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Wiiization of

Short-Stay

Hospitals

United States, 1982

Annual Summary

This report presents statistics on the

utilization of non-Federal shoft-stay

hospitals based on data collected through

the National Hospital Discharge Survey 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 in terms of .

frequency, rate, percent, and average length

of stay.

Data From the National Health Survey

Series 13, No. 78

:_ ..!

. . . . . ---

>

-.

-7

.

.,

.,

DHHS Publication No. (PHS) 84– 1739

U.S. Department of Health and Human

Services

Public Health Service

National Center for Health Statistics

Hyattsville, Md.

August 1984
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

Nalional Center for Health Statistics, E.J. Graves: Utilization of short-stay

hospitals, United States, 1982, Annual summary. Vifa/ and F/ea/th Statistics.

Series 13, No. 78. DHHS Pub. No. (PHS) 84-1739. Public Health Service.

Washington. U.S. Government Printing Office, August 1984.

Library of Congress Catalog Card Number 82-642053

For sale by the Superintendent of Docmnents, U.S. Go_rernment Printing Office, Washington, D.C. 20402
National Center for Health Statistics

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

. . Robert A. Israel, Deputy Director

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

Epidemiology

Garrie 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 “

Robert L. Quave, Acting Associate Director for Management

Gai[ F. Fkher, Ph. D., Associate Director for Program Planning,

. . . Evaluation, and Coordination

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

Methodology

Peter L. I-Mey, Associate Director for Vital and Health Care

Statistics

Alice Haywood, Information Oflcer

..

Vial 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, Depury Direcror

Mary Moien, Chief, Hospiru[ Care Sturisrics Branch

Manoochehr K. Nozary, Chief, Technical Services Branch

Cwperutim of the U.S. Bureuu of the Census

Under the legislation establishing tbe National Health Survey, the Pu

Semite is authorized to use, insofar as ~ssibk, the services or facilities

Federal, Stale, or private agencies.

In accordance with spcitications established by the National Center

Statistics, the Bureau of the Census, under a contractual arrangement, paI

planning the survey and collecting the data.
.

Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utilization by patient characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Utilization by hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. Utilization by diagnosis .

Utilization by procedures .

Deaths in short-stay hospitals

.Newbom infant discharges .

References . . . . . . . . . .

List of detailed tables . . .

Appendixes

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

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

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

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

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

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

I. Technical notes on methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Definitions of certain terms used in this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text tables

A.

B.

c.

D.

E.

F.

G.

H.

J.

K.

L.

M.

N.

Selected measures of hospital utilization: United States, 1965, 1970, 1975, 1980, and 1982 . . . . . . . . .

Number and percent distribution of patients and days of care and average length of stay for patients discharged

from short-stay hospitals by sex and age of patient, according to bed size of hospital: United States, 1982. .

Number and rate of patients and days of care and average length of stay for patients discharged from short-stay

hospitals, by selected first-listed diagnostic categories: United States, 1982 . . . . . . . . . . , . . . . . . .

Percent distribution of patients discharged from short-stay hospitals by bed size of hospital, according to diagnostic

class: United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of patients discharged from short-stay hospitals with and without procedures and percent with procedures,

by age, sex, and selected characteristics: United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . .

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

characteristics: United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and rate of all-listed procedures for patients discharged from short-stay hospitals, by selected procedure

categories: United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and rate of all-listed procedures for patients discharged from short-stay hospitak, by sex and age of

patient: United States, 1982... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent distribution of all-listed procedures for patients discharged from short-stay hospitals by bed size of hospital,

according to procedure category: United States 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of deaths and fatality rate of patients discharged from short-stay hospitals, by age and selected first-listed

diagnosis: United States, 1982.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average length of stay of patients discharged from short-stay hospitals, by discharge status, age, and sex: United

States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .

Number, percent distribution, and average length of stay fornewbom infants discharged from non-Federal short-stay

hospitals, by sex and geographic region: United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . .

1

2

2

3

5

7

12

14

16

17

49

59

2

4

6

7

8

9

10

10

11

12

12

13

14

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

andhealth status: United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...14

P. Number of all-listed

categories and sex:

. .

diagnoses for sick newborn infants discharged from short-stay hospitals, by selected diagnostic

United States, 1982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1.

,L

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

iv
UtiIiza%ion ot Shor%=Stay ,

Hospitals

Annual Summary

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 1982. 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, 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 214,000 medical records from

550 hospitals were included in the 1982 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 National Hospital Discharge Survey was published

in 1970.1

Types of hospital 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 discharged;

by expected source of payment, geographic region, bed size,

and ownership of the short-stay hospitals (tables 1-6). Statistics on women with deliveries (tables 7–8), conditions diagnosed (tables 10- 14), and procedures performed (tabies 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 ofthe United States.

Coding of medical data for patients hospitalized is performed according to the International C[assljication of Diseases, 9?h Revision, CIinical Modijication2 (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). 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 are 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 National Hospital Discharge Survey,

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-!LCM. 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 National Hospital Discharge Survey 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 H.

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

National Hospital Discharge Survey (NHDS) because of differences 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
mJhkJh:s

..:

- ..

Table A. Selected meaaurea of hospital utiTmtiin: United Steteq 1965, 1970, 1975, 1980, and 1982

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

Meaaure of utilization 1965 1970 1975 1980 1982

Number of patients discharged in thousands . . . . . . 28,792 29,127 34,043 37,832

Rate of patients discharged per 1,000 population . . .

38,593

150.3 144.3 159.2 167.7

Number of days of care in thousands . . . . . . .

167.9

225,011 226,445 262,389 274,508

Rate of days of care per 1,000 population . . . . . .

272,627

1,174.3 1,121.6 1,227.3 1,217.0 1,186.0

Average length ofstay in lays.... . . . . . . . . . . . . . . . 7.6 7.8 7.7

Percent of.patients with surgery and nonsurgical procedures . .

7.3 7,1

‘36.2 ‘39.7 141.7 52.2 53.9

‘ Figures for 1965 and 1975 should be compared with caution to those fm 1980 and 1!3S2because data prior to 197S excludes “o”surgical pPxedures SmJ the Iollowi”g obstetrical procedures:

episiotomy, artificial rupture of membrsnes, intemsl version, and outlet and low forceps delivery.

During 1982, an estimated 38.6 million inpatients, excluding newborn infants, were discharged from non-Federal

short-stay hospitals. These patients used 272.6 million days

of care during the year. Their average length of stay was

7.1 days. About one half of all patients discharged from

short-stay hospitals expected private insurance to pay for

all or part of their hospitalization. Patients hospitalized during

1982 accounted for 168 discharges and 1,186 days of care

per 1,000 civilian population.

Prior to 1981, the rates were based on the civilian noninstitutionalized population. Starting in 1981, however, the

rates were based on the civilian poulation. Because the civilian

population is larger than the civilian noninstitutionalized population, rates based on the former will be slightly lower than

those based on the latter. The change in the type of population

used in computing rates was necessary because many institutionalized people use short-stay hospitals. This is especially true for persons in the older age groups because these

patients are often admitted from nursing homes.

Table A shows the selected measures of hospital utilization for 1965, 1970, 1975, 1980, and 1982. The number

of discharges was approximately 34 percent higher in 1982

than in 1965; however, the discharge rate was only 12 percent

higher for the same period. Smaller increases were noted

for days of care. Although the number of days of care

was 21 percent higher, the rate differences were not statistically significant.

Although the rate of discharges and days of care decreased

between 1965 and 1970, these differences 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 appendix I.

The percent of patients with surgery was higher in 1980

and 1982 than in 1965–75. This was due primarily to the

inclusion of nonsurgical procedures and some obstetrical procedures that were not included before 1978.

Utilization by patient characteristics

The 38.6 million patients discharged from short-stay hospitals during 1982 included an estimated 15.5 million males

and 23.1 million females (table 1). Th$ rates per 1,000

population were 139 for males and 194 for females, making

the rate for females about 40 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 161, or only about 16 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 from” 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 5 times higher for both sexes.

In 1982, male patients used an estimated 115.9 million

days of care in short-stay hospitals, compared with 156.7

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

of days of care per 1,000 population was 1,045 for males

and 1,318 for females, or about 26 percent higher for females

than for males. Differences between the rates of days of

2
care for each sex were smaller than for discharges mainly

because the average length of stay for about 3.9 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 7.5 days for males and 7.4 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 326 for

patients under 15 years of age to 4,026 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 (10.1

days). The average length of stay is longe? 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 1982, 29.9 million patients were identified

on the face sheets of the medical records as white and 5.1

million as ail other. However, race was not reported for

an additiorial 3.6 million patients, or a number almost as

large as the all other group. 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 not-stated category, which for 1982 -

is slightly less than 10 percent of all discharges.

The number of days of care in 1982 totaled 213.5 million

for white patients, 36.9 million for all other patients, and

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

of stay was 7.1 days for white patients, 7.2 for all other

patients, and 6.2 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 19.4 miliion discharges from non-Federal short-stay hospitals in 1982, about

half of all discharges. Of these 19.4 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 11.7 million discharges (30.2

percent). As expected, 10.2 million (87.6 percent) of these

were for patients 65 years and over. Together these two

expected sources of payment accounted for 31.1 million discharges (80.6 percent). Even though patients expecting to

pay hospital costs through Medicare composed only 30.2

percent of all discharges, they composed 42.7 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 10.0 days, and patients who expected private insurance

to pay their hospital stays averaged 5.7 days. The longest

average length of stay was noted for Medicare patients 65

years of age and over in the Northeast Region ( 12.3 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 1982 there were approximately 3.9 million discharges for women with deliveries (tables 7 and 8). Of

these, 36 percent were discharged from hospitals in the South

and 53 percent were discharged from hospitals with 300

beds or more. Variation in rates per 1,000 civilian population

by region were insignificant, with the exception of the Northeast that had a rate of 46.2. Rates for all other regions

were about 55 per 1,000 population.

The average length of stay was longest in the Northeast

and North Central Regions with 4.2 and 3.9 days respectively,

and shorter in the West at 2.8 days. The South had an

average length of stay of 3.4 days.

Utilization by hospital characteristics

Discharges fkom short-stay hospitals by geographic region

in 1982 ranged from 6.4 million in the West Region to

13.4 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 111)

and, to a lesser extent, by variations in the discharge rates.

The rates of regional discharges per 1,000 population

in 1982 were 143 in the West, 159 in the Northeast, 174

in the South, and 186 in the North Central Regions

(table 5). Among the geographic regions, the North Central

Region had the highest discharge rate for patients 45 years

of age and over. For those under 45 years of age, the

differences in the discharge rates were not significantly different from those in the South. However, the number of discharges in the South Region was about the same or higher

for each age and sex group as compared with the North

Central Region, because the population in the South was

about 30 percent larger than that in the North Central Region.

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

were primarily in the North Central and the Northeast Regions

(tables 4 and 5). The number of days of care for the total

population ranged from 37.8 million in the West to 89.3

million in the South Region; the rate per 1,000 population

vatied from 850 days in the West Region to 1,380 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, 7.4 days in the

North Central, and 8.2 days in the Northeast (table 4).

The number of patients discharged from short-stay hospitals and days

by geographic

of care by sex and age of the patients and

region and bed size of the hospitals are shown

.

3
.

. . .

,,

..-

. .

in tab!e 4. .The percent distributions of these data are shown

in table B.

Discharges from short-stay hospitals for patients of all

ages were about 40 percent male and 60 pecent 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 32 percent for

those in the smallest hospitals to 24 percent for those in

the largest hospitals. An overall increase was found in the

percent of patients aged 15+ years from 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 simiIar to discharges

(table B). However, a smaller percent of days of care than

of discharges was recorded for patients aged 15-44 years.

For patients 45 years and over a larger percent of days

of care than of discharges was recorded. The differences

for those aged 15-44 years were the result of short lengths

of stay for females with de]iveries. However, for those over

45 years of age the differences were the result of the older

patients being hospitalized longer than those under 45 years

of age.

The average length of stay for patients discharged from

Table B. Number and percent distribution of patients and dsys of care and average length of stay for patients discharged from short-stay hospitals

by sex and age of patie@ according to bed size of hoapitsk United States, 1982

[Dischargesfrom non-Federalshort-stayhospitals,Excludesnewborninfants}

All 6-99 100-199 20&299 300499 500 beds

Sex and age Number sizes beds beds beds beds or more

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

Sex

Bo!h sexes . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Female excluding deliveries . . . . . . . .

Age

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

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

15-44yeara . . . . . . . . . . . . . . . . . . . . . .

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

65yearsandover . . . . . . . . . . . . . . . . . . . .

Alldaysofcare . . . . . . . . . . . . . . . . . . . . . .

Sex

Bothsexes .,, . . . . . . . . . . . . . . . . . . . .

Male, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Femaleincludingdaliveries, . .

Femaleexcluding deliveries . . . . .

Age

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

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

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

45-64yesrs . . . . . . . . . . . . . . . . . . . .

65yearsandover ...,,.. . . . . . . . . . .

Total, . . . . . . . . . . . . . . . . . . . . . . . .

Sex

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

Femaleincludingdeliveries. . .

Femaleexcluding deliveries . .

Age

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

15-44years

45-64years . ,.

65yearsand over . . . . . . .

38,593

38,593

15,470

23,123

19,179

38,593

3,654

15,554

8,686

10,697

272,627

272,627

115,942

156,685

142,582

272,627

16,761

79,582

68,283

108,000

7.1

7,5

6.8

7,4

4,6

5.1

7,9

10.1

Number of patients discharged in thousands

36,593 6,836 6,738 6,366- 9,547 9,106

Percent distribution

100.0 i 00.0 100.0 100.0 100.0 100.0

40.1 40.0 39.3 40.6 40.6 39.9

59.9 60.0 60.7 59.4 59.4 60.2

49.7 51.5 50.6 49.9 49.1 46.2

100.0 100.0 100.0 100.0 100.0 100.0

9.5 9.0 12.0 9.0 8.4 9.4

40.3 38.4 40.0 36.1 40.3 43.5

22.6 20.7 20.9 22.9 23,7 23.5

27.7 31.8 27.2 30.0 27.6 23.6

Days of care in thousands

272,627 38,927 “ 44,041 45,013 71,954 72,692

Percent distribution

100.0 100.0 100.0 100.0 100.0 100.0

42.5 41.0 41.9 42.3 42.7 43.8

57.5 59.0 58.1 57.7 57.3 56.2

52.3 54.5 62.9 63.1 52.2 50,3

t 00.0 100.0 100.0 100.0 100.0 100.0

6.1 5.1 7.4 5.6 5.0 7.4

29.2 27.8 29.3 26.5 26.8 31.9

25.0 22.0 23.2 24.8 26.4 26.6

39.6 45.1 40.1 43,1 39.8 34.1

Average length of stay in days

7.f 5.7 6,5 7.1 7.5 8.0.

7.5 5.8 7.0 7.4 7.9 8.8

6.8 5.6 6.3 6.9 7.3 7.5 .

7.4 6.0 6.8 7.5 8.0 8.3

4,6 3.2 4.0 4.4 4,6 6.3 .

5.1 4.1 4.8 4.9 5.4 5.9

7,9 6.0 7.3 7.7 6,4 9.0

fo. f 8.1 9.6 10.2 10.8 11.5

4
short-stay hospitals in 1982 increased steadily from 5.7 clays

in the smallest hospitals (6-99 beds) to 8.0 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 h[)spi[als; ho~ve~rer, when females who were hospitalized

for deliveries are excluded, the average lengths of stay for

both sexes were virtually the same. The average length of

stay increased as the age of the patients increased regardless

of the size of the hospital.

Some exceptions to these patterns in the average length

of stay existed among regions as shown in table 4. For

example, the average length of stay did not increase with

increasing bed size for female patients 15-44 years of age

in the Northeast Region.

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 1982, voluntary

nonprofit hospitals provided medical care to an estimated

27.2 million patients, or 70 percent of all patients hospitalized.

Hospitals operated’ by State and local governments cared

for 8.3 million patients, or 21 percent of all discharges,

and proprietary hospitals operated for profit cared for 3.1

million patients, or 8 percent of all discharges (table 6).

The estimated 272.6 million days of care utilized by

patients in short-stay hospitals during 1982 were distributed

by ownership of hospitals in the following manne~ voluntary

nonprofit, 197.2 million days, or 72 percent government,

53.1 million days, or 19 percent; and proprietary, 22.4 million

days, or 8 percent. Average lengths of stay were 7.2 days

. in voluntaty nonprofit hospitals, 6.4 days in government

hospitals. and 7.1 days in proprietary hospitals.

Utilization by diagnosis

First-1isted diagnosis—Diseases of the circulatory system

ranked first in 1982 among the ICD–9-CM diagnostic chapters

as a principal or first-listed diagnosis among patients discharged from non-Federal short-stay hospitals (table 9). These

conditions accounted for an estimated 5.5 million discharges.

Other leading ICD-9-CM diagnostic chapters were diseases

of the digestive system (4.6 million discharges); supplementary classifications, which include females with deliveries

(4.6 million discharges); injury and poisoning (3.6 million

discharges): diseases of the respiratory system (3.5 million

discharges); diseases of the genitourinary system (3.4 million

discharges). About two-thirds of the patients discharged from

non-Federal short-stay hospitals were incIuded in these six

ICD-9-CM diagnostic chapters.

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

acute myocardial infarction have increased substantially because of a decision to reorder circulatory diagnoses involving

acute myocardial infarction. For example, in 1981, 60 percent

of acute myocardial infarction diagnoses were first-listed.

In 1982, the tlrst-listed acute myocardial infarction estimate

increased to 87 percent because of reordering. The all-listed

diagnoses for the 2 years were essentially the same. This

change is discussed more fully in appendix I.

The diagnostic categories presented in this summary report

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

are of speciaI interest. Although many of these categories—

such as malignant neoplasms, heart disease, psychoses, and

fractures all sites—are combinations of more detailed diagnoses. they are presented as single categories withcwt showing

the specitlc diagnostic inclusions.

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

average length of stay by selected first-listed diagnoses in

1982, including females with deliveries, are presented in

table C. These categories accounted for 50 percent of all

patients discharged during 1982 and include the most frequent

first-listed diagnoses for each sex, age, race, region, and

bed-size group. The most common first-listed diagnosis for

most of these groups, as well as for all patients, was females

with deliveries. Excluding this category, the two most frequent

first-listed diagnoses 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).

For patients under 15 years of age, the most frequent

first-listed diagnoses were chronic disease of tonsils and

adenoids and pneumonia, all forms. Some other frequent

diagnoses for these patients were diseases of the ear and

mastoid process, noninfectious enteritis and colitis, fractures

of all sites, and asthma (table 9).

Excluding females with deliveries, the two most frequent

fitst-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

neoplasms; 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 first-listed

diagnosis was heart disease, followed by females with deliveries. Other frequent diagnoses in these hospitals were

pneumonia, all forms; 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 1982 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). cere5
. .

Table C. Number and rate of patienta, and daya of care and average length of stay for patients discharged from short-stay hospitals, by selected tiratIisted diagnostic cstegonea: United States+ 1982

[Dischargesfromnon-Federalshort-stayhospitals.Excludesnewborninfants,O&gnosticgroupingsandcodenumberinclusionsare basedcmthe InternationalClassificationofDiseases,91h

Revision,ClinicalModification]

Discharged patients Days of care

Average

Rate per Rafe per length

Number in 1,000 Number in 1,000 ofstay

Diagnostic category and [CD-9-CM code thousands population thousands population in days

All conditions’ . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,593 767.9 272,627 1,186.0 7.1

Females withdeiiveries . . . . . . . . . . . . . . . . . . V27 3,945 i7.2 14,103

Normal deiiveries2 . . . . . . . . . . . . . . . . . . . . . . . .

61.4 3.6

1,802 7.8

Complicated deliveries2 . . . . . . . . . . . . . . . . . . .

5,138 22.4 2.9

2,143 9.3 8,964

Hearfdisease . . . . . ..~...

39.0 4.2

391-392.0,393-398,402,404,

410-416,420-429 3,477 15.1 31,082 135.1

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

8.9

661 3.0 7,643 33.2 11.2

Atherosclerotic hearl disease . . . . . . . . 414.0 500 2.2 4,400 19.1 8.8

Other ischemic heart disease . 411413,414.1 -414.9 822 3.6 5,842 25.4 7.1

Cardiac dysrhythmias . . . . . . . . . . . . . . . . . ...427 440 1.9 3,235 14.1 7.4

Congestive heart failure . . . . . . . . . . . . . . . 426.0 439 1.9 4,429 19.3

Malignant neoplaams . . . . . . . . . . . . . . . ...?.

10.1

140-208 1,972 8.6 21,959 95.5

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

11.1

1,132 4.9 11,403 49.6 10.1

Cerebrovaacular disease . . . . 430436 834 3.6 10,183 44.3 12,2

Pneumonia, all forms, . . . . . . . . . . . . . . . . . . 480-486 824 3.6

mabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . ..25o

6,605 26.7 8.0

661 2.9 6,264 27.3

Noninfecfioue enteritis and colitis. . . . . . . 55%558

9.5

825 2.7 3,228 14.0 5.2

Benign neoplasms, carcinoma-in-situ, and neoplasms

of uncertain behavior . . . . . . . . . . . . . . . . . . . 210-239 622 2.7 3,797 1e.!j 6.1

Psychoses . . . . . . . . . . . . . . . . . . . . . . ...29&299 574 2.5 8,883 38.6 15.5

Arthropathies and related disorders . . . . . 710-719 568 2.5 4,813 20.9

Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

8.5

555 2.4

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

1,620 7.0 2.9

512 2.2 2,307 10.0

Cholelithiasis . . . . . . . . . . . . . . , . . . . . . . . . . ..5?4

4.5

496 2.2 4,431 19.3

Allabortions, including ectopic and molar pregnancies . . 630-689

8.9

484 2.1 987 4.3 2.0

Intervertebral disc disorders . . . . . . . . . . 722 436 1.9 4,152 18.’1

Chronic disease oftonsils and adenoids. . . . . 474

9.5

436 1.9 821 3.6

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

1.9

434 1.9 2,368 10.3 5.5

Diseases of thecentral nervous system . . 320-336,34&349 429 1.9 4,706 20.5 11.0

Alcohol dependence syndrome. . . . . . . . . . . . . 303 417 1.8 4,654 20.2 11.2

~lncludesdatafordiagnosticconditionsnotshownintable,

28eeappendixfordefinition.

brovascular disease, and alcohol dependence. Other average

lengths of stay over 10 days were for malignant neoplasms,

diseases of the central nervous system, acute myocardial

infarctions, and fractures of neck of femur for patients 45

years and over, and congestive heart failure and fractures,

aIl sites for patients 65 years and over. Short average lengths

of stay occurred for patients under45 years with a first-listed

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.

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 very

similar for the two sexes for most of the diagnostic chapters

and categories shown. However, males hadsignifantly higher

rates than females for the categories of alcohol dependence

syndrome, acute myocardial infarction, other ischemic heart

disease, inguinal hernia, calculus ofkidney and ureter, intracranial injuries (excluding those with skull fracture), and

lacerations and open wounds. For females, higher rates occurred for the categories of benign neopiasms, carcinoma

in situ, and neoplasms of uncertain behavior, diabetes mellitus,

cataract, noninfectious enteritis and colitis, cholelithiasis, ar6

thropathies and related disorders, and persons admitted for

sterilization.

Seventy-seven percent of all the patients discharged were

white, 13 percent were all other races (including black),

and 9 percent dld 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 tended to be higher for white

patients than for all patients discharged with a first-listed

diagnosis of diverticula of intestine and calculus of the kidney

(87 percent) and lower for patients with a diagnosis of alcohol

dependence and abortion (62 percent). For all other races

it was higher for abortion (29 percent) and lower than expected

for fracture of neck of femur (5 percent).

Information on patients discharged from short-stay hospitals by geographic region is shown in table Il. In [982,

the number of discharges per 1,000 population ranged from

143 in the West Region to 186 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.

During 1982, the number of patients discharged from

short-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
.

Table D. Percent distribution ofpatien@ ~scharged from ahoti-stiy hos@lsby bedsize ofhoqtik scmrdng todag~sticcbs= United States, 1982

[Discharges from non-Federal short-stay hoapitala. Excludes newborn infants. Diagnostic groupings and cede number incfuskma are baaed on the international Classification of Diseases, 9th

Revision, Cfnica/ModificatLm]

All 6-99

Diagnostic class and ICD-9-CM code

100-199 200-299 300+99 500 beds

sizes beds beds beds beds or more

Parcent dktnbution

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 17.7 17.5 16.5 24.7 23.6

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

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

Neoplesms . . . . . . . . . . . . . . . . . . . . . . ...140-239

Endocrine, nutritional and metabolic diseases

andimmunitydisorders . . . . . . . . . . . . . . . . . 24fF279

Diseases of the blood and blood-forming organs . . . . . 280-269

Mentaldisordare . . . . . . . . . . . . . . . . . . . . ..290-S15

Diseases of thenervous system andsense organs . . . 320-389

Diseaaes of thecirculatory system . . . . . . . . . . . . 390459

Diseases of therespireto~ system . . . . . . . . . . . . 460-519

Oiseases of thedigestive system . . . . . . . . . . . . . 52C-579

Diseasea of the genitounnary system . . . . . . . . . . . 580-629

Complications of pregnancy, childbirth,

andthepuerperium’ . . . . . . . . . . . . . . ...”.. 630-676

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

Diseases of the musculoskeletal system

and connective tissue . . . . . . . . . . . . . . . . . . 710-739

Congenital anomafies . . . . . . . . . . . . . . . 740-759

Certain condtions originating in the pennatal period . . . 760-779

Symptoms, signs, and ill-defined conditions. . . . . . . . 78c-799

Injury andpoisoning . . . . . . . . . . . . . . . . . . . . 80C-999

100.0

100.0

18.7

9.4

21.0

13.1

14.5

15.3

23.2

29.2

22.4

33.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

20.4

19.6

19.5

11.1

18.5

24.7

21.5

16.5

16.9

16.6

18.1

16.7

16.9

18.8

18.2

20.1

18.3

15.5

11.7

17.9

18.2

17.6

17.0

15.7

23.9

24.5

26.9

27.3

24.4

22.1

23.6

24.2

20.6

23.4

21.8

27.1

22.0

16.8

19.7

23.5

100.0

100.0

13.6

20.7

19.6

17.1

13.8

16.1

23.6

24.6

29.0

21.7

100.0

100.0

100.0

17.2

7.8

8.4

19.1

19.4

16.3

.20.0

.13.9

15.4

17.0

16.8

14.9

16.9

17.0

17.7

25.6

23.0

21.1

25.8

23.8

24.1

34.6

40.0

22.8

22.2

100.0

100.0

Supplementa~”classifications . . . . . . . . . . . . . . . . . VOI-V82 100.0 14.7 17.3 15.3 24.7 28.1

lFemalea w“th deliveries are included under “Supplementary claaaifications.”

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 puerperium, 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 West; 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

(16. 1days) and200-299 beds (13.3 days).

All-1isted diagnoses—An estimated 97.7 million diagnoses

were recorded for the 38.6 million inpatients of non-Federal

short-stay hospitals in 1982 (table 14) for an average of

2.5 diagnoses per discharged patient. The average number

of diagnoses per discharge increased from years prior to

[979 because of changes that were made in the way data

are tabulated. Sta~ing in 1979, up to seven diagnoses per

discharge are now coded and tabulated on the NHDS data

file; prior to that time, up to five diagnoses were coded.

In addition, the ICP9–CM, which is the classification 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 livebom; twins,

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

prior to I979.

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 2.3–2. 6 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,

2.6, and 3.4, respectively.

Diseases of the circulatory system ranked first among

the ICD-9-CM diagnostic chapters for all-listed diagnoses,

with [8.3 million diagnoses. This was followed by diseases

of the digestive system (9.0 million); supplementary classifications (8. 1 million); diseases of the genitourinary system (7.7

million); diseases of the respiratory system (7.0 million);

and injury and poisoning (6.4 million). These six ICD-9-CM

chapters accounted for almost 60 percent of all-listed diagnoses

in 1982.

Utilization by procedures

One or more procedures were performed for an estimated

20.8 million of the 38.6 million inpatients discharged from

short-stay hospitals during 1982. A total of 34.6 million

procedures, or an average of 1.7 per patient who underwent

at least one procedure, were recorded in 1982 (table 15).

These figures are higher than those reported prior to

1979 because changes were made in the tabulation and coding

7
of data for the NHDS that resulted in the reporting of a

greater number of procedures. Beginning in 1979 more procedures, in terms of both number per patient and type of

procedure, were coded. Specifically. starting in 1979 up

to four procedures, instead of only three, were coded for

each discharge. Furthermore, on!y 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 H under the section entitled “Terms

relating to 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 1982 and the number and percent

of patients with at least one surgical procedure are shown

in table E. About 54 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 1544 years of age had the

highest proportion of all the age groups with procedures

(63 percent). Women had more procedures than men (56

percent compared with 50 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 36 percent in hospitals with 6-99 beds to about 65

percent in hospitals with 500 beds or more.

Six out of 10 patients (57 percent) with procedures had

only one operation or nonsurgical procedure during their

hospitalization (table F). About 27 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

(33 percent) and those 45-64 and 65 years of age and over

had the largest proportion (50 and 51 percent, respectively).

About 39 percent of the patients discharged from the smallest

hospitals had more than one procedure; about 44 percent

of the patients discharged from hospitals of all other sizes

had two or more procedures during their hospitalization,

The percent of patients with surgical procedures (that

is all procedures except nonsurgical—see appendix II) by

number of procedures is shown in table F. About two-thirds

(65 percent) of the patients with surgical procedures had

only one, 24 percent had two, and 10 percent had three

or more.

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 specific categories

within the detailed tables as well as in the text tables. Some

of these categories—such as repair of inguinal hernia, prostat~ctomy, and hysterectomy—are presented as single

categories although they may be divided into more precise

subgroups.

Operations on the digestive system ranked first among

Table E. Number of patients discharged from short-stay hoapitala with and without procedures and percent with procedure% by age, sex, and selected

characteristic= United State$ 1982

[Discharges from non-Fscjeral shofi.stay hospitals, &tjudes new~~ infants]

Patients with procedures

All Patients Pstienis

discharged

Patients

without All with surgical

Selected characteristics

All with surgical

patients procedures patients procedures 1 patients procedures 7

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

Age

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

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

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

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

Sex

Male, . .,, . . . . . . . . . . . . . . . . . . . . . . . . .

Female, . . . . . . . . . . . . . . . . . . . . . . . .

Race

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

Another, . .,, ...,.... . . . . . . . . . . . . . . .

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

Geographic region

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

North Central..,,....,,. . . . . . . . . . . . . . .

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

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

Bed size of hospital

E-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

500 beds ormore. ,., ..,,.. . . . . . . . . . . . .

