 125 24 101 18.5 8.3 26.4

Chronic ischemic heart disease.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411 –414 28 *5 23 2.0 0.7 :3.2

Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427 69 17 52 15.1 9.6 18.6

Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0 45 *6 39 9.7 *5.9 1 ().7

Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438 81 13 68 9.4 5.9 10.7

Pneumonia, all forms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480–486 50 *8 43 6.0 *1.5 I :z.8

Chronic liver disease and cirrhosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...571 9 6 *3 9.5 9.0 “1’1.3

Nephritis, nephrotic syndrome, and nephrosis. . . . . . . . . . . . . . . . . . . . . . ..580-589 18 *3 15 13.4 *3.9 26.1

Injury andpois.oning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800–999 36 15 21 1.0 0.6 2.7

14

.
Table M. Average length of stay of patients discharged from short-stay hospitals by discharge status, sex, and age: United States, 1983

[Deaths in non-Federal short-stay hospitals. Excludes newborn infants]

Discharge status

Alive Deed

Both Both

Age sexes Male Female sexes Male Female

Average length of stay in days

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.8 7.2 6.5 13.0 12.9 13.0

All ages excluding obstetric conditions . . . . . . . . . . . . . . . . . . . . . . . . . . 7.3 7.2 7.4 13.0 12.9 13.1

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.7 6.3 5.3 12.7 12.4 13.1

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.5 4.5 4.6 7.8 9.0 6.2

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.0 6.1 4.6 13.2 13.5

45-64 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12.7

7.5 7.4 7.5 13.3 12.6

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14.3

9.5 9.3 9.6 13.1 13.1 13.0

the estimated 996,000 deaths in short-stay hospitals, 73 percent are accounted for by the diagnostic groupings shown in

table L. Of these, heart disease and malignant neoplasms accounted for about one-half (535 ,000) of ail deaths in shoti-stay

hospitals.

For specitlc diagnoses, the highest fatality rates were for

acute myocardial infarction with a rate of 18.5 per 100 discharges and cardiac dysrhythmias with a rate of 15.1 per hundred

discharges. Other high fatality rates were for malignant neoplasms ( 11.5 per 100 discharges), and nephritis, nephrotic

syndrome and nephrosis (13.4 per 100 discharges).

The average len@h of stay for patients discharged from

short-stay hospitals, by discharge status and sex, is shown in

table M. The average stay for all patients discharged was 6.8

days. Patients dischmged alive had an average stay of 6.8 days,

compared with an average stay of 13.0 days for patients who

died in the hospital.

Patients under 65 years of age, discharged alive, stayed an

average of 5.7 days; however, those who died had an average

stay of 12.7 days. The hospital stay for patients 15–44 years of

age who died was 2.6 times as long as for those who were

discharged alive (13.2 and 5.0). The difference in length of

stay was much smaller for patients 65 years and over—9.5

days for those discharged dive and 13.1 days for those who

died.

15
Newborn infant discharges

The number, percent distribution, and average length of

stay of newborn infants discharged from shoti-stay hospitals,

by sex, geographic region, and race are shown in table N. The

estimated 3.8 million newborn infants were equally divided

between the sexes.

About 36 percent ( 1.4 million) of newborn discharges were

from the South Region and approximately 25 percent ( 1.0 million) were from the North Central Region. The percents of

discharges for the West and Northeast Regions were approximately the same: 20 percent (0.8 million) for the West and 19

percent (0.7 million) for the Northeast. The average length of

stay was 4.5 days in the Northeast and 2.9 days in the West.

The average length of stay was 4.2 days in the North Central

Region and 3.7 days in the South. Almost three-quarters of the

3.8 million newborn infants discharged from shoti-stay hospitals were” well.” A well infant is defined as one who does not

have an illness or risk-related diagnosis (table O).

The estimated 1.1 million sick infants (29 percent of all

newborn) had at least one diagnosis in addition to the newborn

diagnosis. Some of these additional diagnoses are shown in

table P. About 0.5 million (29 percent) of the diagnoses were

for jaundice. The next three leading diagnoses were respiratory

conditions, prematurity, and congenital anomalies. These four

diagnoses accounted for about 58 percent of all sick newborn

diagnoses. Males accounted for 58 percent of the respiratory

conditions, 58 percent of the congenital anomalies, 54 percent

of the jaundice, and 50 percent of the prematurity diagnoses.

Table N. Number, percent distribution, and sverage length of stay

for newborn infants discharged from non-Federal short-stay

hospitals by sex and geographic region: United States, 1983

Average

length

Sex and geographic region Discharges of stay

All newborn infanta . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . .

Geographic region

Northeast . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . .

West.. . . . . . . . . . . . . . . . . . . .

Number in

thousands

3,828

1,972

1.857

717

953

1,388

771

Percent

distribution

100.0

51.5

48.5

18.7

24.9

36.2

20.1

-

3.8

3.8

3.8

4.5

4.2

3.7

2.9

Table O. Number and everage length of stay of newborn infants

discharged from non-Federal short-stay f’ioapitals, by sex and

health status: United States, 1983

Both

Health status sexes Male Female

Number in thousands

All newborn infants . . . . . . . . . . . . . . . . . 3,828 1,972 1,857

Well newborn infants......,., . . . . . . . 2,730 1,359 1,371

Sick newborn infants . . . . . . . . . . . . . . 1,099 613 486

Average length of stay

in days

Allnewborn infanta . . . . . . . . . . . . . . . . . 3.8 3.8 3.8

Well newborn infants . . . . . . . . . . . . . . . . 3.0 3.0 3.0

Sick newborn infants . . . . . . . . . . . . . . . . 5.8 5.6 6.1

Table P. Number of all-listed diagnoses for sick newborn infants,

discharged from short-stay hospitals by selected diagnostic

categories and sex United States, 1983

[All-1isted diagnoaas in non-Federal short-stay hoapitala. Diagnostic groupinga

and code number inclusions ara basad on the International Classification OIr

Diseases, 9th Revision, Clinical Modification]

Both

Diagnostic category and ICD-9-CM code sexes Male Female

Number in thousands

Sick newborn infant diagnoses . . . . . . . . 1,751 994 758

Congenital anomaliea. . . . . . ...740-759 150 87 63

Disorders relating to short gestation and

unspecified low birthweight

(prematurity) . . . . . . . . . . . . . . . . . ...765 161 81 79

Respiratory distress syndrome and other

respiratory conditions of fetus and

newborn . . . . . . . . . . . . . . . . .. 769-770 192 112 80

Hemolytic disease of fetus or newborn,

due to isoimmunization and other

perinatal jaundice. . . . . . . . ...773-774 516 281 235

I Includas data for diagnostic conditions not shown in table.

Of the 1.1 million sick newborn infants, there were 26 percent

more baby boys than baby girls; the boys also had 31 percent

more diagnoses than the girls did.

Well newborn infants had an average. hospital stay of 3.0

days, and there was no dflerence in the length of stay by sex

(table O). This table further demonstrates that sick newb,om

infants stay alinost twice as long as well infants (5.8 versus 3.0

days) and account for 44 percent of the newborn patient days,

although they constitute only 29 percent of newborn infants.

16
References

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3National Center for Health Statistics: Eighth Revision International

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4M. Moierx The use of Hospital Discharge Survey data to produce

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deaths, marriages, and divorces. Monthly Vital Statistics Report. Vol.

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(PHS) 82-1721. Public Health Service. Washington. U.S. GovernmentPrinting Office, Nov. 1981.

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Consultant Panek UHDDS Classes of Procedures, ICD-9-CM.

Arm Arbor, Mich. Commission on Professional and Hospital Activities,

Sept. 1, 1978.

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

Health Service. Washington. U.S. Government Printing Oflice, Apr.

1980.

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groups using data from the National Hospital Discharge Survey, United

States, 1981. Advance Data from Vital and Health Statistics, No.

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12National Center for Health Statistics, R Pokras and L. J. Kovalc

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and Health Statistics. Series 13, No. 81. DHHS Pub. No. (PHS)

85-1742. Public Health Service. Washington. U.S. Government

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shofl-stay hospitals, summary of nonmedical statistics, United States,

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

1000. Public Health Service. Washington. U.S. Government Printing

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14National Center for Health Statistics, M. J. Witkir. Utilization of

shon-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

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Feb. 1977.

17
List of detailed tables

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Number, percent distribution, and rate of patients discharged from short-stay hospitals and of days of care, and

average length of stay for patients discharged from shortstay hospitals, by sex and age: United States, 1983 . . . . . . .

Number, percent distribution, and rate of patients discharged from short-stay hospitals and of days of care, and

average length of stay for patients discharged fkom shortstay hospitals, by sex, race, and age: United States, 1983 . . .

Number of patients discharged ffom short-stay hospitals,

days of care, and average length of stay for patients discharged from shoti-stay hospitals, by geographic region,

age, and principal expected source of payment United

States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of patients discharged fkom shoti-stay hospitals,

days of care, and average length of stay for patients discharged from short-stay hospitrds, by age, geographic

region, bed s@e of hospital, and sex: United States, 1983 . . .

Rate of patients discharged from short-stay hospitals and

of days of care, by age, geographic region, and sex: United

States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of patients discharged from shofi-stay hospitals,

days of care, and average length of stay for patients discharged from shoti-stay hospitals, by type of ownership of

hospital and age and sex of patient United States, 1983 . . .

Number, percent distribution, and rate of women with deliveries discharged from shofi-stay hospitals and of days of

care, and average length of stay, by age, race, geographic

region; and bed size of hospitak United States, 1983 . . . . . .

Number of women with deliveries and number of days of

care and average length of stay for women with deliveries

discharged from shofi-stay hospitals, by geographic region

and bed size of hospitak United States, 1983 . . . . . . . . . . . .

Number of patients discharged from shoti-stay hospitals,

rate of discharges, and average length of stay, by category

of first-listed diagnosis and age: United States, 1983 . . . . . .

Number of patients discharged from shofi-stay hospitals,

rate of dkcharges, and average length of stay, by category

of first-listed diagnosis, sex, and race Urdted States, 1983 . . .

19

20

21

23

26

26

27

27

28

30

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

Number of patients discharged ffom short-stay hospitals,,

rate of discharges, and average length of stay, by category

of first-listed diagnosis and geographic regiorx United

States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of patients discharged ffom short-stay hospitals,

by category of fust-listed diagnosis and bed size of hospital

United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average length of stay for patients discharged from shortstay hospitals, by category of fret-listed diagnosis and bed

size ofhospitak United States, 1983 . . . . . . . . . . . . . . . . . . .

Number of all-listed diagnoses for patients discharged from

short-stay hospitals, by diagnostic category and age, sex,

race, geographic region, and bed size of hospital Unitecl

Stites. 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from shofi-stay hospitals, by procedure category and age

United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,

Rate of all-listed procedures for patients discharged from

short-stay hospitals, by procedure category and age: Unitecl

Stites. 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospi@s, by procedure category and sex

United Stites, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Rate of all-listed procedures for patients discharged from

short-stay hospitals, by procedure category and sex: United

S@tes, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from shoti-stay hospitals, by procedure category and race

United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged from

short-stay hospitals, by procedure category and geographic

regiorx United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Rate of al-listed procedures for patients discharged from

short-stay hospitals, by procedure category and geographic

region United States, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospitals, by procedure category and bed

size ofhospitd United States, 1983 . . . . . . . . . . . . . . . . . . .

32

34

35

36

38

39

40

41

42

43

45

46

18
TABLE 1. NUMBER, PERCENT DISTRIBUTION, AND RATE OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS AND OF OAYS OF CARE* ANO AVERAGE

LENGTH OF STAY FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY SEX ANO AGE: UNITEO STATES, 1983

( DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEHBORN INFANTS)

01 SCHARGEO PATIENTS

SEX ANO AGE

DAYS OF CARE

AVERAGE

NUMBER PERCENT RATE PER NUMBER

LENGTH OF

PERCENT

IN

RATE PER STAY IN DAYS

01 STRIBUTION 1,000 IN DISTRIBUTION 1,000

THOUSANOS POPULATION THOUSANDS POPULATION

BOTH SEXES

ALL AGE S. . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE AD S. . . . . . . . . . . . . . . . . . . . . .

UNOER 1 YEA R. . . . . . . . . . . . . . . . . . . . . .

1 TO 4 YE AD S. . . . . . . . . . . . . . . . . . . . . .

5-14 YE ARS. . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

20-24 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

25-34 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

35-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE AD S. . . . . . . . . . . . . . . . . . . . . . . . .

45-54 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

55-64 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

65-74 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

75-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

85 YEARS AND OVER . . . . . . . . . . . . . . . . .

UNDER 17 YE AR S. . . . . . . . . . . . . . . . . . . . . .

17-69 Yf:ARS . . . . . . . . . . . . . . . . . . . . . . . . .

70 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

MALE

ALL AGE S. . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNDER 15 YE AR S. . . . . . . . . . . . . . . . . . . . . .

UNOER 1 YEA R. . . . . . . . . . . . . . . . . . . . . .

1 TO 4 YEAR S. . . . . . . . . . . . . . . . . . . . . .

5-14 YE ARS. . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

20-24 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

25-34 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

35-44 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

45-54 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

55-64 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

65-74 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

75-84 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

B5 YEARS ANO OVER . . . . . . . . . . . . . . . . .

UNOER 17 YEAR S. . . . . . . . . . . . . . . . . . . . . .

17-69 YEA RS. . . . . . . . . . . . . . . . . . . . . . . . .

70 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

FEMALE

ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . . . .

UNOER 1 YEA R. . . . . . . . . . . . . . . . . . . . . .

1 TO 4 YEAR S. . . . . . . . . . . . . . . . . . . . . .

5-14 YE ARS. . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEA AS. . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YEARS . . . . . . . . . . . . . . . . . . . . . . .

20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . .

25-34 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

35-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE AR S. . . . . . . . . . . . . . . . . . . . . . . . .

45-54 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

55-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

65-T4 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

75-84 YE ARS. . . . . . . . . . . . . . . . . . . . . . .

85 YEARS ANO OVER . . . . . . . . . . . . . . . . .

UNOER 17 YEAR S. . . . . . . . . . . . . . . . . . . . . .

17-69 YEARS.........................

70 YEARS ANO OVER...................

3B,783 100.0 167.0

70.8

268,337

16.682

100.0

6.2

2.3

1.6

2.4

28.7

3.4

5.0

11.4

8.9

24.2

9.8

14.4

40.9

1s.7

15.B

6.3

7.3

60.7

32.0

100.0

8.2

3.1

2.1

3.1

24.2

3.2

3.6

8.9

8.5

27.5

10.7

16.8

40.1

20.3

15.0

4.8

9.4

60.6

30.1

100.0

4.7

1.7

1.2

1.8

32.0

3.6

6.0

13.3

9.1

21.8

9.1

12.7

41.4

17.5

16.4

7.5

5.8

60.8

33.4

1,155.2

323.4

1,684.0

296.7

1B7.1

707.5

48T.5

637.2

772.1

813.7

1,460.6

1,179.2

1,743.2

4,004.3

3,069.5

4,979.6

6,798.4

334.5

1,050.1

4,668.9

1,023.7

357.0

1,87.?.0

332.0

203.0

519.D

389.1

401.7

522.3

687.4

1,491.0

1,141.9

1,853.6

4,187.2

3,276.8

5,451.4

7,568.9

357.8

925.7

4,951.5

1,278.0

288. L

1,486.6

259.7

170.4

89o.6

588.0

864.7

1,014.0

934.1

1,433.1

1,213.9

1,646.4

3,881.8

2,910.3

4,701.5

6,+78.7

310.2

1 ,167.1

4,496.1

6.9

4.6

6.6

3.7

4.0

5.0

4.6

4.3

4.9

6.2

7.6

7.1

8.0

9.7

9.2

9.9

11.1

4.6

1:::

7.4

4.5

6.5

3.6

4.0

6.2

5.8

5.8

6.2

6.4

7.6

7.1

7.9

9.6

9.1

9.9

10.9

4.6

7.1

9.9

6.6

4.6

6.7

3.7

4.1

4.6

4.0

3.8

4.4

6.1

7.6

T.O

8.1

9.0

9.3

9.8

11.1

4.6

5.8

10.0

3,654

936

1,146

1,572

15,269

2,012

3,155

6,279

3,823

8,558

3,725

4,833

9.4

2.4

3.0

4.1

255.8

80.9

46.6

6;164

4,203

6,316

39.4

5.2

8.1

16.2

9.9

140.3

106.0

149.9

158.7

131.0

76,971

9,251

13,415

30,554

23,751

22.1

9.6

12.5

192.2 65,029

26,299

38,731

167.0

217.5

11,302

5,468

4,295

1,539

29.1

14.1

11.1

4.0

412.7

334.2

504.2

614.8

109,655

50,222

42,416

17,016

4,243

25,923

8,617

10.9

66.8

22.2

72.2

167.1

469.0

19,670

162,889

a5,77a

15,573 100.0

13.4

3.5

4.3

5.6

29.o

4.1

4.6

10.6

9.a

26.7

11.1

15.6

30.9

16.5

11.1

3.3

14.9

62.7

22.5

13a.8 114,827

2,084

542

664

a78

79.0

2a9.2

91.7

50.B

9,420

3,510

2,405

3,505

4.524 a4.3

66.7

65’.3

27,839

’639

7J 7

1,644

1,523

3;731

4,155

10,169

9,7a5

a4.5

107.0

196.6

160.3

4,159

l,72a

2,431

31,542

12,307

234.3 19,235

4.ao6 43T.2

361.4

5.48.5

693.6

46,025

2;568

1,729

509

23,2a2

17, laa

5,556

2,316

9*757

3,500

77.0

129.9

502.1

10,757

69,549

34,522

23,210

L,570

394

482

694

10, T45

1,372

2,438

4,634

2,3oo

4,400

1,9’37

2,402

6,496

2,9o1

2,565

1,030

100.0 193.2 153,510

6.a

1.7

2.1

3.0

62.3

220.7

69.6

42.1

7,262

2,654

1,797

z,all

46.3

5.9

10.5

20.0

194.a

146.2

227.7

230.5

153.8

49,132

5,520

9,260

20,3a5

9.9 L3,966

19.0

8.6

10.4

33,4a7

173.3

202.9

396.3

313.3

47a. 1

13,992

19,495

28.0

12.5

11.1

4.4

63,630

26,941

25,228

582.o 11,461

67.0

202.1

448a

1,927

16,167

5,116

a.3

69.7

22.0

8,914

93,341

51,256

19
TABLE 2. NUMBER, PERCENT DISTRIBUTION. AND RATE OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS ANO OF OAYS oF CAREV AND AvERAGE

LENGTH OF STAY FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY SEX, RACE, ANO AGE: UNITEO STATES, 1983

[ DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEwBORN INFANTS)

OISCHARGEO PATIENTS

SEX, RACE, ANO AGE

OAYS OF CARE

AVERAGE

NUMBER PERCENT RATE PER

LENGTH OF

NUMBER PERCENT

IN

RATE PER STAY IN OAYS

OISTRIBUTION 1,000 IN DISTRIBUTION 1,000

THOUSANOS POPULATION THOU SANOS POPULATION

BOTH SEXES

ALL RACES, ALL AGE S . . . . . . . . . . . . . . . . .

UNOER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

wHITE, ALL AGES . . . . . . . . . . . . . . . . . . . . .

UNDER 15 YE ADS . . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

ALL OTHER, ALL AGES . . . . . . . . . . . . . . . . .

UNDER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

RACE NOT STATEO, ALL AGEs . . . . . . . . . . .

UNDER 15 YE ARS. . . . . . . . . . . . . . . . . . . .

15-44 YEA AS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

MALE

ALL RACES, ALL AGES . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . . . . . . . .

15-44 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

WHITE, ALL AGES . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ARs . . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

ALL OTHER, ALL AGE S. . . . . . . . . . . . . . . . .

UNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .

15-44 YEA RS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO oVER . . . . . . . . . . . . . . . . .

RACE NOT ST ATEO, ALL AGE S. . . . . . . . . . .

UNOER 15 YE ARS. . . . . . . . . . . . . . . . . . . .

15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

FEMALE

ALL RACES, ALL AGEs . . . . . . . . . . . . . . . . .

UNDER 15 YE ADS. . . . . . . . . . . . . . . . . . . .

15-44 YEA AS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

WHITE, ALL AGES . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ARS. . . . . . . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

ALL OTHER, ALL AGE S . . . . . . . . . . . . . . . . .

uNOER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANo OVER . . . . . . . . . . . . . . . . .

RACE NOT STATEO, ALL AGE S. . . . . . . . . . .

UNOER 15 YE ARS. . . . . . . . . . . . . . . . . . . .

15-44 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

38,7B3

3,654

15,269

8,558

11,302

30,106

2,684

1L,087

6,834

9,501

5,235

660

2,674

1,013

889

3,441

311

1,507

712

911

15,573

2,084

4,524

4,159

4,806

12,252

1,524

3,354

3,339

4,035

1,986

387

743

47+

302

1,335

173

427

346

389

23,210

1,570

10,745

4,400

6,496

17,855

1,159

T,734

3,494

5,467

3,249

273

1,931

539

507

2,106

130

1,080

366

522

100.0

9.4

39.4

22.1

29.1

77.6

6.9

28.6

17.6

24.5

13.5

1.7

6.9

2.6

2.3

8.9

0.8

3.9

l.B

2.3

100.0

13.4

29.0

26.7

30.9

7B.7

9.0

21.5

21.4

25.9

12.8

2.5

4.8

3.0

2.5

8.6

1.1

2.7

2.2

2.5

100.0

6.8

46.3

19.0

28.0

76.9

5.0

33.3

15.1

23.6

14.0

i:;

2.3

2.2

9.1

0.6

4.7

1.6

2.2

167.0

70.0

140.3

192.2

412.7

151.9

63.9

120.3

174.0

383.5

153.6

6B.9

160.6

192.9

340.5

. . .

.. .

.. .

.. .

. . .

138.8

79.0

84.3

196.6

437.2

127.5

70.7

73.2

177.5

406.2

123.5

80.0

94.7

202.2

361.4

. . .

.. .

. . .

. . .

. . .

193.2

62.3

194.0

188.3

396.3

i 74.9

56.6

166.9

170.8

368.4

180.5

57.6

219.2

185.3

326.0

. . .

. . .

. . .

. . .

. . .

268,337

16,602

76,971

65,029

109,655

210,394

11,724

55,534

51.234

91,901

37,459

3,644

14,596

9,040

10,179

20,4B5

1.314

6;841

4,755

7,575

1L4,827

9,420

27,839

31,542

46,025

89,946

6,574

20s 146

24, B84

3B,342

16,169

2,114

5,23T

4,350

4,460

8,712

732

2,457

2,308

3,215

153,510

7,262

49,132

33,4B7

63,630

120,440

5,150

35,3B9

26,350

53*559

21,290

1,530

9,359

4,690

5,711

11,773

582

4,384

2,447

4,360

100.0

6.2

28.7

24.2

40.9

78.4

4.4

20.7

19.1

34.2

14.0

1.4

5.4

3.4

3.8

7.6

0.5

2.5

1.8

2.8

100.0

8.2

24.2

27.5

40.1

78.3

5.7

17.5

21.7

33.4

14.1

1.8

4.6

3.8

3.9

7.6

0.6

2.1

2.0

2.8

100.0

4.7

32.0

21.8

41.4

78.5

3.4

23.1

17.2

34.9

13.9

1.0

6.1

3.1

3.7

7.7

0.4

2.9

1.6

2.0

1,155.2

323.4

707.5

1,460.6

4,004.3

1,061.5

279. o

602.7

1,304.6

3,709.7

1,098.9

380.7

076.5

1,721.9

3,89T. O

. . .

. . .

. . .

. . .

. . .

1,023.7

357.0

519.0

1,491.0

4,107.2

936.1

305.1

439.9

1,322.7

3,860.0

1,005.4

437.0

667.6

1,856.4

4,223.3

. . .

. . .

. . .

. . .

. . .

1,278.0

200.1

090.0

1,433.1

3,881. B

1,179.6

251.6

763.5

I,2B7.9

3,609.4

1,1 B2.4

323.0

1,062.8

1,612.9

3,672.5

. . .

. . .

. . .

. . .

. . .