Number in thousands

38,593 17,804 20,789 17,433

3,654 2,122 1,533 1,284

15,554 5,776 9,777 8,776

8,688 4,013 4,675 3,665

10,697 5,893 4,8o4 3,687

15,470 7,731 7,739 6,175

23,123 10,073 13,050 11,258

29,860 13,654 16,226 13,547

5,142 2,492 2,651 2,192

3,571 1,659 1,912 1,694

7,847 3,315 4,532 3,637

10,938 4,996 5,940 5,023

13,435 6,788 6,647 5,620

6,373 2,702 3,670 3, i 53

6,836 4,397 2,438 2,129

6,738 3,259 3,479 2,951

6,366 2,895 3,471 2,901

9,547 4,016 5,531 4,602

9,106 3,237 5,870 4,849

\ Percent

53.9 45,2

42.0 35.1

62.9 56.4

53.8 42.4

44.9 34.5

50.0 39.9

56,4 48,7

54.3 45.3

51.5 42.6

53.5 47.4

57.8 46.3

54.3 45.9

49.5 41.8

57.6 49.5

35.7 31.1

51.6 43.6

54,5 45.6

57.4 48.2

64.5 53.3

‘Excludes nonsurgical procedures,

6
Tabte F. Percent diatniution of patients discharged from short-stay hospitals by number of procedures according to selectedcharscttiatice:

UnitedStateq 1982

[Discharges from non-Faderal short-stav hosnitals. Excludes newborn infants]

All

discharged

patients 4

with 1 2 3 procedures

Selected characteristic procedures procedure procedures procedures or more y

Percent distribution

All patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 56.5 27.1 9.7 6.7

Age

Under 15years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 67.4 23.9 5.2 3.5

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 61.6 25.0 6.8 4.6

45-64 yaars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 50.4 29.0 11.8 8.8

65years Andover . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 46.7 30.3 11.1 9.9

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 53.9 27.9 10.1 8.1

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 58.1 26.5 9.6 5.9

Race

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 55.6 27.4 10.0 7.0

Another . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 59.1 25.5 9.3 6.0

Notstated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 60.5 26.5 6.1 5.0

Geographic region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 57.8 25.8 9.2 7.2

North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 54.1 27.2 10.9 7.8

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 56.5 27.9 9.7 5.9

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 58.8 27.0 8.7 5.5

Bed size of hospital

6-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 61.1 25.7 8.5 4.7

100-1991mds . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 56.7 . 27.5 9.1 6.7

200-299beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 56.0 27.7 10.0 6.3

3oo-499bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 56.6 27.4 9.6 6.4

500bedsofmore . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 54.7 26.7 10.6 8.0

Patientswithsurgicslproceduresz . . . . . . . . . . . . . . . . . 100.0 65.3 24.3 7.3 3.1

‘A maximum of four prcc=adureswas codad for each patknt discharged.

‘Excludes nonsurgical pmadur(!$

the surgical and nonsurgical procedures (5.8 million) performed during 1982. Other leading ICD-9-CM groups were

miscellaneous diagnostic and therapeutic procedures (5.5 million), operations on the female genital organs (4.0 million),

obstetrical procedures (3.9 million), and operations on the

musculoskeletal system (3.6 million). About two thirds of

the procedures performed in 1982 were included in these

fivemajorgroups.

The number and rate of all-listed procedures in 1982

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

theprocedures included in this tabie prediagnostic andnonsurgical procedures that have been unpublished bythe NHDS

prior to 1979, such as endoscopy on the digestive system,

cystoscopy and urethroscopy, artenography and angiocardiography using contrast material, and radioisotope scan. Over

one-half million of each of these procedures were performed

during 1982.

Data for the more traditional leading surgical operations

are shown in tableG. Some of the most frequently performed

surgeries, of which 500,000 or more were performed in

1982, included diagnostic dilation and curettage of uterus,

excision ordestruction oflesion ortissue ofskinorsubcutaneous tissue, hysterectomy, bilateral destruction or occlusion

of fallopian tubes, cesarean section, and repair of inguinal

hernia.

The estimated 34.6 million procedures performed in1982

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.

0fthe34.6miIlion procedures performed during 1982,

44 percent were perfoqned 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

common procedure for the 45-64 years age group was artenography 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 43 for patients under

15 years to 326 for patients 65 years of age and over

9
Tabla G. Number andmteof al14sted prmAures forpatienta dacharged tiomahoti-s@y hoapi&l~by aelected prmeduremtegone~

UnitedStates 1982

[Discharges tromnon-Fe5eral hospitals. Excludes newborn infants. PrOWdure groupings a"dtie"umbr i"cl"sio"$ are b~edo"the /nternat/Ona/ C/a~~ffl~atjOn OfDj$e*~e~, gth Revjs;on,

Clinical Modification]

. ,.

,..

. .

Procedures

Number Rate Der

in 100,000

Procedure category and ICC-9-CM code thousands population

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

Surgicalprocedures’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonsurgical procedures’ ..., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Procedurestoassistdelivery.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-73

Endoscopyofthedigestivesystem . . . . . . . . . . . . . . . . . . . . 42.21 -42.23,44.11-44.1 3, 45.11-45.13,

45.21-45.24,48.21-48.22,51 .11,54.21

Biopsy’. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Endoscopyoftheurinatysystemthrough natural orifice . . . . . . , . . . . . . . , . . . . . . , 55.21+5.22,

56,31,57.32,58.22

Diagnosticdilation andcuretfage ofuterus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.09

Atietiography andangiocardography byusing contrast matetial . . . . . . . . . . . . . . . 88.4-68.5

Cesareansection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2.74.4. 74.99

Excision ordestrutiion oflesion ortissue ofsKnor subcutaneous tissue . . . . . . . . . . . . . . . . 86.2-66.4

Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3+8.7

Radioisotopescan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.01-92.1

bilateral destruction orocclusionoffallopian tubes . . . . . . . . . . . . . . . . . . . . . . . 66.2-66.3

Computerized sxialtomography (C.A.T. scan). . . . . . . . . . . . 87.03,87.41,67 .71,68 .01,86.36

Extractionoflens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13.1-13.6

Diagnosticultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.7

Repairofinguinal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53.0-53.1

Oophorecfomyandsalpingo-oophorecfomy . . . . . . . . . . . . . . . . . . . . . . . . . 65.3-65.6

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

Cardiaccatheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21-37.23

Pyelogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.73-67.75

Repairofcurrentobstetriclaceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75.5-75.6

Tonsillectomywithorwithoutadenoidectomy . . . . . . . . . . . . . . . . . . 26.2-28.3

Arthroplastyofjoints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..61.3-B1.8

Operations onspinal chord andspinal canaiatructur~ except Mopsies . . . . . . . 03-03.31,03 .38-03.9

Openreductionoffrscture . . . . . . . . . . . . . . . . 76.79,79.2-79.3,79.5-79.6

Operationson muscles,tendons, fsscia,andbursa . . . . . . . . . . . . . . . 82-63.1,83.3-63.9

lnsertionofprostheticlens... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . ,. ...13.7

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

Contrastmyelogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67.21

34,632

25,624

8,806

2,458

1,594

1,422

641

741

740

730

703

650

641

602

600

599

561

549

500

493

471

464

449

436

437

436

434

420

418

358

341

15,066.4

11,234.6

3,831.6

1,069.6

693.4

618.6

366.0

322.3

321.8

317.7

305.7

282.8

278.7

261.8

260.9

260.6

244.1

236.9

217.6

214.3

204.7

201.9

195.4

190.7

190.2

189.6

189.0

162.7

182.0

155.9

148.5

‘See appendixII for ICO-9-CM codes in this category.

(table H). Except for females 1544 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

andgynecological conditions.

0fthe34.6million procedures performed during 1982,

about 13.3 million were for males and 21.3 million were

for females. The corresponding rates per 1,000 population

were 151 for both sexes, 120 for males, and 179 for females,

Of the procedures shown in table 17, the most common

for males were repair of inguinal hernia and prostatectomy.

Forfemales, themost frequently performed procedures were

episiotomy without forceps andvacuum extraction, diagnostic

dilation and curettage of uterus, hysterectomy, bilateral destruction or occlusion of fallopian tubes, and cesarean section.

Thedistributionby race isshownintabie 19. Seventy-nine

percent of all procedures were performed on white patients,

12 percent were performed on all other races (including

black), and 8 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

Table H. Number andrate ofall-listed procedures forpatienta

discharged from short-atey hospitals, by sex and age of patienk

UnitedState~ 1982

[Oischsrges from non-Federsi short-stay hospitals, Excludes “ew~r” i“fa.ts]

Age Bofh sexes Male Female

Number of procedures in thousands

Alleges . . . . . . . . . . . . . . 34,632 13,331 21,302

Under 15years . . . . . . . . . . 2,219 1,336 882

15-44years . . . . . . . . . . . 15,296 3,945 11,350

45-64yaars . . . . . . . . . . . . 8,366 3,905 4,463

65yearsandover . . . 8,750 4,144 4,606

Rata per 1,000 population

Alleges . . . . . . . . . . . . . . 150.7 120.1 179.2

Under15 years . . . . . . . . . . . 43.2 50.9 35.2

15-44years . . . . . . . . . . . 142.6 74.7 208.5

45-64years . . . . . . . . . . . . 168.3 185.0 191.3

65yearsandover . . . 326.2 384.5 287,0

patients andthose with race not stated. However, the percents

for all other patients were higher for obstetrical procedures

and operations on the female genital organs.

.

10
Table J. Pwmntdstnbtin ofal14sted pmedures forpatien@ discharged tiomshoR-stiy h&ptils by bAstieof hosptiL a=otingtop=edure

catego~ United State% 1982

[Dischargesfrom ran-Federal short-stayhospitals.Excludesnewtmm infants. Proceduregroupings and cede number inclusionsare based on the InternationalClassificationof Diseases, 9th

Rev/s(on, &mica/Modihcat!on]

All 6-99 1OC-199 200-299 30L?499 500 beds

Procedure category and ICO-9-CM code sizes beds beds beds beds or more

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

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

Operations on the endocrine system . . . . . . . . . . . . . . . .06-07

Operations on theeye . . . . . . . . . . . . . . ..- . . . . .. IJ+16

Operations onlheear . . . . . . . . . . . . . . . . ..- . . .. 1*20

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

Operations on the respiratory system . . . . . . . . . . . . . . .30-24

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

Operations on the heroic and lymphatic system . . . . . . . . . . WI

Operations on the digestive system . . . . . . . . . . . . . . . .42-54

Operations on the urinary system . . . . . . . . . . . . . . . . . 5.%59

Operations on the male genital organs. . . . . . . . . . . . . .60-84

Operationa on the female genital organs. . . . . . . . . . . . - .65-71

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

Operations on the musculoskeletsl system . . . . . . . . . . . .78-64

Operations on the integumentary system . . . . . . . . . . . . .65-86

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

100.0

100.0

100.0

100.0

100.0

i 00.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

11.0

6.4

8.3

8.3

4.8

13.0

5.4

2.6

7.7

13.6

11.5

10.7

13.5

13.1

14.1

16.4

6.2

Percent distribution

16.7 16.7

13.4 15.9

7.3 18.3

19.8 17.5

16.9 22.9

17.2 19.4

15.2 17.8

9.8 17.0

13.8 15.2

17.4 17.9

17.9 18.3

18.7 17.9

20.5 15.3

15.6 14.4

16.9 17.2

16.9 16.4

15.1 15.7

26.5

26.5

30.3

28.7

30.4

27.5

27.6

28.6

27.3

25.0

27.4

27.1

24.3

26.6

26.3

25.5

27.6

29.1

37.7

35.8

25.6

25.0

23.0

34.0

41.9

35.9

26.1

25.0

25.6

26.4

30.2

25.6

24.8

35.4

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 174 in the North Central Region, 152 in

the Northeast, 142 in the South, and 133 in the West. Rates

were highest in all regions for operations on the digestive

system, the female genital organs, the musculoskeletal system,

obste&cal procedures, and miscellaneous diagnostic and

therapeutic procedures.

The number of procedures in short-stay hospitals during

1982 for each ICD-9-CM category by bed size of hospital

where the procedure was performed are shown in table 21.

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 art estimated 48 percent of

the patients hospitalized during 1982, 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 (70 percent)

and on the endocrine system (66 percent). Other chapters

having 60 percent or more of the procedures performed in

hospitals with 300 beds or more were operations on the

nervous system (64 percent), operations on the heroic and

lymphatic system (63 percent), and miscellaneous diagnostic

and therapeutic procedures (63 percent).

.

11
Deaths in short-stay hospitals

In 1982, 96.0 percent of patients, excluding new-born

infants, who were discharged from short-stay hospitals were

discharged alive, 2.7 percent were discharged dead, and for

1.3 percent a discharge status was not ascribed. Of the estimated 1,023,000 patients who died, 52.1 percent were male

and 47.9 percent were female (table K). As expected, patients

65 years and over accounted for the majority of hospital

deaths, 70.5 percent. Patients under 65 years of age accounted

,’ for 29.5 percent of the deaths. The 1,023,000 who were

discharged dead from these hospitals represented about onehalf of all persons who died during 1982.5

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 2.7 has been computed

for patients in 1982. The rate for males was higher than

that f& females—3.4 for males as compared with 2.1 for

females. .

The 65 years and over age group had a hospital fatality

rate of 6.7; however, patients under 65 years of age had

a fatality rate of 1.1. 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

Table K. Number of deatha and fatalii rate of patients discharged from short-stay hospitalaj by sex and age: United States, 1982

[Deathsin non-Federalshort-stayhospitela.Excludesnewborn infanta]

Aae Both sexes Male Female Both sexes Male Female

Number in thousands

All agea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,023 533 490

All ages excluding obstetric conditions . . . . . . . 1,022 533 490

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302 170 131

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 20 15

15-44years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 .31 19

45-64years ..,....,.. . . . . . . . . . . . . . . . . . . . 217 120 97

65yearaandover . . . . . . . . . . . . . . . . . . . . . . . . . . . . 721 382 359

Rate per 100 discharges

2.7 3.4 2.1

3.0 2..4 2.6

1.1 1.6 0.8

1.0 0.9 1.0

0.3 0.7 0.2

2.5 2.9 2.1

6.7 7.8 5.9

Table L. Numkrof deathaand fa@~~rata ofpatienta dacharged from ahoti-stay hosptials, byageand seleoted first-liated diagnosis

United State$ 1982

[Deaths innon-Federal shorf-atay hospitals. Excludes nawborn infanB. Diagnostic groupings andcode number inclusions are based onthe/ntemationa/ C/ass/fication of Diseases, 91h Revision,

clinical Modification]

Under 65 years Under 65 years

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

All deaths . . . . . . . . . . . . . . . . . . . . . . . . .

Malignantneopiasma . . . . . . . . . . . . . . . . . . 140-208

Heart disease . . . .391 -392.0,393 -398,402,404,410-416,420-429

Acute myocardial infarction 410

Chronic ischemic heartdiaease 411-414

Cardiacdysrhythmias .,...., , . . . . . . . . . . . . ...427

Congestiveheartfailure . . . . . .428.0

Cerebrovasculardiseaae 430-438

I%eumonia, allforms, ..,.. ., . . . . . . . . . . . . .. 480+86

Chronicliverdiseaseandcirrhosis . 571

Nephritis, nephritic syndrome, andnephrosis 580-589

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

Number in thousands Rate per 100discharqes

1,023

241

307

135

.28

68

41

66

48

12

16

42

302

97

61

30

‘2

17

“4

16

“7

10

“4

20

721

143

246

105

26

51

37

70

41

“2

12

22

2.7 1.1 8.7

12.2

6.8

19.9

2.1

15.4

9.3

10.4

5.8

12.7

11.6

i .2

9.9 14.4

4.2 12.1

10.0 27.6

“0.3 3.8

10,4 18.4

4,5 10,5

7.5 11.4

“1.3 13.7

13.6 ‘1O.O

“4.2 21.9

0.7 3.0

12
. .

underlying cause of death as reported in Vital Statistics in

the United States. Of the estimated 1,023,000 deaths in

short-stay hospitals, 74 percent are accounted for by the

dia,gnostic groupings shown intable L. Ofthese, heart disease

and malignant neoplasms accounted for about one-half

(548,000) of all deaths in short-stay hospitals.

For specific diagnoses, the highest fatality rates were

for acute myocardial infarction with a rate of 19.9 per 100

● dischtiges and cardiac dysrhythmias with a rate of 15.4

per hundred discharges. Other high fatality rates were for

chronic liver disease and cirrhosis (12.7 per 100 discharges),

malignant neoplasms (12.2 per 100 dkcharges), and nephritis,

nephrotic syndrome and nephrosis ( 1’1.6per 100 discharges).

..

The average length of stay for patients discharged from

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

in table- M. The ave~age stay for all patients discharged

was 7.1 days. Patients discharged alive had an average stay

of 6.9 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’ 5.8 days; however, those who died had an

average stay of 12.7 days. The hospital stay for patients

154$ years of age who died was 2.4 times as long as

for those who were discharged alive (12.2 and 5.1 ). The

difference in length of stay was much smaller for patients

65 years and over—9.9 days for those discharged alive and

13.2 days for those who died.

Table M. Average length of stay of pstiente discharged from short-stay hospital$ by d~harge strstuq age, and sex: United Stste~ 1982

[Osathsin non-Federalshort-slaylmspiIala.Sxcludesnewborn infants]

.

Discharge status

Alive Dead

Age Both sexes Male Female Both sexes Male Female

Average length of stay in days

Alleges, . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.9 7.3 6.6 13.0 12.4 13.7

Allages excluding obstetric conditions. . . . . . . . . . . . 7,4 7.3 7.4 13.0 12.4 13.7

Undar65years . . . . . . . . . . . . . . . . . . . . . . . . 5.8 6.4 5.4 12.7

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

11.9

4.5

13.6

4.5 4.5 9.5 7,7

l%klyaars . . . . . . . . . . . . . . . . . . . . . . . . 5.1

11.9

6.3 4.6 12.2 11.1

4S-64years . . . . . . . . . . . . . . . . . . . . . . . . .

14.0

7,7 7.6 7.8 13.3 12.9

65yearsandovar . . . . . . . . . . . . . . . . . . . . . .

13.8

9.9 9.5 10.1 ~3.2 12.6 13.7

13
Newborn infant discharges

.“

.,

The number, percent

of stay of newborn infants

tals, by sex, geographic

table N. The estimated 3.

distribution, and average length

discharged from short-stay hospiregion, and race are shown in

9 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 26 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 4.1

days in the North Central Region and 3.7 days in the South.

Approximately three-quarters of the 3.9 million newborn infants discharged from short-stay hospitals were “well.” A

well infant is defined as one that does not have an illness

or risk-related diagnosis (table O).

The estimated 1.1 million sick infants (28 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. Ab”out 0.5 million (31 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 61 percent of all sick newborn diagnoses. Males accounted for

60 percent of the respiratory conditions, 58 percent of the

congenital anomalies, 53 percent of the jaundice, and 48

percent of the prematurity diagnoses. Of the 1.1 million

sick newborn infants, there were 15 percent more baby boys

than baby girls; the boys also had 21 percent more diagnoses

than the girls did.

Well newborn infants had an average hospital stay of

3,1 days and there was no difference in the length of stay

by sex (table O). This table further demonstrates that sick

newborn infants stay over 1M times as long as well infants

(5.6 versus 3.1 days) and account for 41 percent of the

newborn patient days, although they compose only 28 percent

of newborn infants.

Table N. Number, percent distnkrution, and average length of stay for

newborn infants discharged from non-Federai short-stay hospitals, by

sex and geographc region: United States, 1982

Average

Number of length

discharges Percent of stay

Sex and geographic region in thousands distribution in days

All newborn infants . . . . . . . 3,926 100.0 3.6

Sex

Male . . . . . . . . . . . . . . . . . 2,020 54.5 3.9

Female . . . . . . . . . . . . . . . 1,906 48,5 3.6

Region

Northeast . . . . . . . . . . . . . . 733 18.7 4.5

Notth Central . . . . . . . . . . . . 1,003 25.5 4.1

South . . . . . . . . . . . . . . . . 1,404 35.8 3.7

West . . . . . . . . . . . . . . . . 786 20.0 2.9

Table O, Number and average length of stay of newborn infants

discharged from non-Federal short-stay hospitala, by sex and health

status: United StateS 1982

Health status Both saxas Male Female

,

Number in thousands

All newborn infants . . . . . . . 3,926 2,020 1,906

Well newborn infants . . . . . . . . 2,833 1,435 1,399

Sick newborn infants . . . . . 1,093 5B5 507

Average length of stay in days

All newborn infants . . . . . 3.8 3.9 3.6

Well newborn infants . . 3.1 3,1 3.0

Sick newborn infants . . . 5.6 5,8 5.3

14
.-

Table P. Number of all-listed diagnoses for sick newborn infants discharged from short-stsy hospitals, by selected diagnosic cetegonea and sex:

United Stateq 1982

[Ail-Listed diagnoses innon-Federalshort-stayhospltsls.Diagnosticgroupingsandoodenumberinclusionsare based on the /nfernati’na/ C/assi/ication of Diseases, 9fh Ffetistin, C/irrica/

Modification]

Diagnostic catego~ and ICD–9-CM code Both sexes A.fa/e Female

Number in thousands

8icknewborn infant diagnoses’ . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,698 927 771

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . ..740-74g 158

Oisorders relating to short gestation and unspecified

91 65

Iowbirlhweight (prematurity )..... . . . . . . . . . . . . . . . . . . . . . 765 176

Respirato~ distress syndrome and other respiratory

84 . 92

condfiions of fetus andnewbom . . . . . . . . . . . . . . . . . . . . . 769-770 180

Hemolytic disease of fetus or newborn, due to isoimmunization

108 72

sndother perinatsl jaundice . . . . . . . . . . . . . . . . . . . . . . . . 773-774 516 274 242

~lmludes dam ford~mstimdtiom not shown in table.

15
R3kremxs

‘National Center for Health Statistics, W. R. Simmons: Development

of the design of the NCHS Hospital Discharge Survey. Vi/a/ and

Heuhh Sruris?ics. Series 2, No. 39. PHS Pub. No. 1000. Public

Health Service. Washington. U.S. Government Printing Office, Sept.

1970.

.“ ‘National Center for Health Statistics: lnrernu/ions/ Cla.ssifica?ion

of Discuses, 9th Revision, Clinicul Modification. DHHS Pub. No.

(PHS) 80-1260. Public Health Service. Washington. U.S. Government Printing Office, Sept. 1980.

3Natioqal Center for Health Statistics: Eighth Revision /nrernalionu/

Clussijicution of Diseases, Adapted for Use in (he United Stares.

PHS Pub. No. 1693. Public Health Service. Washington. U.S.

Government Printing Office, 1967.

‘M, Moien; The use of Hospital Discharge Survey data to produce

trend estimates of hospital utilization. Reprinted from the 1978

Social Statistics Section Proceedings of the American Statistical

Association.

‘National Center for Health Statistics: Annual Summary of Births,

Deaths, Marriages, and Divorces. Morrrh/y Vita/ S/a/is/its Report.

Vol. 31, No. 13, DHHS Pub. No. (PHS) 83–1 120. Public Health

Service. Hyattsvillc; Md., Oct. 1983.

6Natimsal Center for Health Statistics: Development and maintenance

of a national inventory of hospitals and institutions. Viral and Healrh

S/ati.sties. Series 1, No. 3, PHS Pub. No. 1000. Public Health

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

‘National Center for Health Statistics, B. J. Haupt: Utilization of

short-stay hospitals, annual summary for the United States, 1978.

Vi/u/ and Hea/th Natisfics. Series 13, No. 46. DHEW Pub, No.

(PHS) 80-1797, Public Health Service, Washington. U.S. Govemmcnt Printing Office, Mar. 1980.

‘National Center for Health Statistics, B. J. Haupt: Utilization of

short-stay hospitals, annual summary for the United States, 1979.

Vita/ and Heuhh Stutisrics. Series 13, No. 60. DHHS Pub. No.

(PHS) 82–1721. Public Health Scrvicc. Washington. U.S. Government Printing Office, Nov. 1981.

‘+_Is National Commjttee on Vital and Health Statistics, Technical

. .

Consultant Panel: UHDDS Clusses of Procedures, iCD-9-CM. Ann

Arbor, Mich. Commission on Professional and Hospital Activities,

Sept. 1, 1978.

I~National Center for Health Statistics: Uniform Hospital Discharge

Data Set, Minimum Duta Set, Report of the Nutiotsal CommiItee

on Vita/ and Health Sta~istics, DHEW Pub. No. (PHS) 80-1 I57.

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

IlNational Center for Health Statistics, M. G. Sirken: utilization

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

States, 1965. Vita/ and Health Stu?istics. Series 13, No. 2. PHS

Pub. No. 1000. Public Health Service. Washington. U.S. GovernmentPrinting Office, Aug. 1967.

1~Nationa] Center for Health Statistics, M. J. Witkin: Utilization

of short-stay hospitals by characteristics of discharged patients.

United States, 1965. Viral and Heahh Sraristics. Series 13,

No. 3. PHS Pub. No. 1000, Public Health Service. Washington.

U.S. Government Printing Office, Dec. 1967.

1S[nstitute of Medicine: Report of a Study, Reliability of Nutional

Hospital Discharge Survey Duta. Washington. National Academy

of Sciences, [980.

141nstitute of Medicine: Report of u Study, Reliability of Medicare

Hospital Dischurge Records. Washington.,

Sciences, Nov. 1977.

IS[nstitute of Medicine: Report of a .$tud~)

Discharge Abstracts. Washington. National

Feb. 1977.

National_ A;ademy of

Reliability of Hospital

Academy of Sciences,

16

. . ..- ,+.-.....-...____ ------
. List of detailed tables

1.

‘7-.

4.

5.

6.

7.

8.

9.

10.

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

and average length of stay for patients discharged from

short-sMy hospitals, bysexand age: United States, 1982. . 19

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

and average length of stay for patients dkcharged from

short-stay hospitals, by sex, race, and age: United States,

1982 . . . . . . . . . . . . . . . . . . . . . . . ...20

Number of patients discharged from short-stay hospitals,

days of care, and average length of stay for patients

discharged from short-stay hospitals, by geographic region,

age. and principal expected source of payment United

States, 1982 . . . . . . . . . . . . . . . . . . . . .

Number of patients dkcharged from short-stay hospitals,

days of care, and average length of stay for patients

discharged from short-stay hospitals, by age, geographic

region, bedsize ofhospital, andsex: United States, 1982. .

Rate of patients discharged from short-stay hospitals and

rate of days of care, by age, geographic region, and

scx:United States, 1982... . . . . . . . . . . . .

Number of patients discharged from short-stay hospitals,

days of care, and average length of stay for patients

discharged from short-stay hospitals, by type of ownership

of hospital and age and sex of patient: United States,

1982, . . . . . . . . . . . . . . . . . . . . . . . .

Number, percent distribution, and rate of women with

deliveries discharged from short-stay hospitals and of days

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

region, and bed size of hospital: United States, 1982. .

Number of women with deliveries and number of days

of care and average length of stay for women with deliveries

discharged from short-stay hospitals, by geographic region

and bed size of hospital: United States, 1982 . . .

Numbcrof patients discharged from short-stay hospitals,

rate ofdischargcs, and average length of stay, by category

of first-listed diagnosis and age: United States, 1982. .

Number of patients discharged from short-stay hospitals,

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

of fimt-Iisted diagnosis, sex, andrace:United States,l982. .

2[

r.

23

26

27

28

29

30

32

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

Number of patients discharged from short-stay hospitals,

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

of first-listed diagnosis and geographic region: United

States, 1982 . . . . . . . . . . . . . . . . . . . . .

Number of patients discharged from short-stay hospitals,

by category of first-listed diagnosis and bed size of hospital:

United States, ]982 . . . . . . . . . . . . . . . . .

Average length ofstayfor patients dkcharged from shortstay hospitals, by ca~egory of first-listed diagnosis and

bed size of hospital: United States, 1982 . . . . . .

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: United

States, 1982 . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospitals, byprocedure category and age:

United States, 1982 . . . . . . . . . . . . . . . . .

Rate of all-listed procedures for patients discharged from

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

States, 1982 . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospitals, byprocedure category and sex:

United States, 1982 . . . . . . . . . . . . . . . . .

Rate of aH-listed procedures for patients discharged from

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

States, 1982 . . . . . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospitals, by procedure category and race:

United States, 1982 . . . . . . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospitals, byprocedure category andgeographic region: United States, 1982 . . . . . . . . .

Rate of all-listed procedures for patients discharged from

short-stay hospitals, by procedure category and geographic

region: United States, 1982 . . . . . . . . . . . .

Number of all-listed procedures for patients discharged

from short-stay hospitals, byprocedure category and bed

size of hospital: United States, 1982 . . . . . . . .

34

36

37

38

40

41

42

43

44

45

46

47

17
-.,

TABLE 1. NUMBER, PERCENT DISTRIBUTIONS ANO RATE OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS ANO OF OAYS OF CARE, ANO AVERAGE

LENGTH OF STAY FOR PATIENTS Discharge FROM SHORT-STAY HOSPITALS, BY SEX ANO AGE: UNITEO STATES, 1982

(DISCHARGES FROH NONFEDERAL HOSPITALS. EXCLUOES NEHBORN INFANTSI

OISCHARGEO PATIENTS OAYS OF CARE

SEX ANO AGE AVERAGE

NUMBER PERCENT RATE PER

LENGTH GF

NUMBER PERCENT RATE PER STAY IN OAYS

01 STR18UTION 1,000 DISTRIBUTION 1,000

THO;!ANOS POPULATION THOti~ANOS POPULATION

BOTH SEXES

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

UNDER 15 YEARS . . . . . . . . . . . . . . . . . . . . . .

UNOER 1 YEAR . . . . . . . . . . . . . . . . . . . . . .

1 TO 4 YEA AS . . . . . . . . . . . . . . . . . . . . . .

>14 YEARS . . . . . . . . . . . . . . . . . . . . . . . .

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

15-19 YEARs . . . . . . . . . . . . . . . . . . . . . . .

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

25-34 YEARS . . . . . . . . . . . . . . . . . . . . . . .

35-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .

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

+5-5+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .

5+64 YEARS . . . . . . . . . . . . . . . . . . . . . . .

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

65-74 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

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

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

uNOER 17 YEARS . . . . . . . . . . . . . . . . . . . . . .

17-69 YEAR S. . . . . . . . . . . . . . . . . . . . . . . . .

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

HALE

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

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . . .

UNOER 1 YEAR . . . . . . . . . . . . . . . . . . . . . .

1 TO 4 YEARS . . . . . . . . . . . . . . . . . . . . . .

5-14 YEARS . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

25-34 YEARS . . . . . . . . . . . . . . . . . . . . . . .

35-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .

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

45-54 YE AD S. . . . . . . . . . . . . . . . . . . . . . .

55-6+ YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

uNOER 17 YEARS . . . . . . . . . . . . . . . . . . . . . .

17-69 YE ADS. . . . . . . . . . . . . . . . . . . . . . . . .

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

FEMALE

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

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . . .

uNOER 1 YEAR . . . . . . . . . . . . . . . . . . . . . .

1 TO 4 YEARS . . . . . . . . . . . . . . . . . . . . . .

5-14 YEARS . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

35-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

45-54 YE AR S. . . . . . . . . . . . . . . . . . . . . . .

55-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

65-74 YE ADS. . . . . . . . . . . . . . . . . . . . . . .

75-84 YE AR S . . . . . . . . . . . . . . . . . . . . . . .

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

UNOER 17 YEA AS. . . . . . . . . . . . . . . . . . . . . .

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

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

38,593

3,654

932

1.0s2

1, 6+0

15,554

2,105

3,334

6,353

3,762

8,688

3,893

4* 795

10.69T

5,231

3,997

1,469

4,268

26,254

8,072

15,+70

2.098

543

638

917

4,b15

662

779

1,669

1,504

4,1+3

1, 76a

2,375

4,614

2,475

1,629

510

2,339

9,771

3,360

23,123

1,556

389

445

723

10,939

1,442

2,555

4,6B3

2,259

4,545

2,125

2,420

6,083

2,757

2,368

959

1,92B

16,483

4,712

100.0

9.5

2.4

2.8

4.2

40.3

5.5

8.6

16.5

9..7

22.5

10.1

12.4

27.7

13.6

10.4

3.8

11.1

68.0

20.9

100.0

13.6

3.5

4.1

5.9

29.8

4.3

5.0

10.8

9.7

26a

11.4

15.4

29.8

16.0

10.5

3.3

15.1

63.2

21.7

100.0

6.7

1.7

1.9

3.1

47.3

6.2

11.1

20.3

9.8

19.7

9.2

10.5

26.3

11.9

10.2

4.1

a.3

71.3

20.4

167.9

71.2

255.9

78.8

48.3

145.0

107.4

158.3

163.9

135.1

195.5

174.3

217.0

398.8

324.2

484.8

600.9

72.6

171.3

451.4

139.4

79.9

291.5

90.8

52.8

a7.4

66.9

75.5

87.7

110.8

196.3

163.9

230.1

428.1

353.3

533.8

705.5

77.9

131.8

494.5

194.5

62.0

218.6

66.3

43.5

201.0

148.8

23T.9

237.5

15a.2

194.8

183.9

205.5

379.1

301.9

456.0

556.9

67.2

208.4

424.9

272,627

16,761

6,197

3,917

6,647

79,582

9,633

14,806

31,408

23,735

68,203

2a.567

39,71.5

108,000

50,034

41,409

16,557

19,928

169,326

83,373

115,942

9,635

3*593

2,267

3*775

29,050

3.762

4,.587

10,510

9.892

32,11a

12,958

19,160

45,138

23,186

16,+07

5,545

11.038

71,271

33,634

156,685

7,126

2,604

1,650

2,8T2

50,532

5,872

9,919

20*a98

13,844

36,165

15,609

20,556

62, a62

26,847

25,003

11,012

a,890

98,055

49,739

100.0

6.1

2.3

1.4

2.4

29.2

3.5

5.4

11.5

8.7

25.0

10.5

14.6

39.6

la.4

15.2

6.1

7.3

62.1

30.6

100.0

8.3

3.1

2.0

3.3

25.1

3.2

4.2

9.1

8.5

27.7

11.2

16.5

3a.9

20.0

14.2

4.8

9.5

61.5

29.0

100.0

4.5

1.7

1.1

I.a

32.3

3.7

6.3

13.3

8.8

23.1

10.0

13.1

40.1

17.1

16.0

7.0

5.7

62.6

31.7

1,186.0

326.4

1,701.5

285.3

195.6

742.0

491.8

703.0

810.5

852.2

1,536.7

1,278.6

1,797.7

4,026.2

3,101.1

5,023.0

6,771.a

339.2

1,105.1

4,662.2

1,044.8

366.9

1,927.6

322.8

217.3

549.9

380.0

473.6

552.1

728.7

1,521.5

1,201.1

1,856.6

4,1a8.o

3,310.5

5,375.7

7,669.1

367.+

961.3

4,950.5

1,317.9

284.0

1,464.4

246.0

172.9

92a.4

606.0

923.4

1,059.8

969.6

1,550.4

1.351.1

1,746.0

3,917.6

2,940.2

4,815.6

6,395.1

309.6

1,239.9

4,4a5.5

7.1

4.6

6.6

3.6

4.1

5.1

4.6

4.4

4.9

6.3

7.9

7.3

8.3

10.1

9.6

10.4

11.3

4.7

6.4

10.3

7.5

4.6

6.6

3.6

& 1

6.3

5.7

6.3

6.3

6.6

7.a

7.3

a.I

9.8

9.4

10.1

10.9

4.7

7.3

10.0

6.8

4.6

6.7

3.7

4.0

4.6

4.1

3.9

4.5

6.1

a.o

7.3

B.5

10.3

9.7

10.6

11.5

4.6

5.9

10.6

19

,
TABLE 2. NUMBER, PERCENT DISTRIBUTION, ANo RATE OF PATIENTS DISCHARGED FROM SHORT-STAY HoSPITALS ANO OF OAYS OF CARf, A’ID AVC!AGL’

LENGTH OF STAY FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY SEX, RACE, ANO AGE: UN ITEO STATES, L9BZ

I DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NE!4BORN INFANTS I

. .

,,

OISCHARGEO PATIENTS

SEX, RACE, AND AGE

OAYS OF CARE

AvERAGE

NUHBE17 PERCENT RATE PER NuMB ER

LENGTH OF

PERCENT RATE PER

IN DISTRIBUTION 1,000 IN

STAY IN DA

OISTRILWTION 1v000

THOU SANOS PoPULATION THCUSANOS POPULATION

BOTH SEXES

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

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

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

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

65 YEARS AtW OVER . . . . . . . . . . . . . . . . .

!di ITE, ALL AGES . . . . . . . . . . . . . . . . . . . . .

UNDER 15 YEARS . . . . . . . . . . . . . . . . . . . .

15-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

45-64 VEAL S. . . . . . . . . . . . . . . . . . . . . . .

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

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

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . .

15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

RACE NOT STATED, ALL AGES . . . . . . . . . . .

UNDER 15 YEARS . . . . . . . . .. . . . . . . . . . . .

1544 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

4>64 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

MALE

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

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

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

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

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

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

uNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . .

15-44 YE ARS. . . . . . . . . . . . . . . . . . . . . . .

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

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

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

uNDER 15 YEARS . . . . . . . . . . . . . . . . . . . .

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

4+64 YE AR S. . . . . . . . . . . . . . . . . . . . . . .

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

RACE NOT STATEO, ALL AGE S . . . . . . . . . . .

uNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . .

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

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

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

FEf4ALE

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

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

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

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

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

klHITE, ALL AGES . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . .

15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

uNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . .

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

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

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

RACE NOT STATEO, ALL AGES . . . . . . . . . . .

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . .

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

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

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

38,593

3,654

15,554

8,688

10,69T

100.0

9.5

40.3

22.5

27.7

167.9

71.2

145.0

195.5

398.8

272,627

16, Tbl

79,5E2

68,283

108,000

213,508

11,522

57,574

53,795

90,62T

36,8T1

3,621

14, 6B3

8,985

9,582

22,249

1,618

7,325

5, 51+

7,791

115,942

9,635

29,050

32,118

45,138

90,351

6,532

21,058

25.313

37,448

16,126

2,179

5,421

4,123

4,403

9,465

925

2,571

2,682

3,287

156,685

T,126

50,532

36,165

62,862

123,156

4,990

36,516

28,4T2

53s179

20* 745

1,442

9,262

4,862

5,179

12,784

694

4,754

2,831

4,505

100.0

6.1

29.2

25.0

39.6

70.3

4.2

21.1

19.7

33.2

13.5

1.3

5.4

3.3

3.5

8.2

0.6

2.7

2.0

2.9

100.0

B.3

25.1

27. T

38.9

77.9

5.6

18.2

21.8

32.3

13.9

1.9

4.T

3.6

3.8

8.2

0.8

2.2

2.3

2.8

100.0

4.5

32.3

23.1

40.1

78.6

3.2

23.3

18.2

33.9

13.2

0.9

5.9

3.1

3.3

8.2

0.4

3.0

1.8

2.9

1.186.0 7.1

4.6

5.1

7.9

10.1

7.1

4.3

s. 1

7.7

10.1

T.2

5.6

5.5

9.2

11.4

6.2

4.7

4.7

i’. 2

8.6

7.5

4.6

6.3

7.8

9.8

7.5

4.3

6.1

7.6

9.8

8.3

5.6

7.4

9.1

11.5

6.7

4.9

5.6

7.2

8.3

6.B

4.6

4.6

8.0

10.3

6.9

4.+

4.6

7.9

10.4

6.5

5.6

4.8

9.2

11.3

$.9

4.3

4.3

7.2

8.9

326.4

742.0

1,536.7

4,026.2

29,880

2,661

11,324

6,942

8,953

77.4 151.8

63.4

124.1

176.6

36B.5

1,084.8

6.9 274.4

631.2

1,368.3

3,730.6

1,115.5

386.9

915.6

1,752.5

3,7B5. B

29.3

18.0

23.2

5.142

646

13.3

1.7

155.6

69.0

166. B

191.1

332.6

2,675

980

842

6.9

2.5

2.2

3,571

348

1,555

766

903

9.3

0.9

4.0

2.0

2.3

. . .

.. .

.. .

.. .

.. .

.. .

.. .

.. .

1,044.8

366.9

549.9

1,521.5

4,188.0

15,470

2,098

4,615

4,143

4,614

100.0 139.4

79.9

87.4

196.3

13.6

29.8

26.8

29.8

78.2

9.8

22.1

21.5

24.8

428.1

947.1

303.3

464.9

1,345.2

3,842.4

126.9

70.8

75.6

176.4

393.6

12,104

1,524

3,426

3,319

3,836

1,036.6 12.6

2.5

4.7

2.9

125.5

81.6

97.3

196.9

372.2

1,953

386

732

460.9

720.4

1,798.1

4,270.6

451

384 2.5

9.1

1.2

3.0

2.4

2.5

.. .

.. .

.. .

. . .

.. .

1,413

188

457

. . .

.. .

.. .

.. .

.. .

373

394

23,123

1,556

10,939

4,545

6,o83

17,776

I,13T

7,898

3,624

5, 116

3,169

260

1, 943

529

458

100.0 194.5

62.0

201.0

194.8

379.1

1,317.9

284.0

928.4

1,550.4

3,917.6

1,214.4

243.9

795.3

1,389.4

3,655.6

6.7

47.3

19. T

2b.3

76.9

4.9

34.2

15. T

22.1

13.8

1.1

8.4

2.3

2.0

175.3

55.6

172.0

176.8

351.7

182.5

56.1

228.3

1,187.0

311.3

1.088.4

186.5

305.6

1,715.6

3,454.9

2,158

160

1,098

393

509

9.3

o.T

4.7

1.7

2.2

.. .

.. .

.. .

.. .

.. .

.. .

.. .

.. .

. . .

.. .

20

.
.

...

TABLE 3. NuMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, OAYS OF CARE, .ANO AvERAGE LENGTH OF STAY FOR PATIENTS OISCHAfiGEO

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION, AGE, ANO PRINCIPAL EXPECTELl SOURCE OF PAYMENT: UNITEO STATES, 1982

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEHBCRN INFANTS I

ALL PRINCIPAL PRIVATE

REGION ANO AGE

h’0RKt4EN~ S OTHER

EXPECTEO SOURCES INSURANCE HEOICARE

OTHER

MEOICAIO COHPENOF PAYMENT

GOVERNMENT SELF-PAY PAYllENTS ANO

SAT ION PAYMENTS NO CHARGE

UNITED STATES

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

UNOER 15 YEARS . . . . . . . . . . . . . .

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

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

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

NORTHEAST

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

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

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

W-64 YE AD S. . . . . . . . . . . . . . . . .

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

NORTH CENTRAL

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

UNDER 15 YEARS . . . . . . . . . . . . . .

1%44 YE ARS . . . . . . . . . . . . . . . . .

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

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

SOUTH

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

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

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

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

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

UEST

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

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

15-44 YE ARS . . . . . . . . . . . . . . . . .

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

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

uNITEO STATES

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

uFAOER 15 YEAR S. . . . . . . . . . . . . .

15-44 YE AR S. . . . . . . . . . . . . . . . .

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

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

NORTHEAST

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

uNOER 15 YEAR S. . . . . . . . . . . . . .

15-44 YE ARS . . . . . . . . . . . . . . . . .

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

65 YEARS AND OVER . . . . . . . . . . .

NORTH CENTRAL

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

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

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

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

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

SOUTH

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

uNOER 15 YEAR S. . . . . . . . . . . . . .

15-44 YE AR S . . . . . . . . . . . . . . . . .

45-6.4 YE AD S. . . . . . . . . . . . . . . . .

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

wEST

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

UNOER 15 YEARS ..............

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

43-64 YEADS.................

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

36,593

3,654

15,554

a,68a

10,697

7,847

672

3,060

1,832

2,283

10,938

l,06a

4,356

2,506

3,008

13,435

1,410

5,4aa

2,906

3,631

6,373

504

2.650

1,444

1,774

272,627

16.761

79,5a2

68,283

lea,ooo

64,449

3,13a

16,931

16,284

28,097

81,131

5,011

24,soa

20,577

31,035

a9,252

6,456

26,660

21,a67

34,269

37,795

2,156

lh4a3

9,556

14,599

19*439

2,342

10,70+

6,13a

255

3,a80

423

2,053

1,341

63

5,78o

71a

3,10a

1,886

69

6,868

a87

3,923

1,973

a5

2,910

314

1,619

93a

39

111,735

9,903

53,123

46*la3

2,526

24,736

l,T5a

lo,a74

11,430

675

35*919

3,198

17,159

14,791

771

36,780

3,730

la,299

13,972

779

14,299

1,217

6,791

5,990

301

NUH8ER OF PATIENTS OISCHARGEO IN THOUSANOS

Ll,65a 3,44T 615 a35

42 760 136

314 1,974 415 470

1,086 596 180 206

10,216 117 19 23

2,442 azo 101 150

*7 171 17

6+ 4a8 65 92

207 131 33 35

2,164 31 * *6

3,247 1,053 162 193

12 244 3+

77 623 105 109

263 15a 53 46

2,895 2a * *

4,031 1,057 231 234

17 275 41

102 551 162 119

444 196 59 66

3,468 35 10 *8

1,937

*6

1%’

516

69

312

112

121

83

35

25a

43

150

59

l,6a9 23 * *5

NUM8ER OF OAYS OF CARE IN THOUSANOS

116,310

366

2,753

10*145

103.046

20,596

3,657

10,481

5,125

1.333

29,437 5,342

*77 837

541 2,765

2,2o5 1,292

26,614 449

33,230

101

726

2.665

29,739

37,710

141

a78

3,970

32,721

15,932

*48

609

1,304

13,972

6,565

1,202

3,604

1.406

353

5,965

1.322

2;653

1,637

352

2,723

296

1,460

7a9

179

3,79a

2,408

l,zla

lTI

652

400

225

*

1,073

597

431

*

1,437

979

369

a9

636

433

192

*

5,001

675

2,554

1,550

222

1,307

153

738

3a8

*27

1,543

24T

697

522

*77

1,186

196

595

349

*45

2,090

316

1,330

3a8

55

355

39

233

6a

14

389

22;

82

*7

870

170

534

142

23

476

55

315

95

11

11,979

1,744

6,3a3

3,288

564

2,4T3,

262

1,314

695

201

2,36a

311

1,299

692

*65

4,954

881

2,629

1,208

235

2,1a5

289

1,141

692

63

510

3::

94

12

100

15

65

17

*

114

*a

85

18

*

143

19

95

26

*

154

17

100

32

*5

3,209

416

1,879

776

137

a43

125

514

145

*

668

3:;

203

*

a63

135

524

Ia9

*

835

111

456

239

*29

21
.. .

. .

TABLE 3. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, DAYS OF CARE, AND AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION, AGE, ANO PRINCIPAL ExPECTEO SOURCE OF PAYMENT: UNITED STATES, 1982--CON.

iO1SCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEHBCRN INFANTS I

ALL PRINCIPAL PRIVATE

REGION ANO AGE

HORKMENI S OTHER

EXPECTED SOURCES INSURANCE

CTHE R

MEDICARE MEOICAIO COMPENOF PAYMENT

GOVERNMENT SELF-PAY PAYMENTS AND

SAT ION PAYMENTS NO CHARGE

UNITEO STATES

ALL AGE S. . . . . . . . . . . . . . . . . . . . . . 7.1 5.7

UNDER 15 YEAR S. . . . . . . . . . . . . . 4.6 4.2

15-44 YEARS . . . . . . . . . . . . . . . . . 5.1 5.0

45-64 YE ADS . . . . . . . . . . . . . . . . . 7.9 7.5

65 YEARS ANO OVER . . . . . . . . . . . 10.1 9.9

NORTHEAST

ALL AGE S. . . . . . . . . . . . . . . . . . . . . . 8.2 6.4

UNOER 15 YEARS . . . . . . . . . . . . . . 4.7 4.2

1+44 YEARS . . . . . . . . . . . . . . . . . 5.5 5.3

45-64 YE AR S. . . . . . . . . . . . . . . . . 8.9 8.5

65 YEARS AND OVER . . . . . . . . . . . 12.3 10.8

NORTH CENTRAL

ALL AGES . . . . . . . . . . . . . . . . . . . . . . 7.4 6.2

uNOER 15 YEAR S. . . . . . . . . . . . . . 4.7 4.5

15-44 YE ARS . . . . . . . . . . . . . . . . . 5.6 5.5

45-64 YE ADS . . . . . . . . . . . . . . . . . 8.2 7.8

65 YEARS ANO OVER . . . . . . . . . . . 10.3 11.2

SOUTH

ALL AGES . . . . . . . . . . . . . . . . . . . . . . 6.6 5.4

UNDER 15 YEAR S. . . . . . . . . . . . . . 4.6 .4.2

15-44 YEARS . . . . . . . . . . . . . . . . . 4.9 4.7

45-64 YE ARS . . . . . . . . . . . . . . . . . 7.5 7.1

65 YEARS ANO OVER . . . . . . . . . . . 9.4 9.2

WEST

ALL AGES . . . . . . . . . . . . . . . . . . . . . . 5.9 4.9

UNOER 15 YE ADS . . . . . . . . . . . . . . 4.3 3.9

15-44 YEARS . . . . . . . . . . . . . . . . . 4.3 4.2

45-64 YE ARS . . . . . . . . . . . . . . . . . 6.6 6.4

65 YEARS ANO OVER . . . . . . . . . . . 8.2 7.7

AVERAGE LENGTH OF STAY IN DAYS

10.0 6.0 6.2 6.0

8.7

5.7

4.8

6.3

5.0

8.8 5.3

5.5 7.1

5.8 5.4

9.3

4.8 5.4

8.6 6.8 7.5

10.1

8.5

il.4

8.3

8.9 9.9 10.2 11.2

12.1 6.5 6.5 6.4

*1O.9

7.0 8.5

4.9 4.5

8.5

6.7 8.5

5.7 6.1 5.7 5.6

10.7

7.9

9.9 6.9 8.3 10.2

12.3

8.5

14.6 * *12.2 14.5 *

10.2 6.2 6.6 6.8 6.1

8.4 4.9 4.5 6.0

9.4 5.8 5.7 6.8 5.2

10.1 8.9 8.1 8.4 8.5

10.3 12.5 * * *9.2

5.9

5.5

4.5

11.0

*

9.4 5.6 6.2 6.6

8.2

5.7

4.8

6.0

6.0

8.6

5.2 7.1

4.8 6.0 5.8 4.9

8.9

5.5

8.4 6.3 7.9

9.4

8.5

10.0

7.2

8.8 *lO.O 10.0 *

8.2 5.3 5.3 4.6

*7.8 4.3 4.6

8.7 4.7 5.2 4.0

7.6 7.0 5.5 5.9

8.3 7.9 * *8.4

4.6

5.2

3.6

7.3

5.8

5.4

6.7

4.5

7.4

*6.4

22
.

L

TABLE ‘+. NIJHBER OF PATIENTS OISCHARGEO FROM SHGKT-STAY HOSPITALS, OAYS OF CARE, AND AVERAGE LPNGTH OF STAY

FROf4 SHORT-STAY HOSPITALS, BY AGE, GEOGRAPHIC REGION, BEO SIZE OF HOSPITAL, ANO SEX: UNITED STATES, 19B2

IO ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEiiBORN INFANTS)

FOR PATIENTS OISChAfiGEO

AGE, REG1ON, ANO BEO SIZE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEHALE BOTH SEXES HALE FEHALE

NUMBER OF PATIENTS DISCHARGED

ALL AGES IN THOU SANOS

UNITED STATES, ALL SIZE S. . . . . . . . . . . .

6-99 BED S. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 8EOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 8EOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEDS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR HARE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZES . . . . . . . . . . . . . . . . . . . .

6-99 BED S. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEDS OR MORE . . . . . . . . . . . . . . . . . .

IJEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR HARE . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS

uNITED STATES, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE Do . . . . . . . . . . . . . . . . . . . . . .

500 BEDS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 SEAS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 8EOS . . . . . . . . . . . . . . . . . . . . . .

500 BEDS OR 140RE. . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZE S . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DO. . . . . . . . . . . . . . . . . . . . . .

300-499 8EOS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH. ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .

2D0-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

wEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

b-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

3B,593

6,836

6,738

6,366

9,547

9,106

7, B4T

657

1,307

1,194

2,805

1,8B5

10,938

1,429

1,494

1,762

2.923

3,329

13,435

3,423

2,769

2* 125

1,857

3,261

6,373

1,326

I,16B

1.286

1,961

632

3,654

618

807

575

798

856

672

40

104

22

la6

* 06a

126

170

227

244

301

,410

334

446

172

144

315

504

118

a7

9T

14B

55

15,470

2,T32

2.648

2, 5B7

3,874

3,629

3,238

325

537

504

1,113

759

4,398

538

607

679

1,237

1,337

5.268

1,361

998

871

752

1,285

Z, 566

507

507

533

772

247

2,098

355

2:

451

507

390

25

56

Iz

109

609

67

97

125

140

180

813

193

251

103

80

la6

2B5

70

45

60

7B

31

23,123

4,104

4,089

3,700

5,673

5,478

4,610

331

770

690

1,693

1,126

6,540

B91

88B

1,083

1,686

1,991

0,167

2,062

1,771

1,253

1,105”

1,976

3,807

a19

661

753

1,190

385

1,556

263

35a

240

347

349

2az

14

49

32

111

76

45a

59

73

102

103

121

597

141

194

69

64

129

219

48

42

37

69

23

NU148ER OF OAYS OF CARE

IN THOUSANOS

272,627

38,927

44,041

45,013

71,954

72,692

6+ ,449

5,484

9,751

10,336

23,134

15,74!s

81,131

a,346

10,034

12,532

22,129

28,091

a9.z52

19,45a

16,871

14.552

13,753

24,617

37,795

5,640

7,385

7,593

12,93a

4,239

16,761

2,003

3,250

2,504

3,630

5,375

3,138

191

371

339

1,218

1,019

5,011

411

6oa

967

1,025

1,999

6,456

1,120

1,982

719

658

1,977

2,156

zal

289

478

729

379

115,942

15,958

18,443

19,036

30,689

31,816

2B, O1O

2,785

4*118

4,305

9.703

T,1OO

34*387

3,211

4,366

4,967

9,593

12,250

37*151

7,686

6,610

6.281

5,948

10,626

16,394

2,276

3* 349

3,483

5, +45

l,a40

9,635

1,150

1,739

1,509

1,978

3,260

1.804

119

187

224

630

644

2,896

221

335

535

592

1,214

3,670

641

1,059

433

370

1,160

1,266

170

15B

317

37a

242

156,685

22,968

25.59B

25,978

41,265

40,876

36,439

2,698

5,634

6,032

.13,431

8,645

46,743

5,135

5,668

7,564

12,536

15, a40

52,101

11,772

10,261

8,272

7,ao5

13,991

21,401

3,363

4,036

4* 110

7,493

2,399

7,126

853

1,511

995

1,653

2,115

1*334

72

1B4

115

588

375

2,115

190

273

432

434

786

2,786

4B0

923

2a7

2ao

a17

891

111

130

161

351

137

AVERAGE LENGTH OF STAY

IN OAYS

7.1

5.7

6.5

7.1

7.5

8.o

0.2

8.4

7.5

8.7

8.2

8..4

7.4

5.8

6.7

7.1

7.6

B .4

6.6

5.7

6.1

6.8

7.4

7.5

5.9

4.3

6.3

5.9

6.6

6.7

4.6

3.2

4.0

4.4

4.6

6.3

4.7

4.a

3.6

4.3

4.6

5.5

4.7

3.2

3.6

4.3

4.2

6.6

4.6

3.+

4.4

4.2

+.6

6.3

4.3

2.4

3.3

4.9

4.9

7.0

7.5

s.a

7.0

7.4

7.9

8.8

8.7

8.6

7.7

8.5

8.7

9.4

7.8

6.0

7.2

7.3

7.8

9.2

7.1

5.6

6.6

7.2

7.9

B.3

6.4

4.5

6.6

6.5

7.1

-r. 5

4.6

3.2

3.9

4.5

4.4

6.4

4.6

+.7

3.3

4.8

4.1

5.9

4.8

3.3

3.5

4.3

4.2

6.7

4.5

3.3

4.2

4.2

4.7

6.2

4.4

2.4

3.5

5.2

4.8

7.7

6.B

5.6

6.3

6.9

7.3

7.5

7.9

8.1

7.3

8.7

7.9

7.7

7.1

5.8

6.4

7.0

7.4

0.0

6.4

5.7

5.8

6.6

7.1

7.1

5.6

4.1

6.1

5.5

6.3

6.2

4.6

3.2

4.2

4.2

4.8

6.1

4.7

5.1

3.0

3.5

5.3

4.9

4.6

3.2

3.7

4.2

4.2

6.5

4.7

3.4

4.8

+.2

4.4

6.3

4.1

2.3

3.1

4.4

5.1

5.9

23
TA13LE 4. NUHBER OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, DAYS OF CARE, ANO AvERAGE LENGTH OF STAY FoR PATIENTs DISCHARGED

FROM SHORT-STAY HOSPITALS, BY AGE, GEOGRAPHIC REGION, BEO SIZE OF HOSPITAL, ANO SEX: UNITEO STATES, 1982--CON.

(O ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEwBORN INFANTS I

A

AGE, REGION, ANO BEO SIZE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEMALE 80TH SEXES MALE FEMALE

NUMBER OF PATIENTS OISCHARGEO

15-44 YEARS IN THOU SANOS

UN ITEO STATES, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

ZOO-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 8EOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZE S . . . . . . . . . . . .

6-99 BED S . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . .

&99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

WEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BED S . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DO. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

45-64 YEARS

UN ITEO STATES, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .

6-99 BED S . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZE S . . . . . . . . . . . .

6-99 BED S. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 3.EoS . . . . . . . . . . . . . . . . . . . . . .

200-.299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DO. . . . . . . . . . . . . . . . . . . . . .

200-299 BEDO. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEoS OR MORE . . . . . . . . . . . . . . . . . .

WEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DO. . . . . . . . . . . . . . . . . . . . . .

ZOO-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

15,554

2,6ZB

2,693

2,428

3,B45

3,960

3,060

244

+56

414

1,114

831

4, 356

505

605

67T

I,IB4

L,3B6

5,488

1,301

1,201

B15

721

1,449

2,650

577

431

523

B25

29.4

B, 68B

1,418

1,406

1,455

2,266

2,142

1,832

162

293

286

666

425

2.506

282

316

362

714

B32

2,906

697

515

519

432

74’4

1,444

27B

282

286

454

141

4,615

B18

733

T3L

1,192

1,141

967

124

146

139

326

231

,330

138

182

187

422

402

,543

406

261

242

10,939

1,810

1.960

1,69B

2,653

2,B19

2,093

120

310

275

7B8

600

3,026

367

423

490

762

984

3,945

695

940

572

213 508

, 421 1,028

775

150

144

162

231

87

4,143

636

662

704

1,102

1,040

894

B8

138

146

313

208

1,196

121

150

170

350

404

1,364

306

233

251

215

359

120

141

137

224

69

1,875

427

287

361

594

207

4*545

782

744

752

1,164

L,102

938

73

155

140

353

217

L,31O

160

166

192

364

428

1,542

390

2B1

268

217

385

753

158

142

152

23o

72

NUMBER OF OAYS OF CARE

IN THOUSANOS

79,5,B2

10,808

12,913

11,935

20,750

23,175

16,931

1,602

2,246

2,244

6,124

4,716

24,508

2,o53

3,279

3,440

6,B14

B,923

26,660

5,401

5,209

3,992

3,906

B,151

11,483

1,752

2,180

2,260

3,906

1,3B5

6B,283

8,555

10,224

11,169

18,968

19,367

16v284

L ,3o3

2,2o4

2,468

6,173

4,136

20,577

1,724

2,331

2,B53

5,845

7,B25

21,867

4, 186

3,754

3,870

3,705

6,353

9,556

1,342

1,935

1,979

3,246

L ,053

29,050

3*B06

4,44+

4,171

7,718

8,912

6,742

974

BBO

B04

2,227

I,85B

9,061

600

1,243

1,064

2,779

3,375

9,110

1,739

1,477

1,384

1,353

3,157

4,137

494

844

920

1,359

521

32,118

3,043

4,790

5,266

9,015

9,204

7,960

727

1,046

1,281

2,887

2,018

9,574

716

1,107

1,262

2,761

3,727

10,035

1,806

1,724

1,764

L,T80

2,962

4,550

594

913

959

1,586

498

50,532

7,002

B,469

7,764

13,033

14,263

10,1B9

629

1,366

1,440

3,897

2, B57

15,447

1,453

2,036

2,376

4.035

5,547

17,550

3,662

3,732

2,608

2,554.