6.9

4.6

5.0

7.6

9.7

7.0

4.4

5.0

T.5

9.7

7.2

5.5

5.5

B.9

11.4

6.0

4.2

4.5

6.7

8.3

7.4

4.5

6.2

7.6

9.6

7.3

4.3

6.0

7.5

9.5

B.1

5.5

7.0

9.2

6.5

4.2

5.7

6.7

B.3

6.15

4.(5

4.45

7.6

9./3

6.7

~.+

4.6

7.5

9.8

6.6

5.6

4.8

8.7

11.3

5.6

4.2

4.:1

6.7

8.4

20

1
IABLE 3. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, DAYS OF CARE, AND AVERAGE LENGTH OF STAY FOR PATIENTS OISCHARGEO

F ROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION, AGE, AND PRINCIPAL EXPECTED SOURCE OF PAYMENT: UNI TEO STATES, 1983

I DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEWBORN INFANTS I

ALL PRINCIPAL PRIVATE WORKMEN cS OTHER OTHER

REGION ANO AGE EXPECTEO SOURCES INSURANCE MEDICARE HEOICAIO COMP EN- GOVERNHENT SELF-PAY

OF PAYMENT SATION

PAYMENTS ANO

PAYHENTS NO CHARGE

UNITEO STATES

ALL AGES . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS . . . . . . . . . . . . . .

15-4+ YE ARs . . . . . . . . . . . . . . . . .

45-64 YE AR S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

NORTHEAST

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YEA RS . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

NORTH CENTRAL

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YEARS . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

SOUTH

ALL AGES . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

HEST

ALL AGES . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

43-64 YE AR S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

UNITED STATES

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YE AR S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

NORTHEAST

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YE AD S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

NORTH CENTRAL

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNDER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . .

45-64 YEARS . . . . . . . . . . . . . . . . .

65 YEARS AND OVER . . . . . . . . . . .

SOUTH

NuM8ER OF PATIENTS DISCHARGE IN THOU SANOS

38,783

3,654

15,269

8,558

11,302

7,793

682

2,955

1,783

2,373

10,492

987

4,042

2,366

3,097

13,884

1,507

5,517

3.001

3,859

6,614

478

2,754

1,409

1*974

268,337

16,682

76,971

65,02.9

109,655

63,128

3,D64

15,861

15,389

28,814

75,349

4,706

22,353

18s391

29, B98

91,090

6,988

26,591

22,340

35,171

38,770

1,923

12,166

8,909

15,772

18,933

2,295

10,320

6,075

244

3,782

427

1,976

1,316

63

5,294

644

2,817

1,77B

55

6,870

932

3,823

2,038

76

2,988

292

1,704

942

50

106,197

9,624

51,027

43,329

2,217

23,365

1,768

10,240

10,618

719

31,993

2,817

15,397

13,282

498

36,443

3,923

18,011

13,859

650

14,416

1,116

7,378

5,571

350

12,307 3,467 597 828

32 801 1.39

316 2,030 417 462

1,105 531 162 207

10,854 106 19 20

2,203

325

1,428

400

50

363

39

237

73

15

410

53

263

87

*9

940

186

582

153

19

489

47

346

88

*7

12,138

1,697

6,634

3,269

538

2,488

191

1,255

811

230

2*407

302

1,385

657

*63

4,967

1,015

2,561

1,209

181

2,277

188

1,433

592

*64

447

62

296

79

10

93

22

55

13

*

104

12

74

16

*

136

19

:$

*

114

*9

81

22

●

2,754

291

1,618

757

89

563

70

334

126

*

517

3Z

100

*

999

143

515

321

*

675

*32

414

210

*

2,498 844 95 117

*5 175

503

135

32

14

71

29

*

50

189

2,254 *

3,356 972 144 213

10 228 41

81 594 95 119

264 131 42 49

3,001 19 *6 *

4,291 1,150 230 267

12 313 45

105 621 168 132

459 181 55 85

3,716 35 *7 *

2,162 501 130 231

*5 85 40

80 311 90 140

192 85 36 44

1,884 20 * *7

NUIIBER OF DAYS OF CARE IN THOUSANOS

118,676

279

2,722

10,285

105,390

20,017

4,031

10,180

4,702

1,103

3,530

2,326

5,026

761

2,464

1,662

140

1,025

178

29,910

*37

441

2,079

27,352

5,441

942

2,T51

1,318

431

575

376

183

*

807

57

463

254

*

32,455

116

5,777

1,188

3,230

1.2D6

828

516

256

*56

1,372

238

718

376

*

753

2.514

29,072 152

ALL AGES . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YE ARS . . . . . . . . . . . . . . . . .

65 YEARS AND OVER . . . . . . . . . . .

39,159

93

907

4,275

33,884

6,341

1,523

2,888

1,582

349

1,440

1,006

371

*64

1,741

290

703

724

*

MEST

L AGES . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . .

45-64 YEARS . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

17,152

*32

621

2,457

378

1,311

597

171

& 686

429

215

*

1,107

176

580

308

*43

1,417

15,082

21
TABLE 3. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, DAYS OF CARE. ANO AVERAGE LENGTH OF STAY FOR PATIENTS OISCHARGEO

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION, AGE, AND PRINCIPAL EXPECTEO SOURCE OF PAYMENT : UNITED STATES, 19 B3--CON.

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEWBORN INFANTS)

ALL PRINCIPAL PRIVATE HORKMEN cS OTHER

REGION AND AGE

OTHER

EXPECTED SOURCES INSURANCE MEDICARE MEDICAID COMPENOF PAYMENT

GOVERNMENT SELF-PAY PAYMENTS ANO

SATION PAYMENTS NO CHARGE

UNITED STATES

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YE AD S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

NORTHEAST

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . .

45-64 YEA AS . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

NORTH CENTRAL

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNDER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . .

45-64 YE ADS . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

SOUTH

ALL AGE S. . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEA RS . . . . . . . . . . . . . . . . .

45-64 YEARS . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

WEST

ALL AGES . . . . . . . . . . . . . . . . . . . . . .

UNDER 15 YE ADS. . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . .

AVERAGE LENGTH OF STAY IN OAYS

9.6

8.8

8.6

9.3

9.7

5.8

5.0

5.0

8.9

10.4

5.9

5.6

6.3

9.6

6.1 5.5

5.2

4.6

8.2

10.7

6.2

4.7

5.5

9.5

9.1

6.9

4.6

5.0

7.6

9.7

5.6

4.2

4.9

7.1

9.1

5.5

5.3

8.0

7.1

8.1

4.5

5.4

8.6

12.1

6.2

4.1

5.2

8.1

11.5

12.0

*7. 3

B.8

11.0

12.1

6.4

5.4

5.5

9.8

13.5

6.1

5.9

6.4

*

6.9

4.2

6.5

8.8

*

6.B

4.9

5.3

11.2

14.9

6.0

3.1

6.1

9.8

*

7.2

.4.8

%:

9.7

6.0

4.4

9.7

11. B

9.3

9.5

9.7

5.9

5.2

5.4

9.2

7.9

5.8

5.4

6.1

*’9 .0

6.4

5.B

6.0

7.7

*

5.9

5.B

5.3

7.6

*7.3

5.0

3.6

4.8

6.4

*

5.5

7.5

9.0

5.3

5.5

4.4

7.9

9.6

7.3

T. 7

6.0

11.0

*

6.6

4.6

5.3

4.2

4.7

6.B

B.5

9.1

8.1

8.7

9.3

9.1

5.5

4.9

6.3

6.0

6.7

*9.4

6.5

6.4

5.3

8.5

*

4.8

7.4

4.6

8.7

9.1 10.1

5.9

*3.7

5.1

9.6

*

5.9

4.0

4.4

6.3

8.0

4.8

3.8

4.3

5.9

7.1

7.9

*6. O

7.7

7.4

8.0

4.9

4.4

5.3

4. B

6.0

*

4.8

4.4

4.1

7.0

*6. O

4.7

4.0

4.2 4.1

7.0

8.7

6.7

*8.7

22
TABLE 4. NuMBER

FROM SHORT-STAY

[DISCHARGES FROM

OF PATIENTS 01 SCHARGEO FROM SHORT-STAY HoSPI TALSS

HOSPITALS, BY AGE, GEOGRAPHIC REGIoND sEo sIz E oF

NONFEDERAL HOSPITALS. EXCLUDES NEWBORN INFANTS]

OAYS OF CARE, ANO AVERAGE LENGTH oF STAY FoR pATIENTs oIscHARGEo

HOSPITAL, ANO SEX: UNITEO STATES, 1983

AGE, REGION, ANO BED SIZE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE

NUMBER OF PATIENTS OISCHARGEO

ALL AGES I N THOUSANDS

UNITEO STATES, ALL SIZES . . . . . . . . . . . . 15,573 23,210

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . . 2,523 3,812

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . . 2,955 4,526

200-299 BED S. . . . . . . . . . . . . . . . . . . . . . 2,454 3,536

300-499 BE Ds . . . . . . . . . . . . . . . . . . . . . . 4,024 6,017

500 BEOS OR MORE . . . . . . . . . . . . . . . . . . 3,615 5,319

NORTH EAsT, ALL SIZE S. . . . . . . . . . . . . . . .

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZE S . . . . . . . . . . . .

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 8Eo S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

UEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

uNOER 15 YEARS

UNITEO STATES, ALL SIZES . . . . . . ------

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S. . . . . . . . . . . . . . . .

6-99 BE DS.. . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZE S . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDs . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

WEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BEDO. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS......................

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

3a,7a3

6,336

7,4al

5,990

10,041

8,934

7,793

Tla

l,zaa

I,lza

2,T33

1,926

10,492

1,510

1,300

1,542

3,009

3,132

~3,aa4

2,74a

3,612

2,na

2,208

3,19B

6,614

1,360

l,2al

1,202

2,092

67a

3,654

544

929

526

814

841

682

42

98

a2

246

215

987

124

142

196

240

285

1,507

274

596

166

la7

2a4

478

104

93

a3

142

56

3,202

338

522

476

1,091

775

4*31O

5a6

525

61a

1,266

1,315

5,422

l,oal

1,359

aao

851

1,252

2,640

51a

549

481

B17

275

2, oa4

315

5oa

305

473

484

403

25

59

46

150

124

583

77

77

119

139

172

835

157

321

96

106

156

263

57

50

44

7J

33

4,591

380

766

652

1,642

1,151

6,183

924

775

924

1,743

1,818

8,462

1,667

2,253

l,23a

1,357

1,946

3,974

842

732

722

1,275

404

1,570

229

422

222

341

357

279

18

39

36

96

91

404

47

65

77

101

114

671

117

275

70

81

129

215

47

43

39

64

23

NUMBER OF OAYS OF CARE

IN THOUSANOS

. ----- . ----- . .. . . .

zba,551

36,438

47,797

40,806

73,543

69,753

63,128

5,B29

9,306

9,467

22,0ao

16,445

75,349

a,77a

9,0a6

10,301

22,128

25,055

91,090

15,64.7

21,238

14,359

16,139

23,707

3a.770

6,184

8,L67

6,679

13,195

4,546

16,682

1,716

4,004

2,404

3,587

4,971

3,064

156

355

337

1,122

1,095

4,706

3T7

559

1,015

924

l,a31

6,988

924

2,707

715

917

1,725

1,923

260

383

337

623

320

LL*, ULI

~4,a4a

20,324

17,424

31,213

31,017

27s309

2,811

3,739

3,919

9,315

7,525

32,45a

3,403

3,912

4,318

9,635

ll,la9

38,260

6,201

& 765

6,41a

6s642

10,233

16,800

2,433

3,90a

2,769

5,620

2,070

9,420

1,010

2,157

1,361

1,955

2,937

l,a13

94

203

193

634

6a9

2,738

232

297

594

502

1,113

3,8a3

543

1,458

42a

518

937

986

142

200

146

301

19a

L2>*3LU

21,590

27,472

23,3B2

42,330

3a,736

35,a19

3,019

5,567

5,549

12,765

8,920

42,891

5i 375

5,173

5,9a3

12,493

13,866

52,830

9,446

12,473

7,940

9,497

13,474

21,970

3,751

4,259

3,910

7,575

2,476

7,262

706

1,a46

1,043

1,632

2,034

1,251

61

152

144

4B9

406

l,96a

145

262

421

422

718

3,105

381

1,249

2.37

399

7B8

937

118

la3

191

322

123

AvERAGE LENGTH OF STAY

IN OAYS

6.9

5.a

6.4

6.8

7.3

7.a

a.1

B.1

7.2

B.4

8.1

8.5

7.2

5.a

7.0

6.7

7.4

a.o

6.6

5.7

5.9

6.a

7.3

7.4

5.9

4.5

6.4

5.6

6.3

6.7

4.6

3.2

4.3

4.6

4.4

5.9

4.5

3.7

3.6

4.1

4.6

5.1

4.8

3.0

3.9

5.2

3.9

6.4

4.6

3.4

4.5

4.3

4.9

6.1

4.0

2.5

4.1

4.1

4.4

5.7

7.4

5.9

6.9

T. 1

7.a

a.6

a.5

a.3

7.2

a.2

B.5

9.7

7.5

t;

7.0

7.6

8.5

7.1

5.7

6.5

7.3

7.8

a.z

6.4

4.7

7.1

5.a

6.9

T.5

4.5

3.2

4.2

4.5

4.1

6.1

4.5

3.a

3.5

4.2

4.2

5.6

4.r

3.0

3.8

5.0

3.6

6.5

4.6

3.5

4.5

4.5

4.9

6.0

3.7

2.5

4.0

3.3

3.a

6.0

6.6

5.7

6.1

6.6

7.0

7.3

T.B

a.o

7.3

8.5

7.a

7.7

6.9

5.8

6.7

6.5

7.2

7.6

6.2

5.7

5.5

6.4

7.0

6.9

5.5

4.5

5.a

5.4

5.9

6.1

4.6

3.1

+.4

4.7

4.8

5.7

4.5

3.5

3.9

4.0

5.1

4.5

4.9

3.1

4.0

5.4

4.2

6.3

4.6

3.3

4.5

4.1

4.9

6.1

4.4

2.5

4.3

5.0

5.1

5.2

23
TABLE 4. NUMBER

FROM SHORT-STAY

( DISCHARGES FROM

OF PATIENTs DISCHARGED FRO$I SHORT-STAY HOSPITALS, DAYS OF CARE, AND AVERAGE LENGTH OF STAY FOR PATIENTS O ISCNARGEO

HOSPITALS, BY AGE, GEOGRAPHIC REGION, BEO SIZE OF HOSPITAL, ANO SEX: UN ITEO STATES, 1983--CON.

NONFEDERAL HOSPITALS. EXCLUOES NEHBORN INFANTS I

AGE, REGION, AND BEO SIZE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMal E

2;319

2,942

2,235

3,990

3,’182

2,955

279

430

394

1,043

810

4,0+2

503

502

586

1,187

1,264

5,517

965

1,528

757

BB7

1,380

2,754

573

483

498

872

32a

8,558

1,331

1,480

1,290

2,354

2,103

1,783

169

286

265

641

423

2,366

311

262

299

709

785

3,001

558

649

508

531

754

1,409

293

283

219

4T3

142

NUMBER OF PATIENTS OISCHARGEO

15-44 YEARS

NUMBER OF OAYS OF CARE

IN THOUSANOS IN THOUSANOS

UNITEO STATES, ALL SIZE S. . . . . . . . . . . . 15,269 4,524

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . . 708

27,839

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

3,307

857

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

5,068

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

3,777

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

7,544

8,143

NORTHEAST, ALI. SIZE S. . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDs . . . . . . . . . . . . . . . . . . . . . .

500 8EOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZES . . . . . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

WEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BEDS. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEo S OR MORE . . . . . . . . . . . . . . . . . .

43-64 YEARS

UNITEO STATES, ALL SIZE S . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100--199 BE DS . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S. . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEOS . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZES . . . . . . . . . . . . . . . . . . . .

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

WEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

693

1,170

1,096

919

132

137

136

2B5

22B

1,239

138

157

169

399

377

1,546

274

401

235

247

3 B9

820

164

163

153

23EI

101

4,159

611

697

635

1,156

1,060

B85

92

137

132

320

204

1,141

127

124

144

343

402

1,43B

259

297

246

255

382

694

133

139

112

238

72

10,745

1,611

2,085

1*541

2,B20

2,6B7

2,036

147

293

258

758

582

2,B03

365

346

417

7B9

887

3,971

691

1,127

523

640

991

1,934

409

320

345

634

227

4,400

721

783

655

1,198

1,043

898

77

149

132

321

219

1,225

184

139

154

366

3B2

1,563

300

352

262

276

373

714

160

144

106

235

69

76,971

9,504

13; B69

10,3B6

21.246

21;965

15, B61

1,716

1,991

2,065

5,463

4,626

22,353

2,059

2,812

2,735

6,933

7,814

26,591

3.B40

6;531

3,60B

4,760

T,B52

12,166

1,890

2,535

1,978

4,089

1,673

65,029

7,931

10,2B9

9,544

18, B93

IB,373

15,389

1,393

1,981

2,256

5,522

4,238

1B,391

1,791

2,005

2,241

5,574

6,78o

22,340

3,317

4,549

3,74a

4,4B8

6,239

8,909

1,430

1,755

1,299

3,310

1,116

6,060

950

724

804

1,828

1,754

8,001

588

1,104

881

2,5B1

2,847

9,190

1,185

2,1b6

1,351

1,656

2,834

4,587

584

1,074

742

1,4B0

708

31,542

3,636

4,860

4,631

9,077

9,337

7,714

783

888

1,150

2,730

2,163

8,739

717

936

1,042

2,651

3,392

10,728

1,485

2,110

1,783

2,093

3,25B

4,361

651

925

656

1,604

525

49, 132

6, 197

B, 802

6,609

13, 702

13,822

9,800

765

1,267

1,261

3,635

2,872

14,352

1,471

1, 708

1,854

4,353

4,967

17,4D1

2,655

4,366

2,25B

3,105

5,01B

7,579

1,306

1,461

1,236

2,610

965

33,487

4, 295

5,429

4,913

9,815

9,036

7,675

610

1,092

17105

2,792

2,075

9,652

1, 0T4

1,068

1,199

2,923

3,388

11,6L2

L, B32

2,438

1,965

2, 395

2,981

4* 548

779

B29

643

1,706

591

AVERAGE LENGTH OF STAY

IN OAYS

5.0

4.1

4.7

4.6

5.3

5.8

5.4

6.2

4.6

5.2

5.2

5.7

5.5

4.1

5.6

4.7

5. B

6.2

4. B

4.0

4.3

4.8

5.4

5.7

4.4

3.3

5.3

4.0

4.7

5.1

7.6

6.0

7.0

7.4

0.0

B.7

B.6

B.2

6.9

8.5

8.6

10.0

7.8

.5.8

7.6

7.5

7.9

B.6

7.4

5.9

7.0

7.4

B.+

8.3

6.3

4.9

6.2

5.9

7.0

7.9

6.2

4.7

5.9

5.4

6.4

7.4

6.6

7.2

5.3

5.9

6.4

7.7

6.5

4.3

7.0

5.2

6.5

7.6

5.9

4.3

5.4

5.8

6.7

7.3

5.6

3.6

6.6

4.8

6.2

7.0

7.6

6.0

7.0

7.3

7.9

8.8

B. 7

B. 5

6.5

8.7

8.5

10.6

7.7

5.6

7.6

7.2

T.7

6.4

7.5

5.7

7.1

7.2

8.2

8.5

6.3

4.9

6.7

5.8

6.7

7.2

4.6

3.8

4.2

4.3

4.9

5.1

4.8

5.2

4.3

4.9

4.8

4.9

5.1

4.0

4.9

4.4

5.5

5.6

4.4

3.8

3.9

4.3

4.9

5.1

3.9

3.2

4.6

3.6

4.1

4.3

7.6

6.0

6.9

7.5

8.2

tl. T

B. 5

8.0

7.4

8.3

8.7

9.5

7.9

!5. B

7.7

“7. B

iB.O

B. 9

‘7.4

15.1

6.9

7.5

8.7

8.0

!.$.4

4.9

5.8

(5.1

7.3

8.5

24
TA8LE 4. NUMBER

FRLIM SHORT-STAY

(DISCHARGES FROM

OF PATIENTS OISCHARGEO FROM SHORT-STAY HoSPITALS, DAYS OF CARE, AND AVERAGE LENGTH DF STAY FOR PATIENTS

HOSPITALS, BY AGE, GEOGRAPHIC REGION, BELT SIZE OF HOSPITAL, ANO SEX: UNITED STh TES, 1983--CON.

NONFEDERAL HOSPITALS. EXCLUOES NEwBORN INFANTS)

DISCHARGED

ACE, RCGIGN, A&b BED SIZE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEMALE BOTH SEXES MALE FEMALE

NUMBER OF PATIENTS DISCHARGED NUMBER OF OAYS OF CARE AVERAGE LENGTH OF STAY

65 YEARS ANO OVER IN THOU SANOS IN THOUSANDS IN OAYS

UNITED STATES, ALL SIZE S . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

63,630

10,392

11,396

10,817

17, 181

13,844

17,092

1,582

3,056

3,038

5,850

3,567

16,919

2,666

2,135

2,509

4,796

4* 794

20,713

4,577

4,419

3,431

3,598

4, 6B1

8,906

1,548

1,785

1,839

2,938

796

9.7

B.1

9.2

9.5

10.3

11.1

9.6

7.7

9.2

9.8

8.3

9.2

9.7

10.4

11.2

12.4

11.4

10.7

13.4

12.5

13.7

9.7

8.2

9.5

9.1

9.8

11.0

9.2

B.2

B.a

8.9

10.0

10.3

8.0

6.8

7.9

7.9

8.6

9.5

11,302

2,141

2,130

1,939

2,883

4,806

890

89+

821

1,225

976

6,496

1,252

1,236

1,118

1,658

109,655

17,281

19,635

18,472

29,817

24,444

46,025

6,895

8,239

7,655

12,636

10,600

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZE S . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEDS OR MORE. . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 BE DS. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEoS OR MORE . . . . . . . . . . . . . . . . . .

ME ST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BE DS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

9.3

10.3

2,208 1,232 10.9

2,373

228

475

388

995

89

189

162

1,377

139

286

226

467

260

28,814

2,565

4,979

4,B1o

9,973

6,4B6

11,722

98+

1,923

1,772

4,12+

2,920

12.1

11.3

10.5

12.4

11. B

11.0

10.2

11.0

803

479

3,097

572

336

219

12.4

13.5

9.7

8.0

12.3

13.3

9.6

7.6

1,346

244

1,751

328

29,898

4,551

12,979

1,B66

1,575

1,800

3,901

3,836

393

46L

B72

79a

168 225 3,711

186 276 4,309

3B4 48B B,697

363 434 8,630

2,256

559

500

9.4

9.3

10.0

10.8

9.4

9.7

10.1

10.6

3,859

951

839

687

603

779

1,602

392

340

35*171

7.566

7,451

6,287

5,974

7,892

14,458

2, 9B9

3,032

2,856

2,376

3,205

9.1

B. O

B.9

9.0

7.6

8.9

9.4

9.8

9.9

303

242

325

384

360

454

9.2

9.9

10.1

1,974

391

423

403

605

152

862

164

197

1,111

226

226

15,772

2,6o4

3,+9+

6,866

1,057

1,708

1,226

2,235

640

8.0

6.7

B.3

7.6

8.5

9.5

8.0

6.4

B. 7

7.2

8.5

9.4

171

262

68

232

343

84

3,065

5,173

1,436

25
TABLE 5. RATE OF PATIENTs OISCHARGEO

STATES, 1983

(DISCHARGES FROM NONFEDERAL HOSPITALS.

FROM SHORT-STAY HOSPITALS A~O OF OAYS OF cARE, BY AGE, GEoGRAPHIC

ExCLUOES NEWBORN INFANTS)

REGION, ANO SEX: (JNI TED

AGE ANO REG1ON BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE

RATE OF PATIENTS OISCHARGEO

ALL AGES

RATE OF OAYS OF CARE

PER 1,000 POPULATION PER 1,000 POPULATION

—

UNITEO ST ATE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS

UNf TEO STATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEA ST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS

UNITEO STATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEARS

UNITEO STATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER

UNITEO STATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

167.0

15T.7

178.4

1T6.5

145.6

138.8

136.0

151.1

143.4

118.5

193..?