4,995

7,346

1,258

1,336

1,340

2,547

864

36,165

4,712

5,434

5,903

9,953

10,163

8,324

576

1,158

1,186

3,285

2,118

11,003

1,008

1,223

1,591

3,083

4,098

11,832

2,380

2,030

2,106

1,925

3,391

5,006

74B

1,023

1,020

1,660

556

AVERAGE LENGTH OF STAY

IN OAYS

5.1

4. J

4.8

.+.9

5.4

5.9

5.5

6.6

4.9

5.+

5.5

5.7

5.6

4.1

5.4

5.1

5.8

6.4

4.9

4.2

4.3

4.9

5.4

5.6

4.3

3.0

5.1

4.3

4.7

4.7

7.9

6.0

7.3

7.7

8.4

9.0

8.9

8.1

7.5

B.6

9.3

9.7

B.2

6.1

7.4

7.9

6.2

9.4

7.5

6.0

7.3

7.5

8.6

8.5

6.6

4.8

6.9

6.9

7.1

7.5

6.3

,+. 7

4.1

5.7

6.5

7.B

T.o

7.8

6.0

5.a

6.a

0.0

t).a

4.4

6.8

5.7

6.6

EI.4

5.9

4.3

5.T

5.7

6.3

7.5

5.3

3.3

5.9

5.7

5.9

6.0

7.a

6.0

7.2

7.5

a.2

8.9

a.9

a.2

7.6

a.a

9.2

9.7

a.o

5.9

7.4

7.4

7.9

9.2

7.4

5.9

7.4

7.0

8.3

a.3

6.6

5.0

6.5

7.0

7.1

7.2

4.6

3.9

4.3

4.6

4.9

5.1

4.9

5.2

4.4

5.2

4.9

4.a

5.1

4.0

h.a

4.9

5.3

5.6

4.4

4.1

4.0

4.6

5.0

4.9

3.9

2.9

4.7

3.7

‘4.3

4.2

a.o

6.0

7.3

7.9

8.5

9.2

a.9

7.9

7.5

a.s

9.3

9.7

a.4

6.3

7.4

a.3

a.5

9.6

7.7

6.1

7.2

7.9

8.9

8.a

6.6

4.7

7.2

6.7

7.2

7.7

24
TABLE 4. NUMBER OF PATIENTS DISCHARGED FRO’N SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED

FROM SHORT-STAY HOSPITALS, BY AGEt GEOGRAPHIC REGION, BED SIZE OF HOSPITAL. AND SEX: UNITEO STATES, 1982—CON.

(DISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUOES NEWBORN INFANTS I

AGE, REGION, ANO BED SIZE BOTH SEXES W LE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEMALE

NUHBER OF PATIENTS OISCHARGEO

65 YEARS ANO OVER IN THOUSANOS

NUKBER OF OAYS OF CARE

IN THOUSANOS

AVERAGE LENGTH OF STAY

IN OAYS

108,000

17,561

17,654

19,405

28,605

24,775

45,138

7,160

7,469

8,089

11,979

10*44O

11,50s

966

2,005

1,99s

3,959

2,5B0

12,856

1,674

1,681

2,107

3.461

3,934

14,336

3,501

2,350

2,700

2,438

3,348

6,441

1,019

1,434

1,287

2,122

579

629862

10,401

10,184

11,316

16,626

14,335

16,593

1,421

2,926

3,291

5,660

3,294

18,179

2.485

2,135

3,165

4,984

5,410

19,933

5,250

3,576

3,271

3*047

4,78.8

8,159

1,245

1,547

1,5B9

2,935

842

UN ITEO STATES, ALL SIZE S . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200_299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTH CENTRAL, ALL SIZES . . . . . . . . . . . .

6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS. . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 8EOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

UEST, ALL SIZES . . . . . . . . . . . . . . . . . . . . .

6-99 BED S. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS......................

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

10,697

2,172

1,832

1,907

2,638

2,148

4,614

923

804

017

1,129

6,083

1,2+8

1,028

1,091

1.509

10.1

8.1

9.6

10.2

9.8

7.8

9.3

9.9

10.3

8.3

9.9

10.4

11.0

11.9

10.8

11.5

10.6

%1 1;207 11.1

1,296

124

256

243

441

232

2.2.93 987 28,097

2,387

4,930

5,286

9,619

5,874

12.3

11.3

10.9

12.8

12.6

13.3

11.7

11.0

10.2

11.7

12.3

12.2

12.8

11.5

11.4

13.5

12.8

14.2

“211

452

414

763

443

1::

171

322

211

3,008

516

404

497

782

809

~,263

212

178

1,745

304

226

299

457

459

2,o83

635

355

344

315

31s035

4,159

3,816

5,272

8,445

9,343

10.3

B.1

9.4

10.6

10.8

11.5

10.2

7.9

9.4

10.7

10.6

11.2

10.4

8.2

9.5

10.6

10.9

11.8

197

325

351

3,631

1,091

1,548

456

252

275

245

34,269

8,751

5,926

5,972

5,485

9.4

8.0

9.8

9.6

9.a

Io.a

9.3

7.7

9.6

8.3

6oa

619

560

9.3

9.8

10.0

10.5

10.1

9.5

9.7

753 32o 433

960

ai136 11.1

l*7&

36a

377

534

142

a~5

167

177

174

238

59

14,599

la6 2,265

191 2,981

204 2*a76

296 5,056

a3 1,421

8.2

b.4

a.1

7.6

9.5

10.0

7.9

6.1

8.1

7.4

a.9

9.8

a.5

6.7

8.1

7.8

9.9

10.1

25
TABLE 5. RATE OF PATIENTS DISCHARGED FROU SHORT-STAY HOSPITALS ANO RATE OF DAYS OF cAREP By AGE* Geographic REGIoNP ANo sEx:

UNITEO STATES, 1982

[DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NE UBORN INFANTS)

AGE ANO REGION BOTH SEXES MALE FEHALE BoTH SEXES MALE FEMALE

ALL AGES

RATE OF PATIENTS OISCHARGEO

PER 1,000 POPULATION

RATE OF OAYS OF CARE

PER 1,000 POPULATION

167.9

159.0

lB6. 1

173.9

143.3

139.4

137.6

154.3

141.8

117.7

194.5

lTB.6

216.0

203.5

167.8

1*1B6. O

1,306.1

1,380.3

1.155.1

849.8

1,044.8

1,190.3

1,206.2

1,000.3

752.2

366.9

351.3

423.9

404.9

241.9

549.9

608.3

67o.1

519.8

386.9

1,521.5

1,637.8

1,787.8

1,44B.5

1,147.5

4,18B. O

4,707.3

4,604.7

3,951.5

3,365.1

1,317.9

1,411.7

1,544.3

1,298.4

943.5

284.0

271.9

324.7

321.3

178.1

928.4

878. B

1,123.4

958.0

682.5

1,550.4

1,519.8

1, B90.3

1,516.5

1,184.6

3,917.6

4,316.5

4,337.5

3,740.4

3,042.0

UNITEO STATE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENT RAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HEAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

..

UNOER 15 YEARS

. . UN17E0 STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IcIEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS

UNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NOR THEIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENT RAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEs T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEARS

UN ITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENT RAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14ES T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER “

71.2 79.9 62.0

57.5

70.4

68.8

43.7

326.4

67.0

80.0

79.5

76.0

89.2

89.7

312.5

375.5

364.1

49.3 54.6 210.8

145.0 87.4

B7.2

9B.3

8B.1

72.5

201.0

180.5

220.1

215.3

174.2

742.0

134.9 746.6

159.7

153.1 ‘

123.5

890.6

743.8

535.2

195.5

177.2

224.2

197.3

176.3

196.3

183.9

223.3

196.8

174.1

194.8

171.3

225.1

197.7

178.3

1,536.7

1,575.3

1,840.9.

1,484.5

1,166.6

428.1

404.0

452.5

426.8

425.6

379.1

337.1

416.3

390.9

357.9

4,026.2

4,467.7

4,445.0

3,825.9

3,176.5

uNITEO STAG ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENTRAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HEAT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

390.8

363.0

430.8

405.4

3B6. 1

26
.

TABLE b. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, DAYS OF CARE. AND AVERAGE LENGTH OF STAY FOR PATIENTS OISCHARGEO

FROM SHORT-STAY HOSPITALS, BY TYPE OF OldNERSHIP OF HOSPITAL ANO AGE ANO SEX OF PATIENT: UN ITEO STATES, 1982

[DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NE biBORN INFANTS)

TYPE OF OHNE RSHIP ANO AGE BOTH SEXES MALE FEMALE BOTH SEXES 14ALE FEMALE BOTH SEXES MALE FEMALE

NUMBER OF PATIENTS OISCHARGEO

ALL TYPES IN THOUSANOS

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

UNOER 15 YE AR S. . . . . . . . . . . . . . . . . . . .

15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

VOLUNTARY NONPROFIT

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

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . .

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

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

65 YEARS AND OVER . . . . . . . . . . . . . . . . .

GOVERNMENT

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

UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . .

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

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

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

PROPRIETARY

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

uNOER 15 YE AD S. . . . . . . . . . . . . . . . . . . .

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

45-64 WAAS. . . . . . . . . . . . . . . . . . . . . . .

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

38,593

3,654

15,554

8,688

10,697

27,207

2,602

10,706

6,246

7,653

8,254

846

3,580

1,695

2,132

3,133

206

1,268

7+7

912

15.470

2,098

4,615

4,143

4,614

10,820

1,484

3,065

2,977

3,294

3,365

491

1.122

818

934

1,285

122

426

349

33’6

23,123

1,556

10*939

4,545

6,083

16,387

1,118

7,641

3,269

4*359

4,889

355

2,458

877

1.198

1,848

&

399

526

NUMBER OF OAYS OF CARE

IN THOUSANDS

272,627

16,761

79,582

68,283

108,000

197,158

11, B76

54,866

50,122

80,294

53,082

+,109

17,729

12,296

18.948

22,387

776

6,987

5,865

8,758

115,942

9,635

29,050

32,118

45,138

83,177

6,733

19,395

23,577

33,471

23,309

2,433

6,980

5,803

8.093

9*457

470

2,675

2,73a

3,57+

156,685

T,126

50.532

36,165

62,862

113,981

5*144

35,471

26,544

46,822

29,773

1,676

10,749

6,493

10,855

12,930

306

4,312

3,128

5,185

AVERAGE LENGTH OF STAY

IX OAYS

7.1 7.5 6.8

4.6 4.6 4.6

5.1 6.3 4.6

7.9 7.8 8.0

10.1 9.8 10.3

7.2 7.7 7.0

4.6 4.5 4.6

5.1 6.3 4.6

8.0 7.9 8.1

10.5 10.2 10.7

6.4

6.9

5.0

7.3

8.9

6. ~ 6.1

5.0 4.7

6.2 4.4

7.1 7.4

8.7 9.1

7.1 7.4 7.0

3.8 3.8 3.7

5.5 6.3 5.1

7.8 7.8 7.8

9.6 9.3 9.9

27
TABLE 7. NUMBER, PERCENT DISTRIBUTION, AND RATE OF HOMEN HITH DELIVERIES OISCHARGEO FROM SHORT-STAY HOSPITALS

AND AvERAGE LENGTH OF STAY, BY AGE. RACE, GEOGRAPHIC REGION, AND BEO SIZE OF HOSPITAL: UNITEO STATES, 1982

(DISCHARGES FRON NONFEDERAL HOSPITALS)

ANO OF OAYS OF CARE,

DISCHARGED PATIENTS DAYS OF CARE

AGE, RACE, REGION, ANO FSEO SIZE

AVERAGE

NUMBER PERCENT RATE PER NUMBER

LENGTH OF

PERCENT

IN

RATE PER

DISTRIBUTION 1,000

STAY IN OAYS

IN DISTRIBUTION 1,000

THOU SANOS POPULATION THOUSANDS POPULATION

.. .

10-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

AGE

10_14 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

2~24 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

25-29 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

30-34 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

45-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

10_17 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

18-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

RACE

IIHITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ALL OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . .

RACE NOT STATED . . . . . . . . . . . . . . . . . . . . .

REG1ON

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH CENT RAG . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BEo SIZE

6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEOS . . . . . . . . .. . . . . . . . . . . . . . . .

200-299 BEDS . . . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDS........................

500 BEOS OR MORE . . . . . . . . . . . . . . . . . . . .

3,945 100.0 52.7 14,103 100.0 188.6 3.6

13 0.3

3.928 - 99.6

541 13.7

1,275 32.3

1,283 32.5

633 16.1

196 5.0 * *

209 5.3

3,736 94. T

1.4

72.2

55.8

118.7

124.3

67.4

13.a

*

14.5

61.9

55

14,033

1*817

4;371

4,633

2,411

800

*

T08

13,395

0.4

99.5

12.9

31.0

32.9

17.1

5.7

*

5.0

95.0

6.2

257.8

187.5

406.9

448.9

256.6

56.1

*

49.2

221.8

4.3

3.6

3.4

3.4

3.6

3.8

4.1

*

3.4

3.6

2,795 70.9 44.2

700

9,923 70.4

17.7

157.0 3.5

60.3 2,635 18.7

+50 11.4

227.0 3.8

... 1,545 11.0 ... 3.4

739 la. ? 46.2 3,077 21.8 192.2 4.2

1.033 26.2 54.6 4,045 28.7 213. S 3.9

1,407 35.7 55.7 4,823

766

34.2 190.8 3.4

19.4 56.1 2,157 15.3 157.9 2..9 .

580 14.7 ... 1,757 12.5 3.0

682

...

17.3 ... 2,3o5 16.3

605

... 3.4

15.3 ... 2,055 14.6

984

3.4

24.9

...

... 3,692 26.2 3.8

1,093

...

27.7 ... 4,293 30.4 ... 3.9

.
..

,.

TABLE 8. NUMBER OF HOHEN HITH DELIVERIES AND NUMBER OF DAYS OF CARE ANO AVERAGE LENGTH OF STAY FOR HOMEN HITH DELIVERIES DISCHARGED

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION ANO BEO SIZE OF HOSPITAL: UNITEO STATES, 1982

(DISCHARGES FROM NONFEDERAL HOSPITALS)

REGION ALL SIZES 6-99 BEOS 100-199 BEOS 200-299 BEDS 300-499 BEOS 500 BEOS CR MORE

NUMBER OF PATISNTS OISCHARGEO lN THOUSANOS

UNITEO STAT ES . . . . . . . . . . . . 3,945 580 682 605 98.4 1,093

NORTHEAST . .. . . . . . . . . . . . . . . 739

NORTH CENTRAL . . . . . . . . . . . . 1:; 1::

316

1,033 1%

199

SOUTH . . . . . . . . . . . . . . . . . . . . 1,407 275 362

255 365

WEST.................. ... 766

185

165

161

90 153

%?3

251 106

NuI18ER OF OAYS OF CARE IN THWSANOS

UN ITEO STATES . . . . . . . . . . . . 1+, 103 1,75T 2,305 “2,055 3,692 4,293

NORTHEAST . . . . . . . . . . . . . . . . 3.077 114

NORTH CENTRAL . . . . . . . . . . . .

389 391 1,327

4,045 405 488

856

SOUTH . . . . . . . . . . . . . . . . . . . . 4, a23

615

asa I,;g

9a9 l,54a

BEST . . . . . . . . . . . . . . . . . . . . . 2* 157

613

3ao

593 l,5a2

436 7a3 307

AVERAGE LENGTH OF STAY IN OAYS

UNITEO STATES . ..’ . . . . . . . . . 3.6 3.0 3.4 3.4 3.8 3.9

NORTH EAST . . . . . . . . . . . . . . . . 4.2 3.5 3.9

NORTH CENTRAL . . . . . . . . . . . .

+.3

. 3.9

4.2

3.a

4.3

3.7

SOUTH. . . . . . . . . . . . . . . . . . . . 3.4

3.5

3.1

3.9

3.2

4.2

3.3

HE AT . . . . . . . . . . . . . . . . . . . . . z.a

3.7

2.3 z.a

3.7

z.a . 3.1 2.9

. .

29
TABLE 9. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HoSPITALS, RATE OF DISCHARGES, ANO AvERAGE LENGTH OF STAY, EIY CAT EGCRY OF

FIR ST- LISTEO OIAGNOSIS ANO AGE: UN ITEO STATES, 1982

{DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEldBORN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NUM8ER INCLUSIONS ARE BASED ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION. CLINICAL 14001 FICATION)

CATEGORY OF F[RST-LISTEO OIAGNOSIS ANO ICD-9_CM CODE ALL AGES uNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS AND OVER

NuMBER OF PATIENTS OISCHARGEO IN THOUSANOS

ALLCONO IT I OHS........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 001-139

NE OPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

14ALIGNANT NEoPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..14w20S.230-23q

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..162, 197.0,197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 174-175. 19E. EI

BENIGN NEOPLASHS AND NEOPLASFi S OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210-229,235-239

ENDOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO 1MMUNIT% OIsoROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24o.279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25o

OISEASES OF THE SLOOO ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . .. Z8O-Z89

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zso-zs5

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..290-3L9

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29 CI-299

NEUROTIC ANO PERSONALITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300-301

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . ... . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . ..$..320-336 .340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOID PRO CESS . . . . . . . . . . . . . . . . . . . . . . . . . . . .380- 389

38,593

695

2,59+

1,9T2

3,65+ 15,554

234

492

215

L5

31

276

302

158

9+

58

9T2

305

170

238

368

146

18

62

535

2%

42

17

65

*8

33

T70

88

149

128

104

1,496

87

107

151

135

206

1;:

1,689

153

27:

1,009

47T

229

943

188

225

93

*

267

1,T14

404

*7

191

152

204

4,346

197

3,928

8,688

102

912

716

L4-1

103

197

372

24.Z

55

36

448

L51

72

143

413

9e

107

60

1,T80

139

1,171

257

165

386

7.?

180

656

63

*

127

98

1,292

123

79

2a

b 160

83

71

167

816

99

83

82

*5

*

133

7T8

170

158

43

I 4’9

643

189

26

78

29

48

92

*

*

10,697

135 02 224

03

04

05

06

07

73

46

*

*

1,117

995

319 155

227

622

,161

661

367

253

,746

574

285

417

93

27 122

08

62

22

426

240 09

10

11

151

131

12 57

*5

*9

*

269

113 13

14

15

33

33

1,828 T 39

429

309

61

*

123

428

46

555

345 177

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O-459

ESSEN71AL HYPE RTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..40L

HEART DISEASE . . . . . . . . . . . . . . . . . . . . 391-392 .0,393-398,402,404,410-416,420-429

ACUTE MYOCAROIAL INFARCT I ON . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O

OTHER lSCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411-413 .4I4. 1-414.9

CONGESTIVE HEART FAILuRE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4ZS. O

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT IN FL UENZA . . . . . . . . . . . . . . . . . . . ..46 O-466

CHRONIC OISEASE OF TONSILS AND AOENOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48 O.486

ASTHE A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SHALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . 531-534

GASTRITIS ANO CUOOENITI S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGu INAL HE RNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

DIVERT ICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5 B0-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROS TATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNOR14AL VAGINAL BLEEOING . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM . . . . . . ..l/ 630-676

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..71 O-739

ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

CERTAIN CON OITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . .. T6O-779

SYMPTOMS, SIGNS, ANO ILL-O EFINEO CON OITIONS . . . . . . . . . . . . . . . . . . . . . . . . .. T80-799

5,488

333

3,477

681

500

45

*

3,12B

126

2,026

38o

316

29

*

*

*

*

*

24

25

26

27

822

439

a34

369

356

618

1,003

79

28

29

30

31

32

3*459

459

436

824

434

1,029

229

280

270

151

*

300

81

3

35

36

37

3B

39

4,62B

351

261

254

512

4B6

*

1,354

139

12

62

B5

63

13

132

118

130

153

611

213

496

204

*

40 *

41

42

43

44

3,411

29T

272

360

159

*

743

42

*

1 B8

*

l,OIB

4B4

566

*5

*

. . .

. ..

47 69 135

4B

49

50

2,37T

568

436

335

166

7B

18

*

570

193

52

174 25

52 164

53 624 121 8B

54 INJuRY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

55 FRACTURES, ALL SIT ES . . . . ...>..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S00-829

56 FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

SPRAINS ANO STRAINS OF BACK [IN CLUEING NECK) . . . . . . . . . . . . . . . . . . . . . .. B46-84T

;: INTRACRANIAL INJURIES (EXCLUOING THOSE UITH SKULL FRACTURE ) . . . . . . ..85 O-854

59 LACERATIONS ANO OPEN HOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87 O.9O4

60 SUPPLEMENTARY CL ASSIF I CAT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-VB2

61 PERSONS AOMITTEO FOR STERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V25.2

62 FEMALES tiITH OEL!VERI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

3,568

1,132

228

305

285

328

4,563

200

3,945

464 747

3BT

192

33

153

*

*

72

4a

32

28

55

*

69

13

1/ FIRS T- LISTEO OIAGNOSIS FOR FEMALES kiITH DELIVERIES IS COOEO V27, SHOWI uNDER “SUPPLEMENTARY CLASS IF I CATIONS.” .

30
TABLE 9. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES. ANO AVERAGE LENGTH OF STAY, BY CATEGORY OF

FIRST-LISTEO OIAGNOSIS AND AGE: UN ITED STATES, 1982—CON.

( DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. OIAGNO STIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MoOIFICATIONI

ALL AGES uNoER 15 15-44 45-64 65 YEARS ALL AGES UNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER YEARS YEARS YEARS ANO OVER

RATE OF PATIENTS OZSCHARGED PER 10,000 POPULATION AvERAGE LENGTH OF STAY IN OAYS

7.1 7.9

8.6

10.1

11.0

11.8

12.2

11.6

10.8

8.1

10.9

11.3

8.8

8.6

13.0

15.7

9.0

12.2

5.5

14.3

3.0

5.2

10.5

7.8

9.8

11.9

9.9

7.9

10.4

12.6

9.7

8.0

*

11.1

8.1

9.0

10.0

7.6

11.1

6.3

6.8

8.3

11.4

8.5

7.6

8.7

*

...

...

13.8

10.7

11.8

12.4

8.5

6.5

12.6

15.2

18.7

9.1

8.7

8.0

6.8

*

...

01

02

03

z

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

3T

38

39

40

41

42

43

44

45

46

4T

48

49

50

51

52

53

54

55

56

57

56

59

::

62

—

1,679.0 7’11.6

30.2 43.6

112.8 14.1

85.8 8.9

i3.9 *

9.9 ‘ *

1,450.2

21.8

+5.9

20.1

1.4

2.9

25.8

28.2

14.7

8.8

5.4

90.7

28.5

15.9

22.2

34.3

13.6

1,955.2

22.9

3,987.9

50.3

4.6

%2

5.1

6.7 5.6

205.3

161.0

33.2

23..2

416.3

370.9

58.0

34.6

9.9

11.1

10.9

10.0

5.9

7.5

6.6

8.1

7.8

7.4

9.8

10.7

10.5

10.1

. . *

●

27.1 5.2

12:0

4.3

12.9

5.6

11.1

*1.O

*1.8

*

60.1

12.0

*

44.3 45.4 6.1 3.0 5.5 6.2

,,

50.5

28.8

83.7

54.3

158.6

89.5

8.8

9.5

5.8

6.2

6.6

6.9

8.8

9.7

8.1

1.7

16.0

11.0

12.4

8..1

56.5

48.8

7.0

7.2

4.9

3.9

4.9

5.2

76.0

25.0

12.4

18.1

100.8

33.9

16.3

32.2

100.1

42.0

12.4

12.5

12.1

15.5

10.1

11.2

13.7

*28.3

*11.4

*

11.8

14.7

10.6

11.2

12.0

16.4

9.3

10.9

6.1

9.3

2.6

79.5

18.6

24.2

15.0

93.0

22.0

24.1

13.4

275.4

45.9

159.7

17.0

5.4

11.0

2.9

3.2

3.5

7.7

*

2.4

5.8

11.4

2.8

4.0

1.6

34.4 5.8

8.8

*

5.7

*

*

*

*

*

200.5

44.5

3.2

238.8

14.5

151.2

29.6

21.7

49.9

6.1

23.3

4.0

1.6

6.0

*0.8

3.1

400.6

31.4

263.5

57.9

37.1

1,166.3

46.8

755.2

141.5

118.0

137.6

132.6

23o.3

9.4

6.4

8.9

11.2

8.8

7.1

10.1

12.2

7.1

*

6.6

4.6

6.7

9.1

5.0

8.2

6.1

7.9

10.7

7.1

6.9

*

*

*

*

*

35.8

19.1

36.3

86.9

16.2

40.4

5.6

*1O.2

11.2

6.6

8.7

11.2

150.5

20.0

71.8

8.2

13.9

11.9

9.7

147.7

14.2

*

28.5

22.1

374.0

29.6

*

111.8

30.4

6.2

4.8

3.5

3.7

1.7

5.0

3.6

4.1

3.9

2.1

6.3

5.2

7.5

6.1

*

8.8

6.4

19.0 54.5

35.9 52.5

18.9 29.3

1.9

8.0

5.5

201.3

15.3

11.4

11.1

22.3

26.6

9.2

21.6

94.6

*

139.5

8.1

10.0

14.1

12.6

290.7

27.7

17.8

6.2

36.0

18.7

15.9

37.5

504.7

51.7

23.4

4.9

49.1

44.1

48.5

57.2

6.8

7.9

5.3

5.3

4.5

5.3

8.0

8.9

4.0

*

5.4

5.8

4.2

4.8

3.8

5.5

6.5

7.2

7.1

7.2

5.5

7.5

4.7

5.9

3.0

4.5

2.5

4.0

*

2.4

12.2

16.5

39.7

*

*

30.9

*

*

*1. O

*

13.5

19.2

1.1

16.2

7.7 * 8.4

148.4

12.9

11.8

15.7

157.5

14.3

*

25.7

94.0

44.5

21.3

183.6

22.2

278.9

15.8

70.1

*

5.6

4.8

3.5

●

●

4.6

3.9

5.5

5.2

7.0

3.5

18.7

18.5

8.2

3.5

*

3.5

2.5

2.0

8.3

*2.3

*

2.5

2.0

*3.o

*

44.3

21.1

24.6

*1.O

*

. . .

. . .

30.0 50.3 4.3 6.0 8.8

215.4

71.8

19.5

7.7

8.5

9.5

5.1

5.5

*

6.2 7.7

8.8

9.7

103.4

24.7

19.0

15.2

3.5

87.9

17.5

20.9

175.1

38.3

35.6

5.0 * 8.T

33.9

32.0

23.6

90.4

29.7

*

*

14.6 8.7

*

24.9

159.8

37.7

*0.T

17.8

14.2

19.0

9.6

33.4

144.7

9.3 6.1 5.5

12.7

5.7 7.7

7.2 12.7 *

27.1 32.6 4.1 3.1 3.5 4.4

155.2

49.3

9.9

13.3

278.6

144.2

71.4

12.4

11.8

10.4

7.4

10.1

18.6

7.4

5.6

5.3

4.3

5.2

*

*

3.1

4.0

5.8

7.2

8.0

42.4 %.7

5.8

17.6

6.5

10.8

*20.4

7.0

5.7

16.5

7.9

0.4

5.9

12.4

14.3

14.0

9.3 5.1

405.2

18.4

36b.2

20.7

*

*

20.5

*

3.6

2.0

3.6

3.7

4.3

3.5

2.0

3.6

4.8

*

*

198.5

8.7

171.6

13.5

2.5 ...

.

31
TABLE 10. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTH OF STAY, BY CATEGCRY CF

FIRST-LISTED OIAGNOSIS, SEX, AND RACE: IJNITED STATES, 1982

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEi680RN INF ANTS. DI AGNOSTIC GROUPINGS ANO CODE NuMBER INCLUSIONS ARE BASED CN THE

INTERNATIONAL CLASSIFICATION OF CIISEASES, 9TH REVISION, CLINICAL MODIFICATION)

SEX

CATEGORY OF FIRST-LISTED OIAGNOSIS ANO ICO-9-Ct4 COOE

BOTH HALE 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

::

z

24

25

26

27

28

.29

30

:;

33

34

35

36

37

3a

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

Al

ALL CONO IT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OOl. I39

NE OPLASHS . . . . . . . . . . ..’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...14&239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l4(+234.23o-234

MALIGNANT NEOPLASM OF 7RACHEA, @RONCHUS, ANO LUNG . . . . . . ..10.1977 .O.197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175 .198.81

8ENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210-229,235-239

ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY 01 SOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OIABETES PIELLITUS

240-279

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25o

DISEASES OF THE FsLOOO ANO BLOOD-FORMING ORGAN S. . . . . . . . . . . . . . . . . . . . . ..2 SO-289

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zBo-2s5

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 OO-3Ol

ALCOHOL oEPENOENCE SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

OX SEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32 O-336 .34O-349

cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3b6

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300-389

OISEASES OF THE CIRCULATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

HEART OX SEASE . . . . . . . . . . . . . . . . . . . . 391-392 .0,393-398,402,404,410-416,420-429

ACUTE MYOCAROIAL INFARCT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Ao

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0

OTHER IsCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . .411 -413,414.1-414.9

CONGESTIVE HEART FAILuRE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4zs. o

CERE3.ROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.43E

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..z+60-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT Influenza . . . . . . . . . . . . . . . . . . . ..46 O-466

CHRONIC OISEASE OF TONSILS ANO AoENOXOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORM S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+Bo. +86

ASTHMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520-5T9

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535

APPENDICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540-543

XNGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

01 VER71CULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562

CHOLELITHIASI S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OiSEASES OF THE GENITOURINARY SYSTEM \

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING.. . . . . . ...626

COMPLICATIONS OF pREGNANcY, CHIL081RTH, ANO THE puERp ERIuM . . . . . . ..l/ 630-676

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCIE S . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..7 LO-739

ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 722

CONGENIAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740-759

CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PER IO O. . . . . . . . . . . . . .. T6O-779

sYMp ToMs, iIGNS, AND lLL-OEFINEO CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . 780-799

INJuRY AND PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

FRACTURE OF NECK OF FEMUR . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820

SPRAINS ANO STRAINS OF BACK [I NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . ..846-84T

INTRACRANIAL INJURIES (EXCLUOING THOSE wITH SKULL FRACTURE ) . . . . . . ..85 O-B54

LACERATIONS ANO OPEN wOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 870-904

SUP PLEt4ENTARY CL ASSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOL-VB2

PERSONS AOMITTED FOR STERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V25.2

FEMALES HITH. DEL IV ORI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

NU14SER OF PATIENTS RATE OF PATIENTS DISCHARGED

,.. OISCHARGEO IN THOUSANDS PER 10,000 POPULATION

38,593

695

2,594

1,972

319

227

622

1,161

661

367

253

1,746

574

285

417

1’,828

429

555

345

5,488

333

3,477

681

500

822

439

834

3,459

459

436

824

434

4,628

351

261

254

512

611

213

496

3,411

297

272

360

1,018

484

566

2,377

568

436

335

166

624

3,568

1,132

22a

305

2B5

328

15,470

326

1,096

941

198

*

155

432

265

159

100

899

260

3;:

806

202

210

174

2,785

138

1,849

414

272

474

195

388

1*715

224

176

416

190

2,162

176

113

145

455

259

71

129

1,079

196

272

. . .