177.5

204.1

20T.3

171.7

1,155.2 1,023.7 1 ,278.0

1,277.7 1,159.7 1 ,385.3

1,281.3 1,138.1 1 ,416.1

1,15S.2 1,011.7 1 ,294.0

853.5 754.0 949.4

70.8

68.8

74.5

T9. o

T9.4

86.0

91.0

49.1

62.3

57.6

62.4

76.5

42.1

323.4

309.0

355.0

389.3

183.8

357.0

357.5

403.4

423.3

184.2

288.1

.258.3

304.2

353.8

183.3

83.9

45.7

140.3

129.3

147.6

150.7

125.5

84.3

82.2

91.1

86.3

74.9

194.8

174.4

203.2

212.4

lT5.9

70T.5

694.0

816.1

726.3

554.5

519.0

542.1

588.5

513.0

419.0

890.8

839.5

1 ,040.4

930.8

689.5

192.2

174.2

213.6

201.2

169.8

196.6

183.9

215. o

205.0

172.8

188.3

165.6

212.3

197.9

166.9

1,460.6

1,503.4

1,660.3

1,498.1

1,073.9

1,491.0

i,602.7

1,646.4

1,529.4

1,085.3

1 ,433.1

1 ,415.3

1 ,673.0

1 ,470.4

1 ,063.2

412.7

37o.6

437.1

420.7

417.7

437.2

400.4

475.6

431.8

438.7

396.3

351.7

411.4

4,004.3

4,500.8

4,220.0

3,834.6

3,338.0

4,187.2

4,715.2

4,586.3

3,896.0

3,492.5

3,881.8

4 ,364.7

3 ,975.4

3,792.8

3 ,227.9

413.2

402.7

TABLE 6. NUMBER

FROM SHORT-STAY

( OISCHARGES FROM

OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERAGE LENGTH OF STAY FOR

HOSPITALS, BY TYPE OF OWNERSHIP OF HOSPITAL ANO AGE AND SEX OF PATIENT: uNITEO STATES, 19B3

NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS)

PATIENTS DISCHARGE

TYPE OF CWNERSHIP ANO AGE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE

ALL TYPES

NUMBER OF PATIENTS OISCHARGEO

IN THOUSANOS

NUMBER OF OAYS OF CARE

IN THOUSANOS

AVERAGE LENGTH OF STAY

IN 9A’VS

ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

VOLUNTARY NONPROFIT

ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . ..-.

45-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

GOVERNMENT

ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

PROPRIETARY

ALL AGE S. . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YE ARS. . . . . . . . . . . . . . . . . . . .

15-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER . . . . . . . . . . . . . . . . .

38,783

3,654

15,269

8,558

11,302

15,573

2,084

+,524

4,159

4,8o6

23,210

1,570

10,745

4,400

6,496

268,337

16,682

76,9T1

153,510

7,262

49,132

6.9 7.4 6.6

4.6 4.5 4.6

5.0 6.2 4.6

7.6 7.6 7.6

9.7 9.6 9.8

114,827

9,420

27,839

31,542

46,025

65,029

109,655

33,487

63,630

26,726 10,665

1 ●475

2,912

2,892

3,385

16,061

1,083

7,366

3,073

4,540

190,350

11,867

51,600

46,496

80,387

81,231

6,800

17,999

22,445

33,987

7.1 7.6 6.8

4.6 4.6 4.7

5.0 6.2 4.6

7.8 7.8 7.8

10.1 10.0 10.2

109,118

5,067

33, 601

24,050

46,400

2;558

10,278

5,965

7,925

8,190

837

3.474

3,336

471

1,086

823

956

4,854

366

2,388

832

1,267

51,661

3,884

17,226

12,003

18,548

22,497

2,159

6,557

5,972

7,809

29, 164

1,726

10,669

6,031

10,738

6.3 6.7 6.0

4.6 4.6 4.7

5.0 6.0 4.5

7.3 7.3 7.3

8.3 8.2 8.5

1;655

2,224

3,067

259

1,516

939

1*153

1,572

13B

526

443

464

2,295

121

990

495

688

26,327

930

B,145

6,531

10,721

‘11,099

461

3,283

3,125

4,230

15,228

469

4,862

3,406

6,491

6.8 7.1 6.6

3.6 3.3 3.9

5.4 6.2 4.9

7.0 7.0 6.9

9.3 9.1 9.4

26
TA9LE 7. NuMBER, PERCENT DISTRIBUTION. AND RATE OF WO14EN WITH DELIVERIES OISCHARGEO FROM sHORT-STAY HOSPITALS ANO OF OAYS OF CARE,

ANO AVERAGE LENGTH OF STAY, BY AGE, RACE, GEOGRAPHIC REGION, ANO BED SIZE OF HOSPITAL: UNITEO STATES, 1983

{DISCHARGES FROM NONFEDERAL HOSPITALS)

01 SCHARGEO PATIENTS oAYS OF CARE

AVERAGE

AGE, RACE, REGION, ANO BEO SIZE

NUMBER PERCENT RATE PER

LENGTH OF

NUMBER PERCENT RATE PER STAY IN oAYS

DISTRIBUTION 1,000

THOtiANOS

IN DISTRIBUTION 1,000

POPULATICIN THOUSANOS POPULATION

10-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

AGE

10-14 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

20-24 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

25-29 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

30-34 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

35-44 YEAR S . . . . . . . . . . . . . . . . . . . . . . .

45-54 YE AD S. . . . . . . . . . . . . . . . . . . . . . . . .

10-17 YEA AS . . . . . . . . . . . . . . . . . . . . . . . . .

18-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

RACE

WHIT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ALL OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . .

RACE NOT STAT ED. . . . . . . . . . . . . . . . . . . . .

REGION

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BEO SIZE

6-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . . . .

3,976 100.0 52.7 14,11T 100.0 187.3 3.6

1.3

71.8

55.6

17.2

21.7

71.1

14.9

33

14,068

1,678

4,231

4,533

2,677

943

0.2

99.6

3.1.9

30.0

32.1

19.0

3.8 3.0

3.6

3.2

3.4

3.5

3.9

4.2

11

3,962

522

1,255

1,280

681

223

0.3

99.7

13.1

31.6

32.2

255.1

178.7

395.6

430.9

17.1 279.3

5.6 6.7 63.1 *

3.2

3.6

* * *

13.6

61.7

* *

4.3

95.7

*

191

3,785

4.8

95.2

609

13,508

43.3

220.4

3.6

3.7

3.2

2,764

729

482

69.5

18.3

12.1

43.6

61.1

. . .

9,854

2,717

1,547

69.8

19.2

11.0

155.4

227.5

. . .

4.3

3.8

3.4

2.B

738 lB.6 45.7

54.0

56.1

53.0

3,137

3,8BB

4,891

2,202

22.2

27.5

34.6

15.6

194.4

206.7

191.2

148.3

1,015

1,435

25.5

36.1

787 19. B

2.9

3.3

3.4

3.7

4.0

517

738

554

1,101

1,066

13.0 1,524

2,405

1,875

4,089

4,225

10.8

17.0

13.3

29.0

29.9

. . .

. . .

. . .

.. .

. . .

. . .

. ..

. . .

. ..

. ..

18.6

13.9

27.7

26.8

TABLE 8. NUMBER OF WOMEN WITH DELIVERIES ANO NUMBER OF OAYS OF CARE ANO AvERAGE LENGTH OF STAY FOR wOHEN WITH DELIVERIES OISCHARGEO

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION ANO BEO SIZE OF HOSPITAL: UNITEO STATES, 1983

I DISCHARGES FROM NONFEDERAL HOSPITALS)

&Gl LN ALL SIZES 6-99 8EoS 100-199 BEOS 200-299 BEOS 300-499 BEOS 500 BEOS OR 14CRE

NUMBER OF PATIENTS OISCHARGEO IN THOUSANOS

3,976 517

37

112

222

146

738 554 1,101

319

UNITEO STATES . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . .

1,066

193

343

417

113

738

1,015

1,435

787

99 90

114 168

416 149

110 147

2T9

230

272

NUMBER OF OAYS OF CARE IN THOUSANOS

4,225

894

1,414

1,570

346

uNITED ST ACES . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . .

14,117 1,524

126

398

635

365

2,405 1,875 4, 0B9

3,137

3,888

4,891

2,202

383 371 1,363

398

1.333

586

516

1;091

836

291 403 798

AVERAGE LENGTH OF STAY IN OAYS

UNITED ST ACES . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . .

blest . . . . . . . . . . . . . . . . . . . . .

3.6 2.9

3.4

3.6

2.9

2.5

3.3 3.4 3.7 4.0

4.6

4.1

3.B

3.1

4.3

3.8

3.4

2.8

3.9 4.1 4.3

3.9

3.6

2.9

3.5

3.2

3.5

3.5

2.6 2.7

27
TABLE 9. NUMBER OF PATIENTS DISC HARGEO FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, AND AVERAGE LENGTH OF STAY,

FIR ST-L ISTEO OIAGNOSIS ANO AGE: UNITED STATES, 1983

[DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. OIAGNOST lC GROUPINGS ANO COOE NUMBER INCLUS1ONS

INTERNATIONAL CLASSIFICATION OF oISEASES, 9TH REvISION, CLINICAL MODIFICATION)

BY cATEGORY OF

ARE 8ASE0 ON THE

CATEGORY OF FIR ST- LISTEO OIAGNOSIS ANO ICO-9-CM COOE ALL AGES UNDER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER

NUMBER OF PATIENTS DISCHARGED IN THOIIWINOS

01

02

03

04

05

06

07

08

D9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

66

47

48

49

50

51

52

53

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,783 3,654 15,269 8,558 11,302

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OOl.l39

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALI GNAN7 NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1/ 140-208,230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . .. 162. 197. 0,197.3

MALIGNANT NEOPLASM OF 8REAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175,198.81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN 8EHAVIOR

ANO UNSPECIFIED NATuRE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1/ 210-229,235-239

ENOOCRINE, NUTRITIONAL AND METABOLIC DISEASES,

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25O

OISEASES OF THE BLOOO AND BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..28 O-Z89

ANEMIAS . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEuROTIC ANO PERSONALITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 OD-3Ol

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

DISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389

DISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPERTENSI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4o1

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. D.393-398.402 .4 04.41 O-4l6.42O-429

ACUTE MYOCAROIAL lNFARCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0

OTHER ISCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411+13.414.1-4 l4.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. o

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO ADENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FOR MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-...........480-486

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL IN TEST I NE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54W543

INGUINAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

DISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PRO STAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..600

OISOROERS OF MENSTRUATION ANO OTHER A8NORMAL VAGINAL BLEEOING . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPER IUM . . . . . ...2/ 630-676

ABORTIONS ANO ECTOPIC AND MOLAR PREGNANCY ES....... . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..7 ID-739

ARTHROPATHIES ANO RELATEO 01 SOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 C+759

CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOO . . . . . . . . . . . . . ..76 D-779

SYMPTOMS, SIGNS, ANO IL L- OEFINEO CONDITI OHS . . . . . . . . . . . . . . . . . . . . . . . ...780-799

54 INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 D@999

55 FRACTURES, ALL SITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-829

56 FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

SPRAINS ANO STRAINS OF BACK (I NCLUOING NE SK I . . . . . . . . . . . . . . . . . . . . ...846-847

z: INTRACRANIAL INJURIES (E XCLUOING THOSE WITH SKULL FRACTURE ) . . . . . . ..85 O-SI54

59 LACERATIONS ANO OPEN WOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87 O.9O4

60 SUPPLEMENTARY CLASS IF I CA TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VO1-V82

61 PERSONS AOMITTEO FOR STERILIZAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. V25.2

62 FEMALES WITH DEL IV ERIE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

67T

2,642

Z,065

339

244

577

1,207

675

360

247

1,701

576

264

388

1,878

429

594

360

5,654

330

3,597

676

466

938

46+

860

3,632

564

39 T

83T

.+59

4* 530

352

288

261

477

584

204

482

3,311

330

269

32 L

1,o48

492

577

2s432

576

473

356

209

585

3,450

1,090

230

311

275

309

4,532

146

3,976

208

70

44

*

*

26

74

27

61

23

49

*5

*5

*

313

63

18;

38

*

25

*

*

*

*

*

1,016

294

270

242

136

460

*

16

70

74

186

*

*

136

*

*

*5

*

62

73

19

*

192

209

104

451

147

*

*

:;

73

*

11

237

469

223

12

35

245

295

156

87

53

950

294

164

227

355

140

15

64

530

57

256

43

12

68

*B

30

753

90

122

122

110

1,429

84

117

148

128

189

13

154

L,647

165

*

252

1,041

488

216

984

195

254

92

*

251

1,617

380

*9

192

145

193

4,317

143

3,962

91

918

738

151

102

180

365

237

63

45

424

152

60

131

384

90

98

56

1,842

138

1,231

251

151

437

89

185

680

63

*

138

119

1,236

120

91

26

150

87

65

160

760

1D7

74

66

*

*

145

774

165

161

47

*

140

599

167

22

79

30

41

87

*

*

142!

1,185

1,05$1

176

10i’

126

474.

255

149

124

277

125

x

825

136

478

54

3,244

135

2,085

382

303

430

363

641

1,123

117

*

335

94

1,405

147

65

17

125

122

125

167

768

55

194

*

. . .

. . .

153

603

196

5i

25

90

783

396

196

37

31

31

54

*

. . .

1/ THE 19B2 ESTIMATES FOR MALIGNANT NEOPLASMS ANO FOR BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR ANO UNSPECIFIED NATURE

WERE INCORRECTLY PRESENTEO IN SERIES 13, NO. 78. THE CORRECT TOTAL NUMBER OF DISCHARGES FOR THE FORMER IS 2,016,000 AND FOR THE LATTER IS 577,000.

CORRECT ESTIMATES BY PATl ENT ANO HOSPITAL CHARACTERISTICS CAN BE OBTAINED FROM THE HOSPITAL CARE STATISTICS BRANCH, NCHS.

2/ FIRST-LISTEO DIAGNOSIS FOR FEMALES WITH OELWERIES IS CODEO V27, SHOWN UNOER “SUPPLEMENTARY CLASSIFICATIONS:

28
TABLE 9. NuMBER OF PATIENTS DISCHARGE FROM sHORT-STAY HOSPITALS, RATE OF DISCHARGES, AND AVERAGE LENGTH i3F STAY, BY CAT EGCIRY OF

FIRST-LISTED OIAGNOSIS ANO AGE: UNITED STATES, 1983--CON.

[ DISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUOES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NLI14BER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MOD IF ICATIONI

ALL AGES UNDER 15 15-44

YEARS YEARS

45-64 65 YEARS ALL AGES UNOER 15

YEARS ANO OVER YEARS

15-44

YEARS

45-b4 65 YEARS

YEARS ANO OVER

RATE OF PATIENTS OISCHARGEO PER 10,DOO POPULATION AVERAGE LENGTH OF STAY IN OAYS

01

02

03

04

05

D6

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

;:

30

31

32

33

34

35

36

37

38

39

40

41

+2

43

44

45

46

47

48

49

50

51

52

53

z

56

57

58

59

-.. ..-. - .-.-- 4,127.1

51.7

432.9

386.7

64.1

39.1

46.1

173.0

93.2

54.5

45.4

101.3

45.6

12.3

10.5

301.+

49.7

174.6

19.9

1,184.7

49.3

761.2

139.6

110.6

156.8

132.7

234.1

410.0

42.9

*

122.2

34.2

513.1

53.5

23.7

6.3

45.8

44.5

45.6

60.8

280.5

20.2

70.8

*

...

...

56.0

220.0

71.7

20.9

9.1

32.9

286.0

144.7

71.5

13.4

11.4

11.2

19.9

*

...

6.9

6.6

9.6

10.5

10.5

9.4

6.3

8.7

9.5

6.7

7.0

12.4

15.4

10.1

11.5

5.0

10.5

2.5

3.0

9.1

6.3

8.6

10.9

8.4

6.9

9.7

11.7

6.2

4.9

1.8

8.0

5.5

6.6

7.7

5.3

5.4

4.1

5.1

8.5

8.7

5.6

4.5

7.7

3.6

2.5

2.0

8.1

7.3

8.3

8.2

5.9

12.8

4.2

7.2

10.2

18.0

6.6

5.5

4.5

3.5

1.9

3.6

4.6

4.2

5.0

5.7

*

*

3.8

5.5

6.6

4.2

4.3

16.3

*15.4

*15.9

*

3.2

6.9

*

2.3

6.3

*

6.5

*

*

*

*

*

3.4

3.4

1.7

4.8

3.7

3.6

*

3.7

4.8

1.7

3.6

*

*

3.6

*

*

*1.9

*

3.9

5.8

5.9

*

5.6

12.8

3.2

4.3

5.3

*

2.:

3.6

4.3

*

3.0

5.0

4.9

6.6

7.6

7.9

7.4

5.7

6.8

7.3

6.3

7.5

12.1

15.5

10.2

11.7

5.6

8.2

2.4

2.9

6.5

5.2

6.4

9.4

4.7

5.7

*5.9

12.0

4.2

4.1

2.0

6.3

4.5

5.2

5.3

4.9

4.6

3.8

5.0

7.0

6.8

‘4.5

3.5

*

3.6

2.5

2.0

6.5

5.8

4.7

7.6

4.9

*

3.6

5.-1

8.1

*24.7

6.3

5.5

4.3

3.5

1.9

3.6

7.6 9.7

11.7

11.4

11.8

11.1

10.5

8.0

10.5

11.3

7.9

7.4

13.5

16.0

9.3

12.6

5.2

14.2

2.6

5.1

10.1

7.4

9.4

11.2

9.5

7.6

9.9

12.1

9.7

8.6

*

10.8

7.9

8.8

9.7

6.9

11.4

5.6

7.3

9.0

10.9

8.2

6.6

8.1

*

...

...

11.9

l, Yzf.4.5

20.4

206.2

165.8

34.0

22.9

40.4

82.1

53.2

14.2

10.2

95.2

34.1

13.5

29.4

86.3

20.2

21.9

12.5

413.7

30.9

276.5

56.4

33.9

98.2

20.1

41.5

152.8

14.1

*

30.9

26.7

277.6

26.9

20.4

5.8

33.6

19.6

14.7

36.0

29.2 40.4 21.8 8.3

9.1

9.9

10.0

B.9

113.7

88.9

14.6

13.6

8.6

43.1

20.5

1.1

3.2

*

10.5 *

24.9 5.0 22.5 6.2

2T.1

14.3

8.4

9.3

6.7

6.7

52.0

29.0

15.5

10.6

73.2

24.8

11.3

16.7

80.8

18.5

25.6

14.3

5.2

11.9

4.6

8.0

4.9

11.9

14.9

9.5

*1.O

*1.1

*

87.3

27.1

15.1

20.9

9.B

10.8

5.5

11.0

32.7

12.9

1.4

60.7

12.2

*

36.0

2.4

15.5 5.9 3.5

7.4

*

48.7

5.3

23.5

8.1

5.8

243.4

14.2

154.9

29.1

20.1

4.9

*

*

*

*

*

7.7

10.7

6.4

6.4

9.3

10.7

3.9

1.1

6.3

*0.8

2.8

40.4

20.0

37.0

208.5

57.0

52.4

47.0

26.4

69.2

8.2

11.2

11.2

10.1

7.2

6.4

2.4

8.6

6.4

156.4

24.3

17.1

36.o

19.8

6.7

6.9

5.0

7.1

195.0

15.2

12.4

11.2

20.5

25.1

8.8

89.2

*

131.3

7.7

3.2

13.7

14.4

10.7

13.6

11.8 4.2

5.7

7.8

8.1

36.1

*

*

17.4

1.2

20.8 14.2

142.5

14.2

11.6

13.8

45.1

21.2

24.9

104.7

24.8

20.4

15.3

9.0

25.2

148.5

46.9

9.9

13.4

11.8

13.3

195.1

170.7

24.1

16.6

14.9

26.3

*

*

151.4 5.7

5.0

6.9

3.9

15.2

*

23.2

*cl.9

*

95.7

44.9

*

*

32.7

73.8

37.1

36.3

10.6

*

31.4

34.5

37.5

4.9

17.8

6.9

9.3

19.5

*

*

*

*

8.4

7.5

12.1 19.9

9.8

1.2

9.9

8.4

6.5

1.7

4.5

14.1

3.B

*

90.4

17.9 9.2

23.4 8.5

37.2 8.5 7.7

40.4 * *

20.2 23.0 4.4

148.7

34.9

*0.9

17.6

13.3

17.7

7.4

9.1

16.6

7.0

7.8

5.0

87.4

20.5

*

*

13.3

8.7

17.9

7.6

9.0

6.7

5.3 60

* 61

... 62

4.7

*

*

14.2

*

2.1

396.9

13.2

364.2

6.3

171.2

—

29
TABLE 10. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTH OF sTAY, BY CATEGORY OF

FIR ST-L ISTEO OIAGNOSIS, SEX, ANO RACE: UNITEO STATES, 1983

(O IS CHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEW80RN INFANTS. DIAGNOSTIC. GROUPINGS ANO COOE NuMBER INCLUSIONS ARE BASEO ON THE

INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

SEX

CATEGORY OF FIR ST- LISTEO OIAGNOSIS ANO ICO-9-CM COOE

80TH MALE FEMALE BOTH MALE FEMALE

SEXES SEXES

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

3.4

35

36

37

38

39

40

41

42

43

’44

45

46

47

48

49

50

51

52

53

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFEcTIouS AND PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001-139

NE OPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1/ 140-208,230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O. 197. 3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175,198.81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN 8EHAVIOR

ANO UNSPECIFIED NAT URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l/ 210-229,235-239

ENDOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO 1MMUNIT% OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

OIABETES MELL ITUS . . . . . . . . . . . . . ...”..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGAN S. . . . . . . . . . . . . . . . . . . . . ..28 O-289

ANEMIA S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..z80-z85

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHO SES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300-301

ALCOHOL OEPENOENCE SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . .320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . ...320-336.340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...3.56

OISEASES OF THE EAR ANO MASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATOiTY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

HEART DISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.402 .4 O4.4lO-4l6.42O-429

ACUTE MYOCAROIAL INFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Io

ATHEROSCLEROTIC HEART 01 SEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0

OTHER IS CHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428.0

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO ADENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 474

PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480-486

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . 531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPENDI CITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HE RN IA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHIASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580-629

CALCULUS OF K1ONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 592

HYPERPLASIA OF PRO STAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM . . . . . ...2/ 630-676

A8ORTIONS ANO ECTOPIC ANO MOLAR PREGNANC I ES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 C-7O9

OISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE . . . . . . . ..71 O-739

ART HROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-71.9

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740-759

CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOO . . . . . . . . . . . . . ..76 C+779

SYMPTOMS, SIGNS, ANO ILL-O EFINEO CONDITI ONS . . . . . . . . . . . . . . . . . . . . . . . ...780-799

54 INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

55 FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 D0-B29

56 FRACTURE OF NECK OF FE MUR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

57 SPRAINS ANO STRAINS OF BACK ( INCLUOING NECK) . . . . . . . . . . . . . . . . . . . . ...84&847

5B INTRACRANIAL INJURIES IEXCLUOING THOSE WITH SKULL FRACTURE ) . . . . . . ..85 O-854

59 LACERATIONS AND OPEN WOUNDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

60 SUPPLEMENTARY CL OSSIF I CA TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VO 1-V.92

61 PERSONS AOMITTEO FOR STERILI CAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V25.2

62 FEMALES WITH DEL IV ERIE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

NUMBER OF PATIENTS RATE OF PATIENTS OISCHARGEO

OISCHARGEO IN THOUSANOS PER 10,000 PilPIJ1.AT[llN

38,783

677

2,642

2,065

339

244

577

1,20T

675

360

247

1,701

576

264

388

1,878

429

594

360

5,654

330

3,597

676

466

938

464

860

3,632

564

397

837

459

4,530

352

288

261

477

584

204

482

3,311

330

269

321

1,048

492

577

2,43Z

576

473

356

209

585

3,450

1,090

230

311

275

309

4,532

146

3,976

15,573

319

1,136

996

210

*

141

431

255

152

93

874

266

88

295

795

210

211

167

2,896

129

1,911

424

261

544

208

405

1,833

287

180

426

190

2,110

176

120

147

429

236

1:;

1,o8o

232

269

...

...

...

274

1,025

22’3

266

185

117

279

1,906

543

59

154

171

232

159

*

...

23,210

358

1,506

1,069

129

242

437

776

420

209

154

827

311

176

93

1,083

219

382

193

2,758

201

1,686

253

205

394

255

455

1*799

277

217

411

269

2,420

177

169

114

48

348

137

340

2,231

98

...