. . .

. . .

277

1,016

233

23B

171

95

289

1,965

565

57

136

178

245

177

*

23,123 1,679.0 l,394. o i,944.9

369

10498

1,031

121

226

467

729

396

208

153

847

313

190

95

1,022

226

345

170

2,703

195

1,627

266

227

348

243

446

1,744

235

259

408

245

2,466

174

148

110

3;:

141

367

2,332

101

. . .

360

l,OIB

4B+

28s

1,361

336

198

163

71

334

1,583

56T

171

170

106

B3

30.2

112.8

85.8

13.9

9.9

27.1

50.5

28.8

16.0

11.0

76.0

25. o

12.4

18.1

79.5

18.6

24.2

15.0

238.8

14.5

151.2

29.6

21.7

35.8

19.1

36.3

150.5

20.0

19.0

35.9

18.9

201.3

15.3

11.4

11.1

22.3

26.6

9.2

21.6

148.4

12.9

11.8

15.7

44.3

21.1

24.6

103.4

24.7

19.0

14.6

7.2

27.1

155.2

49.3

9.9

13.3

12.4

14.3

29.4

98.7

84. B

17.8

*

13.9

38.9

23.9

14.3

9.0

81.0

23.5

8.6

29.0

72.6

18.2

19.0

15.7

251.0

12.4

166.6

37.3

24.5

42.7

17.6

35.0

154.5

20.2

15.9

37.5

17.1

194.8

15.9

10.1

13.1

41.0

23.3

6.4

11.6

97.2

17.6

24.5

. . .

. . .

. . .

24.9

91.5

21.0

21.4

15.4

8.6

26.1

178.9

50.9

5.1

12.2

16.1

22.1

16.0

*

31.0

126.0

86.7

10.2

19.0

39.3

61.3

33.3

17.5

12.9

71.2

26.4

16.0

8.0

86.0

19.0

29.0

14.3

227.3

J6.4

136.9

22.4

19.1

29.2

20.5

37.5

146.7

19.7

21.8

34.3

20.6

20T.4

14.7

12.5

9.2

4.7

29.6

11.9

30.9

196.2

B.5

. . .

30.3

85.6

40.7

24.3

114.5

28.2

16.7

13.7

5.9

28,1

133.1

47.7

14.4

14.3

8.9

7.0

36B.9

16.6

4,563 4,3B5 198.5

200 197 8.7

3,945 . . . 3,945 171.6 . . . 331.8

1/ FIRST-LISTED OIAGNOSIS FOR FEMALES wITH DELIVERIES IS COOEO V27, SHOWN UNDER l$SUPPLEMEKTAR% CLASS IF ICATIONS. $l

32
.

.,

TABLE 10. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DIsCHARGES, ANO AVERAGE LENGTH OF STAY. .*6Y CATEGORY OF

FIRST-L ISTEO OIAGNOSIS, SEX, ANO RACE: UNITEO STATES, 1982--CON.

10 ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NE H80RN INFANTS. DIAGNOSTIC GROUPINGS AND COOE NuMBER INCLUSIONS ARE BASED ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL PIOOIFICATION)

SEX--CON. RACE

BOTH MALE FEMALE ALL WHITE ALL NOT ALL

SEXES

HHITE ALL

RACES

NOT ALL

OTHER STATEO

uHITE ALL NOT

RACES OTHER STATED RACES OTHER STATED

AvERAGE LENGTH NUMBER OF PATIENTS

OF STAY IN OAYS

RATE OF PATIENTS OISCHARGEO

OISCHARGEO IN THOUSANOS PER 10,000 POPULATION

7.1

6.7

9.9

11.1

10.9

10.0

6.1

8.8

9.5

7.0

7.2

12.1

15.5

10.1

11.2

1:::

2.9

3.2

9.4

6.4

8.9

11.2

8.8

7.1

10.1

12.2

6.2

ha

1.9

a.o

5.5

6.a

7.9

5.3

5.3

4.5

5.3

a.o

a.9

5.6

4.a

8.2

3.5

2.5

2.0

a.3

7.7

a.5

9.5

6.1

12.7

4.1

7.4

10.1

la.6

7.4

5.6

5.3

3.6

2.0

3.6

7.5

6.3

10.4

11.2

11.2

*

5.9

a.s

9.1

6.7

6.7

11.6

14.T

9.8

10.6

5.7

11.6

2.6

2.9

9.0

5.9

8.5

11.0

7.9

6.8

9.3

11.5

6.2

4.5

1.8

7.9

4.9

6.4

7.3

4. a

5.0

4.5

5.3 “

a.1

9.6

6.4

4.4

a.2

...

...

...

a.z

7.0

6.9

a.7

5.9

12.6

3.9

6.6

a.3

la.z

7.2

5.5

5.4

4.1

*

...

6.a

7.0

9.6

11.1

10.5

10.0

6.2

9.0

9.7

7.2

7.5

12.6

16.2

10.3

13.0

5.1

10.4

3.0

3.5

9.a

6.8

9.4

11.6

9.9

7.5

10.7

12.9

6.3

5.2

2.0

8.1

5.9

7.2

a.6

5.7

5.7

4.7

5.3

7.9

a.7

5.2

5.6

...

3.5

2.5

2.0

8.5

a.z

9.6

10.6

6.3

Lz.a

4.2

a.4

11.a

la.7

7.6

5.a

5.2

3.5

2.0

3.6

3a,593

695

2,594

1,972

319

227

622

1.161

661

367

253

1,746

5T4

2a5

+17

I,aza

429

555

345

5*4a8

333

3,477

6al

500

822

439

834

3,459

459

436

a24

+34

4,62a

351

261

254

512

611

213

496

3,4L1

297

272

360

l,ola

4a4

566

2,377

56a

436

335

166

624

3,568

1,132

22a

305

2a5

32a

4,563

200

3,945

29,8ao

524

2,oas

1,621

263

190

464

a77

4a7

25a

16a

1.2al

437

237

25a

1,456

338

453

271

4,504

236

2,90+

580

432

711

343

675

2,729

358

344

646

291

3,6a2

279

207

201

405

4aa

la6

401

2,683

257

219

278

65a

302

423

l,aa3

454

350

261

113

4a4

2,726

905

194

229

215

224

3,252

144

?,795

5,142

123

29a

196

37

la

102

193

121

82

71

254

92

27

69

30

62

60

89

422

60

39

111

loa

535

42

X

50

67

13

49

446

la

23

4a

25a

142

9a

247

59

33

3a

34

a3

500

111

12

53

44

7a

T9T

39

700

3,571

49

211

155

*19

*2 o

56

91

53

*26

*15

211

45

●21

90

197

39

69

38

423

*26

258

55

::

35

70

307

41

53

6a

35

410

*3o

*I9

*26

56

56

*I4

45

283

*23

●3I

*34

102

40

45

247

56

52

36

*19

5a

343

116

*21

*24

*26

*26

514

*17

450

1,679.O

30.2

112.a

85a

13.9

9.9

27.1

50.5

2a.a

16.0

11.0

76.0

25.o

12.4

la.1

79.5

La.6

24.2

15.0

23,a.8

14.5

.151.2

29.6

21.7

35a

19.1

36.3

150.5

20.0

19.0

35.9

18.9

201.3

15.3

11.4

11.1

22.3

26.6

9.2

21.6

14a.4

12.9

11.8

15.7

44.3

21.1

24.6

103.4

24.7

19.0

14.6

7.2

27.1

155.2

49.3

9.9

13.3

12.4

14.3

19a.5

a.7

171.6

L,518.2

26.6

105.9

a2.4

13.3

9.7

23.6

44.6

24.a

13.1

a.s

65.1

22.2

12.0

13.1

74.0

17.2

23.0

13.a

22a.9

12.0

147.6

29.5

22.0

36.1

17.4

34.3

13a.7

la.z

17.5

32a

14.a

187.1

14.2

lo.s

10.2

20.6

24a

9.4

20.4

136.3

13.0

11.1

14.1

33.4

15.3

21.5

95.7

23.o

17.8

13.2

5.7

24.6

13a.5

46.0

9.9

11.6

10.9

LL.4

165.2

7.3

142.0

1,555.a

37.1

90.0

59.2

11.1

5.4

30.a

5a.3

36.7

24.9

21.4

76a

27a

8.2

20.a

53.0

15.7

10.1

11.0

169.5

21.5

95.3

14.0

9.0

18.7

la.z

26.9

127.6

la.2

11.7

33.6

32.T

162.0

12.7

10.5

8.3

15.2

20.3

3.9

15.0

134.a

5.3

6.9

14.6

78.0

43.1

29a

74.7

17.7

10.1

11.4

10.3

25.0

151.3

33.6

3.6

15.9

13.2

23.6

241.i

11.9

211.6

. . .

.. .

.. .

. . .

. . .

.. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

.. .

.. .

. . .

. . .

. . .

. . .

. . .

. . .

.. .

. . .

. . .

. . .

. . .

. . .

. ..

. . .

. . .

.. .

.. .

. . .

. . .

. . .

. . .

.. .

.. .

. . .

. . .

. . .

. ..

. . .

.. .

.. .

. . .

. . .

. . .

. . .

. ..

. . .

. . .

. . .

. . .

AVERAGE LENGTH OF STAY

IN OAYS

T. 1

6.7

9.9

11.1

10.9

10.0

6.1

a.a

9.5

7.0

7.2

12.1

15.5

10.1

11.2

5.4

11.0

2.9

3.2

9.4

6.4

a.9

11.2

a.8

7.1

10.1

12.2

6.2

4.a

1.9

a.o

5.5

6.a

T.9

5.3

5.3

4.5

5.3

a.o

a.9

5.6

4.a

a.2

3.5

2.5

2.0

a.3

7.7

8.5

9.5

b.1

12.7

4.1

7.4

10.1

la.6

T.4

5.6

5.3

3.6

2.0

3.6

7.1

6.5

10.0

11.1

10.9

9.9

6.1

8.7

9.5

7.2

7.7

12.5

16.0

10.1

11.7

5.3

10.9

2.9

3.2

9.4

6.3

a.9

11.4

a.a

7.1

10.1

12.1

6.4

5.0

1.9

a.o

5.9

6.a

8.0

5.3

5.4

4.5

5.2

a.o

9.0

5.6

4.7

a.2

3.6

2.5

2.1

a.z

7.a

a.6

9.6

5.9

11.9

3.9

7.5

10.3

la.6

7.4

5.6

5.4

3.5

1.9

3.5

7.2

7.9

10.7

12.a

11.6

12.7

6.6

9.6

9.7

6.9

6.1

11.2

14.2

10.4

9.1

6 .a

12.6

4.0

4.0

10.3

7.1

9.a

10.7

10.1

a.o

10.6

13.8

5.a

+.3

2.0

7.7

4.5

7.4

7.7

5.2

6.0

4.5

5.5

9.1

9.1

6.0

6.6

10.1

3.0

2.6

1.9

9.5

7.6

8.5

10.3

7.1

15.5

5.0

7.5

9.6

19.8

a.z

6.5

5.4

3.7

2.3

3.8

6.2

5.2

a.5

9.a

*1O.2

*7.9

5.0

a.1

a.8

*5.4

*5.9

10.9

12.7

*1O.3

11.2

4.4

9.6

2.6

2.T

a.3

*5.6

7.a

10.0

7.6

5.a

a.7

11.5

5.5

3.a

1.T

8.2

4.9

6.o

*al

*5.9

*4.4

4.7

5.5

*7. O

a.o

5.1

*5.4

*6.3

*3.4

2.6

2.3

7.3

7.2

7.5

a.5

6.1

*12. O

3.8

6.6

9.0

*17.a

*6.5

*4.7

*4.6

3.4

*2.2

3.4

Oi

02

03

04

05

06

07

oa

09

10

u

12

13

14

15

16

:;

19

20

21

::

24

25

26

27

2a

29

30

31

32

33

34

35

36

37

3a

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

5?

58

59

60

61

62

33
TABLE 11. NUMBER OF PATIENTS OISCHARGEO FROH SHORT-STAY HOSPITALS, RATE OF DISCHARGES, AND AVERAGE LENGTH OF STAY, BY CATEGCRY CF

FIRS T-L ISTEO DIAGNOSIS AND GEOGRAPHIC REG1ON: UNITEO STATES, 1982

(DISCHARGES FROM NONFEDERAL HOSPI TALS. ExCLUOES NEuB CRN INFANTS. DIAGNoSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MOOIF ICATION)

CATEGORY OF FIR ST-L ISTEO OIAGNOSIS ANO ico-9-cM COOE UNITEO NORTH- NORTH SOUTH uEST

STATES EAST CENTRAL

01 ALL COED IT ION S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

02 INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

03 NEOPLAS!4S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

04 t4ALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..140- 20s. 230-234

05 MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O.197.3

06 MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174-175 ,198.81

07 BENIGN NEOPLASblS ANO NEOPLASHS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 C-229,235-239

08 ENOOCRINE, NuTRITIONAL ANO META80LIC OISEASES,

ANO 1MMUNIT% OISOROERS> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24 O.279

09 OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

10 OISEASES OF THE BLOOO ANO BLOOO-FOR.HING ORGAN S. . . . . . . . . . . . . . . . . . . . . ..2 BO-2B9

11 ANEMIAS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..280-2B5

12 MEN7AL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290-319

13 PSYCHO SE A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

14 NEUROTIC ANO PERSONALITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 300-301

15 ALCOHOL DEPENDENCE SYNORO$IE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

16 OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGABE . . . . . . . . . . . . . . . . . . . ...320-389

lT OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . ...320-336.340-349

18 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

19 OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

20 OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

21 ESSENTIAL HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

22 HEART DISEASE . . . . . . . . . . . . . . . . . . . . 391-392.0,393-398,402 ,404,410-416,420-429

23 ACUTE 14YOCAR01AL INFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

24 ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

25 OTHER lSCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..4 I 1-413.414. 1-414.9

26 CONGESTIVE HEART FAIL URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

27 CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430-438

28 OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46 O-519

29 ACUTE RESPIRATORY INFECTIONS, ExCEPT IN FLUENZA . . . . . . . . . . . . . . . . . . ...460-466

30 CHRONIC OISEASE OF TONSILS ANO ADENOID S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEuMONIA, ALL FORM S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

;: AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

33 DISEASES OF THE DIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

34 ULCERS OF THE STOMACH ANO SMALL INTESTI NE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

35 GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

36 APPEND IC IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

37 INGUINAL HE RN I A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..550

38 NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

39 OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..562

40 CHOLELITHI ASI S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

41 OISEASES OF THE GENIT OUR INARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5 B0-629

42 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

43 HYPE RPLAS IA OF PRo STAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

44 OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL E!LEERING.. . . . . . ...626

45 COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PuERPERIUkl . . . . . . ..l/ 630-676

4e ABORTIONS ANO ECTOPIC ANO HCLAR PREGNANCY ES....... . . . . . . . . . . . . . . ...630-639

47 OISEASES OF THE SKIN ANO SUBCUTANEOUS T IS SUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

48 OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE. . . . . . ...710-739

49 ARTHROPATHIES ANO RELATEO DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

50 INTERVERTEBRAL OISC DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

51 CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..740- 759

52 CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . ...760-779

53 SYMPTOMS, SIGNS, ANO IL L-O EFINED CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-T99

54 INJURY ANO POISON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SITE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. BOO-829

z: FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

5T SPRAINS ANO STRAINS OF BACK IINCLUOING NECK I . . . . . . . . . . . . . . . . . . . . . ..846-847

58 INTRACRANIAL INJURIES [EXCLUOING THOSE WITH SKULL FRACTURE I . . . . . . ..85 O-854

59 LACERATIONS ANO OPEN WOUNDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

60 SUPPLEMENTARY CL OSSIF I CATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VO 1-V82

61 PERSONS AOMITTEO FoR ST ERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. V25.2

62 FEMALES HITH DELIVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V2T

NuHBER OF PATI ENTS DISCHARGE IN THOUSANOS

38,593

695

2,594

1,972

319

227

622

1,161

661

367

253

1,746

574

285

417

1,828

429

555

345

5,488

333

3,417

681

500

B22

439

83+

3*459

459

436

B24

434

4,628

351

261

254

512

611

213

496

3,411

297

272

1,018

484

566

2,377

568

335

166

624

3,568

1,132

228

305

285

328

4,563

200

3*945

7,B47

131

659

494

80

62

165

241

150

91

65

456

155

41

165

348

77

107

70

1,180

52

771

174

101

187

105

178

604

74

67

126

100

950

60

40

53

141

103

52

102

659

53

62

86

281

183

129

389

95

6B

58

22

105

663

228

47

45

76

54

881

44

739

10,938

180

749

590

89

71

159

321

180

96

63

562

169

99

131

590

134

170

116

I .4a4

95

926

173

138

221

120

225

1,048

143

165

250

118

1,201

89

69

71

140

1T6

51

141

916

78

77

95

256

96

158

775

190

137

102

43

175

1,011

320

73

84

78

82

1,193

44

1,033

13,435

285

T40

5.35

97

55

205

430

245

?.28

89

484

156

1,14

71

552

146

151

112

1,?24

1,51

1,208

224

IB4

274

148

287

1.283

’194

129

346

140

1,725

14B

130

80

143

251

1::

1,342

122

86

141

314

134

194

765

170

138

108

65

247

1,234

357

63

140

87

130

1,614

B6

1,407

6,373

99

445

352

53

39

93

169

86

52

37

244

94

32

49

338

1::

46

900

35

571

110

7T

140

66

144

523

48

1 Q

77

672

53

22

51

8B

81

23

80

494

43

49

39

167

71

85

448

113

92

67

36

97

660

227

44

36

43

62

8 T6

26

766

1/ FIRS T- LISTEO OIAGNOSIS FOR FEt4ALES WITH DELIvERIES IS COOEO v27, SHO!4N UNOER ‘~SUPPLEMENTARY CL ASSIFICATIONS. f$

34
TABLE 11. NUM8ER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTH OF STAY, BY CATEGORY OF

FIRST-L IST60 DIAGNOSIS ANO GEOGRAPHIC REGION: UNITEO STATES, 1982--CON.

{DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NE HBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUHBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REv1S1ON, CLINICAL HOOIF1CATION)

uNITEO NORTH- NORTH SOUTH

STATES

HEST

EAST

UNITED NORTH- NORTH

CENTRAL

SOUTH

STATES

wEST

EAST CENTRAL

RATE OF PAT XENTS” OISCHARGEO PER 10,000 POPULATION AVERAGE LENGTH OF STAY IN OAYS

1,679.0

30.2

7.1

6.T

1*590.3 8.2 ‘

26.5

133.6

100.2

16.1

12.6

33.4

48.8

30.3

18.4

13.2

92.5

31.4

8.2

33.5

70.6

15.6

21.6

14.2

239.2

10.5

156.2

35.2

20.5

37.9

21.2

36.0

122.3

15.0

13.7

25.6

20.2

192.6

12.2

8.1

10.7

28.6

20.8

10.5

20.6

133.6

10.8

12.5

17.4

57.0

37.1

26.1

?B.7

19.3

13.9

11.8

4.4

21.3

134.4

46.2

9.6

9.2

15.5

10.8

178.5

8.8

149.8

L,660.9

30.6

127.4

100.4

15.1

12.1

27.0

54.6

30.7

16.3

10.7

95.5

28.8

16.8

22.3

100.4

22.7

29.0

19.8

252.4

16.1

157.6

29.5

23.5

37.6

20.4

38.3

178.3

24.3

28.0

42.6

20.1

217.9

15.2

11.7

12.0

23.8

29.9

8.7

24.0

155.9

13.3

13.0

16.1

43.’5

16.3

26.9

131.8

32.4

23.3

17.3

7.3

29.8

172.1

54.4

12.4

14.3

13.3

14.0

202.9

7.6

175.T

1,738.8

36.9

95a

69.3

12.6

7.1

26.5

55.7

31.a

16.6

11.5

62.6

20.2

14.7

9.2

71.5

19.0

19.5

14.5

249.0

19.6

156.4

29.0

23a

35.5

19.1

37.1

166.1

25.2

16.7

44.8

la.1

223.2

19.2

16.8

10.4

18.5

32.5

11.2

22.4

173.6

15.a

11.1

18.2

40.7

17.3

25.2

S’9.O

21.9

17.9

14.0

8.4

32.0

159.7

46.2

a.2

18.2

11.3

16.8

2oa.8

11.2

IB2.O

1,432.9

22.2

100.2

79.2

il.9

a.9

20.9

38.L

19.2

11.7

a.2

55.0

21.0

7.2

10.9

76.0

16.1

28.7

LO.3

202.4

7.9

128.5

24.7

17.2

31.5

14.9

32.4

117.7

10.7

16.7

22.9

17.2

151.0

11.9

4.9

11.4

l% 7

18.3’

5.1

la.o

111.1

9.6

10.9

a.a

37.6

16.1

19.0

100.8

25.5

20.a

15.0

a.2

21.7

14a.5

50.9

10.0

a.o

9.7

14.0

196.9

s.a

172.2

7.4 6.6 5.9

6.3

8.2

a.9

a.6

7.2

5.6

6.a

7.7

5.2

5.6

10.1

11.5

8.7

10.4

4.2

9.0

2.4

2.2

7.7

6.3

6.9

a.a

5.a

5.6

a.o

10.0

5.5

4.1

1.5

7.5

4.7

6.1

7.a

4.1

4.5

3.a

4.6

8.3

7.4

5.1

4.6

6.4

3.3

2.5

2.1

7.a

6.9

T.9

7.9

5.7

11.0

3.6

6.1

7.7

14.5

7.0

3.a

4.a

2.a

1.4

2.a

01

02

03

E

06

07

oa

09

10

11

12

13

14

15

;;

la

19

E

22

23

24

25

26

27

2a

29

30

31

32

33

34

35

36

37

3a

39

40

41

42

43

44

45

46

47

4a

49

50

51

52

53

54

55

56

57

5a

59

60

61

62

7.9 7.0

10.3

11.2

11.5

10.2

6.0

llz.a 9.5

a5.a

13.9

9.9

9.9

11.1

10.9

10.0

11.2

12.9 lo.a

10.7

10.0

12.2

11.4

27.1 6.1 6.1 6.8 5.8

-.

50.5

za.a

a.8

9.5

7.0

7.2

12.1

15.5

10.1

11.2

5.4

11.0

2.9

3.2

9.4

6.4

8.9

11.4

J2.4

a.z

7.9

12.2

16.7

11.3

9.3

6.6

16.0

3.0

3.4

11.3

7.5

9.2

9.8

7.9

a.1

16.0

11.0

7.4

7.7

6.6

7.0

76.0

25.o

12.4

18.1

14.1

la.4

11.2

13.5

10.6

13.5

9.1

11.7

79.5 5.6 5.1

11.2

3.2

3.4

18.6

24.2

15.0

9.1

3.0

3.3

23a.a

14.5

9.6

6.a

9.2

11.5

9.0

7.6

10.4

a.a

5.9

8.6

11.0

a.9

6.7

9.2

10.8

151.2

29.6

21.7

35.8

19.1

36.3

10.7

12.8

10.7

a.3

12.4

15.4

11.2

8.8

7.1

10.1

12.2 12.9

150.5 6.2 6.0

4.8

7.0

5.0

1.9

9.5

6.1

6.3

4.a

2.1

7.7

5.4

20.0

19.0

35.9

5.1

1.9

7.9

5.4

1.9

8.0

. la.9 5.5

201.3

15.3

11.4

11.1

6.a

7.9

7.7

10.7

7.0

7.8

5.6

5.3

4.a

6.4

7.0

5.3

5.5

4.9

4.9

7.1

a.6

5.3

5.3

4.5

5.6

5.a

22.3 4.3

26.6

9.2

21.6

5.3

a.o

8.9

5.8

9.6

10.9

5.9

7.7

a.8

6.0

5.3

8.3

3.9

2.7

2.3

148.4

12.9

11.8

15.7

5.6

4.a

a.2

3.5

5.6

5.2

9.4

2.5

5.5

4.5

8.2

3.9

:::

44.3

21.1

24.6

2.5

2.0

2.4

1.8

8.3 9.2

9.1

a.9

11.a

6.1

13.9

4.2

8.9

12.7

23.o

a.a

6.4

5.9

4.1

2.3

4.2

a.4 7.9

103.4

24.7

19.0

7.7

a.s

9.5

8.0

9.1

9.7

7.3

7.9

9.2

14.6 6.1 6.5 6.0

7.2 12.7 12.5 13.3

27.1 4.1 4.2 4.1

155.2

49.3

9.9

7.4

10.1

7.5

10.5

18.7

7.1

7.2

9.5

17.9

7.3

18.6

7.4

5.6

13.3

12.4

14.3

5.3

4.9

6.2

5.3 5.6

19a.5

a.7

171.6

3.6

2.0

3.6

3.9

1.9

3.9

3.4

2.1

3.4

.

35

-— —
. .

.“

.

.,

.

TABLE 12. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY CATEGORY OF FIRST-LISTED oIAGNOSIS AND BED sIZE CF HCSPITAL:

UNITED STATES, 1982

(O ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS AND CODE NUHBER INCLUSIONS ARE SASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CLINICAL MODIFICATION)

CATEGORY OF FIR ST-L ISTEO DIAGNOSIS ANO ICO-9-C#l COOE ALL 6-99 100-199 20 C-299 300-499 500 SEOS

SIZES BEDS BEOS iiEOS BEOS OR HORE

NUMBER OF PATIENTS OISCHARGEO IN THOU SANOS

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l4O.239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . ...162.197.0.197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175,198.81

BENIGN NEOPLASUS ANO NDEOPLASMS OF CERTAIN BEHAVIOR .

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239

ENOOCRINE, NUTRIONAL ANO METABOLIC OISEASES,

ANO 1MMUNIT% OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24~279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25O

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . ..2BO-289

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..280-2B5

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCH OSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..290-z99

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300-301

ALCOHOL OEPENOENCE SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

OISEASES OF THE NERVOUS SYSTEii ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . .. . . . . . . . . . . . . . . . . . . . . . ..32 O-336 .34o-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390-459

ESSENTIAL HYPERTENSI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..40 I

HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . 391-392.0,393-398,402 ,404,410-416,420-429

ACUTE MYOCAROIAL INFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0

OTHER IS CHEf41C HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411-413,414 .1-414.9

CONGESTIVE HEART FAILuRE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428.0

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.43B

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~60-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 474

PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480-486

ASTHEA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 531-534

GASTRITIS AND OUOOENf TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o

NONINFECTIOUS ENTERITIS ANO COL IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHIASI S.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

DISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL vAGINAL 8LEEOING . . . . . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILOBIRTH, ANO THE PUERPERIUM . . . . . . . . . ..~l/ 630-676

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE T IS SUE . . . . . . . . . . . . .710-739

ARTHROPATHIES ANO RELATEO DISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740-759

CERTAIN CONO IT IONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . . . . . ..76 O-779

SYMPTOMS, SIGNS, ANO IL L-OEFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780-799

INJURY ANO POISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BOO-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..soo-sz9

FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

SPRAINS ANO STRAINS OF BACK (l NCLUOING NECK} . . . . . . . . . . . . . . . . . . . . . . . . . .. E46-B47

INTRACRANIAL INJURIES (ExcLuo ING THOs E WITH SKULL FRAc TuRE1 . . . . . . . . . . ..65o-854

LACERATIONS ANO OPEN HOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87&9O4

38,593

695

2,594

1,972

319

227

622

1,161

661

367

253

1,746

574

285

417

1,828

429

555

345

5,4B8

333

3,477

681

500

822

439

834

3,459

459

436

824

434

4,628

351

261

254

512

611

Z13

496

3,411

297

272

360

1,018

4B4

566

2,377

56a

436

335

166

6Z4

3,56B

l,13z

22a

305

ZB5

32a

4,563

200

3,945

6,836

130

244

L7a

34

20

66

237

135

72

50

340

61

1::

202

56

37

53

1,014

79

650

133

1::

118

15a

a53

133

60

254

a3

995

84

E

ao

165

1::

563

56

33

56

140

58

117

409

76

53

26

14

119

691

17B

31

93

59

61

673

5::

6,73a

146

339

243

36

29

95

196

112

61

41

316

loa

43

79

306

lx

55

929

64

5a5

116

72

131

1::

651

112

az

155

al

a42

64

49

49

9a

124

39

aB

6a 5

50

52

B9

202

96

97

387

74

71

67

23

96

606

187

35

53

51

52

788

4a

682

6,366

101

397

296

43

33

101

212

126

57

3a

205

61

41

3a

327

71

113

62

99B

59

635

121

101

147

76

160

609

71

100

135

73

7a5

63

49

44

aa

107

41

75

~:;

49

49

140

57

91

399

99

az

50

28

106

631

216

43

60

51

52

696

30

605

SUPPLEMENTARY CLASS IF ICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vo I-vL72

PERSONS AOf41TTE0 FOR STERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V25.2

FEMALES WITH DELIVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V27

1/ FIRS T-L ISTEO OIAGNOSIS FOR FEMALES MITH OELIVERIES IS COOEO VZ7, SHOWN UNOER .SUPPLEMENTARY class ifications.,,

9,547

161

75a

594

99

69

164

277

160

90

65

504

1 a9

67

115

499

103

156

96

1“339

64

a36

165

13Z

199

2%

T66

B2

112

165

102

1,092

83

47

60

134

119

51

125

a26

al

73

a2

240

117

139

609

165

1 oa

77

35

161

848

2B4

61

57

66

75

1.126

35

’984

9, 106

156

a57

661

106

77

196

239

127

a6

60

3a 1

154

65

59

495

131

130

7a

1,207

67

770

146

130

199

1;:

sao

60

75

114

94

914

56

31

4a

111

96

1::

B03

66

65

a4

295

155

123

573

154

122

116

66

142

793

267

5a

42

57

a8

1.2ao

41

1,093

36

. .
.,

,.

.,

. .

. .

.

.

.“

TABLE 13. AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS. BY CATEGORY OF FIR ST-L ISTEO OIAGNOSIS ANO EIEO

SIZE OF HOSPITAL: UNITEO STATES, 1982

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVIS1ON, CLINICAL HOOIFICATION)

CATEGORY OF FIRST-L ISTEO oIAGNOSIS ANO ICO-9-CM COOE ALL 6-99 100-199 200-299 300-499 500 BEOS

SIZES BEOS BEOS BEOS !3Eo S OR MORE

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OOI.139

NEoPLAsMs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l4o.z39

MALIGNANT NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...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 NOEOPLASHS OF CERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l@229.235.239

ENDOCRINE. NUTRIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24ci-279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Z5O

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGANS... . . . . . . . . . . . . . . . . . . . . . ...280-289

ANEMIAS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29o.3l9

psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29o.299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 OO.3OI

ALCOHOL OEPENOENCE SYNORO!IE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3

OISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NERVOUS SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . ...320-336.340-3+9

cATARAcT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO 14ASTOI0 PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O.459

ESSENTIAL HYPERTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..WI

HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . 391-392 .0,393-398,402,404,410-416,420-429

ACUTE FIYOCAROIAL INFARCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+IO

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4I4.O

OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41 L-413.414.1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. o

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 430-438

OISEASES OF THE RESPIRATORY SYsTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46o.5l9

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . . ..46D-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, AL1 FoRMs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48o.+86

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5 ZO.579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPENDICIT I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

DIVERT ICULA OF IN TEST INE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..56Z

CHDLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYsTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58o-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUfl . . . . . . . . . . ..l/ 630-676

ABORTIONS AND ECTOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . . . . . . ..63 O-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 660-709

OISEASES OF THE HUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE. . . . . . . . . . ...710-739

ARTHROPATHIES ANO RELATED OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Tl&7I9

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740-759

CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . . . . . ..76+7T9

SYMPTOMS, SIGNS , ANO ILL-OEFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780-799

INJuRY ANO POISON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8oo.999

FRACTURES, ALL sITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800-8z9

FRACTURE OF NECK OF FEMUR ..: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..BZO

SPRAINS ANO STRAINS OF SACK [INCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . . ...846-847

INTRACRANIAL INJURIES [ExCLUOING THOSE 161TH SKULL FRACTURE) . . . . . . . . . . ..850-B54

LACERATIONS ANO OPEN HOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87o.9o4

SUPPLEMENTARY CLASS IF ICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vOl. "8Z

PERSONS AOHITTEO FOR STERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V25.2

FEMALES HITH DELIVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v27

7.1

6.7

9.9

11.1

10.9

10.0

6.1

8.8

9.5

7.0

7.2

12.1

15.5

10.1

11.2

5.4

11.0

2.9

3.2

9.4

6.4

6.9

11.2

8.8

T.1

10.1

12.2

6.2

4.8

1.9

8.0

5.5

6.8

7.9

5.3

5.3

4.5

5.3

8.0

8.9

5.6

4.8

8.2

3.5

2.5

2.0

8.3

7.7

8.5

9.5

6.1

12.7

4.1

7.4

10.1

18.6

7.4

5.6

5.3

3.6

2.0

3.6

AVERAGE LENGTH OF STAY IN OAYS

5.7

5.1

8.2

9.4

7.5

7.8

5.0

6.7

7.3

6.0

6.5

8.3

10.9

7.9

8.9

4.9

8.7

2.8

3.3

7.3

5.0

7.1

a.a

7.4

5.6

a.1

8.7

5.9

4.7

1.9

7.0

5.2

5.5

6.3

4.4

5.3

4.5

4.0

6.3

7.4

4.9

3.5

7.3

3.0

2.2

2.1

6.5

6.1

6.T

8.3

4.2

4.3

3.3

5.3

a.z

16.1

6.4

3.0

4.0

3.a

2.2

3.0

6.5

5.6

9.6

11.1

10.9

9.2

5.8

8.0

a.4

6.9

7.5

13.1

14.0

a.1

16.1

4.1

7. a

2.9

3.1

9.0

6.2

a.s

Io. a

8.2

6.3

9.9

11.9

5.9

4.7

1.9

7.7

5.3

6.3

7.8

5.5

4.8

4.0

4.B

8.0

8.6

5.2

4.3

7.7

3.2

2.3

2.1

8.4

7.1

8.6

8.6

6.2

10.2

3.9

6.5

a.3

i7.5

6.9

4.0

4.5

3.3

I.a

3.4

7.1

5.9

10.0

11.2

10.9

9.6

6.5

0.9

9.6

7.6

a.3

10.6

13.3

8.0

13.3

5.0

10.5

2.7

3.4

9.6 “

T. 1

9.0

11.3

9.0

6.8

10.8

12.2

6.4

5.1

1.9

8.4

5.7

?.2

a.z

5.7

5.2

5.2

5.6

8.5

9.a

5.9

5.1

8.6

3.8

2.6

2.2

B.a

T.2

7.3

9.3

5.6

10.6

3.9

7.5

9.7

17.9

8.0

5.4

5.4

3.4

1.7

3.4

7.5

7.a

10.0

11.1

11.2

9.3

6.0

9.a

10.6

6.3

6.4

12.2

15.3

10.8

10.1

5.3

11.8

2.9

2.B

9.9

6.9

9.4

11.9

9.0

7.6

11.2

12.7

6.6

4.9

I.a

9.1

5.8

?.4

9.1

5.9

5.2

4.5

6.1

8.5

9.3

5.9

5.5

a.2

3.8

2.6

2.0

9.0

a.5

9.2

9.9

6.5

14.1

4.2

8.1

11.1

19.2

a.3

5.2

5.6

3.7

2.1

3.8

a.o

a.z

10.5

11.7

11.8

11.6

6.6

10.3

11.2

a.3

7.7

15.4

19.4

14.4

10.1

6.6

13.2 -

3.2

3.6

10.T

7.3

10.2

13.0

9.5

8.4

11.4

15.1

6.5

4.9

1.9

a.7

5.2

7.6

8.5

6.1

6.2

4.4

6.8

9.2

9.6

5.9

5.4

8.6

3.7

2.7

1.9

8.9

a.a

9.2

IG.4

6.4

15.4

4.7

9.2

11.8

20.4

8.3

10. T

6.4

4.0

2.2

3.9

1/ FIRST-LISTED OIAGNOSIS FOR FEMALES MITH DELIVERIES IS COOEO v27, SHOHN UNOER ‘SUPPLEMENTARY CLASS IF I CAT IONS.,,

37
TABLE 14. NUMBEk OF ALL-LISTED OIAGNOSES FOR PAT[ENTS OISCHARGEO FROM SHORT-STAY HoSPITALS, 8Y DIAGNOSTIC CATEGORY ANO AGE, SEX.

RACE, GEGGh APHIC REGIGN, ANO OEO SIZE OF HOSPITAL: UN ITEO STATES, 1982

!OISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEuBORN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NuMBER INCLUSIONS ARE EASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICATIONI

AGE

ALL

OIAGNOSTIC CATEGORY ANO lCO-9-CM COOE OIAGNOSES

UNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER

01

02

.

., 03

04 .

05

06

07

.

. 08

09

10

11

12

13

1’4

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

::

40

41

42

43

44

45

46

47

48

49

50

51

52

53

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLAS14S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234

MALIGNANT NEOPLASM OF 7RACHEA, BRONCHUS, ANO LUNG . . . . . . . . 162,197 .0,197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175 .198.81

BENIGN NE OPLASMS ANO NEOPLASFIS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l&229.235.239

ENOOCRINE, NuTRITIONAL ANO HETABOLIC OISEASES,

ANO 11 W4JNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

01 A8ETES FIELL IT' S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o

OISEASES OF THE 8LOO0 ANO BLOOO-FORPIING ORGAN S. . . . . . . . . . . . . . . . . . . . . ..28 O-289

ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

HENTAL. OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29&3l9

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL DEPENDENCE SYNOROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O3

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..3 ZO-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . ...320-336.340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

DISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389

OISEASES OF THE CIRCULATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPERTENSI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART DISEASE . . . . . . . . . . . . . . . . . . . . 391-392 .0,393- 39 LT,402,404,41 ~416,420-429

ACUTE MYOCAROIAL INFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

ATHEROSCLEROTIC HEART 01 SEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.9

OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

CEREBROVASCULAR 01 SEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT IN FLUE NZA . . . . . . . . . . . . . . . . . . . ..460-466

CHRONIC OISEASE OF TONSILS ANO AOENO1OS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 474

PNEuMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O-579

ULCERS OF THE STOMACH ANO SHALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . 531-534

GASTRITIS ANO OUOOENITI S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

lNGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHIAS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROS TAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILOBIRTH, ANO THE PuERPERf UM. . . . . . ..l/ 630-676

ABORTIONS ANO ECTOPIC ANO MCA_AR PREGNANCIE S . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..7 IO-739

ARTHROPATHIES ANO RELATEo OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T40-759

CERTAIN CONOITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-779

SYMPTOMS, SIGNS, ANO IL L-OEFINEO CONO1TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . 780-799

54 INJuRY ANO POISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-999

55 FRACTURES, ALL SITE S . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. BOO-B29

56 FRACTURE OF NECK OF FEMuR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

57 SPRAINS ANO STRAINS OF BACK II NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . ...846-847

58 INTRACRANIAL INJURIES (EXCLLJOING THOSE HITH SKULL FRACTURE I . . . . . ...850-854

59 LACERATIONS ANO OPEN klOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 870-904

60 SUPPLEMENTARY CL ASSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vOI-V82

61 PERSONS AOMITTEO FOR STERILIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

62

v25.2

FEMALES WITH DELIVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v2T

NUMBER OF ALL-L ISTEO OIAGNOSIS IN THOUSANOS

97,721

1,737

4,434

3,205

457

281

1,229

5,584

2,562

1,662

1,291

4,373

1,021

976

81B

4,140

1,316

659

811

18,346

2,383

11,149

785

1,965

2,694

1,451

1,847

6,993

B31

534

1,274

664

9,035

618

641

299

613

854

606

760

7,733

383

511

526

6,175

512

1,320

5,548

1,946

575

785

386

4,956

6,440

1,658

256

4.82

370

705

8,068

630

3,945

6,496

377

95

56

*

*

39

252

2B

159

86

111

x’

2

623

106

4%

118

+:

*

*

*5

15

10

1,474

367

353

357

191

648

*5

24

70

22

*

*

279

*

*

26

*

12B

120

32

*

329

376

525

671

190

*

*6

83

al

185

13

32,412

534

797

289

22

33

508

989

361

446

349

2,021

419

496

416

765

299

24

124

1,315

263

588

47

1::

27

58

1,363

175

173

1B2

155

2,486

131

221

177

143

268

25

223

3,347

176

*5

409

6,139

504

426

1,578

347

256

209

*

1,331

3,150

64T

10

306

202

446

5,514

622

3,928

22,908

322

1,507

1*108

197

121

399

1,789

BBI

325

241

1*145

266

280

300

935

297

122

124

5,167t

87a

3,0B4

288

459

35,905

503

2.o35

1;752

237

126

283

,553

,292

T31

615

,096

327

1BO

100

,817

614

508

157

11.745

1,232

T,399

449

1s466

19068 1;474

234 1,176

364 1,415

1,571

128

*5

215

167

2,575

207

208

33

180

L34

163

231

1.837

.“127

143

112

10

*

344

1,689

+99

217

129

*8

,326

,213

29T

30

117

41

97

1,014

*8

*4

2,5B6

161*

520

151

3,325

275

188

18

19L

203

417

303

2,271

77

363

*

...

. ..

422

2,161

1,068

101

118

*

1,774

1,414

524

212

53

45

B1

1,355*

...

1/ FIRS T- LISTEO DIAGNOSIS FOR FEMALES !dITH DELIVERIES IS COOEO v27, SHOHN UNDER ‘SUPPLEMENTARY CLOS SIFICATIONS.,,

38
,.

. .

.-

.,

. .

TABLE 14. NUMBER OF ALL-L ISTEO OIAGNOSES FOR PATIENTS DI SCHARGEO FROH SHORT-STAY HOSPITALS. BY DIAGNOSTIC CATEGORY ANO AGE, SEX,

RACE. GEOGRAPHIC REG1ON, At4cI aEO SIZE OF HOsp ITAL: LW41TE0 STATES, 1982--CON.

IO ISCHARGES FROM NONFEOERAI. HOSPITALS. EXCLUOES NEW8 ORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASED CN THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICATION)

SEX RACE REGION BEO SIZE

HALE FEMALE HHITE ALL NOT NORTH- NORTH

OTHER

SOUTH HE ST

STATEO

6-99 100-199 200-299 300-499 500 BEOS

EAST CENTRAL BEOS 8EoS BEOS BEoS OR MORE

NUMBER OF ALL-LISTED OIAGNOSES IN THOUSANOS—CON.

38,92+

758

1,885

1,563

282

*

322

2,101

1,046

632

446

2,127

450

334

621

1.897

625

250

413

8,774

955

5,544

475

961

1,500

653

841

3,620

391

227

661

279

4,032

313

277

161

546

352

213

218

2,391

242

511

. . .

. ..

611

2,092

691

296

391

223

2,296

3,571

865

67

214

228

499

1,524

*9

...

58,796

978

2,549

1,642

175

279

907

3,483

1,516

1,030

846

2,246

562

641

198

2,243

691

409

398

9,572

1,428

5,606

310

1,003

1,195

799

1,006

3,373

439

306

613

386

5,002

306

364

138

67

502

393

542

5,342

141

...

526

6,175

512

709

3,456

1,256

279

39’4

163

2,660

2,877

793

189

268

142

206

6,544

621

3,945

76,6k6

1,302

3,602

2,647

381

236

955

4,378

1,961

1,177

878

3,315

783

802

528

3,291

1,050

536

645

15,086

1,783

9,354

671

1,698

2,31B

1,176

1,493

5,:6;

417

1,000

465

7,271

498

510

237

488

686

522

619

6,111

329

410

409

4.275

321

1,019

4,445

1,584

462

611

256

3,a74

4,9T3

1,329

217

351

282

515

6,020

434

2,795

12,575

306

483

308

47

22

176

775

397

365

318

609

148

l::

445

147

45

85

1,842

410

973

1%

192

162

192

756

104

12;

143

1,020

70

87

33

61

91

43

76

1,023

26

50

72

1,222

149

197

582

187

46

94

85

668

B72

165

14

93

1::

1,230

131

700

8,500

129

348

250

*29

*23

98

431

204

120

95

449

90

1:

404

119

78

81

1,417

190

823

l%

18+

114

162

596

74

69

107

57

744

51

44

*29

65

77

41

64

599

*28

52

45

678

42

104

521

175

67

80

45

414

603

164

*24

39

*33

56

818

66

450

20,009

338

1,089

792

117

75

297

1,169

612

381

306

973

250

151

273

839

262

129

156

4,231

518

2,680

202

523

629

349

407

1,272

139

81

207

148

,809

111

103

61

166

148

135

168

,457

71

115

115

1,222

190

299

958

343

94

137

51

908

1,244

337

54

87

101

133

1,633

117

T39

27,819

470

1,296

967

125

88

329

1,662

724

426

326

1,386

295

324

252

1,305

398

202

271

5,002

690

2,979

204

568

696

393

514

2,077

257

195

371

181

2,528

161

172

81

170

249

162

213

2,119

103

148

137

1,611

101

379

1,796

623

180

244

111

1,379

1,839

474

1::

99

179

2,190

141

1,033

33,896

677

1,304

874

140

68

429

1,948

879

576

452

1,303

296

363

159

1,264

438

179

274

6,243

835

3,72I

252

608

929

486

643

2,560

338

163

519

211

3,403

251

297

98

172

345

246

263

3,056

155

163

212

2,143

142

453

1,854

663

1B5

260

144

1,844

2,173

520

72

206

115

258

15,996

253

745

571

75

49

174

804

347

279

207

711

179

138

135

732

218

149

109

2,8T0

340

1,770

128

266

441

223

283

1,084

96

1%

124

1,295

96

69

58

106

113

1::

1,102

55

86

62

1,198

79

189

940

318

116

145

80

825

1,192

327

48

58

56

135

2,693 1,552

285 87

1,407 T66

18,025

304

494

342

%

152

1,140

482

296

235

863

146

221

192

586

210

55

135

3,503

483

2,093

151

330

483

365

389

1,687

229

3::

137

1,924

153

189

63

99

237

142

153

1,319

70

76

84

876

62

272

1,183

423

85

82

18

1,040

1,228

259

36

13T

76

132

1,211

128

580

17,653

346

646

435

58

38

210

1,022

447

275

210

819

181

179

159

728

225

140

154

3,317

437

2,001

133

345

473

250

328

1,349

200

102

242

131

1,686

115

129

58

117

169

105

136

1,553

65

100

127

1,059

100

235

1,031

344

98

149

49

866

1,155

272

39

100

1 E

1,368

137

682

15,958

266

688

487

63

44

201

961

468

249

193

590

137

139

93

703

221

126

145

3,254

382

2,019

140

387

471

268

344

1,180

132

120

202

107

1,528

113

120

51

107

142

107

121

1,255

58

96

69

912

63

202

884

309

106

117

63

BO3

1,104

305

48

90

1::

1*197

99

605

24,010

398

1,271

951

139

85

32o

1,344

640

436

338

1,183

313

237

234

1,099

328

1.35

203

4,505

571

2,744

193

507

665

31B

434

1,569

162

139

258

153

2,121

140

120

70

159

172

149

185

1,855

104

131

127

1,541

123

31B

1,308

476

140

190

93

1,186

1*538

422

70

92

8B

167

2,054

123

984

22,075

423

1,336

989

145

87

347

1,117

525

406

314

918

244

199

140

1,024

331

153

174

3,766

509

2,293

169

397

602

251

352

1,207

108

1:;

i37

1,777

97

$ B3

57

131

135

103

165

1,750

B6

’108

120

1,786

164

292

1,142

394

147

246

164

1,060

1,423

400

64

63

71

178

2,238

143

1.093

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

IT

18

19

20

21

22

23

24

25

::

28

29

30

31

32

::

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

22

56

57

58

59

60

61

62

39
,

TABLE 15. NUt413EFf OF AL L- LISTEO PROCEDURES FOR PATIENTS DISCHARGE FRO!! SHORT-STAY HOSPITALS, BY PRCCEOURE CATEGORY ANO AGE:

STATES, 1982

UNITEO

(D I SCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NE MBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEHS ANO COOE NUMBER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISI ON, CLINICAL 14001 FICATION)

PROCEOURE CATEGORY ANO ICO-9-CM COOE ALL AGES UNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER

NUMBER OF ALL-L ISTEO PROCEDURES IN THOU SANOS

34,632

859

2,219 15,296 B,368

254

45

82

37

, 289

114

75

’47

*5

215

39

*5

340

BO

723

130

105

262

34

104

1,630

%

173

28

63

166

167

7T

17

59

548

.343

46

209

96

14

736

153

*6

181

*

*

200

55

*

*

*

*

92B

79

45

54

85

3a

25

38

118

555

+5

52

ALL PROCEDUR ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

8,750

139

98

*9

286

67

97

180

45

41

255

229

OPERATIONS ON THE EN OOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OE.l6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. I3.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-20

14YRINGOT OMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo .o

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . ..21 . . . . . . . . . . . . . . . . . . . . . . . . . . ..2I-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 21.8

TONSILLECTOMY 141TH OR WITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . 28.2-2B.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21-33 .23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . ...35.1-35.51.35.53-36.2.36.9,37.10-37. 11,37 .32-37.33,37.5

OIRECT HEART REvAscuLAR 12ATIoN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. I

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37. Zl.37.23

“ PACEf4AKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . . ..37. T-37.8

OPERATIONS ON THE HEMIC ANL7 LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42-54

ESOPHAGOSCOPY ANO GASTROSCOPY INATuRAL OR IF ICE I . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOMY ANO RESECTION OF IN TEST ING . . . . . . . . . . . ..43.5-43.8.45.6-45. 8

ENOOSCOPY OF LARGE INTESTINE (NATuRAL OR IFICEI . . . . . . . . . . . . . . . . . . . . . . . . . . . 45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HEMORRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTECTOf4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.0-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.5

109 * 46 22

.,

1,402

599

418

332

163

64

*6

*

128

21

*5

922

458

337

184

144

73

11

27

*

. .

424

10

269

1,492

250

438

732

191

163

120

10

*

921

207

51

11

177

30

354

87

1,749

243

170

471

202

106

15

229

23 .

14 .

61

691

74

in

161

3:

* *6

362

5,790

249

240

611

277

165

493

549

214

27

294

*9

*

*7

65

*

93

19

*

*

81

.

2,078

58

34

140

170

80

186

139

2;:

177

149

1,789

95

127

290

E

138

150

61

281

286

*

40

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55-59

ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31,57 .32,58.22

OILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58.6

1,901

841

184

113

42

18

448

155

51

792

401

69

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROSTATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.2-60.6

CIRCUMCI SION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6+. o

850

358

90

117

. . .

46

128

*

22

396

261

*7

OPERAT1 ONS ON THE FEHALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65-71

00PHORECTOMY ANO SALPINGO-OOPHORECTOFIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68.3 -68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. OI.69.51

OILATION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR AL30RTION . . . . . . . . . . . . ..69.O2

O: AGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. O9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70.5

4,023

500

602

13

*

*

*

*

*

3,006

301

595

410

105

272

493

54

268

45

5:

. . .

. . .

47

45

650

106

275

741

154

OBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY UITH FORCEPS ANO VACUUM ExTRACTION. . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTOMY uITHOUT FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SECT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. o-74.2 ,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75.5 -T5.6

3,945

414

16

*

3,925

412

1,611

727

. . .

. ..

. ..

.. .

. ..

1,618

730

449

*6

*

* 447

1,664

195

99

177

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ?6-B4

OPEN REOUCTION OF FRACTURE . ..76. T2.76.74,76 .76-76.77,76.79,79.2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70, 76. T1 ,76.73,76.75,76. 78,79 .0-79.1,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80.2

EXCIS1ON OR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Bo.6

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B1.5,81.6

OPERATIONS ON 14JSCLES, TENOONS, FASCIA. ANO BURSA . . . . . . . . . ...82- 83. 1,83.3-83.9

3,583

434

253

30

64

11

*5

*

*

*

44

73B

130

256

262

227

151

137

148

48

20

120 16

97

69

13

39

102

51

370

24

*8

207

810

60

16

1,485

420

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL MASTECTOf4Y) . . . . .. B852O-85 .23

l! ASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTER IZEO AXIAL TOMOGRAPHY (C. A.T. SCAN I . . . . . . 87.03 . 87. 41.87.71 ,88.01, 8S .38

CONTRAST FIYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PYELOGRAH

87.21

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

ART ERIOGRAPHY ANO ANG1OCAROIOGRAPHY USING CONTRAST 14AT ERIAL . . . . . . . . ..88.4+ 8.5

DIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88.7

RAO1OISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.0-92.1

1,862

129

111

126

*

* 42

1.750 1,931 ,

158 248

123 38

136 156

368 254

149 192

20B 297 .

5,454

600

341

464

740

288

44

1;

17

22

Iz

150

178

153

101

561

641

198

123

NOTE : SEE llMEOICAL COOING ANO EOIT ,10 APPENOIX 1, FOR COOING MOOIF1CATIONS FOR THE NAT IONAlr HOSPITAL OISCHARGE SURVEY.

40
TABLE 16. RATE OF ALL-LISTED PRoCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-STAY’ HOSPITALS, BY PROCEOURE CATEGORY ANO AGE:

STATES, 1982 ‘-

uN] TEo

(DISCHARGES” FROH NONFEDERAL HOSPITALS. EXCLUOES NE NBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS ARE 9ASE0 ON THE INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CL I,NICAL f4001FICATIONl

PRO CEOURE CATEGORY ANO ICO-9-C)4 COOE ALL AGES uNOER 15 15-44 45-64 65 YEARS

YEARS YEARS YEARS ANO OVER

RATE OF AL L- LISTEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATICINS ON THE NERVOUS SYSTEM...........................................• I.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

OPERATIONS ON THE ENLMCRINE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..W.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OE.I6

EXTRACTION OF LEN S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.1-13.6

INSERT ION OF PROSTHETIC LENS (PSEUOOPFLAKOSI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MYRINGOTOHY

18-20

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.0

OPERATIONS ON THE NOSE. MOUTH, ANO PHARYNx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zL-z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ZI. S

TONSILLECTOMY IAITH OR HITHOUT ADENOIOECToFIY . . . . . . . . . . . . . . . . . . . . . . . . .. ZS. Z-ZE.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CAROIOVASCUL.AR 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 HEAR7 REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. I

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21-37.23

PACEMAKER INS ER710N, REPLACEMENT, REMOVAL, AND REPAIR . . . . . . . . . . . . . . ..37.7-37.8

OPERATIONS Of+ THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40-41

OPERATIONS ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+2.54

ESOPHAGOSCOPY ANO GASTROSCOPY [NATuRAL ORIFICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOHY ANO RESECTION OF IN TEST ING . . . . . . . . . . . ..43.5-43 .8.45 .6-45. B

ENOOSCOPY OF LARGE INTESTINE (NATURAL ORIFICE ] . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+

APPENOECTor4Y, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+7.O

HEMORRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49. +3-49.46

CHOLECYSTECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51.Z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.• .53.l

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . . . 55.21-55 .22,56 .31,57 .32,58.22

O1LATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60-64

pRosTATEcTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6o.2.6o.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64.•

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65-71

OOPHORECTOMY ANO SALPINGO-OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

CURETTAGE OF UTERUS TO TERt41NAT

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OEL

DIAGNOSTIC OILATION ANO CURETTAGE OF uTERUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. o9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70.5

TE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. ol.69.51

LIVERY OR ABORTION . . . . . . . . . . . . ..69.O2

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EP1S1OTOHV HITH FORCEPS ANO VACUUH EXTRACTION . . . . . . . . . ..72.1 .72.21 .72.31 .72.71

EPISIOTOMY WITHOUT FORCEPS ANO VAClkJ+l EXTRACTION

CE3.AREAN sEcTxoN

. . . . . . . . . . . . . . . . . . . . . . . . . . 73.6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74. O-74.2, T+.4,74.99

dEPAIR OF CURRENT OBSTETRIC Laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7 S.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYsTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-a+

OPEN REOUCTION OF FRACTURE. ..76 .72,76 .74,76 .T6-76.77, T6.79,79.2-79 .3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . ..76.7 0.76.71 .76.73 .76.75 .76.78 .79. W79.l,79.4

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FuSION . . . . ..9915 0.91. O

EXCISION OF SEki ILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80.6

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.4 I-E1.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.5,81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...32-83.1.83.3-83.9

OPERATIONS ON THE INTEGU!IENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL FIASTECTOMY) . . . . ..!35.23B5.23

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIc PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. B7-99

COMPUTE RIZEO AXIAL TOMOGRAPHY ( C. A.T. SCAN) . . . . . . 87.03, &7.41,87 .71 ,88.01,88 .38

CONTRAST MY EL OGRA M.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87 .21

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73- 87.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . .. B8.4-8B.5

DIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s8.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.0 -92.1

15,066.4

373.8

110.9

99.7

47.5

609.8

260.6

182.0

144.4

70.7

649.0

108.9

190.7

400.7

90.2

T60.8

105.6

74.0

204.7

87.7

157.3

2,519.0

108.4

104.3

265.7

120.3

71.7

214.3

23B.9

93.2

122.2

124.6

826.9

366. o

80.1

369.8

155.9

39.3

1,750.0

217.6

261.8

2B2. E

46.3

119.5

322.3

67.1

1,716.2

179.9

703.9

317.7

195.4

1,55B.6

189.0

111.5

114.1

96.6

65.5

59.6

64.3

182.7

810.0

56.2

48.3

2,372.5

260.9

148.5

201.9

321.8

244.1

278.7

4,320.1

270.1

191.2

*17.1

*

124.0

*11.4

*

358.3

279.9

826.3

18.8

523.3

98.5

20.8

. 205.4

29.6

*

64.9

*

52.5

572.1

*18.3

*

*14.2

126.8

*

181.9

36.7

*

*

220.0

81..9

34.2

228.4

. . .

90.2

25.4

*

*

*

*

*

32.0

●

*11.1

*

*

492.3

5B.6

125.2

20.7

*9.7 *

*

*

86.0

2.4.5.2

*

*

559.9

B4.8 *

36.0

33.4

42.2

23.7

14,261.4

267.1

62.2

90.3

42.5

119.1

19.4

*4. 7

68.2

10.5

682.4

178.1

151.6

165.0

27.7

213.8

21.2

13.1

57.0

*5. 1

T5.3

1,937.5

54.4

31.3

130.9

158.1

74.6

173.8

129.8

53.0

240.3

165.1

417.9

144.7

47.8

119.5

*

20.7

2. B02.5

280.2

555.0

382.5

97.8

253.5

459.7

50.4

3,659.2

384.6

1,502.2

677.4

416.7

1,551.2

182.0

92.3

165.6

112.2

90.5

64.5

*7.1

193.4

755.7

56.1

14.7

1.384.4

139.8

165.6

142.6

94.0

IB4. 4

114.9

18,831.9

572.5

101.1

184.7

83.7

649.7

256.9

169.3

106.6

*1O.2

484.6

88.8

*11.2

764.1

180.3

1,626.3

293.4

237.3

590.1

75.8

235.0

3,667.4

195.5

170.4

389.5

62.7

141.7

374.0

375.1

174.0

39.3

133.6

1,233.1

547.8

103.9

469.7

216.3

32.4

1,655.7

343.8

*14.1

408.4

*

*

450.2

12+.2

*

*

*

*

2,088.8

178.5

102.1

121.4

190. B

B6.6

55.2

84.7

264.6

1,240.4

101.1

116.7

3,93B. O

355.6

275.9

306.5

82B.4

335. B

468.3

32,620.3

670.0

167.8

154.6

82.0

3,435.9

1,707.7

1,257.2

101.9

*

449.1

37.7

*

1,320.2

324.1

2,577.3

277.5

186.6

424.5

600.0

557.1

6,669.0

352.6

472.8

1,081.3

52.5

81.6

514.2

559.0

228.4

*

177.5

2,951.6

L,493.8

257.9

1 *475.7

974.8

*27.6

999.1

169.0

*

216.6

. . .

. . .

176.2

167.4

. . .

. . .

. . .

. . .

. . .

2,751.4

4B4.1

177.2

75.7

61.5

46.9

145.7

380.3

L89. o

1 ,380.2

87.9

15B.2

7,199.9

925.3

141.1

5B3. O

945.7

717.1

1,107.3

NOTE : SEE llMEOICAL COOING ANO EOIT,08 APPENOIX 1, FOR COOING MOO1FICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

41
TA8LE 17. NUMBER OF AL L- LISTEO PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO SEX:

,STATES, 1982

UNITEO

[DISCHARGES FROH NONFEDERAL HOSPITALS. EXCLUOES NE HBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS ARE BASEO ON THE INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOOIF ICATICINl

PROCEOURE CATEGORY AND lCO-9-CM COOE BOTH SEXES HALE FEMALE

.,,,”.-. “. . . . . . . . . ----------- -. . . ----- m“” DcF. 1-1, !4LL-L1>lt U YIwLt UUKtb IN THOUSANDS

ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,632 13,331 21,302

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RVES . . . . . . . . . . . . . . . .. 04. O. O+.2-O4.9

OPERATIONS ON THE EN OOCRINE SYSTEM.........................................• 6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OE.l6

. . EXTRACTION OF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS (P SEUOOPHAKOSJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7

.,

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

MYRINGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZO. O

B59

255

229

436

136

98

424

119

131

109 31 79

1,402

599

418

565

230

158

037

369

261

332

163

L78

95.