321

1,048

492

303

1,407

347

208

171

92

306

1,544

547

171

157

105

77

4,373

142

3,976

L,669.6

29.2

113.7

8B.9

14.6

10.5

24.9

52.o

29.0

15.5

10.6

73.2

24.8

11.3

16.7

80.8

18.5

25.6

15.5

243.4

14.2

154.9

29.1

20.1

40.4

20.0

37.0

156.4

24.3

17.1

36.0

19.8

195.0

15.2

12.4

11.2

20.5

25.L

8.8

20.8

142.5

14.2

11.6

13.8

45.1

21.2

24.9

104.7

24.8

20.4

15.3

9.0

25.2

148.5

46.9

9.9

13.4

11.8

13.3

195.1

6.3

171.2

1 ,368.3

28.4

101.3

88.8

18.7

*

12.5

38.4

22.7

13.5

8.3

77.9

23.7

7.B

26.3

70.9

IB.7

18.8

14.9

258.2

11.5

170.4

37.8

23.3

48.5

18.6

36.1

163.4

25.6

16.0

3B. O

17.0

188.1

15.6

10.7

13.1

38.3

21.1

6.0

12.7

96.3

20.7

24.0

. . .

. . .

. . .

24.5

91.4

20.4

23.7

16.5

10.5

24.9

169.9

48.4

5.2

13.8

15.2

20.7

14.2

*

. . .

. . . . .

1, Y3L.5

29.8

125.4

89.0

10.8

20.1

36.4

64.6

34.9

17.4

12.8

68.8

25.9

14.7

7.7

90.1

18.3

31.8

16.1

229.6

16.7

140.4

21.1

17.1

32.8

21.3

37.9

149.8

23.1

18.1

34.2 ‘

22.4

201.5

14.7

14.0

9.5

4.0

29.0

11.4

28.3

185.7

8.1

. . .

26.7

87.2

40.9

25.2

117.1

28.9

17.3

14.2

7.6

25.5

128.6

45.6

14.3

13.1

8.7

6.4

364.1

11.8

331.0

1/ THE 1982 ESTIMATES FOR MALIGNANT NEOPLASMS AND FOR BENIGN NEOPLASMS AND NEOPLASMS OF UNCERTAIN BEHAVIOR AND UNSPECIFIED NATURE

WERE INCORRECTLY PRESENTED IN SERIES 13, NO, 78, THE CORRECT TOTAL NUMBER OF DISCHARGES FOR THE FORMER IS 2,016,000 AND FOR THE LATTER IS 577,000.

CORRECT ESTIMATES BY PATlENT AND HOSPITAL CHARACTERISTICS CAN SE OSTAINED FROM THE HOSPITAL CARE STATISTICS SRANCH, NCHS,

2/ FIRST-LISTEO OIAGNOSIS FOR FEMALES WITH DELIVERIES IS CODEO V27, SHOWN UNOER ‘<SUPPLEMENTARY CLASSIFICATIONS.”

30
TABLE IO. NuMBER OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS. RATE OF DIsCHARGES, AND AVERAGE LENGTH OF STAY. BY CATEGORY OF

FIR ST-L ISTEO OIAGNOSIS, SEX, ANO RACE: UNITEO STATES, 1983--CON.

{ DISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUDES NEwBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASED ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOO IF ICATIONJ

SE X—CCN. RACE

80TH MALE FEMALE ALL M3iITE ALL NOT ALL WHITE ALL NOT ALL

SEXES

WHITE ALL NOT

RACES OTHER STATED RACES OTHER STATEO RACE S OTHER STATEO

AVERAGE LENGTH NUMBER OF PATIENTS

OF STAY IN DAYS 01 SCHARGED IN THOU SANOS

6.9

6.6

9.6

10.5

10.5

9.4

6.3

8.7

9.5

6.7

7.0

12.4

15.4

10.1

11.5

5.0

10.5

2.5

3.0

9.1

6.3

8.6

10.9

8.4

$.9

9.-1

11.7

6.2

4.9

1.8

8.0

5.5

6.6

7.7

5.3

5.4

4.1

5.1

8.5

8.7

5.6

4.5

7.7

3.6

2.5

2.0

8.1

7.3

8.3

8.2

5.9

12.8

4.2

7.2

10.2

18.0

6.6

5.5

4.5

3.5

1.9

3.6

7.4

6.3

10.2

10.7

10.3

*

6.5

8.7

9.3

5.9

6.2

12.0

14.1

10.3

11.2

5.4

11.3

2.6

2.7

a. 8

5.8

8.2

10.8

7.6

6.5

9.4

11.3

6. ?.

4.5

1.8

7.8

4.9

6.0

7.4

4.4

4.9

4.0

5.0

7.7

9.4

6.3

ft. 2

7.7

. . .

. . .

. . .

7.8

6.8

7.0

7.2

5.8

12.7

4.1

6.4

8.9

18.7

5.9

5.3

4.3

4.3

*

. . .

. ..- ----- ---- ---- ...

b.b

6.8

9.2

10.4

10.7

9.4

6.2

8.6

9.6

7.2

7.5

12.9

16.6

10.0

12.5

4.7

9.7

2.5

3.3

9.4

6.7

8.9

11.1

9.4

7.4

9.9

12.2

6.2

5.3

1.9

8.3

5.8

7.0

7.9

6.0

5.9

4.6

5.3

8.9

8.3

5.2

5.2

. . .

3.6

2.5

2.0

8.4

7.7

9.1

9.4

6.0

12.9

4.3

8.2

11.5

17.8

7.3

5.9

5.1

3.5

1.9

3.6

5U, [U3

677

2,642

2,065

339

244

577

1,207

675

360

247

1,701

576

264

308

1,878

429

594

360

5,654

330

3,597

676

466

938

464

860

3,632

564

397

837

459

+,530

352

288

261

477

584

204

482

3,311

330

269

321

1,048

492

577

2,432

576

473

356

209

585

3,450

1,090

230

311

275

309

4,532

146

3,976

5U, LUb

521

2,118

1,687

275

200

430

906

496

252

161

1,242

443

210

235

1,520

343

486

291

4,663

235

3,025

588

400

799

379

696

2,891

448

317

666

319

3,649

287

233

212

382

475

174

399

2,607

282

222

244

702

311

433

1,924

.456

368

265

141

456

2,654

87G

198

234

212

214

3,164

98

2,764

!),.?3>

111

305

207

41

23

98

205

121

84

72

271

94

31

69

176

51

37

35

5.99

69

323

45

28

74

55

103

443

70

32

111

108

532

40

38

29

53

64

15

48

438

21

22

49

250

141

100

252

60

43

54

48

74

478

!10

H

42

64

825

37

729

5,441

46

220

170

23

21

49

96

5a

24

14

188

40

23

84

182

z

33

402

26

249

43

38

65

30

61

297

45

48

60

32

349

25

17

20

42

45

14

36

266

27

26

28

95

39

44

257

60

62

37

20

55

319

110

22

21

21

31

543

11

482

RATE OF PATIENTS OISCHARGEO AVERAGE LENGTH OF STAY

PER 10,000 POPULATION IN DAYS

1,669.6

29.2

113.7

88.9

14.6

10.5

24.9

52.0

29.0

15.5

10.6

73.2

24.8

11.3

L6.7

80.8

18.5

25.6

15.5

243.+

14.2

154.9

29.1

20.1

40.4

20.0

37.0

156.4

24.3

17.1

36.0

19.8

195.0

15.2

12.4

11.2

20.5

25.1

8.8

20.8

142.5

14.2

11.6

13.8

45.1

21.2

24.9

104.7

24.8

20.4

L5.3

9.0

25.2

148.5

46.9

9.9

13.4

11.8

13.3

195.1

6.3

171.2

1,519.0

26.3

106.8

85.1

13.9

10.1

21.7

45.7

25.0

12.7

8.1

62.7

22.3

J 10.6

11.9

76.7

17.3

24.5

14.7

235.3

11.9

152.6

29.7

20.2

40.3

19.1

35.1

145.9

22.6

16.0

33.6

16.1

184.1

14.5

11.8

10.7

19.3

24.0

8.8

20.1

131.5

14.2

11.2

12.3

35.4

15.7

21.9

97.1

23.0

18.6

13.4

7.1

23.0

133.9

43.9

10.0

11.8

10.7

10.8

159.6

4.9

139.5

1,535.9

32.5

89.4

60.8

12.0

6.8

28.6

60.3

35.4

24.7

21.1

79.5

27.5

9.1

20.4

51.7

15.0

10.8

10.3

172.8

20.2

94.8

13.3

a.3

21.7

16.1

30.1

130.0

20.7

9.4

32.7

31.7

156.0

11.7

11.0

a.6

15.6

la.7

4.5

14.0

128.5

6.2

6.4

14.3

73.4

41.4

29.2

73.8

17.7

12.6

15.9

14.1

zl.a

140.1

32.3

3.0

16.7

12.5

la.8

242.0

10.7

214.0

. . .

. . .

. . .

.. .

.. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

. . .

. . .

.. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

.. .

. . .

. . .

.. .

. . .

. . .

. . .

.. .

. . .

. . .

. . .

.. .

. . .

. . .

.. .

.. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

.. .

.. .

.. .

.. .

. . .

6.9

6.6

9.6

10.5

10.5

9.4

6.3

a.7

9.5

6.7

7.0

12.4

15.4

10.1

11.5

5.0

10.5

2.5

3.0

9.1

6.3

a.6

10.9

a.4

6.9

9.7

11.7

6.2

4.9

l.a

8.0

5.5

6.6

7.7

5.3

5.4

4.1

5.1

a.5

a.7

5.6

4.5

7.7

3.6

2.5

2.0

a.1

7.3

8.3

a.z

5.9

Iz.a

4.z

7.2

10.2

18.0

6.6

5.5

4.5

3.5

1.9

3.6

7.0

6.4

9.6

10.5

10.4

9.3

6.2

a.5

9.4

6.6

7.0

12.a

16.0

10.3

12.2

5.0

10.4

2.5

3.1

9.1

6.1

8.6

11.0

a.4

6.9

9.8

11.6

6.4

5.1

1.8

a.3

5.a

6.6

7.7

5.3

5.1

4.1

5.2

a.6

8.7

5.5

4.4

7.5

3.6

2.4

2.0

a.o

7.4

8.3

8.2

5.a

11.6

% o

7.3

10.5

la.2

6.5

5.1

4.4

3.5

I.a

3.6

7.2

7.7

10.7

12.3

12.3

11.1

7.2

9.7

10.2

7.0

6.9

11.8

14.5

10.1

9.7

6.3

12.0

2.8

3.3

10.1

7.5

9.3

11.8

a.7

7.2

9.9

13.6

5.5

4.3

2.0

7.1

4.9

7.0

7.9

5.a

6.2

4.2

5.4

8.0

9.2

6.0

5.7

10.4

3.5

2.9

2.2

9.5

7.8

8.8

9.2

6.a

17.0

4.8

7.3

9.9

17.6

7.2

6.4

5.2

3.7

2.0

3.7

6.0

5.a

8.1

8.9

a.z

a.7

5.5

8.0

a.9

6.6

8.5

lo.a

11.8

a.5

11.0

4.0

9.2

2.7

2.2

7.7

5.6

7.2

9.1

8.0

6.1

7.7

10.3

5.0

3.9

1.9

7.5

4.2

5.a

7.4

4.5

6.6

4.1

4.2

7.3

8.0

5.5

5.0

7.5

4.2

2.3

1.9

6.1

6.6

7.5

7.1

5.1

10.6

5.0

6.4

a.4

16.9

6.5

a.1

3.5

3.2

2.1

3.2

01

02

03

04

05

06

07

oa

09

10

11

12

13

14

15

16

17

la

19

20

21

22

23

24

25

26

27

2a

29

30

31

32

::

35

36

37

3a

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

5a

59

60

61

62

31
TABLE 11. NUMBER OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS. RATE OF DISCHARGES, ANO AVERAGE LENGTH OF STAY. BY CATEGORY OF

FIR ST-L ISTEO OIAGNOSIS ANO GEoGRAPHIC REGION: UNITEO STATES, 1983

( DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS AND CODE NUMBER INCLUSIONS ARE BASED ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CLINICAL MODIFICATION)

CATEGORY OF FIR ST- LISTEO OIAGNOS1 S ANO ICO-9-CM COOE UNITEO NORTH- NORTH SOUTH wEST

STATES EAST CENTRAL

NUMBER OF PATIENTS OISCHARGEO IN THOUSANOS

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

lT

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

ALL CONDITION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OOl.l39

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l/ 140-208,230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG. . . . . ...162. 197.0, 197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1 T4-175.198. B1

BENIGN NEOPLASMS ANO NEOPLASIIS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l/ 210-229,235-239

ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO 1MMUNIT% OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240-279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25O

OISEASES OF THE BLOOO ANO BLOOO-FOR141NG ORGANS . . . . . . . . . . . . . . . . . . . . . ..2 BO-289

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2 B0-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3OO-3Ol

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 D-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32O-336.34O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PRoCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-3B9

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390-+59

ESSENTIAL HYPERTENSl ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Ol

HEART DISEASE . . . . . . . . . . . . . . . . . . . . 391-392 .0,393 -39 B,402,404,4L0-416,420-429

ACUTE MYOCAROIAL INFARCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART DISEA SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER ISCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411+13.414.1-4 l4.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428. o

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 474

PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

As THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..k93

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52@ 579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . ..53 I-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPENOICITI S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI AS I S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PRO STATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL 8LEEOING . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM . . . . . ...2/ 630-676

A80RTIONS ANO EC TOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . . ..63 O-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..6 BO-7O9

OISEASES OF THE t4USCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..71 O-739

ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 722

CONGENITAL AN OMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...74&759

CERTAIN CCNOITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-779

SYMPTO14S, SIGNS, ANO ILL-OEFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799

54 INJuRY ANO PO IRON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..80@ 999

55 FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800-B29

56 FRACTURE OF NECK OF FE MUR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O

57 SPRAINS ANO STRAINS OF BACK II NC LUOING NECK) . . . . . . . . . . . . . . . . . . . . ...846-847

5B INTRACRANIAL INJURIES (E XC LUOING THOSE HITH SKULL FRACTURE I . . . . . . .. B5D-854

59 LACERATIONS ANO OPEN WOUND S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B70-904

60 SUPPLEMENTARY CLASS IF I CA TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82

61 PERSONS AOMITTEO FOR STERILI CAT I ON....... . . . . . . . . . . . . . . . . . . . . . . . . . . .. V25.2

62 FEMALES WITH DELIVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VZ7

3B,7B3

677

2,642

2,065

339

244

577

1,207

675

360

247

1,701

576

264

3BB

I,B78

429

594

360

5,654

330

3*597

676

466

938

464

B60

3,632

564

397

837

459

4,530

352

288

261

477

584

204

4B2

3,311

330

269

321

1,048

492

577

2,432

576

473

356

209

585

3,450

1,090

230

311

275

309

4,532

146

3,976

.- .

7, 793

IIB

659

496

77

65

163

234

144

82

57

430

133

40

158

361

84

113

74

1,198

56

789

165

104

214

10B

170

642

90

63

143

96

S88

61

43

1??

96

47

91

682

58

69

83

261

171

134

376

91

67

67

35

106

663

224

50

55

67

53

858

34

738

10,492

lBO

740

606

9B

71

135

344

185

::

557

1B5

1::

564

122

1B3

111

1,484

81

929

164

121

236

131

234

1,037

162

136

241

111

1,174

90

79

66

120

147

51

140

816

83

71

73

246

93

156

742

187

135

102

44

169

906

275

61

73

70

76

1,152

19

1,015

13,884

281

786

590

101

65

196

457

255

139

99

471

168

95

55

613

159

171

123

2,013

143

1,286

236

167

310

168

294

1,406

245

144

339

160

1,758

150

135

B8

148

263

78

183

1,329

141

aa

lza

370

160

201

77a

173

155

127

91

213

1,211

359

70

140

96

121

1,639

74

1,435

b,b14

99

457

373

64

43

84

171

91

5B

40

242

91

40

41

340

64

127

51

959

50

592

112

74

17a

1::

547

68

55

114

91

711

51

31

52

90

78

27

68

484

u

38

170

6a

87

536

124

116

61

39

97

671

231

50

43

42

59

884

7:;

1/ THE 19B2 ESTIMATES FOR MALIGNANT NEOPLASMS AND FOR BENIGN NEOPMSMS AND NEOPLASMS OF UNCERTAIN BEHAVIOR AND UNSPECIFIED NATURE

WERE INCORRECTLY PRESENTED IN SERIES 13, NO. 78. THE CORRECT TOTAL NUMBER OF DISCHARGES FOR THE FORMER IS 2,016,000 AND FOR THE LA~ER IS 577,000.

CORRECT ESTIMATES BY PATlENT ANO HOSPITAL CHARACTERISTICS CAN ❑E OBTAINED FROM THE HOSPITAL CARE STATISTICS SRANCH, NCHS.

2/ F! RST-LISTEO OIAGNOSIS FOR FEMALES WITH DELIVERIES IS CODEO V27, SHOWN UNDER ‘(SUPPLEMENTARY CLASSIFICATIONS.”

32
TABLE 11. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, AND AVERAGE LENGTH OF STAY, BY C4TEGORY OF

FIRST-LISTED OIAGNOSIS AND GEOGRAPHIC REGION: IJNITEO STATES, 19 B3--CON.

( OISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NE14BORN INFANTS. OIAGNOST IC GROUPINGS ANO COOE NUMBER INCLUSIONS ALL BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MIJOIFICATICIN]

UNITEO NORTH- NORTH SOUTH WEST UNITED

STATES EAST CENTRAL

NORTH- NGRTH SOUTH wEST

STATES EAST CENTRAL

RATE OF PATIENTS DISCHARGED PER 10,000 POPULATION AVERAGE LENGTH OF STAY IN DAYS

1,669.6 1,577.3 1,784.2 1,456.0 6.9

6.6

9.6

10.5

10.5

9.4

6.3

8.7

9.5

6.7

7.0

12.4

15.4

10.1

11.5

5.0

10.5

2.5

3.0

9.1

6.3

8.6

10.9

8.4

6.9

9.7

11. T

6.2

4.9

1.8

8.0

5.5

6.6

7. T

5.3

5.4

4.1

5.1

8.5

B.?

5.6

4.5

7.7

3.6

2.5

2.0

B.1

7.3

8.3

8.2

5.9

12.8

4.2

7.2

10.2

18.0

6.6

5.5

%5

3.5

1.9

3.6

8.1

9.3

10.8

12.0

11.8

10.0

7.1

11.7

12.4

7.9

8.2

12.4

18.0

9.7

9.0

6.o

13.9

2.7

3.1

10.9

8.1

10.2

12.4

10.3

7.9

12.1

15.3

7.3

5.3

1.8

9.6

5.9

7.6

8.B

5.7

6.1

4.1

6.5

10.4

10.0

6.o

5.2

9.2

2.6

2.2

1.7

8.4

8.8

9.7

10.1

5.4

13.6

4.6

8.3

13.0

23.B

7.6

5.4

4.4

4.2

1.9

4.3

7.2

5.9

6.6

6.0

9.3

10.5

10.3

9.4

5.8

7.7

8.4

6.7

6.8

11.3

14.3

9.3

11.9

5.0

9.2

2.7

3.3

8.7

6.2

8.2

10.4

8.2

6.5

9.1

11.2

6.1

4.8

2.2

7.5

5.2

6.3

7.3

5.5

5.1

4.2

4.8

7.7

8.6

5.3

4.2

7.3

4.1

2.6

2.1

B.2

7.2

7.B

8.3

5.9

13.0

4.0

7.1

10.0

17.6

6.2

5.5

4.9

3.4

2.0

3.4

5.9

5.9

8.0

8.5

9.5

8.1

6.0

7.0

7.6

4.8

4.6

11.3

11.3

12.0

11.5

4.4

10.0

2.2

2.4

7.2

5.0

6.8

8.7

6.5

5.8

7.1

9.2

5.7

4.4

1.4

7.7

5.1

5.8

7.2

3.9

5.3

3.6

4.2

8.1

7.1

5.2

4.4

6.7

3.5

2.5

2.1

6.9

5.B

6.8

6.2

5.6

9.2

4.6

6.5

8.7

15.3

5.9

5.4

3.5

2.8

1.4

2.8

1,765.3 01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

;:

60

61

62

29.2 23.8 30.6 35.7 21.8

100.6

82.1

14.0

9.4

18.5

37.7

20.1

12.9

8.8

53.3

20.0

8.9

9.0

74.8

14.2

27.9

11.1

211.1

11.1

130.3

24.7

16.3

39.2

12.5

35.5

120.4

14.9

12.0

25.1

20.1

156.5

11.3

6.9

11.5

19.8

17.2

6.0

15.1

106.7

10.6

9.1

8.3

37.5

15.0

19.1

118.0

27.4

25.6

13.5

8.7

21.3

147.i’

50.9

10.9

9.6

9.3

12.9

194.5

4.2

173.3

113.7

88.9

14.6

10.5

133.3

100.4

15.6

13.1

125.9

103.0

16.7

12.1

99.9

75.0

12.B

B.3

9.9

10.7

10.3

9.5

24.9 33.0 22.9 24.9 6.2

52.0

29.0

47.4

29.1

58.5

31.4

58.2

32.5

8.7

9.5

15.5

10.6

16.5

11.6

13.8

8.6

17.7

12.6

6.9

8.0

73.2

24.8

87.0

26.8

8.o

32.o

94.7 59.9

21.4

12.0

13.8

16.7

10.4

14.4

31.5

15.1

22.9

95.9

20.7

31.2

18.9

11.3

16.7 7.0

80.8 77.9

18.5

25.6

15.5

73.1

16.9

22.8

15.0

4.7

10.0

2.6

2.9

20.2

21.7

15.7

243.4

14.2

154.9

242.5

11.3

159.8

33.3

21.0

43.3

21.9

34.4

252.4

13.8

15B.O

27.9

20.6

40.1

22.2

39.9

255.9

18.2

9.2

6.2

8.8

11.7

8.2

7.3

9.5

11.6

163.6

29.1 29.9

20.1

40.4

20.0

37.0

21.2

39.4

21.4

37.4

178.8

31.1

18.3

43.1

20.4

156.4

24.3

17.1

36.0

19.8

130.0

18.2

12.?

28.9

176.3

27.5

23.1

40.9

18.9

5.9

5.0

1.8

8.0

19.5 5.7

179.7

12.4

8.6

11.2

195.0

15.2

12.4

11.2

20.5

25.1

8.8

20.8

199.6

15.3

13.4

11.2

20.5

25.o

223.5

19.1

17.2

11.2

18.8

33.4

10.D

23.3

6.7

7.7

5.2

5.2

24.1

19.4

J::

13B.o

11.8

14.0

16.8

52.9

34.5

27.1

76.1

4.3

5.4

B.?