153

60

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2I-z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY HITH OR IAITHOUT AOENOIOECTO)4Y . . . . . . . . . . . . . . . . . . . . . . . . . . 28.2 -28.3

1,492

250

438

921

207

709

117

179

TB3

133

259

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BRONCHOSCOPY

30-34

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33.21-33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35-39

OPEN HEART SURGERY . . . ..3351 -35.5 I 535.53-36. 2,36.9,37 .10-37.11,37.32-37.33,37.5

OIRECT HEART REVASCULAR12ATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETER1 ZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3T.21-37.23

PACEHAKER INS ER710N, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

554

127

367

81

1.749 1,051

168

125

309

102

69T

75

45

161

100

243

170

471

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYS7EM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-4I

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

EsopHAGoscopY ANo GASTROSCopY (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . ..+2.23.44. I3

PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...43.5-43.8.45.6-45. 8

ENOOSCOPY OF LARGE INTESTINE (NATURAL ORIFICE) . . . . . . . . . . . . . . . . . . . . . . . . . . . 45.24

APPENOECTOHY, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HEMORRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CHOLECYSTECTOHY

49.43 -4s’.46

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.• .53.l

OTHER HERNIA REPAIR .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.5

OPERATIONS ON THE URINARY SYSTEfl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.21 -55.22 .56.31 .57.32 .58.22

O1LATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58.6

OPERATIONS ON THE HALE GENITAL ORGAN5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROSTATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.2 -60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64.0

OPERATIONS ON THE FEMALE GENITAL ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SALPINGO-OOPHOREC TOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . ...68.3-68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.5I

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69.O2

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.09

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7o.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-7 5

EPIS1OTOMY WITH FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . ..72.1 .72.21 .72.31 .72.71

EPISIOTOMY 141THOUT FORCEPS ANO vACUUM EXTRACTION

CESAREAN SECT ION

. . . . . . . . . . . . . . . . . . . . . . . . . . 73.6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPA[R OF CURRENT OBSTETRIC Laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T5.5-75.6

OPERATIONS ON THE HUSCULOSKELETAL SYS7EM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPEN REOUCTION OF FRACTURE

76-B4

. ..76.72.76.74,76.76-76.77,76. 79, T9.2-T9.3,79 .5-79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76.73,76.75,76. 78,79 .~T9.1,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ARTHROPLASTY ANO REPLACEMENT OF KNEE

BO.6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B1.41-81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 .5,01.6

OPERATIONS ON 14US CL ES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . . ..32 -83. I.83.3-S3.9

182 179

5,790

249

240

611

2,544

115

113

265

146

82

132

3,246

134

127

346

131

B3

277

165

493

549

214

281

206

361

1:?

277

246

4B9

77*

40

1,901

B41

3.84

1,098

552

90

B02

289

94

B50

35B

90

850

35a

90

.. .

.. .

. . .

4,023

500

602

650

106

4,023

500

602

650

. . .

.. .

.. .

.. .

.. .

.. .

.. .

.. .

106

275

741

154

275

741

154

3,945

414

1,618

730

449

3,945

414

1,618

730

449

.. .

.. .

...

. ..

.. .

3,583

434

256

262

1,B14

24o

145

1,769

195

112

97

101

45

165

126

106

74

46

227

227

151

137 63

101

193

148

420

OPERATIONS ON THE INTEGLN4ENTARY SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL MASTECTOf4Y 1 . . . . ..88522385 .23

MASTECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85. 4

1,B62

129

111

722

*6

*6

1,140

123

105

141SC ELLANEOUS DIAGNOSTIC ANO THERAPEuTIc PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. E7-99

COMPUTERIZE AXIAL TOMOGRAPHY [C. A.T. SCAN) . . . . ..87.03 .87.41 .87.71 .88.01 .B8.38

CONTRAST MY EL OGRAM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.21

PYELOGRAM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST f4ATER1AL . . . . . . . . ..8 B.4-88.5

DIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

RAo1O1SOTOPE SCAN

88. T

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.0 -92.1

NOTE : SEE ‘MEOICAL COOING ANO EOIT, *, APPENOIX I, FOR COOING MOOIF ICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURWEY.

5,454

600

341

464

740

561

641

2.597 2,B57

311

154

229

284

357

357

289

187

235

456

Z04

2B4

42
TABLE 18. RATE OF ALL-L ISTEO PROCEDURES FOR PATIENTS oISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANo SEX:

STATES , 1982

uNI TEO

IOISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS AND CODE NUMBER

INCLUSIONS ARE BASED ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICATION)

PROCEOURE CATEGORY ANO ICO-9-CH COOE BOTH SEXES HALE FEHALE

RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01-05

SPINAL TAP . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3I

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RVES.. . . . . . . . . . . . . . ..04.0 .04.z-04.9

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OE.I6

. .

EXTRACTION OF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. ~.l3.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOSJ . . . . ..7 . . . . . . . . . . . . . . . . . . . . . ..I3.7

.

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IE.ZO

MYRIKoToHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..20. o

OPERATIONS ON THE NOSE, HOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. ZI-Z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ZI. E

TONSILLECTOMY UITH OR MITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . .. Z8.2-2B.3

OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Y . . . . ..W-34

6RoNcHoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33. zl.33.23

15,066.4 12,012.4 17,916.9

373.8

110.9

99.7

392.6

122.6

88.3

356.3

99.9

110.4

47.5

609.8

2T.5 66.2

509.1

207.1

142.0

703.9

310.5

219.3

260.6

182.0

144.4

70.7

160.8

85.4

125.1

57.0

649.0

108.9

190.7

638.6

105.3

161.5

658.8

112.2

217.9

400.7

90.2

760.8

496.9

114.0

309.1

68.0

OPERATIONS ON THE CARDIOVASCULAR SYSTEH....................................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 REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.1

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21-37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

94T. 5

151.4

112.9

278.7

91.6

586.5

62.9

37.7

135.7

84.1

105.6

74.0

204.7

87.7

OPERATIONS ON THE HEilIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42-54

ESOPHAGOSCOPY ANO GASTROSCOPY [NATURAL ORIFICE) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3

PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE [NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.2+

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47.•

HEMORRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49. +3-+9.46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. Z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.• .53. I

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

Laparoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5+.2l

OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.5

157.3 164.2

2,292.7

150.9

2,519.0 2.730.2

108.4

104.3

265.7

120.3

71.7

214.3

238.9

103.4

“ 101.7

238.8

131.4

113.0

106.7

290.9

110.0

69.7

303.4

50.4

115.3

232.7

74.0

118.8

440.9

69.6

*

36.1

93.2

122.2

124.6

826.9

207.3

OPERATIOtAS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENoOSCOP IES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.21- 55.22 .56.31 .57.32 .58.22

OILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

989.7

49T.5

81.5

675.0

243.3

78.9

366.0

80.1

369.8

155.9

39.3

1,750.0

217.6

OPERATIONS ON THE MALE GEN17AL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60-64

pR0sTA7EcT0t4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60.2-60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64.o

OPERATIONS ON THE FEMALE GENITAL ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00PHORECTOMY ANO SALPINGO.OOPWRECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69.01 .69.51

OILATION AND CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . ...69.02

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69.O9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70.5

766.0

322.9

81.4

. ..

. ..

. ..

38383.4

420.7

. . .

. . .

. . .

. ..

.. .

. . .

. . .

. . .

261.8

262.8

46.3

119.5

322.3

67.1

506.1

546.7

89.5

231.1

623.2

129.7

3,318.0

347.9

1,361.0

614.3

3T7.8

1 ,488.1

163.6

93,8

81.5

84.8

37.7

53.1

85.3

162.5

OBSTETRICAL PRocEWRES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72.75

EPISIOTOMY wITH FORCEPS ANO VACUUM ExTRACTI ON. . . . . . . . . ..72.1 .72.21 .72.31 .72.71

EPI SIOTOMY WITHOUT FORCEPS ANO VACUUt4 ExTRACTION

CESAREAN SECT ION

. . . . . . . . . . . . . . . . . . . . . . . . . . 73.6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

1,716.2

179.9

703.9

317.7

.. .

. . .

. . .

. . .

195.4 . . .

OPERATIONS ON THE !N.ISCULOSKELETAL sYsTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-8+

OPEN REOUCTION OF FRACTURE . . .76.72 . 76.74,76 .76-76 .77,76 .79,79 .2-79.3, 79.5 -79.6

OTHER REOUCTIOb

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bo.2

EXCISION OR DESTRUCTION OF INTERVERTEBRAL O ISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE ‘- ‘----

ARTHROPLASTY ANO REPLACEHr

1,558.6

189.0

111.5

114.1

98.6

65.5

59.6

64.3

182.7

1,634.2

216.2

130.4

149.0

N OF FRACTURE . . . . ...76.71.76.71.76. 73,76 .75,76 .78,79 .c=79.1,79.4

113.3

k ❑ F KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.6 95.3

ENT OF KNE E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .BI .41-81.47

ENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8I.6

66.6

41.8

204.3

ARTHROPLASTY ANO REPLACEHI

OPERATIONS ON HuSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...32-83.1.83.3-83.9

OPERATIONS ON THE INTEGu$!ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B5-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE [PARTIAL MASTECTOMYI . . . . ..85.20-85 .23

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIc Procedures . . . . . . . . . . . . . . . . . . . . . ...87-99

COt4PUTERIZE0 AXIAL TOMOGRAPHY (C. A.T. SCAN I . . . . . . 87.03,8 T.41, B7.71,88.01,88.38

CONTRAST MYELOGRAH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.21

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATE RI AL . . . . . . . ...88.4-88.5

DIAGNOSTIC ULTRAS• UNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 .0-92.1

810.0

56.2

48.3

650. T

*5.4

*5.3

958. T

103.7

88.4

2,372.5

260.9

2,340.0

260.4

168.9

212.1

410.9

184.2

255.6

2,402. B

“261.4

129.5

192.3

238.7

300.0

300.2

148.5

201.9

321.8

244.1

27B.7

NOTE : SEE ‘MEOICAL COOING ANO EOIT, il APPENOIX I, FOR CODING MODIFICATIONS FOR THE NATIONAL HOSPITAL 01 SCH4RGE SURVEY.

43
,,

. .

TA8LE 19. NUMBER OF ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROH SHORT-STAY HOSPITALS,

UNITED STATES, 1982

[DISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUOES NEuBORN INFANTS. GROUPINGS OF PROCEDURES BY

INCLUSIONS ARE FJASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL

BY PROCEOURE CATEGORY ,ANO RACE:

ANATOMICAL SYSTEMS ANO COOE NUMBER

HOOIFICATIONI

PROCEOURE CATEGORY ANO lCO-9-CM COOE ALL RACES HHITE ALL NOT

OTHER STATEO

NuHBER OF ALL-L ISTEO PROCEDURES IN THOUSANOS

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SPINAL TAP

01-05

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o07o7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o.3-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS IPSEUOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. I3.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-20

14YRINGOTOf4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo. o

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2I-Z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.8

TONSILLECTOMY WITH OR WITHOUT AOENOIDECTOMY . . . . . . . . . . . . . . . . . . . . . . . . .. ZB. Z-ZLI.3

OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35-39

OPEN HEART SURGERY . . ...3351-35.51535.53-36. 2,36.9,37 .10-37.11,37.32-37. 33,37.5

OIRECT HEART REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.1

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...*..... . . . . 37.21-37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEf4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-4l

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..".42.54

ESOPHAGOSCOPY ANO GASTROSCOPY INATuRAL OR IF ICE I . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTO14Y ANO RESECTION OF INTES71NE . . . . . . . . . . . ..46.454B.8.45 .6-45. B

ENOOSCOPY OF LARGE INTESTINE [NATURAL ORIFICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.2+

APPENDECTOMY, EXCLUO lNG I NC IOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47.0

HEMORRHO1OECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49.43-49.46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5L. z

REPAIR OF INGUINAL HERN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. o-53. 1

OTHER HERNIA REPA[R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21.

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATuRAL ORIF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31,57 .32,58.22

OILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60-64

PRO STATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.2 -60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64. o

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65-71

OOPHORECTOMY ANO SALP INGO-OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65.3 -65.6

81 LATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOFIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -68. T

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. OI.69.51

OILATION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69. O2

OIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. O9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72-75

EPISIOTOMY WITH FORCEPS ANO VACUUM EXTRACT I ON. . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTOMY II ITHOUT FORCEPS ANO VACUUM EXTRACTION 73.6

CESAREAN SECTION

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

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETR [C LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75.5 -75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE . ..76.72 .76.74,76 .76-76 .7 T,76.79,79.2-79 .3,79 .5-T9.6

OTHER REOUCTION OF FRACTURE . . . . ...76.70.76.71.76.73.76.75.76.78.79.0-79.1 ,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80.2

EXCISION OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FUSION . . . .. B0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80.6

ART HROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.41 -B1.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.5,81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...32-83.1.83.3-83.9

OPERATIONS ON THE INTEGU14ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85-86

EXCIS1ON OR OBSTRUCTION OF BREAST TISSUE [PARTIAL MASTECTOMY I . . . . ..88522385 .23

t4ASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85.4

MISCELLANEOUS DIAGNOSTIC AND THERAPEuTIc PROCEDUR ES . . . . . . . . . . . . . . . . . . . . . ...87-99

coMpu7ERzz Eo AxIAL TOMOGRAPHY IC. A.T. SCAN] . . . . . . 87.03 .B7.41,8T. T1 ,88.01,88 .38

CONTRAST MYEL OGRAt4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.21

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B7.73-87.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . .. B8.4-88. 5

DIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.0-92.1

34,632

859

255

229

109

1,402

599

418

332

163

1,492

250

438

921

207

1,749

243

170

471

202

362

5,790

249

240

611

277

165

493

549

214

281

206

1,901

841

184

850

358

90

4,023

500

602

650

106

275

74I

154

3,945

414

1,618

730

449

3,583

434

256

262

227

151

137

148

420

1,862

129

111

5,454

600

3+1

464

740

561

641

27,317

665

180

183

83

1.143

489

350

266

132

1,195

211

341

747

169

1,456

218

157

40 e

175

284

4,649

207

198

512

220

133

400

437

162

209

226

1,572

704

149

674

289

54

3,024

400

412

519

1%

557

130

2,B82

322

1,212

521

323

2,793

351

195

200

185

115

107

127

326

1,460

10L

91

4,424

476

277

387

632

431

4,302

119

60

22

15

96

37

19

26

12

127

11

39

117

26

183

12

*7

42

13

49

675

25

22

60

29

17

49

53

32

50

40

211

90

24

105

32

31

647

57

129

74

55

53

123

*8

612

46

222

129

80

398

41

27

24

14

13

i:

55

246

17

11

676

T5

26

53

61

101

92

3,013

75

*15

*24

*11

163

73

50

40

*I9

170

*2B

58

57

*12

109

*13

*7

*2 o

*13

*29

466

*17

*19

39

*28

*15

43

60

*21

*22

*21

118

47

*L1

71

37

*5

351

43

61

58

*B

*24

61

*15

450

46

184

80

46

392

42

*34

39

*z 7

*22

*2O

*12

40

155

*11

*9

354

49

38

*24

46

*3 o

521 *27

NOTE: SEE ‘f MEOICAL COOING ANO EOIT, rl APPENOIX I, FOR COOING MOOIFICATIQNS FQR THE NAT2QNAL HospITAL oIscHARGE SIJRVEY’.

44

r
TABLE 20. NUMBER OF ALL-L ISTEO PROCEDURES FOR PATIENTS 01 SCHARGEO FROM SHORT-STAY HOSPITALS, BY PRoCEOURE CATEGORY ANo GEOGRAPHIC

REGI ON: UNITED STATES, 1982

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NEHBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS ARE BASED ON THE INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

PROCEOURE CATEGORY ANO ICO-9-CM COOE uNITED NORTH- NORTH SOUTH UEST

STATES EAST CENTRAL

NUMBER OF ALL-LI> !tu FKULt UUKt> IN IHUUWNU>

. ------------------ . . . . .

34,632 7,5L4

167

59

37

20

241

110

60

67

35

313

45

65

205

43

297

33

23

66

46

83

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,239

270

71

86

29

454

186

133

122

54

551

105

162

272

59

528

72,

53

142

54

116

1,627

L0,972

258

84

59

41

390

163

121

94

50

394

1::

277

78

552

84

57

176

70

107

1,996

104

69

236

67

62

169

154

T2

90

114

614

291

85

284

109

43

1,478

195

272

268

14

2%

55

1,350

198

492

289

163

1,041

130

T9

65

80

42

36

41

136

628

50

33

1,407

132

109

154

241

112

5,908

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3I

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

859

255

163

40

4a

.

229

OPERATIONS ON THE ENOOCRINE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O6.O7 109 20

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS lPSEUOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I3.7

1,402

599

418

318

140

104

.

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IE.ZO

MYRINGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo.o

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ZI. S

TONSILLECTOMY ldITH OR l#ITi+3UT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l-33.23

332

163

50

24

1,492

250

43a

234

43

83

921

207

166

29

372 -

54

37

B6

32

OPERATIONS ON THE CARDIOVASCULAR SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..35.1-35.51 .35.53 -36.2 .36.9 Y37.10-37.1 1.37.32 -37.33,3T.5

OIRECT HEART REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.1

CAROIAC catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

1,749

243

170

471

202

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40-41

OPERATIONS ON THE OX GESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NA7URAL ORIFICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GASTRECTO14Y ANO RESECTION OF INTESTINE. . . . . . . . . . ...43.5-43.8.45.6-45.8

ENDOSCOPY OF LARGE INTESTINE (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HE MORRHOIOECTOIIY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 .+3-+9.46

CHOLECYSTECTO14Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.2

REPAIR OF lNGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.0-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2.53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.21

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ENOOSCOPI ES THROUGH NATURAL ORIFICE

55-59

. . . . . . . . . . . . ..55.21 -55.22 .56.31 .57.32 .58.22

O1LATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58.6

OPERATIONS ON THE MALE GENITAL ORGAN S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PRO STATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60.2-60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64. o

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00PHORECTO.MY ANO SALp INGo.OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6e.3-6B.7

CURETTAGE OF uTERus TO TERHINATE pregnancy . . . . . . . . . . . . . . . . . . . . . . . ..69. ol.69. sI

OILATION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69.O2

DIAGNOSTIC OILATION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69.o9

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

362 55

1,264

61

60

163

53

1::

151

45

57

43

5,790

249

240

611

277

165

493

549

214

903

60

57

155

77

50

137

151

62

85

85

606 *

280

63

246

102

24

,008

139

133

16B

10

71

191

41

,127

94

476

166

115

24

54

57

60

24

84

93

36

49

45

281

286

1,901

B41

184

385

197

28

188

79

17

936

78

112

98

68

2::

23

736

65

324

141

70

236

74

●8

850 131

6B

*6

358

90

4,023

500

600

88

84

116

14

37

69

36

602

650

106

275

?41

154

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7Z.TS

EPI SIOTOMY liITH FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . ..72.1 .72.21 .72.31 ,72.71

EPISIOTOMY HITHOUT FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SECT ION..........................................74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

3*945

414

732

57

32T

135

100

1,618

730

449

OPERATIONS ON THE UUSCULOSKELETAL SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCT ION OF FRACTURE . ..76. T2.76.74,76 .76-76 .7 T, T6.79,79.2-79.3,79 .5-79.6

OTHER REOUCTION OF FRACTURE . . . . . ..76. TO. 76. 71,76 .73, T6.75,76.78,79 .o-79-1,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2

EXCISION OR DESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . .. B0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80.6

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.41-81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.5,81.6

OPERATIONS ON MuSCLES, TENOONS, FASCIA, ANO 8URSA . . . . . . . . . ...32-83.1.83.3-83.9

3,583

434

603

85

50

51

27

27

14

25

6T

395

33

30

1,1B3 756

119

7a

80

100

49

67

256

262

227

151

137

148

420

TO

46

54

54

136

536

35

28

1.564

49

34

3+

2B

82

OPERAT1 ONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EXCISION OR OBSTRUCTION OF BREAST TISSUE [PARTIAL MASTECTOMY) . . . . ..8..2 ..;;.;;

HAS TECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s5.4

1,862

129

111

302

11

20

MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIC procedures . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTERIZEO AXIAL TOMOGRAPHY (C. A.T. SCAN) . . . . . . 87.03,87 .41, B7. TI,88.01, 88.38

CONTRAST HYELOGRAU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.21

PYELOGRbM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87. T3-87.75

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIL L........ .. B8.4-88.5

DIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-92.1

5,454

600

341

464

740

561

641

1,613

215

54

126

113

220

296

870

114

TZ

53

150

77

’91

139

106

131

235

152

138 116 .-

NOTE : SEE ‘* MEOICAL COOING AND EOIT, W APPENOIX 1, FOR COOING 14001 FICA710NS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

45

.
TABLE 21. RATE OF AL L-L ISTED PROCEDURES FOR PAT I ENTS OISCHARGEO FROM SHORT-STAY HOSPITALS. BY PRoCEDURE CATEGORY AND GEOGRAPHIC

REGION: UNITED STATES, 1982

IO ISCHARGES FROM NONFEDERAL HOSPI TALS. EXCLUOES NE!480RN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INC. LUS1ONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MOOIF ICATIONI

PRO CEOURE CATEGORY ANO ICO-9-CM COOE UNITEO NORTH- NORTH SOUTH ‘dEST

STATES EAST CENTRAL

RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05

SPINAL TAP . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3I

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RvEs . . . . . . . . . . . . . . . ..04. o.04. z-o4.9

OPERATIONS ON THE ENOOCRINE SYSTEM.........................................• 6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OE.I6

EXTRACTION OF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS IPSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I3.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-20

MYRINGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo. o

OPERATIONS ON THE NOSE, MOUTH, ANO PHAILYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ZI-Z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . .> . . . . . . . . . . . . . . . . . . . . . . . ..zl. s

TONSILLECTOMY HITH OR kiITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . 28.2 -28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33.21-33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPEN HEART SURGERY . . . . .

35-39

35.1-35.51,35.53-36.2,36 .9,37 .1 O-37.11,37 .32-37 .33,3T.5

OIRECT HEART REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CAROIAC CATHETER1ZATION

36.1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.21-37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . ...”. 40-41

OPERATIONS ON THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42-54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GASTRECTOFiY ANO RESECTION OF INTESTINE . . . . . . . . . . . ..46.4548 .a.45.6-45.8

ENooscopY ,OF LARGE INTESTINE (NATURAL OR IFICE] . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENOECTO!IY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HEf40RRHOIDECTOt4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49.43-49.46

CHOLECYSTECTONIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. o-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.2 -53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.5

OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . ...55.21-55.22.56.31. 5T.32,58.22

OILATXON OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60-!54

PROSTATE CTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.2-60.6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64.0

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65-71

00 PHORECTOMY ANO SALP lNGO-OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65.3 -65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . . ..66 .2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68.3-68.7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69.01 .69.51

OILATION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69.O2

DIAGNOSTIC OIL AT ION ANO CURETTAGE OF uTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69 .09

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70.5

15,066.4 17,419.6

373. B

15,227.3 14,.?00.2 13,282.9

338.7

120.6

T4. I

460.0

120.4

145.8

33*.5

109.0

76.6

367.1

90.7

107.3

110.9

99.7

47.5 39.6 48.5 52.8 45.7

609. a

260.6

laz.o

4a7.5

223.6

122.1

771.6

316.5

226.6

504.2

211.0

156.3

715.3

313.8

234.3

144.4

70.7

134.9

71.2

207.2

91.1

937.0

121.4

64.4

112.0

54.3

649.0

108.9

190.7

634.6

91.5

131.0

510.2

73.5

167.a

525.9

96.4

lass

179.3

274a

400.7

90.2

415. a

a6.1

463.4

99.8

359.1

100.4

373.6

64.4

760. a

105.6

74.D

204.7

87.7

601.5 898.4

123.3

90.2

241.6

91.6

713.9

loa.5

74.2

837.1

120.4

83.0

66. T

46.3

133.2 22a.2 194.4

93.4 90.3 71.9

157.3 169.0 197. a

2,768.9

101.6

96.1

264.3

131.2

85.6

232.4

256.4

138. B 122.9

2,519.0

108.4

104.3

2,562.0

123.6

121.4

329.4

106.9

2,5a3.4

134.7

89.2

304.9

2,029.4

54.8

122.4

265.7 129.0

120.3 112.5 134.4

T9.7 53.1

218.8 18a.5

199.3 210.2

92.T 80.a

116.9 109.8

147.3

71.7

214.3

238.9

93.2

122.2

124.6

59.6

208.7

306.0

91.0

115.6

a6.2

105.1

144.0

144.1

1,031.3

477.0

107.5

41a.9

174.2

40.2

102.2

826.9

366.0

80.1

780.4

398.5

56.2

B71.9

376.2

110.2

530.1

165.5

*la.2

369.8 3a2. o

161.0

34.8

368.1

lr+o.a

56.3

294.5

152.2

:13.8

155.9

39.3

1,750.0

217.6

261.8

2a2.a

46.3

119.5

1,897.1

157.9

226.2

197.9

136.a

162.3

1,714.5

236.2

226.9

1,913.4

252.4

352.3

347.3

a8.6

111.6

310.7

71.1

1,747.4

256.1

636.7

1,349.7

198.8

la9.9

259.8

32.3

286.6

17.3

120.7

325.5

69.3

a4.2

155.0

80.9

322.3

67.1

4a7.5

45.7

OBSTETRICAL PRoCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72-75

EPISIOTOKIY 141TH FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . ..72.1 .72.21 .72.31 .72.71

EPISIOTOMY HITHOUT FORCEPS ANO VACUUM EXTRACTION

CESAREAN SECTION

. . . . . . . . . . . . . . . . . . . . . . . . . . 73.6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT 08 ST ETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75.5 -75.6

1s716.2 1,492.5 1,916.7

159.2

ao9.3

2al.6

196.4

1,644.9

12a.2

734.2

303.6

225a

179.9

703.9

317.7

131.9

656.5

2a5.5

141.5

373.9

195.4 2LI.6

OPERATIONS ON THE tiuSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76-84 1.55a.6

OPEN REOUCTION OF. FRACTURE . ..76.72 .76.74,76 .76-76 .7T, 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

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ao.6

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . al.4k81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81.5,81.6

OPERATIONS oN MUSCLES, TEN00N5, FASCIA, ANO auRsA . . . . . . . . . . ..32- a3.l.83.3-83.9

OPERATIONS ON THE INTEGU!IENTARY SYS7EM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85-8&

EXCISION OR DESTRUCTION OF 8REAST TISSUE (PARTIAL MASTECTOMY ) . . . . .. E852O-85 .23

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B5 .4

I

1,222.2

171.7

102.2

10Z.4

55.6

55.3

2,011.9

203.1

132.0

136.9

119.9

79.1

91.0

1,3+7.9 1 ,699.2

168.2 225.7

101.9 111.3

la9. o

111.5

114.1

98.6

65.5

59.6

83a

102.9

54a

149.7

110.5

77.4

2fJ.3

50.7

135.7

46.6 75.5

53.0 62.7

175.4 la3.3

64.3

182.7

91.6

231.1

810.0 8oo.a 912.4

56.2 67a 59a

48.3 60.7 47.7

81,2.7

64.5

43.2

680.1

24.3

44.2

MISCELLANEOUS DIAGNOSTIC ANO THERAPELI

COMPUTERIZEO AXIAL 1

CONTRAST ‘“’”-” ‘--

rIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ..a7-99

TOMOGRAPHY 1 C. A.T. SCAN] . . . . ..87.03, a7.4i,87.71, a8. or, aa.3a

F4YELUGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.21

PYELOGRAt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75

ART ER1OGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST HATERIAL . . . . . . . ...88.4-88.5

OIAGNOSTIC ULTRASOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88.7

RAO1OISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.0 -92.1

2,372.5

260.9

148.5

3,269.0

436.2

109.7

2,660.9

236.6

lBO.3

222.8

400.3

25a. 5

1,820.6

170.5

140. a

198.8

312.2

144.6

1,955.5

255.7

163.0

119.3

337.7

L73. T

201.9 256.2

321.8 229.0

244.1 446.2

278.7 600.5 23+.0 149.8 204.7 ‘

NOTE: SEE WEOICAL COOING ANO ED IT,,, APPENOIX 1, FOR COOING MOOIF ICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

.

46
TABLE 22. NUP18ER OF ALL-LX STED PROCEDURES FOR PATIENTS D ISCHARGEO FROM SHORT-STAY HoSPITALS, BY PROCEDURE CATEGORY ANO BEO S lZE OF

HOSPITAL: UNITED STATES, 1982

(discharges FROM NONFEOERAL HoSPITALS. EXCLUOES NE W30RN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTE14S ANO COOE NuMBER

INCLUSIONS ARE 8ASE0 ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION. CLINICAL t4001FICATIONl

PROCEOURE CATEGORY AND ICO-9-CM CODE ALL 6-99 10@199 200-299 300-499 500 BEOS

SIZES BEDS BEOS BEOS BEDS OR MORE

NUMBER OF ALL-LISTEO PRDCEOURES IN THOUSANOS

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...34.632

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL AND PERIPHERAL NE RVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

OPERATIONS ON THE ENOOCRINE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.1 -13.6

INSERTION OF PROSTHETIC LENS (P SEUOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

WRINGOTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20.0

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY AND REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY wITH OR IJITHOUT AOENOIOECTOW . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTW . . . . . . . .." . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHDSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACE14AKER INSERTION, REPLACEMENT, RE140VAL, ANO REPAIR . . . . . . . . . . . . . . ..37.7-37. B

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE I . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GASTRECTOMY AfAO RESECTION OF INTESTINE . . . . . . . . . . . ..43.5-43 .S.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE [NATURAL OR IF ICE J . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEMORRHOIOECT014 Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49.43-49 .46

CWLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5l.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54.21

OIVISION OF PERITONEAL ADHESION S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

EN OOSCOPIES TI+70UGH NATURAL OR IF ICE . . . . . . . . . . . . . . 55.21-55 .22,56 .31,57 .32,58.22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PRO STAT ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMCISION ..............................................................64.0

OPERATIONS ON THE FEHALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . .

00PHORECTOMY ANO SALPINGO-OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . .

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . .

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . .

OILATION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION. . . .

DIAGNOSTIC OILATION AMO CURETTAGE OF UT ECU S . . . . . . . . . . . . . . . . . . . .

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . ...65-71

..; ...65.3-65.6

. . . ...66.2-66.3

. . . ...68.3-68.7

. . ..69.01 .69.51

.. . . . . . ...69.02

. . . . . . . ...69.09

. . . . . . . . . ..TO.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T2-T5

EPISI07011Y wITH FORCEPS ANO VACUUM EXTRACT ION . . . . . . . . ...72. 1,72.21,72.31.72.71

EPISIOTOHY MITHOUT FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SECT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0-74 .2.74 .4.74.99

REPAIR OF CURRENT OBSTETRIC LACER AT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 .5-75.6

859

255

229

109

1,402

599

41a

332

163

1,492

250

43a

921

207

1*749

243

170

471

202

362

5,790

249

240

611

277

165

493

549

214

281

286

1,901

841

la4

850

358

90

4,023

500

602

650

106

275

741

154

3,945

414

1,618

730

449

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84 3,583

OPEN REOUCTION OF FRACTURE . ..76.72 .76.74,76 .76-76 .77,76 .79,79 .2-79 .3, T9.5-79.6 434

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76 .73,76 .75,76 .78, T9. @79.1,79.4 256

ART HROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2 262

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..80.5,81.0 227

EXCISION OF SEIIILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.6 151

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41-8 ..47 137

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 I.5.8I.6 14a

OPERATIONS ON MUSCLES, TENDONS, FASCIA, AND BURSA . . . . . . . . . ...82-83. 1,83. 3-83.9 420

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 1,862

EXCISION OR OBSTRUCTION OF BREAST TISSUE [PARTIAL MASTECTOMY) . . . . ..8852 O-85 .23 129

MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4 Ill

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. B7-99 5,454

COMPUTERIZE AXIAL TOMOGRAPHY (C. A.T. SCAN) . . . . . . 8T.03,87.41 ,87.71,88.01,88 .38 600

CONTRAST HYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8T.21 341

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a7.73-B7.75 464

ART ERIOGRAPHY ANO ANGIOCAROIOGRAPHY uSING CONTRAST MATERIAL. . . . . . . ...88.4-88.5 T40

OXAGNOSTIC ULTRAS OUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8B.7 561

RAOIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.0-92.1 641

3,820

55

16

25

*9

117

44

31

16

*a

194

39

TO

50

10

46

*

10

28

78a

22

27

75

5a

30

86

a5

33

36

32

219

94

28

91

32

18

543

65

122

72

*8

35

109

20

515

33

252

84

Bl

504

49

46

18

10

14

*9

13

66

306

la

12

339

16

13

43

*T

33

35

5,769

115

38

36

*8

277

126

97

%

256

37

82

140

30

171

13

*9

%

50

1,005

36

39

96

52

28

1::

41

56

62

340

150

43

159

70

16

a26

104

126

141

18

1:!

33

61T

98

259

136

61

607

72

41

41

35

26

18

20

76

315

23

18

a26

93

48

90

56

BT

Isa

5,7a6

137

32

38

20

245

119

76

T6

38

289

4a

95

164

36

298

33

20

74

44

55

1,038

64

3T

130

50

30

76

98

42

52

49

347

153

36

152

72

14

617

85

1:2

*9

40

Ioa

27

570

5a

247

104

65

615

80

46

62

36

35

25

27

67

306

23

16

a56

98

66

74

154

67

68

9,169

z2a

62

71

33

403

170

122

101

51

410

69

112

254

64

501

62

44

125

54

99

1,446

66

68

154

64

42

129

143

%

64

520

226

41

230

98

20

976

125

120

166

22

70

187

43

1,050

117

419

193

117

94 L

116

69

80

.32

40

43

42

113

474

34

32

1,503

15B

96

120

205

165

192

lo, oaa

324

107

59

39

360

140

93

83

35

343

5a

79

313

67

732

134

2%

61

130

1,513

62

69

156

53

36

110

119

43

79

80

475

zla

36

21a

85

23

1.061

121

13B

165

51

2%

32

1,191

Ioa

441

213

125

916

116

54

62

84

35

43

46

98

461

::

1.930

234

119

136

317

209

187

NOTE : SEE ‘lHEOICAL COOING ANO EOIT, $! APPENOIX 1, FOR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

47
Appendixes

Contents

I. Technical notes on methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Statistical design of the National Hospital Discharge Suwey . . . . . . . . . . . . . . . . . . . . . . . .

Data collection and processing.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Presentation of estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Reliability of estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tests of significance . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Definitions ofcertain terms used in this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospitals and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Terms relating to diagnoses .

Terms relating to surgical and

Demographic terms . . . . . .

List of appendix figures

I.

11.

HI.

w.

Medical abstract for the National

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

nonsurgical procedures . . . . .’ . . . . . . . . . . . . . . . . . . . . . .

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

HospitaI Discharge Suwey . . . . . . . . . . . . . . . . . . . . . . . . .

Approximate relative standard errors o; estimated ;umbers &f patients discharged, or of first-listed diagnoses,

and of all-listed diagnoses, by selected patient and hospital characteristics . . . . . . . . . . . . . . . . . .

Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital

characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Approximate relative standard errors of estimated numbers of procedures for patients discharged, by selected patient

and hospital characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...!....

List of appendix tables

1.

11.

111.

Number of hospitals in the National Hospital Discharge Survey (NHDS) universe and number of hospitals added

to the NHDS universe, by year of addition and year of Master Facility Inventory (MFf) used: United States,

1963–79 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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,

[982 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Civilian population by sex, age, geographic region, and race: United States, July 1, 1982 . . . . . . . .

49

49

49

52

53

58

59

59

59

60

61

51

54

56

57

49

50

52

48
,,

-.

.

. .

Appendix I

Technical notes on methods

Statistical design of the National

Hospital Discharge Survey

Scope of the survey-l%e National Hospital Discharge

Survey (NHDS) consists of patients disch~ged 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.

Sampie 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 MFI. This universe

is periodically updated (table I). The distribution of the hospitals in the NHDS universe and sample for 1982 is ,given

by bed size and geographic regions in table II.

Table L Number of hospitals in the National Hospitel Diaoharge Survey

(NHDS) untieree and number of hospitals added to the NHDS universe,

by year of addition and year of Master Facitii Inventory (Mfl) used

United Stateej 1963-79

NHDS univ.ke

MFI data year Year added Number added Total universa

1963 . . . . . . . . . . . 1665 6,965 6,965

1969 . . . . . . . . . . . 1972 442 7,407

1972 . . . . . . . . . . . 1975 223 7,830

1975 . . . . . . . . . . . 1977 273 7,903

1977 . . . . . . . . . . . 1979 114 8,017

1979 . . . . . . . . . . . 1961 63 8,080

The sample for 1982 consisted of 550 hospitals. Of

these, 71 refused to participate, and 53 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

426 hospitals participated in the survey during 1982 and

provided approximately 214,000 abstracts of medical records.

Sample &sigrz—All hospitals with 1,000 beds or more

in the universe of short-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

be properly distributed

that hospitals in the- sample would

with regard to ownership and geci.

graphic 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 subsamples 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 dld

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 sampIe selection

and the transcription of information from the hospital records

to abstract forms were performed either by the hospital staff

or by 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). A1l 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.

49
.

Table Il. Distribution of short-atsy hospitals in the National Hospital Oischarge Survey universe and survey sample and number of hospitals that

participated in the survey, by geographic region and bed size of hospital: United State.% 1982

Bed size of trospita/ All regions Northeast North Central South West

All sizes

Unwerse . . . . . . . . . . . . . . . . . . . . . . . . .

Total sample . . . . . . . . . . . . . . . . . . . . .

Numberparticipating . . . . . . . . . . . . . . . . . .

6-49 beds

Universe . . . . . . . . . . . . . . . . . . . . . . . . . .

Total sample . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating . . . . . . . . . . . . . . . . . . . . . . . . .

5C-99 beds

Universe . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Totalsample . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating . . . . . . . . . . . . . . . . . . . . . . .

100-199 beds

Universe, . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total sample . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating . . . . . . . . . . . . . . . . . . . . . . . . .

20C-299 beds

Universe . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total sample, . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating ..,.... . . . . . . . . . . . . . . . .

300-499 beds

Universe . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total sample . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating . . . . . . . . . . . . . . . . . . . . . .

500-999 beds

Universe . . . . . . . . . . . . . . . . . . . . . . . . . . .

Totai sample . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating . . . . . . . . . . . . . . . . . . . . . . . .

1,000 beds or more

Universe . . . . . . . . . . . . . . . . . . . . . . . . . .

Total sample . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberparticipating .,.... . . . . . . . . . . . . . . . .

8,080

550

426

3,537

70

45

fl,918

81

60

1,427

124

95

632

100

78

413

99

62

135

58

49

18

18

17

Number of hospkals

1,185 2,156

132 155

104 121

223 901

8 18

6 12

301 487

14 20

9 15

298 414

26 34

22 28

196 168

31 28

25 22

113 135

25 33

20 26

45 48

19 19

14 16

9 3

9 3

8 3

3,236 1,503

180 83

138 63

1,679 734

30 14

19 6

751 379

33 14

28 10

491 224

45 19

29 16

169 99

25 16

19 12

112 53

29 12

27 9

29 13

13 7

13 7

5 1

5 1

5 1

Completed abstract forms foreach, sampIe hospital were

shipped, along with sample selection control sheets, to a

Census Regional Office. Every shipment of abstracts was

reviewed and each abstract form was checked for completeness. Abstracts were then sentto NCHS forprocessing.

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

was assigned for each sample abstract; in addition, if the

medical information included surgical or nonsurgical procedures, a maximum of four codes for these procedures was

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

abstrdcts. 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.

National Hospital Discharge Survey medical coders code

from abstracts of medical records in the order the diagnoses

NOTE: Alistofrcfcrcnccs followsthctcxt.

and procedures are entered. For most abstracts, this coding

procedure is relatively free of problems. It was noted, however, that acute myocardial infarction was frequently 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 retrieveable 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 myocardial 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 thelnternational”Classification of Diseases, 9th Revision, Clinical Mod- “

ification2 (ICD–9-CM). Earlier data for 1970–78 were coded

according to the Eighth Revision International Classijkation

of Diseases, Adapted for Use in the United State~3 (ICDA),

.

50
Form Approved: O.M.B. No. 0S37-0304

.-

CONFIDENTIAL - All mformatmn which would permn Identification of an mdlwdual or of an establishment WIII be held con fidenoal, WIII be used only

by persons engagad m and for !he purposes of the survey, and WIII not be disclosed or released to other persons or used for any other purpose.

FORM #iDs-1 DEPARTMENT OF HEALTH AND HUMAN SERVICES

[a.5.82) U S PUS LIC HEALTH SERVICE

NATIONAL CENTER FOR HEALTH STATISTICS

MEDICAL ABSTRACT – NATIONAL HOSPITAL DISCHARGE SLIRVEY

A. PATlENT IDENTIFICATION Month Day Year

l. Hospital number . . . . . . . . . . . . J 4. Dateofadmission. . m-m-m

2. HDS number . . . . . . . . . . . . . . . . I 5. Date of discharge . . m-m-m

3. Medical record number 6. Residence ZIP code [

B. PATIENT CHARACTERISTICS

8. Age (Complete orrlyif dare of

Units I ❑ Years

Month Day Year

7. Date of birth ~-m– ~ birth”o’g’ven) ”””’”””””””””

m{ ZO Months

30 Days

9. Sex (Mark (X) one) ~ 1❑ Male 2❑ Female 3 ❑ Not stated

10. Race I 1Q White 3 ❑Amer]can lndtan/Alaskan Natwe

j 20 Wack

5 ❑ Other (Spaafy)

40 Asian/Pacdic Islander 5 ❑ Noc stated .

11. Ethnicity (Mark (X) one) j I ❑ H!spamc origin 2 aNon-Hmpamc 30 Not staled

12. Marital status ; I ❑ Married 3 ❑ Widowed 5 ❑ Separated

(Mark (X) one) I

20 Single 4 u Divorced 6 ❑ Nots!ated !

13. Expected source(s) of payment Principal Other additional

(Mark orm only] sources

(Mark accordingly)

[

1. Workmen’s Compensation ., . . ❑

Z. Medicare n :

Gova

-A. ,.<

wnment

{

3.Medicaid . . . . . . . . . . . . . . . . . . . . ...=

.“”,.xts

4. Title V . . . . . . . . . . . . . . . . . . . . . . . . . . m

Ii

n

[ S. Other government payments ,, . . . . ~

E

Private

{

6. WeCroas . . . . . . . . . . . . . . . . . . ❑ c1

sourcwa 7. Other private or commercial

insurance . . . . . . . . . . . . . . . . . . . . . . ❑ •1

{

8.Salf pay

Other

. . . . . . . . . . . . . . . . . ❑

sources

9. Nocharge . . . . . . . . . . . . . . . . . . . . . . E

10. Other (Specify)

. ❑ :

❑ No source of payment indicated

:. FINAL DIAGNOSES

Principal:

14. Status/Disposition of patient

(Mark (X) appropriate box(es)l

Status Disposition

I ❑ Aliv~ @ a. ❑ Routine discharge/

discharged home

b. ❑ Left againat medical advice

c. ❑ Discharged, transferred to

another short-term hospital

d. ❑ Dmcharged, transferred to

Iongterm care institution

● . ❑ Dmposmon not stated

Z ❑ Dted

3 ❑ Status not stated

Other/additional:

❑ See reveraeslde

). SURGICAL AND DIAGNOSTIC PROCEDURES D;~ :

Mmtb Y,,,

Principal: m-m-m — — — I

Other/additional: uJ-Ll_l-LJ_l I

m-m-m

m-m-m

IZNONE ❑ Sae reverse side

;ompleted by Date

Figure 1. Medical abstract for the National Hospital Discharge Survey

51
with some modifications. These modifications, ‘which were

necessary because of incomplete or ill-defined terminology

in the abstracts, are presented elsewhere.’ 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 di vialed into

two main sections: diseases and injuries, and surgical and

nonsurgical procedures. However, many differences exist between the two classifications. These differences are discussed

in a previous reports

The NHDS follows the guidelines of the Uniform Hospital

Discharge Data Set (UHDDS) for coding procedures.910 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 inpatient information.

According to UHDDS guidelines, all procedures are allocated into one of four classes. Classes 1–3 consist of significant

procedures—that is, procedures that carry an mperative or

anesthetic risk or require highly trained personnel, special

facilities, or special equipment. Class 4 procedures are not

considered significant; therefore, reporting them is optional.

Consequently, with three exceptions, Class 4 procedures are

not coded by the NHDS. The class 4 procedures that are

coded are circumcision (ICD-9-CM code 64.0), episiotomy

(code 73.6), and removal of intrauterine contraceptive device

(code 97.7 1). See appendix 11for the procedure codes included

in these classes.

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 l–l 7

and the Supplementary classification of factors influencing

health status and contact with health service. The 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 tabtdar list

developed for the NHDS follow the format of the ICD-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

NOTE: A list of references follows the text

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 19S2, 9.2 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 !ength of stay

was imputed by assigning the patient a length of stay characteristic of the ‘stays of other patients of the same age. During

Table Ill. Civilian poputetion by sex, age, geographic region, and race:

United Statea, July 1, 1982

[Populationestimatesconsistentwith Series P-25, CurrentPopulation Reports, U.S. Sureau

of the Census]

Age, geographicregion,

and race Both sexes Male Female

Population in thousands

Alleges . . . . . . . . . .

Northeast . . . . . . . .

North Central . . . .

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

West . . . . . . . . . .

White . . . . . . . . . .

Another . . . . . . . . .

0-14years . . . . . . . .

Under l year . . . . . .

Id years . . . . . . . .

5-14 years . . . . . . .

Northeast . . . . . . . .

North Central . . . . .

South . . . . . . . . . .

West. . . . . . . . . .

White . . . . . . . . . .

Another, . . . . . . . .

15-44 years . . . . . . .

15-24 years . . . .

25-34 years . . . . .

35-44 years . . . . .

Northeast . . . . . . . .

North Central . . . .

South . . . . . . . . . .

West . . . . . . . . . .

White . . . . . . . . . .

Another . . . . . . . . .

45-64 years . . . . . .

45–54 years . .

55-64 years

Northeast . . . . . . . .

North Central

South ...,...,.,

West . . . . . . . . . .

White . . . . . . . . . .

Another . . . . . . . . .

65 years and over . .

65-74 years

75 years and over

Northeast . . . . . . . .

North Central

South . . . . . . . . . .

West . . . . . . . . . .

White, . . . . . . . . .

Another, . . . . . . . .

229,865

49,344

58,777

77,268

44,475

196,811

33,054

51,352

3,642

13,730

33,960

10,041

13,343

17,735

10,232

41,994

9,359

107,253

40,648

38,753

27,652

22,678

27,273

35,843

21,457

91,215

16,037

44,435

22,342

22,093

10,337

11,178

14,730

8,191

39,308

5,127

26,824

16,134

10,686

6,289

6,982

8,957

4,596

24,293

2,531

110,974

23,532

28,508

37,140

21,793

95,396

15,577

26,261

1,864

7,023

17,375

5,135

6,631

9,064

5,232

21,534

4,728

52,625

20,217

19,035

13,575

11,084

13,523

17,524

10,694

45,300

7,525

21,109

10,769

10,320

4,660

5,355

6,926

3,965

1s,818

2,293

10,778

7,004

3,774

2,444

2,792

3,628

1,914

9,747

1,031

118,691

25,812

30,269

40,128

22,683

101,414

17,477

25,093

1,776

6,708

16,607

4,907

6,513

6,673

5,000-

20,460

4,632

54,427

20,432

19,718

14,278

11,594

13,750

18,320

10,763

45,917

8,510

23,326

11,553

11,773

5,477

5,827

7,802

4,226

20,492

2,834

16,046

9,131 .

6,914

3,844

4,191

5,329 ,

2,682

14,547

1,499

52
.

1982 only 0.15 percent of the records had a missing date

of admission or discharge.

Rounded ~zum&?r$-Estimates of the numbers of inpatient

discharges, days of care, discharges with procedures, all-listed

diagnoses, and all-listed 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 rounded 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, ithas been determined that the civilian

population is more appropriate to use for the NHDS as persons

in institutions are usually hospitalized in short-stay hospitals.

This is especially true for elderly residents of nursing homes.

A report comparing NHDS rates based on the civilian population with the civilian noninstitutionalized population is currently being prepared.

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 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 fixed totals.

These components of estimation are described in appendix

I of two earlier publications. 11.1z

Meczsuremem errors—As in any suwey, 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

under the previous section entitled “Patient characteristics

not stated. ”

The Institute of Medicine (10M) has conducted three

studies on the reliability of hospital abstract data collection;

the most recent study was on the NHDS. The 10M NHDS

study was performed by using data coded according to the

lCDA: however, some of the findings are relevant to the

1981 NHDS data, even though these data were coded according to the ICD–9-CM. Of special interest to this report

is the finding that, in a number of cases, the first-listed

diagnosis in the NHDS was not the principal diagnosis as

determined by 10M 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

tlrst-listed diagnosis from the NHDS in approximately 86

NOTE: A listofrct’crcnccs follows thetext.

percent of the cases. Detailed accounts of this and other

IOM findings have been published: 13”15

.Sanzp/ing errors-The standard error is primari [y 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 percentage

of the estimate.

The standard error of one statistic is generally different

from that of another, even when the two come from the

same survey. To derive standard errors that would be applicable to a wide variety of statistics that could be prepared

at a moderate cost, a number of approximations are required.

As a result, the figures in this appendix provide general

relative standard errors for a wide variety of estimates rather

than the specific error for a particular statistic.

Approximate relative standard errors and standard errors

have been prepared for measuring the variances applicable

to: (I) estimates of the discharges or first-listed diagnoses,

and days of care for patient characteristics (for example,

age, sex, race) and of hospital characteristics (for example,

region, bed size, ownership), and patient characteristics crosstabt.dated 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 fiist-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, several curves are showfi

for a few variables whose relative standard errors are different

from those in the curve for “All other variables” that 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 pet%ains

to estimates of days of care in proprietary hospitals.

The selection of the appropriate relative standard error

curve is made as follows:

1. Discharges or j?rst-listed diagnoses and all-iisted diagnoses for parient and hospital characteristics: Re Iative

standard eirors of the estimated number of discharges

and of all-listed diagnoses are obtained from the curves

in figure 11.

‘7A. Days of care for discharges or first-listed diagnoses

for patient and hospita[ characteristics: Relative standard

errors of the estimated number of days of care are obtained

from the curves in figure III.

3. Procedures: Relative standard errors for procedures are

obtained from the curve in figure IV.

53
.,

2

. .

.,

70

60

50

40

30

20

10

70

60

50

40

30

20

10

A 2 3 456789A 2 3456789A 2 3 456789A 2 3 4 56789A 2 3 456789A

1 10 100 1,(KIO 10,000 100,000

3ize of estimate in thousands

EXAMPLE: As shown in table 4, an estimated 1,984,000 patients 1s44 years of age were discharged hom short-stay non-Federal hospilals with 10W499 bads in the Norlheasl Region. The relative standard error of [his estimate, as read

born the cuwe “Region by bad size 100 and greater” is approximately 8.8 percent. The standard error is thus approximately 174,592 (8.8 parcent of 1,984,00Q).

Fgure Il. Approximate relative standard errors of estimated numbers of pstients discharged, or of fbet-tistwi diagnosea, and of alf-listed diagnoses, by selected patient and hospital

.
. .

.,

.’,

. .

.

i 2 3 456789A 2 3 4 56789A 2 3 4 5’6 789A 2 3 4.5 6789A

1

2 3 456789A10 100 1,000 10,000 100)000

Figure IL Approximate relative standard errors of estimated numbere of patients discharged or of tiret-listed dmgnoseq and of alt-iisted diagnoses, by selested patient and hospital

charactenstice-Con.
I

. .

,,.

70

60

50

40

30

20

10

0

A 2 3 456789A 2 3 4 66789A 2 3 4 567 f39i 2 3 4 66789A 2 3 4 56769A

10 100 1,000 10,000 100,000

Size of estimate in thousands

EXAMPLE: As shown in table 2. an estimaled 9,635,000 days of care were provided during 1982 fn male patients under 15 years of age dkchargad from shwf-s{ay hospi!als.The relative slandald error of Ibis estimate as read from the

curve “Allother variables” is approximately 62 percent. The standard error is Ihus approximately 529,925 (5.5 percent of 9,635,000).

<’ .

Figure Ill. Approximate relative etandard errors of estimated numbers of days of care, by selected patient and hoepital characteristics
,

,.

70

60

50

40

30

20

10

0

i 2 3 456769A 2 3 456789A 2 3 456789A 2 3 456789A 2 3 456789A

1 10 100 1,000 10,000 100,000

~ze of estimate in thousands

EXAMPLE: As shown in table la, an es[imated 243,0Q0 open hearl Surgermswere performed during 19s2 fOr all LWdkdSdischarged from shmr.stay hospitals. The relative sla”dard error of this es~lmsteaS ,ead frOmthe ~uwe “AII “adableS><

is approximately S.0 percent. The standard error is thus approximately 19,440 (a.O perCenl of 243,000).

Figure IV. Approximate relative standard errors of estimated numbers of procedures for patients discharged, by selected patient and hospital characteristics
The presentation of estimates for the NHDS is based

on both 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.

7-. [f 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 (’k)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”

mean 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.

58
Appendix U

Definitions of certain terms

used in this report

Hospitalsand hospitalcharacteristics

.

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 hospit;l—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 hospita17The type is determined

by the organization that controls and operates the hospital.

,’ Hospitals are grouped as follows:

. Voluntary nonprofit-Hospitals operated by a church or

another nonprofit organization.

● Government—Hospitals operated by State or local governments.

. Proprieta~—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 dkcharged” are used synonymously.

Discharge rate—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 I 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.

Rates of days of care—The rate of days of care is the

ratio of the number of patient days accumulated at time

of dkcharge by patients discharged from short-stay hospitals

during a year to the number of persons in the civilian population on July I of that year.

Average lengrh of s~ay—The average length of stay is

the total number of patient days accumulated at time of

discharge by patients discharged during the year divided by

the number of patients discharged.

Terms relating to diagnoses

Discharge diagnoses-One or more diseases or injuries

(or some factor that influences health status and contact

with health services that is not itself a current illness or

injury) listed by the attendhg 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-listed diagnosis—The coded diagnosis identified as

the principal diagnosis or listed first on the face sheet of

the medical record is the first-listed diagnosis. The number

of first-listed diagnoses is equivalent to the number of discharges.

All-listed diagnoses—AII-listed diagnoses are an estimated

number of dkcharge (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

59
*

,.

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 Classrjication Of Diseases, 9th Revision, CIinical Modification

(ICD-9-CM). Z

Normal dcli]vry-Delivery without abnormality 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 de/ivery—All 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, 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 acording to ICD-9-CM and NHDS

directives. (See “Medical coding and edit” in the “Data collection and processing” section of appendix I for further details. )

All-listed procedures-All coded procedures that are listed

on the face sheet of the medical record exclusive of all

but three Class 4 procedures.

UHDDS classes of procedures—Procedures are

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

high] y trained personnel, special facilities, or special equipment. Class 4 procedures are not considered significant; therefore, reporting is optional.

UHDDS Class I procedures—Ai 1 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:

87.73, 87.75, 87.77-87.78, 87.81-87.84, 87.9], 87.93-

87.94, 88.01–88.03, 88. 12–88. 15, 88.38, 88.71-88.89,

89.14, 89.21–89.25, 89.32, 89.41-89.44, 89.54, 89.61-

89.65, 89.8, 92.01-92.29, 93.45-93.54, 93.56-93.59,

93.92-93.93, 93.95, 93.97, 94,24, 94.26-94.27, 95.04.

95.12-95.13, 95.16-95.26, 96.01-96.08, 96.21-96.25,

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 identify 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—With three exce~tions,

Class 4 procedures are not coded by the NHDS. The Class

4 procedures that are coded are circumcision (ICD-9-CM

code 64.0), episiotomy (code 73.6), and removal of intrauterine contraceptive device (code 97.7 1). The following ICD9-CM procedure codes identify Class 4 procedures as

categorized by the UHDDS:

01.18-01.19, 03.39, 04.19, 05.19, 06.19, 07.19, 08.19,

08.91-08.93, 09.19, 09.41-09.49, 10.29, 11.29, 12.29,

14.19, 15.09, 16.21, 16.29, 18.01, 18.11, 18.19, 20.39,

21.21,21.29,22.19,24.19, 25.09, 25.91,26.19,27.29,

27.91, 28.19, 29.19, 31.48–31.49, 33.28–33.29, 34.28–

34.29, 37.29, 38.29, 40.19, 41.38-41.39, 42.29, 44.19,

45.19, 45.28-45.29, 48.23, 48.29, 49.21, 49.29, 49.41,

50.19,51.19, 52.19, 54.29, 55.29,56..39,57.39,58.29,

59.29, 60.18, 61.19, 62.19, 63.09, 64.0, 64.19, 64.91,

64.94, 65.19, 66.19, 67.19, 68.19, 69.92, 70.21, 70.29,

71.”19, 73.6, 73.91–73.92, 75.35, 76.19, 78.8&78.89,

81.98, 83.29, 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,

88.1688.31, 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.~5–89.53,

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, 97.14-97.89, 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

03.31. 03.9[-03.92, 04.80-04.89, 21,01, 24.7, 31.41 -

operations.

31.42, 34.91-34.92, 37.92–37.93, 42.22-42.23, 44.12- Biopsy—Biopsy is excision of tissue for microscopic

44.13, 45.12-45. [3, 45.2245.24, 48.22, 50.92, 54.91, examination. The ICD-9-CM biopsy codes are:

54.97–54.98, 57,31, 58.22, 59.95, 62.91, 66.8, 69.6- 0.11 -O.15, 03.32, 04.11-04.12, 05.11, 06.11-06.13,

69.7, 69.93, 70.0, 73.01-73.1, 73.3, 73.51-73.59, 07.11-07.17, 08.11, 09.11-09.12, 10.21, 11.22, 12.22, “

76.96, 81.91-81.92, 82.92-82.96, 83.94-83.98, 85.91– 15.01, 16.23, 18.12, 20.3221.22, 22.11, 24.11-24.12,

85.92, 86.01, 87.03-87.08, 87.13-87.15, 87.3[-87.35, 25.01, 25.02, 26.11, 27.21–27.24, 28.11, 29.12, 31.43–

87.38, 87.4[-87.42, 87.51-87.52, 87.54-87.66, 87.71- 31.44, 33.24-33.27, 34.23–34,27, 37.24-37.25, 38.21, ‘

NOTE: A list of references follows the tcyt.

60
..

.

40.11. 41.31-41.33, 42. ?4, 44.14-44.15, 45. !4-45.15,

45.25-45.27, 48.2448.26, 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, 60.1 l–

60.15, 61.11, 62.11 -62. [2, 63.01, 64.11, 65.11-65.12,

66.11,67.11+7.12, 68.13-68.14, 70.23–70.24, 71.11,

76.11, 77.4G77.49, 80.30-80.39.83.21, 85.11-85.12,

86.1[.

Nonsurgical procedures—Procedures generally not considered to be surgexy are listed as nonsurgical procedures.

These include diagnostic endoscopy and radiography,

radiotherapy and related therapies, physical med]cine 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, 48.2148.22,

51.11,54.21,55.21–55.22, 56.31,57.31–57.32, 58.21–

58.22, 60.19, 68.11-68.12, 70.22, 80.20-80.29, 87.01–

99.99.

Rare ofprocedures—The ratio of the number of all-listed

procedures during a year to the number of persons in the

civilian population on July I of that year determines the

rate of procedures.

Demographic terms

Pqx.dation-civilian population is the resident population

exclud]ng members of the Armed Forces. Civilian noninstitutionalized popuiti[ion 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 ..\vhite’.

and “all other. ” The all other ckssification includes all

categories other than white. Mexican and Puerto Rican are

included in the white category unless specifically identitled

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

Census.

Region

Northeast . . .

North Central . .

South . . . . . .

West . . . . . .

those used by the U.S. Bureau of the

Statesincluded

Maine, New Hampshire, Vermont, Massachusetts,

Rhode Island, Connecticut, New York, New.

Jersey, and Pennsylvania

Michigan, Ohio, Illinois, Indiana, Wisconsin, Minnesota, lowa, Missouri, Norlh Dakota, South

Dakota, Nebraska, end Kansas

Delaware, Maryland, Districtof Columbia, Virginia,

West Virginia, North Carolina, South Carolina, Georgia, florida, Kentucky, Tennessee,

Alabama, Mississippi, Arkansas, Louisiana,

Oklahoma, and Texas

Montana, Idaho, Wyoming, Colorado, New

Mexico, Arizona, Utah, Nevada, Washington,

Oregon, California, Hawaii, and Alaska

●u. s. GovzssmmrmUX2zlrGOFFZOE: 19S4O-421-161/31Z

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