23.8

8.1

8.5

142.5

14.2

11.6

13.8

138.7

14.0

12.1

12.3

169.0

17.9

11.2

16.3

5.8

4.7

7.4

4.1

2.8

2.+

8.5

7.8

9.0

8.8

6.4

14.9

3.9

7.0

9.5

16.0

6.9

5.7

4.7

3.9

1.9

3.8

45.1

21.2

24.9

104.7

24.8

20.4

15.3

9.0

25.2

148.5

46.9

9.9

13.4

11.8

13.3

41.8

15.9

47.1

20.3

26.5 25.5

126.2

31.9

22.9

98.9

22.0

19.8

18.5

13.5

13.5 17.3 16.1

7.1 7.4 11.6

21.5 28.7 27.1

134.2

45.4

10.2

11.2

13.5

10.7

154.0

46.8

10.3

12.3

12.0

13.0

154.0

45.7

8.9

17.8

12.2

15.4

195.1

6.3

171.2

173.6

6.9

149.4

195.9

3.2

172.6

208.4

9.4

182.5

33
TABLE 12. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY CATEGORY OF FIRST-LISTED DIAGNOSIS AND BEO SIZE OF HcSPITAL:

UNITEO STATES, 1983

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE 8ASE0 ON ThE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REv IS1ON, CLINICAL MOOIF ICATIONI

CATEGORY OF FIR ST- LISTEO OIAGNOSIS AND ICO-9-CM COOE ALL b-99 100-199 200-299 300-499 500 BEOS

SIZES BEOS BEOS BEOS BEOS OR MCRE

NUMBER OF PATIENTS OISCHARGEO IN THOU SANOS

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001-139

NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT N EOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II 140-208,230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . ...162. 197.0, 197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN SEHAVIOR

ANO UNSPEC lFIEO NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~/ 210-229,235-239

ENOOCRINE, NUTRIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES OF THE BLOOO ANO BLOOO-FORMING oRGANS . . . . . . . . . . . . . . . . . . . . . . . . . ..28 D-2B9

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 OO.3Ol

ALCOHOL OEP ENDENCE SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . 320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MA STOIO PRoCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPERTENSI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . 391-392.0,393-398,402,404,410-416,420-429

ACUTE MYOCAROIAL IN FAR CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0

OTHER IS CHEMIC HEART DISEA SE . . . . . . . . . . . . . . . . . . . . . . . . . . ...411-413.414. 1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. O

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43O438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46@5l9

ACUTE RESPIRATORY 1NFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 474

PNEUMONIA, ALL FORM S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..493

OISEASES OF THE DIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...52&579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUODENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPENOICITI S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HE RNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI ASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEED ING . . . . . . . . . . . . ..626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM . . . . . . . . . . . . 2/ 630-676

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANC I ES . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . ...680-709

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 D_739

ART HROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7lO.7l9

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 C+759

CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PERIOO . . . . . . . . . . . . . . . . . ..76 D-779

SYMPTOMS, SIGNSS ANO IL L-OEFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799

INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999

FRACTURES, ALL SITE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

FRACTURE OF NECK OF FE MAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

SPRAINS ANO STRAINS OF BACK [INCLUDING NEOK) . . . . . . . . . . . . . . . . . . . . . . . . ...846-847

INTRACRANIAL INJURIES (E XC LUOING THOSE WITH SKULL FRACTURE 1 . . . . . . . . . . ..85 O-854

LACERATIONS ANO OPEN WOUNDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CL OSSIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vO1-V82

PERSONS AOMITTEO FOR ST ERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v25.2

FEMALES WITH DE LIVE RI BE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

38,783

677

2,642

2,065

339

244

577

1,207

675

360

247

1,701

576

264

388

1,678

429

594

360

5,654

330

3,597

676

466

938

464

860

3,632

564

397

837

459

4,530

352

288

261

477

584

204

482

3,311

330

269

321

1,048

492

577

2,432

576

473

356

209

585

3,450

1,090

230

311

275

309

4,532

L46

3,976

6,336

119

214

167

31

18

47

255

145

65

46

319

66

56

118

196

53

44

48

953

78

622

113

58

148

126

145

839

155

54

246

86

910

77

90

49

67

151

46

95

494

56

30

45

140

50

113

399

76

56

30

12

94

587

158

36

E’

54

598

5:;

7,481

152

369

267

40

30

101

227

125

65

42

322

93

53

79

374

81

136

75

1,003

69

633

128

l%

93

154

800

151

1::

99

921

78

62

57

92

127

45

90

702

60

52

75

191

90

106

465

93

84

72

43

117

712

221

43

B9

58

55

842

72

5,990

100

379

294

54

36

86

187

104

62

45

165

51

27

39

296

69

100

62

986

60

610

111

87

155

74

162

565

80

81

119

69

761

:;

42

79

91

37

92

512

53

50

49

145

65

85

384

86

83

42

32

97

54 T

194

45

44

49

48

626

5;:

10,041

165

BOO

642

105

77

158

300

172

B7

58

508

199

72

101

517

102

179

96

1,473

72

931

171

133

256

2;:

822

111

108

170

107

1,o81

81

57

70

138

125

45

114

861

90

78

79

274

131

142

616

163

136

85

51

144

875

284

63

57

65

79

1,240

29

1,101

B,934

142

880

694

110

81

186

239

129

62

56

367

167

56

51

495

123

134

79

1,240

52

802

154

123

224

73

187

606

67

68

120

99

857

57

30

1::

90

30

91

742

71

59

73

297

155

131

569

157

114

128

71

133

729

232

44

42

49

73

1,227

27

1,066

1/ THE 1982 ESTIMATES FOR MALIGNANT NEOPLASMS AND FOR BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN SEHAVIOR ANO UNSPECIFIED NATUIRE

WERE INCORRECTLY PRESENTED IN SERIES 13, NO. 78. THE CORRECT TOTAL NUMBER OF DISCHARGES FOR THE FORMER IS 2,016,000 AND FOR THE LA~ER IS 577,000.

CORRECT ESTI MATES BY PATIENT AN o HOSPITAL CHARACTERISTICS CAN BE OSTAINED FROM THE HOSPITAL CARE STATISTICS BRANCH, NCHS.

2/ FIRST-LISTEO DIAGNOSIS FOR FEMALES WITH DELIVERIES IS COOED V27, SHOWN UNDER “SUPPLEMENTARY CLASSIFICATIONS?

34
TABLE 13. AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, BY CATEGORY OF FIR ST-L ISTEO DIAGNOSIS AND BEG

SIZE OF HOSP ITAL: UN ITEO STATES, 1983

( DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

CATEGORY OF FIR ST-L ISTEO OIAGNOSIS ANO ICO-9-CM COOE ALL 6-99 100-199 200-299 300-499 500 BEOS

SIZES BEDS BEOS BEOS BEDS OR MCRE

ALL CONOITl ON S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OOl.l39

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . . .. 162, 197.0, 197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174- 175.19B.81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2lO.229.23%239

ENOOCRINE, NUTRIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

DIABETES MELL IT' S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . ..28 O-289

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..280-2B5

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29&3l9

PSYCHOS ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3OO.3Ol

ALCOHOL OEPENOENCE SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O3

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . ..32O-336.34O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 C-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...39&459

ESSENTIAL HYPERTENSI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . 391-392 .0,393 -39 B,402,40k,410-k16,420- fi29

ACUTE MYOCAROIAL IN FAR CT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O

OTHER ISCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4ll4l3.4l4.l.4l4.9

CONGESTIVE HEART FAI LURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42B. O

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ..43H38

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46&5l9

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . . ..46 O-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4 B0-4B6

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..535

APPENOICITI S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HE RNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

6.9

6.6

9.6

10.5

10.5

9.4

6.3

8.7

9.5

6.7

7.0

12.4

15.4

10.1

11.5

5.0

10.5

2.5

3.0

9.1

6.3

8.6

10.9

8.4

6.9

9.7

11.7

6.2

4.9

1.8

8.0

5.5

6.6

7.7

5.3

5.4

4.1

5.1

OIVERTICULA OF IN TEST ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562 8.5

cHoLELITHrAsIs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574 8.7

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..580-629 5.6

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 4.5

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO 7.7

01 SOROERS OF MENSTRUATION ANO OTHER A8NOR14AL VAGINAL BLEED ING... . . . . . . . . ...626 3.6

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM . . . . . . . . . . ..l/ 630-676 2.5

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCIE S. . . . . . . . . . . . . . . . . . . . . . . . . . ..63 O-639 2.0

DISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9 8.1

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 O-739 7.3

ART HROPATHIES AND RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7l&7l9 8.3

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722 8.2

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...74&759 5.9

CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOO . . . . . . . . . . . . . . . . . ..76 O-779 12.8

SYMPTOMS, SIGNS, ANO ILL-D EFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799 4.2

INJURY ANO PO IRON IN G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 C-999 7.2

FRACTURES, ALL SITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829 10.2

FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O 18.0

SPRAINS ANO STRAINS OF BACK (I NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . ...-846-847 6.6

INTRACRANIAL INJURIES IEXCLUOING THOSE liITH SKULL FRACTURE) . . . . . . . . . ...850-854 5.5

LACERATIONS ANO OPEN WOUNDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904 4.5

SUPPLEMENTARY CL AS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82 3.5

PERSONS ADMITTED FOR STERILIZATI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. V25.2 1.9

FEMALES WITH DE LIVER I ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27 3.6

AVERAGE LENGTH OF STAY IN OAYS

5.B

5.4

8.4

9.4

8.8

8.1

4.7

6.7

7.3

5.5

6.1

1::;

7.1

8.1

4.7

8.4

2.9

3.5

7.2

5.1

6.9

9.1

6.0

4.9

7.8

9.6

5.8

4.6

2.0

7.2

5.0

5.7

6.2

5.1

5.0

4.2

4.3

7.4

7.9

5.0

3.3

7.0

3.6

2.3

2.0

6.6

5.7

6.7

6.3

3.7

3.4

2.7

5.6

9.0

17.3

5.9

2.6

3.3

2.9

2.0

2.9

6.4

5.7

9.2

10.6

11.9

8.3

5.5

8.1

8.6

5.4

5.7

13.4

12.6

10.3

15.5

4.4

9.4

2.6

3.0

8.6

6.6

8.2

10.4

8.8

6.3

9.6

10.7

5.7

4.7

1.8

7.4

5.3

6.2

7.1

5.6

4.8

3.9

4.8

B. 4

8.5

5.1

4.2

7.5

3.+

2.3

2.0

7.5

6.3

6.5

7.9

5.7

10.5

4.5

6.5

8.9

18.0

6.5

5.0

4.4

3.2

1.9

3.3

6.B

6.6

9.2

10.3

9.8

9.6

5.6

8.8

9.4

6.6

6.5

9.7

11.7

B.B

11.0

4.7

9.5

2.4

2.8

8.9

6.1

8.5

11.0

8.0

6.5

10.0

11.0

6.o

5.1

1.7

8.4

5.8

6.8

8.1

4.6

5.3

4.4

5.4

8.2

8.5

5.7

4.3

7.5

3.8

2.5

2.3

8.3

7.2

7.6

8.1

6.6

13.6

4.2

7.3

10.2

17.5

7.2

5.7

4.6

3.4

1.7

3.4

7.3

6.9

9.7

10.5

10.B

9.6

6.4

9.5

10.3

7.0

7.2

13.3

16.4

11.1

12.5

4.9

11.5

2.4

2.9

9.7

6.9

9.1

11.6

8.8

7.4

11.4

12.7

6.7

5.5

1.’3

B.8

5.9

6.8

7.8

5.9

6.0

4.2

5.4

8.6

9.2

5.9

5.1

8.1

3.6

2.6

2.0

8.1

8.1

8.8

9.0

5.6

13.4

4.2

7.4

10.4

17.1

7.2

6.1

4.2

3.7

l.B

3.7

7.8

8.0

10.1

10.9

10.4

9.8

7.3

10.2

11.6

.!3.3

9.1

14.9

17.4

12.4

11.7

s.a

11.B

2.7

3.0

10.2

7.5

9.5

11.8

a.6

a.2

10.4

13.9

6.9

4.7

1.9

9.4

5.4

7.3

9.7

5.2

5.6

3.a

6.3

10.4

9:1

6.0

5.3

T.9

3.9

2.6

1.9

9.9

a.s

10.0

a.4

6.5

14.9

4.a

a.8

12.1

20.4

6.8

a.6

s.a

4.0

1.9

4.0

1/ FIRST-L ISTEO OIAGNOSIS FOR FEMALES WITH DELIvERIES IS CODEO V27, SHOWN UNOER WSUPPLEPIENTARY CLASSIFICATIONS .-

35
TABLE 14. NUMBER CF ALL-LISTED DIAGNOSES FOR PATIENTS OISCHARGEO FP, !3M SHORT-STAY HOSPITALS, BY DIAGNOSTIC CATEGORY ANO AGE, SEX,

RACE, GEOGRAPHIC REG1ON, AVO BEO SIZE OF HOSPITAL: UNITEO STATES, 1983

[DISCHARGES FROM NCINFEOERAL HOSPITALS. EXCLUOES NEw80RN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE 8ASE0 GN THE

IN IERNATIONAL CLASSIFICATION OF DISEASES, 9TH REV IS1ON, CLINICAL MOO IF ICATION)

AGE

ALL

DIAGNOSTIC CATEGORY ANO ICO-9-CM COOE OIAGNOSES

UNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER

NUMBER OF ALL-L ISTEO OIAGNOSIS IN THOUSANDS

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

+9

50

51

52

53

ALL CON01710NS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . .

NE OPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . .

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . .

BENIGN NE OPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

. . . . . . . . . ...001-139

. . . . . . . . . ...14&239

. 1/ 140-208,230-234

. . ..162 .197.0 .19T.3

. . . .. 174-175 .198.81

. 1/ 210-229,235-239

ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY OISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240-279

OIABETES ME LLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250

01 SEASES OF THE 8LOO0 ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . ...280-289

ANEMIA S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHO SES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349

CAT AR AC T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MA STOIO PRoCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.402 .4 04.41 O-4l6.42O-429

ACUTE MYOCAROIAL INFARCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Io

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0

OTHER ISCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411 -413,414.1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 D-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . ..460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FOR MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O-5T9

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . ..531-534

GASTRITIS ANo OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGu INAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562

CHOLELITHIASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574

DISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 592

HYPERPLASIA OF PRO STAT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL 8LEE01NG . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHIL081RTH, ANO THE PUERPERIUM . . . . . . . . 2/ 630-676

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

OISEASES OF THE MU SC ULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..71 O-739

AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-719

INTERVERTEBRAL OISC OISOROE A S .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL AN OMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

CERTAIN CON OITIONS ORIGINATING IN THE PER IN ATAL PER IOD . . . . . . . . . . . . . . .760-779

SYMPTOMS, SIGNS, ANO IL L-O EFINEO CON OPT ION S........ . . . . . . . . . . . . . . . ...780-799

54 INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 O&999

55 FRACTURES, ALL SITE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

56 FRACTURE OF NECK OF FE MUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

57 SPRAINS ANO STRAINS OF BACK (I NC LUOING NE CK) . . . . . . . . . . . . . . . . . . . . ...846-847

58 INTRACRANIAL INJURIES [E XCLUOING THOSE WITH SKULL FRACTURE ) . . . . . . ..85 O-B54

59 LACERATIONS ANO OPEN WOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87F9O4

60 SUPPLEMENTARY CL AS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82

61 PERSONS AOMITTEO FOR STERILI CAT I ON....... . . . . . . . . . . . . . . . . . . . . . . . . . . .. V25.2

62 FEMALES WITH DE LIVE RI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27

101,969

1,860

4,429

3,285

478

297

1,145

6,088

2,775

1,758

1,349

4,425

I,0T3

941

781

4,383

1*394

697

879

19,579

2,657

11,924

785

1,973

3,077

1*515

1,966

7,633

989

513

1,334

709

9,158

660

678

308

568

838

595

774

7,744

416

512

475

6,365

523

1,361

5, 869

2,013

627

054

478

5,297

6,340

I,60T

255

500

352

668

8,348

589

3.976

6, 759

364

88

52

*

*

36

281

32

151

77

103

*7

13

*

692

110

*

470

112

*7

72

*

*

*6

12

11

1,583

441

361

336

179

625

*

27

?8

88

238

*

*

265

*

*

18

*

117

121

33

*

362

469

556

655

178

*

*6

76

77

199

*

11

32,633

593

766

304

18

39

462

1,044

393

467

368

2,003

408

480

404

753

306

20

132

1,300

272

583

49

32

151

25

51

1,382

182

145

178

170

2,431

131

227

172

140

262

24

197

3,292

190

*5

375

6,339

519

427

1,684

361

289

223

*

1,363

3,o23

630

13

308

189

419

5,543

5B4

3,962

23,393

329

1,476

1,121

194

118

356

1,846

913

360

256

1,115

262

258

282

927

301

112

111

5,435

959

3,279

278

446

1,179

270

382

1,653

1.44

*

226

182

2,550

217

220

34

166

134

146

233

1,797

134

133

95

*7

*

362

1,724

503

221

134

*8

1,392

1,179

260

27

124

42

94

1,101

*

*

39,183

574

2,099

1,808

265

140

291

2,918

1,437

780

648

1,204

396

190

92

2,011

677

561

167

12,733

1,4X9

7,991

456

1,492

1,742

1,207

1,521

3,015

223

*

594

178

3,553

309

203

23

174

204

424

342

2,390

89

374

*

. . .

. . .

456

2,341

1,116

115

135

1,987

1,483

539

212

62

44

78

1,505

*

. . .

1/ THE 1982 ESTIMATES FOR MALIGNANT NEOPLASMS ANO FOR BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR AND UNSPECIFIED NATURE

WERE INCORRECTLY PRESENTE,O IN BERIES 13, NO. 78. THE CORRECT TOTAL ALL-LISTED OIAGNOSES FOR THE FORMER IS 3,262,000 AND FOR THE LA77ER IS 1,172,000.

CORRECT ESTIMATES BY PATlENT AND HOSPITAL CHARACTERISTICS CAN BE OBTAINED FROM THE HOSPITAL CARE STATISTICS BRANCH, NCHS.

2/ FIRST-LISTEO OIAGNOSIS FOR FEMALES WITH DELIVERIES IS CODEO V27, SHOWN UNOER “SUPPLEMENTARY CLASSIFICATIONS.”
TABLE 14. NUMBER OF ALL-L 15TE0 OIAGNOSH FOR PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, BY OIAGNOs TIC CATEGORY AND AGE, SEX,

RACE, GEOGRAPHIC PEG ION, AND EEO SIZE OF HOSPITAL: UN ITEO STATES, 1983--CON.

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. DIAGNOSTIC GROUPIWGS ANO COOE NUMBER INCLUSIONS ARE 9iSE0 ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOOIF ICATICINI

SEX RACE REGION BEO SIZE

MALE FEMALE WHITE ALL NOT NORTH- NORTH SOUTH wEST 6-99

OTHER STATED

100-199 200-299 300-499 500 FEOS

EAST CENTRAL BEOS @EOS BEOS BEoS OR MORE

40,705

796

1,904

1,610

285

*

294

.2,261

1,108

659

457

2,122

480

317

583

1,974

683

251

.436

9,409

1,052

5,939

488

973

1,707

663

901

3,963

489

24o

695

2 B9

.4,059

323

297

159

508

332

203

251

2,495

282

512

. . .

. . .

. . .

614

2,172

700

332

421

280

2,440

3,502

844

66

238

217

478

1,638

*8

. . .

61,264

1,065

2, 525

1,675

192

294

851

3,828

1,667

1,099

892

2,303

593

624

198

2,409

710

446

443

10* 170

1, 606

5,986

297

’399

1,371

851

1,065

3,670

500

272

640

420

5,099

337

381

149

5::

392

523

5,249

134

. . .

475

6,365

523

7’47

3,698

1,313

294

434

198

2,856

2,839

762

189

262

135

190

6,711

581

3, 976

80, 325

1,420

3,563

2,685

386

243

878

4, 802

2, 145

1,274

945

3*355

829

766

498

3,517

1,125

566

707

16,254

2,037

10,095

681

1,701

2,657

1,269

1,615

6,226

792

408

1,o69

509

7,427

545

548

250

457

685

501

643

6, 130

355

423

358

4,37’4

333

1,050

4,723

1,643

493

636

321

4,220

4,916

1,287

220

359

271

486

6,116

399

2,764

13,336

309

508

334

58

30

174

056

427

368

318

632

156

91

157

47.4

161

48

93

2,021

452

1,051

52

135

225

154

214

806

122

12:

148

1,058

71

86

35

61

90

53

78

1,045

30

46

75

1,293

148

206

630

210

59

130

113

704

852

165

11

108

1::

1,332

135

729

NUMBER OF ALL- LISTEO oIAGNOSES IN THOUSANOS--CON.

8,3o8

131

358

266

34

24

92

431

202

116

87

437

88

B4

126

391

107

B3

79

1,304

169

778

52

I 37

196

91

136

601

76

64

97

51

673

45

44

23

50

64

41

53

568

31

44

42

698

41

105

516

161

74

8B

44

373

573

154

24

34

28

6.4

900

55

4B2

20,436

345

1,067

789

111

79

278

1,230

639

392

306

977

235

159

265

832

264

132

164

4,348

569

2,765

191

504

717

360

391

1,395

160

2:;

154

1,788

117

110

64

141

134

125

155

1,521

75

119

116

1,223

176

303

948

346

89

155

84

1,001

1,225

327

55

102

86

122

1,603

103

738

27,680

497

1,248

956

133

86

292

1,708

752

449

335

1,377

333

294

252

1,321

407

217

279

5,089

715

3,046

190

550

747

400

529

2,167

276

178

369

180

.?,405

170

178

76

147

217

159

218

1,956

105

141

110

1,620

101

373

1,796

597

182

252

120

1,429

1,693

392

67

119

1!:

2,180

109

1,015

36,395

727

1,359

952

146

83

407

2,207

976

611

483

1,344

323

342

141

1,442

483

199

312

6,902

965

4,163

274

620

1,072

537

687

2,912

429

184

542

241

3,577

278

308

107

177

373

238

298

3,120

177

172

190

2,285

173

463

1,968

709

215

300

200

1,962

2,164

535

2E

121

247

2,849

290

1,435

17,458

292

755

587

88

49

167

943

408

306

226

726

182

146

123

788

239

149

124

3,239

409

1,951

130

298

542

218

358

1,158

125

74

190

133

1,387

95

H

104

114

72

103

1,146

59

80

59

1,236

72

223

1,158

360

141

148

75

905

1,258

352

56

64

57

124

1,716

87

787

17,938

318

437

316

48

23

122

1,234

522

300

236

867

160

199

182

587

212

62

128

3,589

526

2,179

134

324

541

369

363

1,774

274

67

379

141

1,880

145

195

59

79

224

141

149

L,194

70

74

67

833

53

272

1,248

440

95

102

18

986

1,130

233

39

123

72

120

1,170

112

517

19,965

386

668

445

61

39

223

1,211

530

316

242

842

181

188

160

858

266

154

186

3,788

515

2,291

150

355

565

299

378

1,614

249

114

300

148

1,907

143

160

68

112

184

121

145

1,631

74

102

105

1,134

97

262

1,217

382

119

177

87

1,065

1,284

318

48

151

76

121

1,519

132

73B

15,586

276

658

476

75

48

182

946

439

265

208

543

115

117

85

692

227

111

156

3,228

407

1,982

125

356

493

247

348

1,183

141

102

192

102

1,510

109

106

49

94

121

103

142

1,214

67

89

72

871

73

199

875

300

106

107

71

834

976

286

51

69

59

108

1,137

85

554

26,149

430

1,305

1,004

148

89

301

1,530

726

434

326

!.,243

339

256

219

1,201

360

213

229

5,019

661

3,045

198

537

802

344

501

1,773

201

139

268

L72

2,164

161

135

82

161

182

132

193

,987

118

143

121

,746

140

337

,402

502

172

212

116

1,328

1,623

42o

69

90

85

180

2,299

128

1,101

22,332

451

1,361

1,044

145

98

317

1,168

558

443

337

930

278

181

134

1,045

329

156

180

3,955

548

2,428

178

400

675

256

377

1,288

123

91

195

145

1,697

102

82

50

121

128

98

145

1,717

87

105

110

1,781

160

292

1,127

389

135

256

185

1,084

1,327

350

48

67

1::

2,224

132

1,066

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

z

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

37
TA9LE 15. NuM6ER OF ALL-L 15 TED PROCEDURES FOR PATIENTS DISCHARGED FROM sHoRT-stAy HOSPITALS, BY PROCEOURE CATEGORY ANO AGE: UNITED

STATES, 1983

IO ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUNBER

INCLUS1ONS ARE BASED ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

PROCEOURE CATEGORY ANO lCO-9-CM COOE ALL AGES UNOER 15 15-44 45-64 65 YEARS

YEA RS YEARS YEARS AWO OVER

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS. ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . ...04.0.04.2-04.9

OPERATIONS ON THE EN OOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6

EXTRACTION OF LEN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS [P SE UOOPHAKOS )..... . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 18-20

MYR INGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20.0

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-29

RHINOPLASTY ANO REPAIR OF NO SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY WITH OR WITHOUT AOENDIOECTOM V...... . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3@34

8RONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..35. l-35.5 l.35.53-36.2 .36.9 .37.1 0-37.11,37.32-37 .33,37.5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1

CAR OIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAI R. . . . . . . . . . . . . . . .37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

ESOPHAGOSCOPY ANO GAST ROSCOPY IN A7URAL OR IF ICE ) . . . . . . . . . . . . . . . . . . . .42.23 .44.13

PARTIAL GAS7REC TOMY ANO RESECTION OF IN TEST IN G. . . . . . . . . . . . .43.5 -43. 8.45.6-45 .8

ENOOSCOPY OF LARGE INTESTINE {NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEMORRHOIOE CTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43-49 .46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5l.2

REPAIR OF INGUINAL HERN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAP AROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIV IS ION OF PERITONEAL ADHESION S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENoOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31, 57.32, 58.22

DILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGAN S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PRO STAT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMCISE ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64.0

OPERATIONS ON THE FEMALE GENITAL ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71.

00 PHORECTDMY ANO SALPINGO-OOPHORECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION DR OCCLUSION OF FALLOPIAN TU8ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. OI.69.51

01 LA710N ANO CURETTAGE OF UTERUS AFTER OELIVERY OR A80RTION . . . . . . . . . . . . ..69. O2

DIAGNOSTIC OIL AT ION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72-75

EPISIOTOMY WITH FORCEPS ANO VACUUM EXTRA CT I ON. . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTOMY WITHOUT FORCEPS ANO VACUUM ExTRACTI ON. . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0-74 .2.74.4. 74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5 -75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTIOti OF FRACTURE. . .76. 72, 76.74,76 .76-76 .77,76 .79,79 .2-T9.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76 .73,76 .75,76 .78,79 .O-T9. 1,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80 .2

EXCIS1ON OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL Fus IoN . . . ..80.5081. O

ExC1S1ON OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.6

ARTHROPLASTY AND REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.41-81. 47

ART HROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81 .5 ,81.6

OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BURSA . . . . . . . . . ...82-83. lS 83.3-83.9

OPERATIONS ON THE IN TEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..85-86

EXCISION OR DESTRUCTION OF BREAST TISSUE (PARTIAL MASTECTOMYI . . . . ..8 B5223B5.23

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTERIZE AXIAL TOMOGRAPHY IC. A.T. SCAN I . . . . .. B7. 041.87471.88701 .8. O1. 88.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.2l

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATE RI AL . . . . . . . . .. BB.4-88.5

DIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92. 0-92.1

NUMBER OF ALL-L ISTEO PROCEDURES IN THOUS.4NOS

35,939

923

275

236

105

1,55B

630

516

372

187

1,503

263

424

970

229

1,908

275

191

508

189

365

5,847

246

248

604

282

134

487

510

204

265

298

1,872

800

163

845

357

91

3,872

512

568

672

95

281

632

150

3,914

369

1,574

808

479

3,762

423

237

260

258

147

147

159

403

1,.930

113

116

6,292

871

404

453

825

695

685

2,293

143

100

*7

*5

67

*5

*

220

169

451

13

279

74

17

117

18

*

32

23

281

*9

*5

*7

75

*

81

13

*

*

95

31

13

126

. . .

53

10

*

*

*

*

*

10

*

*5

*

*

249

30

70

*8

*5

*

*

41

121

*

*

302

46

*

18

16

31

14

15,214

332

82

110

41

119

18

*7

83

10

691

1B8

140

182

34

232

21

11

61

*9

85

2,003

52

28

131

165

64

167

134

53

246

180

422

135

37

131

*

19

2,934

314

564

440

93

281

421

58

3,902

368

1,569

805

478

1,719

190

89

176

143

91

74

*7

190

740

48

17

L,59T

212

215

145

104

225

119

8,615

257

41

81

36

295

106

82

43

*5

223

46

*5

335

76

784

148

112

277

31

.106

1,596

91

68

165

28

50

162

155

70

13

58

521

222

43

178

81

12

688

153

*

180

*

*

166

56

*

*

*

*

964

70

36

58

89

37

29

34

116

559

43

54

z,027

240

139

137

389

lB9

230

9,816

192

52

39

22

1,077

501

427

27

*

138

15

*

37B

102

775

88

67

138

150

151

1,966

95

14B

302

15

21

i56

140

68

*

57

B34

411

70

410

274

*8

240

44

53

. . .

. . .

44

35

. . .

. . .

. . .

. . .

. . .

B30

133

42

18

21

15

41

118

57

410

21

44

2,366

373

46

153

316

249

322

NOTE: SEE CIMEOICAL COOING ANO EOIT, ” APPENOIX I, FOR COOING MODIFICATIONS FOR THE NATIONAL hOSPITAL OISCHARGE SURVEY.

38
TABLE 16. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO AGE: UNITEO

STATES, 1983

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTE14S ANO COOE NUMBER

INCLUSIONS ARE EASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOO IF ICATIONI

PROCEOURE CATEGORY ANO ICO-9-Ct4 COOE ALL AGES UNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER

ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION

15,471.8

OPERATIONS ON THE NERVOUS SYSTEM...........................................• I.O5 397.5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3I

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

118.5

101.6

OPERATIONS ON THE EN~CRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OS.l6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.1 -13.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOSI . . . . . . . . . . . . . ..*...... . . . . . . . . . 13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-20

MYR I NGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.0

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l.8

TONSILLECTOMY WITH OR WITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

8RONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33.21-33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY.. . . . 35.1-35.51,35 .53-36 .2,36 .9,37 .10-37.11,37.32 -3 T.33,37.5

OIRECT HEART REVASCULARI ZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l

CAROIAC catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-4I

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE I . . . . . . . . . . . . . . . . . . ..42.23 .4+.13

PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...43.5-43.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE INATuRAL ORIFICE) . . . . . . . . . . . . . . . . . . . . . . . . . . . 45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47.•

HEMoRRHoIoEcToM y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43. +9.46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.0 -53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.2 -53.9

Laparoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54.2l

DIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55-59

ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31, 57.32,58 .22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6@64

PRO STAT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64. o

OPERATIONS ON THE FEMALE GENITAL ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO sALp INGO.oOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6

BILATERAL OBSTRUCTION OR oCCLUSION OF FALLOPIAN TU8ES . . . . . . . . . . . . . ...66.2-66.3

Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3.68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR A80RTION . . . . . . . . . . . . ..69. O2

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. O9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72.75

EPISIOTOMY IIITH FORCEPS ANO. VACUUM EXTRACTION . . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTOMY WITHOUT FORCEPS ANO VACUUM EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SE CT IO N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. Q-74.2 .7+.+ .74.99

REPAIR OF CURRENT 08 ST ETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76-84

OPEN REOUCTION OF FRACTURE ...772,2, 76.74, ?6.76-76.77,76.79,79 .2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76 .73,76 .75,76 .78,79 .O-79.1,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8(3.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8o.6

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 I.41-.9I.47

ART HROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.5,81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSAR . . . . . . . . ...82-83.1.83.3-83.9

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

EXC IS ION OR OBSTRUCTION OF BREAST TISSUE [PARTIAL MASTECTO!4Y) . . . . ..88522385 .23

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85.4

MISCELLANEOUS DIAGNoSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTERIZE AXIAL TOMOGRAPHY (C. A.T. SCAN) . . . . ..87.03 .87.41 .87.71 .”88.01. 88.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.2 I

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. &7.73-87. 75

ARTERIOGRAPHY ANO ANGIOCAROIOGRAPHY uSING CONTRAST MATER IAL . . . . . . . ...88.4-88.5

OIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8B.7

RADIOISOTOPE scAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o.92.l

45.1

670.9

271.1

222.3

160.2

80.6

646.9

113.1

182.7

417.5

98.5

821.3

118.6

82.4

218.8

81.5

157.3

2,517.0

106.0

106.9

260.1

121.4

57.8

209.6

219.5

87.9

114.1

128.2

806.0

344.2

70.4

363.8

153.6

39.3

1,666.9

220.5

244.4

289.4

41.0

121.0

272.1

64.5

1,685.3.

158.7

677.8

347.6

206.3

1,619.5

182.1

101.9

111.8

111.1

63.4

63.2

68.4

173.5

7.38.0

48.8

50.0

2,708.7

374. B

173.8

195.0

355.2

299.0

295.0

+,445.7

276.3

194.3

*13.1

*10.1

129.5

*9.8

*

+25.7

326.7

874.9

25.2

541.2

142.7

33.6

227.0

35.3

*

62.4

44.0

545.0

*17.7

*8.9

*13.2

144.9

*

156.4

25.7

*

*

183.2

60.2

25.3

244.7

. . .

102.4

19.8

*

●

*

*

*

19.6

*

*9.7

*

*

483.4

58.4

135.2

*15. O

*lO. I

*

*

78.7

234.5

*

*

585.3

88.4

*

34.2

31.3

60.9

28.0

13,984.4

305.0

75.3

100.9

37.9

109.4

16.6

*6.8

76.7

9.5

634.7

173.1

128.3

167.6

31.5

212.9

19.4

9.7

55.7

*8. o

78.5

1,841.2

47.6

25.5

120.1

151.4

58.8

153.8

123.4

48.6

226.5

165.1

388.3

123.9

34.3

120.2

17.:

2,697.0

288.7

518.6

404.1

85. S

257.9

387.2

53.5

3,586.5

338.0

1,442.1

740.4

438.9

1,579.9

174.6

81.6

161.7

131.5

84.0

68.4

*6.7

17+.2

680.2

43.7

15.6

L,468.3

195.3

198.1

133.3

95.8

206.9

109.2

19,351.1

577.7

92.9

181.1

80.9

663.7

238.4

183.3

95.7

*11. O

500.4

104.3

*1O.9

753.5

169.7

1,760.7

332.2

252.3

622.9

69.1

238.2

3,585.7

203.5

153.4

370.7

62.5

111.5

364.1

348.5

156.8

28.9

130.8

1,170.7

499.7

96.6

400.6

183.0

26.0

1,545.0

343.4

*

404.0

*

*

372.7

126.5

*

*

*

*

2,165.3

157.7

81.0

129.6

199.3

83.9

65.2

76.5

261.1

1,255.7

97.4

120.5

4, 552.3

538.1

313.2

307.7

874.2

424.8

516.1

35 ,846.6

700.4

188.9

141.7

81.3

3,933.4

1,827.9

1,560.5

9.5.8

*

504.0

55.0

*

1,381.7

37o.8

2,830.6

322.1

246.3

504.2

547.6

552.4

7,179.8

345.7

539.4

1,102.1

54.1

75.6

570.1

510.5

249.4

*

207.1

3,046.0

1,501.9

255.9

1,496.4

999.1

*29.2

875.7

160.5

192.7

. . .

. . .

161.1

129.5

. . .

. . .

. . .

. . .

. . .

3,029.7

+84.2

153.7

66.9

76.8

54.9

149.0

429.3

207.2

1,498.5

77.3

162.5

8,639.7

1,362.2

168.9

560.0

1,152.+

909.0

1 ,176.5

NOTE: SEE ltMEOICAL COOING ANO EOIT, W APPENOIX 1, FOR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

39
TABLE 17. NUMBER OF AL L- LISTEO PROCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO SEX:

STATES, 1983

uNITEO

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS ARE 13ASE0 ON THE INTER NATt ONAL CLA551FICATION OF OISEASES, 9TH REVISION, CLINICAL MOO IF ICATIONI

PROCEOURE CATEGORY ANO [CO-9-CM COOE BOTH SEXES MALE FEMALE

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM...........................................• l.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. 1-13.6

INSERTION OF PROSTHETIC LENS [P SE UOOPHAKOSl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-20

MYRINGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20.0

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l.8

TONSILLECTOMY WITH OR WITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . 2B.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3~34

BRONCHOSCOP Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..35.1-35.51 .35.53-36 .Z.36.9.37 .10-37.11,37.32 -37.33,37.5

OIRECT HEART REVASCULAR1ZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.1

CAR OIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21-37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . .. 37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42-54

ESOpHAGOSCOPy ANO GASTROSCOPY (NATURAL oRIFIc E) . . . . . . . . . . . . . . . . . . ..42.23 .44.l3

PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...43.5-43.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE [NATuRAL ORIFICE I . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENOECTOMY, EXCLUOING lNCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEMORRHOIOE CTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43-49 .46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. Z.53.9

LAP AROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54.21

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31,57 .32,58.22

DILATIoN OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5B.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PRO STAT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.2 -60.6

CIRCUMCI SION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64. o

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PH0RECT0M% ANO SALPINGO. OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TuBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOM Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -6B.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABoRTION . . . . . . . . . . . . ..69. O2

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. O9

REPAIR OF CYSTOCELE AND RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . .. L... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY WITH FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTOMY WITHOUT FORCEPS ANO VACUUM EXTRACT I ON. . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

oPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE . ..76.72 .76.74,76 .76-76 .T7,76.79,79 .2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76.73,76.75,76.78,79.0-79.1 ,79.4

ART HROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FuSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.6

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B1 .41- 81.47

ART HROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B1.5.81.6

OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BURSA . . . . . . . . . . .. B2-83. 1,83.3 -83.9

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B>86

EXCISION OR OBSTRUCTION OF BREAST TISSUE IPARTIAL MASTECTOMY I . . . . ..8 B5223B5.23

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85 .4

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC Procedure S. . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTE R12E0 AXIAL TOMOGRAPHY IC. A.T. SCAN) . . . . ..87. 041. B7471.88701 .88 O3888.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.2l

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B7.73-87.75

ART ERIOGRAPHY ANO ANG1OCARD1OGRAPHY USI:!GCONTRAST MATE RI AL . . . . . . . . ..8 B.4-88. 5

OIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

RADIOISOTOPE SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.0 -92.1

NUMBER OF ALL-L ISTEO PROCEDURES IN THOUSANOS

35,939

923

275

236

105

1,558

630

516

372

187

1,503

263

424

970

229

1, 90B

275

191

508

1B9

365

5, 847

246

248

604

282

134

487

510

204

265

298

1, 872

800

163

845

357

91

3,872

512

568

672

95

281

632

150

3,914

369

1, 574

808

479

3,762

423

237

260

258

147

147

159

403

1, B30

113

116

6,29Z

871

404

453

825

695

685

13,993

453

135

98

28

602

227

184

206

10B

729

125

187

585

137

1,147

194

145

326

95

181

2,506

107

114

237

147

76

147

456

75

*

38

1,098

532

80

845

357

91

...

...

...

...

...

...

...

...

...

...

...

...

...

1,826

218

139

164

142

97

79

51

217

709

*6

*6

3,077

431

230

251

50B

264

319

21,946

470

140

13B

‘16

956

403

333

166

79

774

13B

237

385

91

761

B2

46

1B2

95

1B5

3,341

139

134

367

135

59

340

54

129

262

260

774

268

83

...

...

...

3,872

512

568

672

95

281

632

150

3,914

369

1,574

BOB

479

1,936

205

97

96

116

50

68

108

1B6

1 ,X22

107

nlo

3*215

440

1[73

202

317

431

367

NOTE: SEE WEOICAL COOING ANO EOIT, i] APPENOIX 1, FOR COOING !4001FICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

40
TABLE 18. RATE OF ALL-L ISTEO PRoCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-sTAY HOSPITALS, BY PROCEOURE CATEGORY ANO SEX: UN ITEO

STATES, 1983

( DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS AND C03E NUMBER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

PROCEOURE CATEGORY ANO lCO-9-CH COOE BOTH SEXES MALE FEMALE

RATE OF ALL-LISTED PROCEDURES PER 100,000 POPULATION

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15s471.8 12,474.5 IB,271.1

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ~ THE CRANIAL AND PERIPHERAL NERVE S. . . . . . . . . . . . . . . ..04.0.04.2-04.9

397.5

118.5

103..6

404.1

120.1

87.1

391.4

117.0

115.1

OPERATIONS ON THE ENOOCRINE SYSTEM.........................................06-07 45.1 25.3 63.5

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7

670.9

271.1

222.3

537.1

202.2

795.8

335.5

163.7 277.1

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O

MYRINGoToMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..20. o

160.2

80.6

184.1

96.3

138.0

65.8

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

ToNSILLECTOMY WITH OR WITHOUT AOEFKIIOECTO.MY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28. 3

646.9 649.9

111.4

167.1

644.1

114.8

197.3

113.1

182.7

417.5

98.5

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23

521.5

122.5

320.4

76.0

633.5

68.0

38.5

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35-39

OPEN HEART SURGERY . . ...3351-35.51.35. 53-36 .2,36 .9,37 .10-37 .11,37 .32-37 .33?37.5

OIRECT HEART REVASCULAR IZATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36. 1

CAROIAC CAT HETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . . ..37.7 -3T.8

821.3

118.6

82.4

218.6

81.5

1,022.4

172.7

129.3

290.4

84.3

151.8

78.9

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ..4*41 157.3 161.0 153.9

2,781.5

116.1

111.4

305.8

112.0

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42-54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIF ICE . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . ..43.5-43.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE [NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. O

HEHORRHOIOECTOHY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...49.43-49. 46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51 .2

REPAIR OF INGUINAL HER NIB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54.2l

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

2,517.0

106.0

106.9

260.1

121.4

2,233.9

95.2

102.0

211.2

131.5

67.5

131.0

406.7

67.0

57.8

209.6

219.5

87.9

114.1

128.2

48.8

283.0

44.6

107.5

218.0

216.6

*

33.5

OPERATIONS ON 7HE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55.2 l-55.22 t56.3l.57.32s58.22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5.3.6

806.0

344.2

70.4

979.1

+7+. 1

71.6

644.4

223.0

69.2

363.8

153.6

39.3

153.4

318.1

81.5

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60-64

PRO STAT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60. 6

CIRCUMCI SION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6+.0

. . .

. . .

. . .

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PINGO-OOPHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TU8ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOM Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

1,666.9

220.5

244.4

289.4

3,223.6

426.4

472.7

559.7

79.3

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

DILATION ANO CURETTAGE OF UTERUS AF7ER OELIVERY OR A80RTION . . . . . . . . . . . . ..69. O2

41.0

121.0

272.1

64.5

234.0

526.3

124.8

DIAGNOSTIC OIL AT ION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY WITH FORCEPS ANo VACUUM EXTRACTION . . . . . . . . . ..72.1 .72.21 .72.31 .72.71

EPISIOTOMY wITHOUT FORCEPS ANO VACUUM EXTRACT I ON. . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SE CT IO N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0 -74.2 .74.4. 74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

1,685.1

158.7

677.8

347.6

206.3

3,258.7

307.0

. . .

. . .

. . .

. . .

. . .

1,310.8

672.3

399.0

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76-84

OPEN REOUCTION OF FRACTURE.. .76.72,76 .74,76.76-76.77,76.79,79.2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76 .73, T6.75.76.78,79. O-79.1,79.4

ART HROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSIDN . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.6

ARTHROPLASTY ANO REPLACEMENT OF KNEE - . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -61.47

ART HROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6

OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO 8URSA . . . . . . . . . ...82-83. 1,83.3 -83.9

1,619.5

laz.1

101.9

111.8

111.1

63.4

63.2

68.4

173.5

1,628.3

194.1

124.3

1,611.4

170.8

80.9

145.9

126.7

86.5

70.0

45.8

193.4

631.6

*5.5

●5.4

2,742.8

384.2

205.3

223.4

453.0

235.0

284.0

80.0

96.5

41.7

56.9

89.6

155.0

934.0

89.2

91.7

2,676.9

366.1

l+. 3

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE IPARTIAL 14AsTEcToHY) . . . . ..88522385 .23

MAs TEcToMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

788.0

48. $

50.0

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . 87-99 2,708.7

COMPUTERIZE AXIAL TOMOGRAPHY (C. A.T. SCAN) . . . . ..87. 041.87471.88701 .8. OI. 8B.38 374.8

CONTRAST MYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.21 173.8

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73- 87.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL. . . . . . . ...88.4-88.5

DIAGNOSTIC ULTRAS OUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7

RADIOISOTOPE SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92.0-92. 1

195.0

355.2

299.0

295.0

168.6

263.9

358.8

305.2

NOTE: SEE lVIEOICAL COOING ANO EOIT,ll APPENDIX 1, FOR COOING MODIFICATIONS FOR THE NAT IDNAL HOSPITAL OISCHARGE SURVEY.

41

.
TABLE 19. NuMBER OF ALL-LISTED PRoCEDURES FOR PATIENTS DISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO RACE:

UN ITEO STATES, 1983

I OISCHARGES FRO~ NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOO IF ICATION)

PROCEOURE CATEGORY ANO [CD-9-CM COOE ALL RACES wHITE ALL NOT

OTHER STATEC

.,,,4.... -- .,, # . . . . . . . . . . . . . . . . . ... , ” !,...,...

ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,939

923

275

236

105

1,558

630

516

372

187

1,503

263

424

970

229

1,908

275

191

508

189

365

5,847

246

248

604

2B 2

134

487

510

204

265

298

1,872

800

163

845

357

91

3,872

512

568

672

95

281

632

150

3,914

369

1,574

808

479

3,762

423

237

260

258

147

147

159

403

1,830

113

116

6,292

871

404

453

825

695

685

28,179 4,564 3,196

88

17

24

*7

183

80

65

43

19

165

29

55

73

14

165

23

17

42

15

26

435

19

21

32

23

::

46

21

23

19

140

51

*8

79

38

*6

318

42

53

61

*5

22

44

14

“463

2%’

81

52

386

45

22

33

33

17

21

16

37

159

11

*9

465

60

64

28

B3

46

27

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03.31

OPERATIONS CN THE CRANIAL AND PERIPHERAL NE RVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

7L3

204

188

122

55

23

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06-07 82 15

103

40

25

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.9-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.1 -13.6

INSERTION OF PROSTHETIC LENS [P SE UDOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.7

1,273

510

426

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

MYRINGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..20. o

300

157

30

11

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY WITH OR WITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . 28.2 -28.3

1,218

221

335

119

13

35

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCDPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

768

192

129

23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . ...35.1-35.51.35. 53-36.2,36.9,37.10-37.11 ,37.32 -37.33,37.5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAI R . . . . . . . . . . . . . . . .37.7-37.8

1,538

234

166

423

157

205

18

*8

43

17

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 295 44

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

ES OPHAGOSCOPY ANO GA STROSCOPY (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOMY AND RESECTION OF INTESTINE . . . . . . . . . . ...43.5-43.8.45.6-45. 8

ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE I . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENOECTOMY, EXCLUOING INC I DE NTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEM ORRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.0 -53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAP AROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIV IS ION OF PERITONEAL ADHESION S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

4,669

195

203

503

227

106

405

743

32

25

69

32

15

48

408

157

191

228

56

26

51

51

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

EN OOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31,57 .32,58.22

DILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

1,540

667

133

192

82

23

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PRO STAT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64.0

665

286

60

101

33

25

OPERATIONS ON THE FEMALE GENITAL OR GANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PINGO-OOPHORECT OMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

2,863

402

691

69

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . . . .66.2-66.3

HYSTERECTOM Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORT I ON . . . . . . . . . . . . ..69.02

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

383

525

37

203

472

129

132

86

53

57

116

*7

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72-75

EPISIOTOMY WITH FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISXOTOMY WITHOUT FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . . . . 73.6

CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

2,812

274

1, 157

575

639

44

217

152

337 90

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84 2,962 414

OPEN REOUCTION OF FRACTURE.. .76.72,76 .74,76.76-76.77,76.79,79.2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76.73,76.75,76.78,79.0-79.1 ,79.4

338

193

206

40

21

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80 .2 20

EXCISION OR DESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCIS1ON OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80 .6

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.41-81 .47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81. 5 ,81.6

OPERATIONS ffl MuSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...82-83. 1,83 .3-83.9

205

119

115

133

311

20

11

11

*9

55

OPERATIONS ON THE IN TEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..85-86

EXC IS ION OR OBSTRUCTION OF BREAST TISSUE {PARTIAL MASTECTOMY I . . . . ..85.20 -B5.23

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

1,452

B9

9B

219

13

*9

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PRO CEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTERIZE AXIAL TOMOGRAPHY [C. A.T. SCAN }...... 87.03,87 .41,87 .71, 88.01, 88.38

CONTRAST MY EL OGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.2l

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73- B7.75

AR TERIOGRAPlif ANO ANG1OCARO1OGRAPHY USING CONTRAST MATERIA L . . . . . . . ...88.4-88.5

DIAGNOSTIC ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

RADIOISOTOPE SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. O.92.l

5,031 796

685 126

307

373

672

526

572

33

53

70

123

86

NOTE: SEE ‘-MEOICAL COOING ANO EOIT, *t APPENOIX I, FOR COOING MOO IF ICATIONS FOR THE NATIONAL HOSPITAL DISCHARGE SURVEY.

42

A
TABLE 20. NUMBER OF ALL-L ISTEO PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS. BY PRoCEOURE CATEGORY ANO GEOGRAPHIC

REGION: UNITEO STATES, 1983

[ DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEIIBORN INFANTS. GRoUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO CODE NuMBER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOO IF ICATIONI

PROCEOURE CATEGORY ANO ICO-9-CM COOE uNITED NORTH- NORTH SOUTH wEST

STATES EAST CENTRAL

ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . ...04.0.04.2-04.9

OPERATIONS ON THE ENOOCRINE SYSTEM.........................................• 6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o8.l6

EXTRACTION OF LEN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS (P SE UOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O

MYRINGOTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20.0

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l.8

TONSILLECTOMY WITH OR WITHOUT AOENOIOECTOMY . . . . . . . . . . .._ . . . . . .._.. _..2B.2-2I3.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..35.1-35.51 .35.53-36 .2.36 .9.37 .10-37.11,37.32 -3 T.33,37.5

OIRECT HEART REVASCULARIZATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . .. 37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . ..46.4548 .B.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47.0

HEMORRHOIOECTOM Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43.49 .46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-..51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.0-53 .1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54.2l

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5fi59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.21 -55.22 .56.31 .5 T.32. 58.22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6D-64

PROSTAT ECT014Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60. 6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64. O

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PINGO-OOPHORECT OMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . . ..66.2-66 .3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 .68. T

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. OI.69.51

OIL AT ION ANO CURETTAGE OF UTERUS AFTER DELIVERY OR A80RTION . . . . . . . . . . . . ..69. O2

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. O9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY HITH FORCEPS ANO VACUUM EXTRACT I ON. . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTOMY ldITHOUT FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . ...-.75.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REDUCTION OF FRACTURE ...76.72,76.74, 76.76 -76. 77,76 .79,79 .2-79.3, 79.5 -79.6

OTHER REDUCTION OF FRACTURE . . . . . . .76.71 .76.71 ,76.73,76 .75,76.78,79.0-79. 1,79.4

ART HROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL DISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8o.6

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 I.41-8I.47

ART HROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6

OPERATIONS CN MUSCLES, TENDONS, FASCIA, ANO BURSA . . . . . . . . . . .. B2-83. 1 ,83.3-83.9

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL MASTECTOPIY ) . . . . ..88522385 .23

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ...37-99

COMPUTERIZED AXIAL TOMOGRAPHY (C. A.T. SCAN). . . . . . 87.03, B7.41,87.71, BB.O1, B8.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B7.2l

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -B7.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . .. BB.4-8B.5

DIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

RADIOISOTOPE SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92.0 -92.1

NuMBER OF ALL-L ISTEO PROCEDURES IN THOUSANDS

35,939

923

275

236

105

1,55B

63o

516

372

1B7

1,503

263

424

970

2Z9

1, 90B

275

191

50 B

189

365

5,B47

246

248

604

282

134

487

510

204

265

298

1,872

800

163

845

357

91

3,872

512

56a

672

95

281

632

150

3,914

369

L, 574

808

479

3,762

423

237

260

258

1+7

147

159

403

I,B30

113

116

6,292

871

404

453

825

!595

685

T, 549

161

66

39

24

2s0

117

90

74

45

306

46

62

210

45

307

37

27

66

39

82

1,229

60

62

157

5T

26

90

127

37

5B

58

403

199

30

194

.92

23

917

1::

113

66

72

222

20

710

60

293

159

72

597

81

48

54

27

27

20

27

61

374

31

28

1,679

302

55

119

114

247

271

10,196

265

75

62

2B

197

157

134

59

552

116

143

2B1

71

55B

B1

6Z

156

4B

116

1,541

79

66

138

71

34

143

131

57

::

513

224

47

232

105

13

853

124

105

162

*7

67

134

35

1,081

81

446

192

124

1,142

109

66

80

80

44

53

53

123

547

29

34

1,858

191

113

L26

276

213

187

L1,66B

308

B9

73

34

457

1T8

156

110

59

432

63

150

305

77

640

100

61

193

65

104

2,111

76

72

239

97

52

178

159

68

94

118

701

303

77

297

107

49

1,500

203

278

273

15

107

212

61

1,381

lBO

500

306

1B4

1,099

131

80

55

91

38

36

42

136

622

44

35

1,566

198

130

137

258

122

105

6,526

189

46

61

18

32B

138

114

54

24

212

3B

69

174

35

402

57

41

93

3B

63

965

31

48

70

57

22

77

93

42

41

49

255

74

*9

122

63

*7

602

93

85

125

*7

35

64

34

742

48

336

151

99

923

102

43

71

60

39

37

37

83

287

*9

19

l,la9

179

106

71

177

113

122

NOTE: SEE ltMEOICAL COOING ANO EOIT, lt APPENDIX I, FOR COOING f4001FICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

43

i
TAflLE 21. PATE OF ALL-LISTED PROCEDURES FOR PATIENTS IJISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO GEOGRAPHIC.

RfGI ON: UNITED STATES, 1983

[DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

PROCEOURE CATEGORY ANO ICO-9-CM COOE UNITEO NORTH- NORTH SOUTH wEST

STATES EAST CENTRAL

RATE OF ALL- LISTEO PROCEDURES PER 100,000 POPULATION

@.LL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Operations ON THE NERVOUS SYSTEM

SPI NAL TAP

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RvEs . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

OPERATIONS ON THE EN OOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 08. I6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. 1-13.6

INSERTION OF PROSTHETIC LENS [PSEUDOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

MYR [ NGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.0

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY WITH OR WITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . 28.2 -28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..35. 1-35.51 .35. 53-36.2. 36.9, 37.1 O-3 T.11,37.32-37 .33,37.5

OIRECT HEART REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAR OIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21-37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . ..37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42-54

ESOPHAGOSCOPY ANO GAS TROSCOPY (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOMY ANO RESECTION OF IN TESTINE . . . . . . . . . . ...43.5-43. 8,45.6 -45.8

ENOOSCOPY OF LARGE INTESTINE [NATURAL ORIFICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HEMOR RHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.0 -53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.2 -53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.21

OIVISION OF PERITONEAL AOHES1ONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31, 57.32, 58.22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PRO ST AT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMC IS ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64.0

OPERATIONS ON THE FEMALE GENITAL ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PINGO-OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN 7UBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTO MY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . ...69.01 ,69.51

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORT ION . . . . . . . . . . . . ..69. O2

OIAGNOSTIC O1LATION ANO CURETTAGE OF UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY WITH FORCEPS ANO VACUUM EXTRACTION . . . . . . . . ...72.1.72.21.72.31. 72.71

EPISIOTOMY WITHOUT FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . . . .73.6

CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0-74 .2.74.4. 74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE ...772,76774,7677677676. 77,76 .79,79.2-79.3,79.5-79.6

OTHER REDUCTION OF FRACTURE . . . . ...76.70.76.71.76.73. 76.75,76 .78,79.0-79.1,79.4

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80. 2

ExCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

ExCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S0.6

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.41-81.47

ARTIIROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...8 1.5, B1.6

OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BURSA . . . . . . . . . ...82-83. 1,83.3 -83.9

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B5-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL MA STECTOMYI . . . ...8 5.20-85.23

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIC PROCEDURE S. . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTE RIZEO AXIAL TOMOGRAPHY (C. A.T. SCAN1 . . . . ..87. O41.87471.7.71. 88.01,88.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B7.2l

PYE LOG JAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.73-87. 75

AR TER1OGRAPHY ANO AN GIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . ...88. 4-88.5

01 AGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..88.7

RADIOISOTOPE SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92 .0-92.1

15,471.8

397.5

118.5

101.6

45.1

670.9

271.1

222.3

160.2

80.6

646.9

113.1

182.7

417.5

98.5

B21.3

118.6

82.4

218. B

81.5

157.3

2,517.0

106.0

106.9

260.1

121.4

57.8

209.6

219.5

87.9

114.1

128.2

806.0

344.2

70.4

363.8

153.6

39.3

1,666.9

220.5

244.4

289.4

41.0

121.0

272.1

64.5

1,685.1

158.7

677.8

347.6

206.3

1,619.5

182.1

101.9

111.8

111.1

63.4

63.2

68.4

173.5

788.0

48.8

50.0

2,708.7

374.8

173.8

195.0

355.2

299.0

295.0

15,279.1

326.7

132.7

79.4

49.4

566.9

236.6

181.9

150.3

90.9

620.0

92.7

125.6

424.2

91.2

620.9

74.2

54.1

133.9

78.4

166.5

2,487.8

121.2

126.2

317.3

116.3

52.3

181.9

256.2

74.8

117.7

118.1

815.2

402.6

61.6

393.4

165.9

46.4

1,856.1

187.3

201.5

227.8

133.6

145.9

448.9

41.1

1 ,437.4

120.5

593.0

321.6

146.4

1,208.6

163.6

97.6

110.2

54.5

54.8

41.2

54.1

123.3

T57.3

63.0

57.2

3,39B.2

612.2

110.5

240,8

231.3

500.1

540.5

17,337.5

451.1

127.4

L06. O

48.2

839.1

335.2

266.9

228.6

100.3

938.4

197.0

243.8

477.7

121.6

949.7

138.2

105.3

264.8

81.2

197.9

2,62o.2

133.7

L1l.7

234.9

120.9

58.3

242.6

222.6

97.0

122.6

122.7

871.8

380.3

80.0

394.0

17a.7

21.5

1,450.7

211.4

178.6

275.2

*12.2

113.7

228.2

59.7

1,83B.2

138.5

757.9

326.7

210.7

1,941.7

185.6

112.0

135.3

135.6

74.2

90.6

90.6

209.3

929.9

49.9

58.3

3,160.2

324.8

192.2

214.9

468.6

361.5

318.3

14,835.4

391.3

112.7

93.3

42.9

580.6

225.8

198.0

139.3

74. B

549.2

80.6

191.1

387.7

97.9

814.2

127.3

78.0

246.0

83.0

131.9

2,684.6

97.2

91.5

303.9

L22.9

66.7

225.9

202.4

86.4

119.7

150.2

891.8

385.9

97.9

378.0

135.5

62.5

1,907.7

257.6

354.0

347.6

19.4

136.5

269.5

77.5

1,755.7

228.5

635.9

388.7

234; 3

1,397.9

167.1

101.5

69.4

115.8

48.1

45.8

53.6

172.9

791.5

56.2

44.2

1,991.1

252.3

165.8

174.4

328.7

154.9

133.9

14,367.9

415.7

101.5

134.2

40.1

722.6

303.9

250.7

118.7

53.8

467.8

83.2

151.4

383.9

77.4

885.2

126.5

90.9

204.3

82.7

138.8

2,125.2

68.7

106.3

154.8

125.2

47.7

168.8

204.9

93.1

89.2

108.0

562.4

162.1

*19.7

267.9

139.1

*14.7

1,324.2

204.0

186.7

274.1

*14.8

76.8

141.4

73.9

1,634.0

105.7

739.0

331.9

217.3

2,033.0

223.6

94.2

156.5

132.9

85.1

82.2

81.0

183.0

631.6

*18.9

41.6

2,616.9

393.5

232.5

155.3

389.3

249.0

267.9

NOTE: SEE !lMEOICAL COOING ANO EOIT, ll APPENOIX I, FOR COOING MoO1FICATIONS FOR THE NATIONAL HOSP17AL OISCHARGE SURVEY.

44

t
TA@LE 22. NUMSER (3F ALL-LISTED PRoCEDURES FOR PATIENTS DISCHARGED FROM SHOFT-’STAY HOSPITALS,

HOSPITAL: UNITEO STATES, 1983

{DISCHARGES FFIUM NONFEDERAL HOSPITALS. EXCLUDES NEXBCi PN INFANTS. GPOUPINGS IOF PPGCEOUF’E5 B?

INCLUSIONS APE BASED ON THE INTERNATIoNAL CL.ISSIFICATIUN OF D15ELSES, ~TH F!E’/ISIUN, CL1tJ ICAL

B’f PFCILEDUF. E C3TEG!2F’i A;d D nEo 51zt rF

ANh TGMI C&L SYSTEMS A.JD COL!E NuYd EF’

M031F[LATICI?il

PROCEDURE CATEGORY ANO lCD-9-CM CCJUE ALL 6-9~ 100-199 200-299 3U0-43Y 500 BEL.

SIZES BEL3S BEDS eEos BEOS cm MC:,

NUMB E!? OF ALL-L ISTEO PRO CEO U*ES IN THGu SA~@S

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,939

OPPRATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05 923

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31 2T5

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . . .. L74.0.04. Z-0+.9 236

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07 105

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08-16 1,558

EXTRACTION OF LEN S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.1 -13.6 b30

INSERTION OF PROSTHETIC LENS (P SE UDOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. T 516

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-20 372

MYR INGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.0 137

OPERATIONS ON THE t{ OSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-29 1,503

RHINOPLASTY ANO REPAIR OF NO SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8 263

TONSILLECTOMY WITH OR NITHOUT AOENOIDECTETMY . . . . . . . . . . . . . . . . . . . . . . . . ..28.2 -2B.3 424

OPERATIONS ON THE RESPIRATOITY SYSTEP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-3.4 970

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33.21.-33.23 22~

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 1,908

OPEN HEART SURGE RY . . . ..35. l-35.5 l.35.53-36 .2.36 .9.37 .ll3-37. 11,37 .32-37 .33,3?.5 2T5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 191

CARDIAC CAT HETERIZATI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21 -37.23 508

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R . . . . . . . . . . . . . . ..37. T-37.8 189

OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM...............................4O-4I 365

OPERATIONS ON TblE OIGESTIVE S)' ST EM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54 5,847

ES OPHAGOSCOPY ANL7 GA ST ROSCOPY [NATURAL ORIFICE) . . . . . . . . . . . . . . . . . ...42.23. 44.13 246

PARTIAL GAS TRECT,?MY AND RESECTION OF IN TEST IN G . . . . . . . . . . . ..43. !i-43.8..45. tI-45 .8 2+9

ENOOSCOPY OF LARGE INTESTINE (NATLIRAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 604

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0 ’282

HEM OR RHO IO ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46 134

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 4a7

REPAIR OF INGUINAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1 510

GTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9 ?04

LAP AROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21 265

OIVISION OF PERITONEAL AOHE51D?JS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 !?98

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59 1,572

ENOOSCDPIES THROUGH NATURAL OPIFICE . . . . . . . . . . . . . . 55.21 -55.22, 56. s1,57 .32, 58..?2 8013

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6 163

OPERATIONS ON THE MALE GENITAL ORGAPJS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64 tf45

PRO ST AT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . . . . .. bO.2-bO.6 357

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64.0 ? 1

operations ON THE FEMALE GENITAL 0RGAN5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71 3.a72

00 PHORECTOHY ANO SAL PINGO. OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6 5L2

BILATERAL OESTRUCTIDN OR OCCLUSION OF FALLOPIAN TuBES . . . . . . . . . . . . . . ..66.2-fJb .3 568

HYSTERECTOM Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 S.3-68.7 b7.?

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51 95

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR A!3cR11!2N . . . . . . . . . . . . ..69. O> 251

DIAGNOSTIC OIL AT ION ANO CURETTAGE CIF UTEPU!3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6Y.09 632

REPAIF OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7!0.5 150

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T2-75 3,~14

EPISIOTOMY WITH FORCEPS AND VACUUM EXTRACTION . . . . . . . . . . . 72.1,72 .21, T2.31,72.71 3t.3

EPISIOTOMY WITHOUT FOP. CEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . . . . 73.6 1,574

CESAREAN $ECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4, 74.9s4 tco3

REPAIR OF CURRENT OBSTETPIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..75.5 -T?I.6 *79

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84 3,T62

OPEN REOUCTIDN OF FRACTURE . ..76.72 .76.74, 76.76 -76.77,76 .79. T9.2-TY.3, 79.5 -7~. b 423

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76 .73,76 .75,7 h.78,79. D-79. 1 ,79.4 237

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2 Zbo

EXCIS1ON OR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FL) SION . . . ..8 0.5Cll. Cl 258

EXCISIIJN OF SEMILUNAR CARTILAGE OF P.NE E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.6 Lk7

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ../3l.4l-tJl.47 1+7

ART HROPLASTY AND REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 .5,81.* 155

OPERATICINS CN MUSCLES, TEN OONS, FAsCIA, AtJO E3URSA . . . . . . . . . . ..32-83 .1.93 .3-83.-I 413

oPERATIONS ON THE lNTEGUMENTAPY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E!5-86 l,d30

EXCISION OR DESTRUCTION OF BP. EAST TISSUE (PARTIAL MAST EC TCIilY1 . . . . ..8ti5O-ti5.23

MASTECTOMY

113

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LT5.4 116

MISCELLANEOUS 01 AGN05TIC ANO THERAPEUTIC PRGCEOURES . . . . . . . . . . . . . . . . . . . . . . ..!37-99 6,292

COMPUTERIZE AXIAL TOMOGRAPHY [C. A.T. SC AN)...... S7.03,87.41,87.71,88 .01, 88.38 871

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87. %l 404

PYELOGRAM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75 453

AR TERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MA TERIAL . . . . . . . . ..K8. 4-89. > 825

DIAGNOSTIC ULTRAS OUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7 695

RADIOISOTOPE SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.0-92.1 695

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264

214

NOTE: SEE lIMEOI CAL COOING ANO EOIT, W APPENDIX I, FOR CODING MODIFICATIONS FOR THE NATIONAL hL3SPITAL OISCHARGE SURVEY.

45
Appendixes

Contents

I. Technical notes onmethods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Statistical design ofthe National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Data collection andprocessing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. . . . . . .

Presentationofestimates . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Reliability ofestimates . . . . . . . . . . . . . . . . . . . . . . 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tests ofsignificance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

II. Definitions of terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospitals and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Terms relating to diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Terms relating tosurgical andnonsurgical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Demographic terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List ofappendix figures

I. Medical abstractforthe National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

II. Approximate relative stadmderrors ofesttiated numbers ofpatients discharged, oroffirst-listed diagnoses, and of

all-listeddiagnoses, by selectedpatient sndhospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

III. Approximaterelative standarderrors ofestimatednumbers of&ysofcmebyselectedpatientmdhospitilchtiac@fistics. . .

IV. Approximate relative standard errors ofestimated numbemof procedures forpatients dschmged by selected patient

and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of appendix tables

I. Number ofhospitals inthe National Hospital Discharge Survey (NHDS)universe andnumber ofhospitals added to

the NHDS universe, by year of addition and year of Master Facility Inventory (MFI) used United States, 1963–81 . . . .

11. Distribution of short-stay hospitals in the National Hospital Discharge Survey universe and survey sample and number

of hospitals that participated in the survey, by geographic region and bed size of hospital: United States, 1983 . . . . . . . .

HI. Civilian population by selected characteristics: United States, July 1, 1983 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

47

47

48

50

51

52

56

56

56

57

58

49

53

54

55

47

47

51

46
Appendix 1

Technical notes on methods

Statistical design of the National

Hospital Discharge Survey

Scope of the survey

The National Hospital Discharge Survey (NHDS) consists

of patients 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 1965.6

The original universe for the survey consisted of 6,965

short-stay hospitals contained in the 1963 Master Facility

Inventory. This universe is updated perio&cally (table I). The

distribution of the hospitals in the NHDS universe and sample

for 1983 is given by bed size and geographic regions in

table H.

The sample for 1983 consisted of 553 hospitals. Of these,

78 refused to participate, and 57 were out of scope either because

the hospital had gone out of business or because it failed to

meet the definition of a short-stay hospital. Thus 418 hospitals

NOTE: A list of references folIows the text.

Table 1. Number of hospitals in the National Hospital Discharge

Survey (NHDS) universe and number of hospitals added to the

NHDS universe, by year of addition end year of Master Facility

Inventory (MFI) used: United States, 1963-1981

NHDS universe

Year Number Total

MFJ data year added added universe

1963 . . . . . . . . . . . . . . . . . . 1965 6,965 6,965

1969 . . . . . . . . . . . . . . . . . . 1969 442 7,407

1972 . . . . . . . . . . . . . . . . . . 1975 223 7,630

1975 . . . . . . . . . . . . . . . . . . 1977 273 7,903

1977 . . . . . . . . . . . . . . . . . . 1979 114 8,017

1979 . . . . . . . . . . . . . . . . . . 1981 63 8,080

1981 . . . . . . . . . . . . . . . . . . 1983 50 8,130

Table Il. Distribution of short-stay hospitals in the National Hospital

Discharge Survey universe and survey sample and number of

hospitals that participated in the survey, by geographic region

and bed size of hospitak United States, 1983

Bed size of Afl North

hospital regions Northeast Central South West

All sizes

Universe. . . . . . .

Total sample . . .

Number

participating. . .

6-49 beds

Universe. . . . . . .

Total sampla . . .

Number

participating. . .

50-99 beds

Universe . . . . . . .

Total sample . . .

Number

participating. . .

100-199 beds

Universe. . . . . . .

Total sample . . .

Number

participating. . .

200-299 beds

Universe. . . . . .,

Total sample . . .

Number

participating. . .

300-499 beds

Universe. . . . . . .

Total sample . .

Number

parhcipating. . .

500-999 beds

Universe. . . . . . .

Total sample . . .

Number

participating. . .

1,000 beds

or more

Universe. . . . . . .

Total sample . . .

Number

participating. . .

8,130

553

418

3,542

70

41

1,939

82

60

1,444

125

96

639

101

80

413

99

77

135

58

47

18

18

17

Number of hospitals

1,188

132

105

223

8

6

301

14

10

299

26

22

198

31

26

113

25

20

45

19

13

9

9

8

2,168

155

118

903

18

11

490

20

15

419

34

28

170

28

23

135

33

23

48

19

15

3

3

3

3,266

183

133

1,680

30

17

766

34

25

501

46

30

172

26

19

112

29

25

29

13

12

5

5

5

1,508

83

62

735

14

7

302

14

10

225

19

16

99

16

12

53

12

9

13

7

7

1

1

1

47
participated in the survey during 1983 and provided approximately 206,000 abstracts of medical records.

Sample design

All hospitals with 1,000 beds or more in the universe of

shofi-stay hospitals were selected with certainty in the sample.

All hospitals with fewer than 1,000 were stratified, the primary

strata being the 24 size-by-region classes shown in table II.

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 from certainty for the

largest hospitals to 1 in 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 discharged 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 subsarnples of discharges were

selected within the sample hospitals. The sample discharges

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 did not show the medical

record numbers, the sample was selected by starting with a

randomly selected discharge and taking every kth discharge

thereafter.

Data collection and processing

Data collection

Depending on the study procedure agreed on with the

hospital administrator, the sample selection and the transcriptionof 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.

In about 50 percent of the hospitals that participated in the

NHDS during the year, 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 first-listed 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.

Completed abstract forms for each sample hospital were

shipped, along with sample selection control sheets, to a Census

Regional Oftice. Every shipment of abstracts was reviewed

and each abstract form was checked for completeness. Abstracts

then were sent to NCHS for processing.

Medical coding and edit

The medical information recorded on the sample patient

abstracts was coded centrally by the NCHS staff. A maximum

of seven diagnostic codes were assigned for each sample abstrac~ 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 record 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 myocardlal infarction is encountered with other circulatory diagnoses and is other than

the first entry, it should be reordered to first position.

The system currently used for coding the diagnoses and

procedures on NHDS sample patient abstracts is the lnfernational Classl~cation of Diseases, 9th Revision, ~Clinica 1

Modz&ation2 (ICD–9–CM). Earlier data for 1970–78 were

coded according to the Eighth Revision International Classification of Diseases, Adapted for Use in the United States3

(ICDA), with some modifications. These modifications, which

were necessary because of incomplete or ill-defined terminology

in the abstracts, are presented elsewhere.7 It has not been

necessary, however, to modify the ICD–9–CM for use in the

NHDS.

Both the ICDA and the ICD–9–CM are divided into two

main sections: diseases and injuries, and surgical and nonsurgical procedures. However, many differences exist between the

two classitlcations. These differences are discussed in a previous

report.s

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,

NOTE: A list of references follows the text.

48
Fnrm . . .....Annrn.d.

.F p------

t)-. .M. ..-. R .Nn. . .r3Wi7.(!ff16 ---- ----

CONFIDENTIAL - All mformatlon which would permit identlftcation of an mdwldual or of an establishment WIII be held conf!dentlal, will be used only

by persons engaged in and for the purposes of the survey, and will not be disclosed or released to other persons or used for any other purpose

:oRMHDS-I DEPARTMENTOF HEALTHANO HUMAN SERVICES

a-s-ez) U S PUBLIC HEALTH SERVICE

NATIONAL CENTERFORHEALTH STATISTICS

MEDICAL ABSTRACT – NATIONAL HOSPITAL DISCHARGE SURVEY

4. PATlENT IDENTIFICATION Month Day Year

l. Hospital number . . . . . . . . . . . . 4. Date of admission. . IT-~- T[

2. HDS number . . . . . . . . . . . . . . . 5. Date of discharge ..~-mjm

3. Medical record number 6. Residence ZIP code

1. PATlENT CHARACTERISTICS Units 1❑ Years

Month Day Year 8. Age (Complete only if date of

7. Date of birth m-m–~

birth notgiven) . . . . . . . . . . . . . m{ 2D Months

3D Days

9. Sex (Mark (X) one)

I

I 1❑ Male 2❑ Female 3❑ Not stated

,

10. Race I 1❑ White 3 ❑ American lndlan/Alaskan Natwe 5❑ Other fSpeclfyJ

I

20 Black 4 ❑ Asian/Paclf!c Islander 6❑ Not stated I

I

11. Ethnicity (Mark (X) one) I I ~ Hispanic ongm 2❑ Non- Hwpanic 3❑ Not stated

12. Marital status I I ❑ Married 3❑ Widowed 5‘~ Separated

(Mark (X) one) r

2❑ Single ~‘~ Dworced h❑ Not stated

I

13. Expected source(s) of payment Prmclpal Other addmonal

(Mark one only)

14. Status/ Disposition of patient

sources

(Mark accordmglyl (Mark (X) appropriate box(es)

{

1. Workmen’s Compensation ❑ ❑

Status

. . . . .

D)sposmon

2.Medicare . . . . . . . . . . . . . .

I ❑ Alive ● a. n Routine dwchargel

Government 3. Medtcald . . . . . . . . . . . . .

dwcharged home

sources ; :

4. Title V,, ,., . . . . . . . . . . . . . . . . . . . ..D c1

b. ❑ Left against medical adwce

5. Other government payments . . . ❑ ❑

c ❑ Dmcharged, transferred to

{.

6. Blue Cross ,,, ..,.,,.. , . . . . . . ..D

another short-term hospital

Private ❑

7. Other private or commercial

d. a Dmcharged. transferred to

sources

Insurance . ., . .,, ,,, ,, ., .,,...,, •1 •1

long-term care mstltutlon

{

E.Self pay . . . . . . . . .

•1 D e. ❑ D}sposmon not stated

Other

sources 9. Nocharge . . . . . . ..n . . . . . . . . . . . ..n

10, Other (Specify)

~~~•1 ;

2 m Oted

❑ No source of payment indicated 3 D Status not stated

:. FINAL DIAGNOSES

Principal:

Other/additional:

— -—

n See reversesde

). SURGICAL AND DIAGNOSTIC PROCEDURES 0;::

w5vYn Yea?

Principal: m-m-in

Other/additional: m-m-m

m-m-m

CD-5-ELI

❑ NONE ~ See re.erse s!de

ompleted by Date

Figure 1. Medical abstract for tha National Hospital Diaoharga Survey

49
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, 456.20-456.21,

484.1-484.8, 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.O-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.

Prior to 1979, data on radiotherapy and physical medicine

and rehabilitation (ICDA codes RI –R4) and some obstetrical

procedures were not collected by means of the NHDS. The

obstetrical procedures not coded were artificial rupture of

membranes, external, internal, and combined version; outlet

and low forceps delivery with and without episiotom~ and

episiotomy (ICDA codes 75 .0–75.6 and 75.9). In addition,

data for diagnostic endoscopy, radiography, and other nonsurgical procedures (ICDA codes A4–A9 and R9), although coded,

were not published. Starting with 1979 data, however, the

procedures coding has followed the guidelines of the Uniform

Hospital Discharge Data Set (UHDDS).9’10 The 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 the 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 persomel, 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 the

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 diagnosis-related groupings (DRG’s), was begun in mid-1983.

DRG’s, developed at the Yale School of Organization and

Management, are being used by the Health Care Financing

Administration, some States, and some third party payers to

reimburse hospitals for inpatient care. A report has been published on the conversion of NHDS data to DRG’s. 11

Presentation of estimates

Grouping of diagnoses and procedures

In this report the diagnostic chapters, the broadest groupings

of diseases and injuries shown, correspond to ICD-9–CM

chapters 1– 17 and the Supplementary classification of factors

influencing health status and contact with health services. The

NOTE: A list of references follows the text.

diagnostic categories, the most detailed groupings of diseases

and injuries shown, are subsets of the major groups or chapters.

The titles and the ordering of the categories in the tabular list

developed for the NHDS follow the format of the IC13-9-CM

tabular list as closely as possible.

The procedure groupings used in this report are the groups

numbered 1– 16 in the ICD–9–CM section entitled “Procedure

Classification.” Specific categories of operations or procedures,

the most detailed of these groupings shown, are subsets of the

major groups and are based on the 4-digit codes provided by

the ICD–9–CM.

In developing the tables of diagnoses and of procedures,

an effort was made to maximize specificity of the conditions or

procedures consistent with clarity of characterization, the frequency of their occurrence, and their interest.

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.

During 1983, 8.9 percent of the records had no race identified in the hospital records.

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. During 1983 only 0.13

percent of the records were missing the date of admission or

discharge.

Rounded numbers

Estimates of the numbers of inpatient discharges, days of

care, discharges with procedures, all-listed diagnoses, and alllisted procedures have been rounded to the nearest thousand

for tabular presentation. Therefore, detailed figures within the

tables do not always add to totals. Rates and percents were

calculated on the basis of unrounded figures and will not necessarily agree with computations made from the roundedl data.

Population estimates

The population estimates used in computing rates are from

published and unpublished estimates for the U.S. civilian population on July 1 of the data year provided by the U.S. Bureau

of the Census. The estimates by age and sex and by geographic

region are presented in table III and are consistent with the

population estimates published in Current Population ,Reports,

Series P-25.

Although the civilian noninstitutionalized population was

used prior to 1981, it has been determined that the civilian

population is more appropriate to use for the NHDS as persons

in institutions usually are hospitalized in short-stay hospitals.

This is true especially for elderly residents of nursing homes. A

comparison of NHDS rates based on the civilian population

with the civilian noninstitutionalized population is available in

another publication. 12

50
Table Ill. Civilien population by selected characteristics: United

States, July 1, 1983

[Population estimates consistent with Series P-25, current Population Rapons,

U.S. Bureau of the Census]

Age, geographic region, Both

and race sexes Male Female

Alleges . . . . . . . . . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . .

West. . . . . . . . . . . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . . . . . . . . .

Another . . . . . . . . . . . . . . . . . . . . .

O-14 years . . . . . . . . . . . . . . . . . . .

Under l year. . . . . . . . . . . . . . . . . .

l-4 years . . . . . . . . . . . . . . . . . . . .

5-14 yeara . . . . . . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . . . . . . . . .

Another . . . . . . . . . . . . . . . . . . . . .

15-44 years . . . . . . . . . . . . . . . . . .

15-24 years, . . . . . . . . . . . . . . . . .

25-34 yaars . . . . . . . . . . . . . . . . . .

35-44 years . . . . . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . ..~.

South. . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . . . . . . . . .

All other . . . . . . . . . . . . . . . . . . . . .

45-64 years . . . . . . . . . . . . . . . . . .

45-54 years . . . . . . . . . . . . . . . . . .

55-64 years . . . . . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . . . . . . . . .

Another . . . . . . . . . . . . . . . . . . . . .

65 years and over. . . . . . . . . . . . . .

65-74 yeare . . . . . . . . . . . . . . . . . .

76years andovar . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . . . . . . . . .

Another . . . . . . . . . . . . . . . . . . . . .

Population in thousands

232,286

49,407

58,808

78,647

45,424

198,199

34,087

51,588

3,660

14,166

33,762

9,917

13>255

17.952

10,464

42,016

9,573

108,792

40,031

39,574

29,187

22,853

27,390

36,611

21,940

92,140

16,652

44,521

22,303

22,218

10,236

11,077

14,912

8,296

39,272

5,250

27,384

16,362

11,021

6,402

7,085

9,172

4,725

24,773

2,612

112,170

23,549

28,520

37,819

22,282

96,089

16,082

26,385

1,875

7,246

17,264

5,071

6,787

9,175

5,351

21,548

4,838

53,638

19,934

19,470

14,234

11,179

13,596

17,915

10,948

45,795

7,845

21,155

10,778

10,377

4,813

5,308

7,015

4,018

18,813

2,343

10,992

7,105

3,887

2,486

2,830

3,711

1,966

9,933

1,058

120,115

25,857

30,288

40,828

23,142

102,111

18,005

25,203

1,785

6,920

16,498

4,845

6,469

8,777

5,112

20,468

4,737

55,153

20,097

20,104

14,952

11,674

13,795

18,694

10,992

46,348

8,806

23,367

11,526

11,841

5,423

5,769

7,897

4,278

20,459

2,908

6,392

9,257

7,135

3,916

4,256

5,461

2,759

14.839

produce essentially unbiased national estimates in the NHDS

has three principal components: inflation by reciprocals of the

probabilities of sample selection, adjustment for nonresponse,

and ratio adjustment to freed totals. These components of estimation are described in appendix I of two earlier publications.l 3,14

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 the NHDS. The IOM NHDS study

was performed by using data coded according to the ICDA;

however, some of the findings are relevant to the 1981 NHDS

data even though these data wrere coded according to the

ICD–9–CM. Of special interest to this report is the finding

tha~ in a number of cases, the first-listed diagnosis in the

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 the

NHDS in approximately 86 percent of the cases. Detailed accounts of this and other IOM findings have been published. 1s-17

Sampling errors

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 an interval represented by the sample estimate

plus or minus 1 standard error about 68 out of 100 times and

plus or minus 2 standard errors about 95 out of 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

1;555 a particular statistic.

Reliability of estimates

Estimation

Statistics produced by the NHDS are derived by a complex

estimating procedure. The basic unit of estimation is the sample

inpatient discharge abstract. The estimating procedure used to

Approximate relative standard errors and standard errors

have been prepared for measuring the variances applicable to

(1) estimates of the discharges or first-listed diagnoses. and

days of care for patient characteristics (for example. age, sex,

and race) and hospital characteristics (for example, region. bed

size, and ownership), and patient characteristics crosstabulated

NOTE: A list of references follows the text.

51
by hospital characteristics; and (2) estimates of all procedures

performed by the specific procedure for the patient characteristics age, sex, and race and the hospital characteristics geographic region and bed size of hospital.

The relative standard errors applicable to patients discharged or first-listed diagnoses, all-listed diagnoses, days of

care, and procedures are provided in figures II–IV. The curves

for relative standard errors of the estimates in each figure relate

to the variables by which estimates are presented in this report.

In these figures, curves are shown for variables the relative

standard errors of which are different from those in the curve

for “All other variables,” which is relevant to most of the estimates. For example, one curve is applicable only to estimates

of discharges from voluntary nonprofit hospitals, a second curve

is concerned with discharges from hospitals by bed size, and a

third curve pertains to estimates of days of care in proprietary

hospitals.

The selection of the appropriate relative standard error curve

is made as follows:

1. Discharges for first-listed diagnoses and all-listed diagnoses for patient and hospital characteristics: Relative

standard errors of the estimated number of discharges and

of all-listed diagnoses are obtained from the curves in

figure II.

2. Days of care for discharges orjirst-listed diagnoses for

patient and hospital characteristics: Relative standard

errors of the estimated number of days of care are obtained

from the curves in figure 111.

3. Procedures: Relative standard errors for procedures are

obtained from the curve in figure IV.

The presentation of estimates for the NHDS is based on

the relative standard error of the estimate and the number of

sample records on which the estimate is based (referred to as

the sample size). Estimates are not presented unless a reasonable assumption regarding the probability distribution of the

sampling error is possible. The Central Limit Theorem is used

to determine the distribution of the sampling errors. The Central

Limit Theorem states that, given a sufficiently large sample

size, the sample estimate is approximately normally distributed

and approximates the population estimate.

Based on consideration of the complex sample design of

the NHDS, the following guidelines are used for presenting

NHDS estimates:

1. If the sample size is less than 30 the value of the estimate

is not reported. Only an asterisk (*) is shown in the tables.

2. If the sample size is 30–59 the value of the estimate is

reported but should be used with caution. The estimate is

preceded by an asterisk (*) in the tables.

3. If the sample size is 60 or more but the relative standard

error is over 30 percent the estimate is reported, but should

be used with caution. The estimate is preceded by an asterisk

(*) in the tables.

Tests of significance

In this report, the determination of statistical inference is

based on the t-test with a critical value of 1.96 (0.05 level of

significance). Terms relating to differences, such as “higher”

and “less,” indicate “ that the differences are statistically significant. Terms such as “similar” or “no difference” mlean that

no statistically significant difference exists between the estimates being compared. A lack of comment on the difference

between any two estimates does not mean that the difference

was tested and found to be not significant.

52
50

40

30

20

10

0

50

40

30

20

10

n

A 2 3 456769A 2 3 456789A 2 3 456789A 2 3 456789A 2

1 10 100

3 4 56789A”

1,000 10,000 100,000

Size of estimate (in thousands)

EXAMPLE: As shown m table 4, an estimated 1.867,000 patlenta 15-44 w?araof age were discharged from short-stay non-Federal hospitals with 100–499 beda in the Northeast Region. The relative standard error of

this estimate as read from the cutve “Region”’ IS approximately 7.6 percent. Thus, the standard error la approximately 141,892 (7.6 percent of 1,867,000).

Figure Il. Approximate ralativa standard errors of estimated numbers of patiants discharged, or of first-listed diagnosas, and of all-liatad diagnosas, by salectad patiant and hospital

characteristics
50

40

30

20

10

0

50

40

30

20

10

0

A 2 3 456789A 2 34567f

10 100

3A 2 3 456789A 2 3 456789A 2 3 4 56789A-

,000 10,000 100,000 1,000,000

Size of eetimate (in thousands)

EXAMPLE As shown in table 2, an estimated 9,420,000 days of care were provided during 1983 tomale Pat~ents under 15 years of age discharged from short-stay hospitals. The relative standard error of this estimate

as read from the cunfe “AH other variables’” is approximately 5.2 Percent. Thus, the standard error IS approximately 489,840 (5.2 percent of 9,420,000].

Figure II 1. Approximate relativa standard errors of estimated numbers of days of care by selected patient and hospital characteristics
50

40

30

20

10

0

50

40

30

20

10

t-t

k 2 3 456789A 2 3 456789A 2 3 456789A 2

1

3 4 56789A 2

10 100

3 4 56789A1,000 10,000 100,000

SIZe of estimate (In thousands)

EXAMPLE. As shown m table 18, an est!mated 275,000 open heart surgeries were performed during 1983 for all patients discharged from short-stay hospitals. The ralativa standsrd error of this sstimate as read

from the curve ““All other vartables” IS approximately 6.2 percent. The standard error IS thus ep~roxlmately 17,050 (6.2 percent 0{275,000).

Figure IV. Approximate relative standard errors of estimated numbers of procedures for patients discharged by selected patient and hospitsl characteristics

ol

ol
Appendix i1

Definitions of terms

Hospitals and hospital characteristics

Hospitals—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.

Bed size of hospital—Size is measured by the number of

beds, cribs, and pediatric bassinets regularly maintained (set

up and staffed for use) for patients; bassinets for newborn infants

are not included. In this report the classification of hospitals by

bed size is based on the number of beds at or near midyear as

reported by the hospitals.

Type of ownership of hospital—The type is determined by

the organization that controls and operates the hospital. Hospitals are grouped as follows:

. Voluntary nonprojit-Hospitals operated by a church or

another nonprofit organization.

c Government—Hospitals operated by State or local governments.

. Proprietary-Hospitals operated by individuals, partnerships, or corporations for profit.

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.

Discharge ra~e—The ratio of the number of hospital discharges during a year to the number of persons in the civilian

population on July 1 of that year determines the discharge rate.

Days of care—The total number of patient days accumulated at time of discharge by patients discharged from shortstay hospitals during a year constitute days of care. A stay of

less than 1 day (patient admission and discharge on the same

day) is counted as 1 day in the summation of total days of care.

For patients admitted and discharged on different days, the

number of days of care is computed by counting all days from

(and including) the date of admission to (but not including) the

date of discharge.

Rate of days of care—The rate of days of care is the ratio

of the number of patient days accumulated at time of discharge

by patients discharged from short-stay hospitals during a year

to the number of persons in the civilian population on July 1 of

that year.

Average length of stay—The averge length of stay is the

total number of patient days accumulated at time of Idischarge

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 witi

health services that is not itself a current illness or injury) listed

by the attending physician on the medical record of patients. In

the 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-1isted 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 firstIisted diagnoses is equivalent to the number of discharges.

All-1isteddiagnoses—All-listed diagnoses are an estimated

number of discharge (or final) diagnoses, up to a maximum of

seven, that are listed on the face sheet of the medical record for

inpatients discharged from non-Federal short-stay hospitals

during the year.

Obstetrical diagnosis—A diagnosis relating to conditions

arising from or affecting the management of pregnancy, childbirth, and the puerperium (the period following childbirth).

These are code numbers 640–676 of the International Classi56

.
jication of Diseases, 9th Revision, Clinical J40dl#7cation

(ICD-9-CM).2

Normal deliveiy-Delivery without abnormali~ or complication of pregnancy, childbirth, or the puerperium, and with

spontaneous cephalic delivery (that is, presentation of the child

headfirst and delivery of the child without external aid). No

mention of fetal manipulation or instrumentation is made.

ICD–9–CM code 650 is assigned.

Complicated delivery-AH deliveries not considered

normal, including deliveries of multiple gestation. ICD–9–CM

code numbers 640–648 and 651 –676 are assigned.

Terms relating to surgical and

nonsurgical procedures

Discharges with procedures—The estimated number of

patients discharged from non-Federal short-stay hospitals during the year who underwent at least one procedure during their

hospitalization are termed “discharges with 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

the 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 ICD–9–CM and

NHDS directives. (See “Medical co&mg and edit” in the “Data

collection and processing” section of appendix I for further

details.)

Al[-listedprocedures—All coded procedures that are listed

on the face sheet of the medical record exclusive of most Class

4 procedures.

UHDDS classes ofprocedures—I?roceduresare categorized

into four classes according to UHDDS guidelines. Classes

1–3 consist of significant procedures—that is, procedures that

carry an operative or anesthetic risk or require highly trained

persomel, 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, or 4 procedures.

UHDDS Class 2 procedures–The following ICD-9-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, 45.12-45.13, 45.22-45.24, 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,

NOTE A list of referencesfollowsthe text.

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,

95.12–95.1 3, 95.16-95.26, 96.01-96.08, 96.21-96.25,

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 identifi Class 3 procedures as categorized by

the 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,

98.20-98.29,99.25.

UHDDS Class 4 procedures—From 1979 through the

middle of 1983 only three Class 4 procedures were coded for

the NHDS: circumcision (ICD–9–CM code 64.0), episiotomy

(code 73.6), and removal of intrauterine contraceptive device

(code 97.71 ). The ICD-9-CM codes for the Class 4 procedures coded during the last half of 1983 are as follows:

01.18-01.19, 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, 71.19, 73.6, 76.19,

78.8,81.98,83.29,97.71.

The following ICD–9–CM procedure codes identify Class 4

procedures not coded by the 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,

3 1.48–31.49, 37.29, 41.38-41.39,42.29, 44.19, 45.19,

45.28-45.29, 48.23, 48.29, 49.21, 49.29349.41, 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,

89.15-89.16, 89.26-89.31, 89.33-89.39, 89.45-89.53,

89.55-89.59, 89.66, 89.7, 90.01-91.99, 93.01-93.25,

93.27-93.28, 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.

Surgical operations—All procedures exclusive of those

listed under “nonsurgical procedures” are listed as surgical

operations.

Biopsy—Biopsy is excision of tissue for microscopic examination. The ICD-9–CM biopsy codes are as follows:

0.11-0.15, 03.32, 04.11-04.12, 05.11, 06.11-06.13,

07.11-07.17, 08.11, 09.11-09.12, 10.21, 11.22, 12.22,

15.01, 16.23, 18.12.20.32, 21.22, 22.11, 24.11-24.12,

25.01, 25.02, 26.11, 27.21-27.24, 28.11, 29.12,

31.43-31.44, 33.24-33.27, 34.23-34.27, 37.24-37.25,

38.21, 40.11, 41.31-41.33, 42.24, 44.14-44.15,

57

9
45.14–45.15, 45.25–45.27, 48.24–48.26, 49.22–49.23,

50.11-50.12, 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,

83.21,85.11-85.12,86.11.

Nonsurgical procedures—Procedures generally not corssidered to be surgery are listed as nonsurgical procedures.

These include diagnostic endoscopy and radiography, radiotherapy and related therapies, physical medicine and rehabilitation, and other nonsurgical procedures (ICDA codes A4–A9

and R1 –R9). 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,

42.21-42.23, 44.11-44.13, 45.11-45.13, 45.21-45.24,

48.21-48.22, 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.

Rate ofprocedures—The ratio of the number of all-listed

procedures during a year to the number of persons in the civilian

population on July 1 of that year determines the rate of procedures.

Demographic terms

Population—Civilian population is the resident population

excluding members of the Armed Forces. Civilian noninstitutionalized population is the civilian population not residing in

institutions.

Age—Patient’s age refers to age at birthday prior to admission to the hospital inpatient service.

Race—Patients are classified into two groups: “white”

and “all other.” The all other classiilcation includes all categories other than white. Mexican and Puerto Rican are included

in the white category unless specifically identified as all other.

In addition, 9.3 percent of the patients had no race stated on

the face sheet of the record.

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

Northeast. . . . . .

North Central.

South . . . . . . . . .

West. . . . . . . . . .

Statas included

Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut,

Naw York, New Jersey, and Pennsylvania

Michigan, Ohio, Illinois, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North

Dakota, South Dakota, Nebraska, and

Kansas

Delaware, Maryland, District of Columbia,

Virginia, West Virginia, North Caroline,

South Carolina, Georgia, Florida, Kentucky, Tennessee, Alabama, Mississippi,

Arkansas, Louisiana, Oklahoma, and

Texaa

Montana, Idaho, Wyoming, Colorado,

New Mexico, Arizona, Utah, Nevada,

Washington, Oregon, California, Hawaii,

and Alaaka

*U.S. Government PRINTING oFFICE : 19a5 0-461-361/20005

58
VW and Health Statistics

series descriptions

SERIES 1.

SERIES 2.

SERIES3.

SERIES 4.

SERIES 5.

SERIES 10.

SERIES 11.

SERIES 12.

SERIES 13.

Programs and Collection Procedures–Repofls describing

the general programs of the National Center for Health

Statistics and its offices and divisions and the data collection methods used. They also include definitions and

other material necessary for understanding the data.

Data Evaluation and Methods Research–Studies of new

statistical methodology including experimental tests of

new survey methods, studies of vital statistics collection

methods, new analytical techniques, objective evaluations

of reliability of collected data, and contributions to

statistical theory. Studies also include comparison of

U.S. methodology with those of other countries.

Analytical and Epidemiological Studies–Reports presenting analytical or interpretive studies based on vital

and health statistics, carrying the analysis further than

the expository types of reports in the other series.

Documents and Committee Reports-Final reports of

major committees concerned tvith vital and health statistics and documents such as recommended model vital

registration laws and revised birth and death certificates,

Comparative International Vital and Health Statistics

Reports-Analytical and descriptive reports comparing

U.S. vital end health statistics with those of other countries.

Data From the National Health Interview Survey –Statistics on illness, accidental injuries, disability, use of hospital, medical, dental, and other services, and other

health-related topics, all based on data collected in the

continuing national household interview survey.

Data From the National Health Examination Survey arid

the National Health and Nutrition Examination Survey–

Data from direct examination, testing, and measurement

of national samples of tha civilian noninstitutional izec!

population provide the basis for (1) estimates of the

medically defined prevalence of specific diseases in the

United States and the distributions of the population

with respect to physical, physiological, and psychological characteristics and (2) analysis of relationships

among the various measurements without reference to

an explicit finite universe of persons.

Data From the Institutionalized Population Surveys-Discontinued in 1975. Reports from these surveys are included in Series 13.

Data on Health Resources Utilization-Statistics on the

utilization of health manpower and facilities providing

long-term care, ambulatory care, hospital care, and family

planning sewices.

SERIES

SERIES

4.

5.

SERIES 20.

SERIES 21.

SERIES 22.

SERIES 23.

Data on Health Resources: Manpower and Facilities–

Statistics on the numbers, geographic distribution, and

characteristics of health resources including physicians,

dentis~, nur~es, other health occupations, hospitals,

nursing homes, and outpatient facilities.

Data From Special Surveys-Statistics on health and

health-related topics collected in special surveys that

are not a part of the continuing data systems of the

National Center for Health Statistics.

Data on Mortality-Various statistics on mortality other

than as included in regular annual or monthly reports.

Special analyses by cause of death, age, and other demographic variables: geographic and time series analyses;

and statistics on characteristics of deaths not available

from the vital records based on sample surveys of those

records.

Data on Natality, Marriage, and Divorce–Various statistics on natality, marriags, and divorce other than as

inckrded in regular annual or monthly reports. Special

analyses b+ demographic variables; geographic and time

series analyses; studies of fertility; and statistics on

characteristics of births not available from the vital

records based an sample surveys of those records.

Data From the NationaI Mortality and Natality Surveys–

Discontinued in 1975. Reports from these sample surveys

based on vital records are incfuded in Series 20 and 21,

respectively.

Data From the National Survey of Family GrowthStatistics on fertility, family formation and dissolution,

family planning, and related maternal and infant health

topics derived from a periodic survey of a nationwide

probability sample of ever-married women 15-44 years

of age.

For ansivers to questions about this rePort or for a list of titles of

reports published in these series, contact:

Scientific and Technical Information Branch

National Center for Health Statistics

Public Health Service

H yattsville, P.!d. 20782

301436-8500
U.S. DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Public Health Set-vice

National Center for Health Statrstlcs

3700 East-West Highway

Hyattsville, Maryland 20782

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