Utilization of

Short-Stay

Hospitals

United States, 1985

Annual Summary

This report presents statistics on the

utilization of non-Federal short-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 by frequency, rate,

percent, and average length of stay.

Data From the National Health Survey

Series 13, No. 91

DHHS Publication No. (PHS) 87–1 752

U.S. Department of Health and Human

Services

Public Health Service

National Center for Health Statistics

Hyattsviile, Md.

May 1987
Copyright information

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

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

however, ia appreciated.

Suggested citation

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

short-stay hospitals, Unitad States, 1985. Vital and Health Statistics.

Series 13, No. 91. DHHS Pub. No. (PHS) 87-1752. Public Health

Service. Washington. U.S. Government Printing Office, May 1987.

The Library of Congress has cataloged thk serial publketion as follows:

Utilization of short-stay hospitals. United States . . . annual summary. —l981- —Hyattaville, Md.: U.S. Dept. of Health

and Human Services, Public Health Service, National Center

for Health Statistic,

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

Data from the national health survey)

Annual.

Description based on 1981.

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

United States.

tSSN 0748-4798= Utilization of short-stay hoapitak.. United States,

annual summary.

1. Hospital utilization—United Statea—Statistics—Periodicala.

2. Hospital utilization—United Statea—Length of stay—Statiatica—

Periodicals. 3. United States—Ststiatics, Medical—Periodicals.

1. National Center for Health Statiatica (U. S.) Il. Series. Ill. Series:

Vital and health stetiatics. Series 13, Date from the national health survey.

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

For sole by the Superintendent of Documents, U.S. 130rernment Printing OStee, Washington, D.C. 20402
National Center for Health Statistics

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

Robert A. Israel, Deputy Director

Jacob J. Feldman, Ph. D., Associate DirectorforAnalysis

and Epidemiology

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

and Extramural Programs

Peter L. Hurley, Associate Director for Vital and Health

Statistics Systems

Stephen E. Nieberdkg, Associate Director for Management

George A. Schnaclc, Associate Director for Data Processing

and Services

Monroe G. Sirlcen, Ph.D., Associate Director for Research

and Methodology

Sandra S. Smith, Information Oj)icer

Division of Health Care Statistics

Joan F. Van Nostrand, Acting Director

Mary Moien, Chief Hospital Care Statistics Branch

Manoochehr K. Nozary, Chiej Technical Services Branch

Cooperation of the U.S. Bureau of the Census

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

Service is authorized to use, immfar as Wssible, the services or facilities of other Federal,

State, or private agencies.

In accordance with specifications established by the National Center for Health

Statistics, the U.S. Bureau of the Census, under a contractual arrangement, pmticipated in

plsnning the survey snd collecting the data.
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Utilizationby diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

First-listeddiagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Deaths in short-stay hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Newborn infantdischarges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Llstofdetailedtables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text tables

A. Selected measures ofhospitalutilization United States, 1965,1970,1975,1980, 1983, and 1985 . . . . . . . . . . . . . . . . . .

B. Number and rate of discharges and days of care by age United States, 1984 and 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

C. Number and percent distributionof patients and days ofcare and average length ofstayfor patients discharged from

short-stay hospitals by sex and age ofpatient, accordingtobed size ofhospital: United States, 1985 . . . . . . . . . . . . . . . . .

D. Numberandrate ofpatientsanddays ofcareforpatientsdischargedfrom short-stayhospitalsandaveragelengthofstay,

by selectedfirst-listed diagnostic categories: United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . .

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

E. Percentdistributionofpatientsdischargedfrom short-stayhospitalsbybedsizeofhospital, accordingtodiagnosticclass:

United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F. Number ofpatients discharged from short-stay hospitals with and without procedures rmdpercent with procedures by

age, sex, and race ofpatientand geographic regionandbedsize ofhospitak United States, 1985 . . . . . . . . . . . . . . . . . . . .

G. Percentdistributionofpatientsdischarged fromshort-stayhospitalsbynumber ofprocedures, accordingtoage,sex, and

race ofpatient andgeographic region andbedsize ofhospital: United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

selected procedure categories: United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

J. Number and rate of all-listed procedures for patients discharged from short-stay hospitals, by sex and age ofpatient:

United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

K. Percent distribution ofall-listed procedures for patients discharged from short-stay hospitals bybed size ofhospital, accordingtoprocedure categow: United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

L. Numberofdeaths andfatalityrateofpatients dischargedfromshofi-stayhospita.lsby sex and age United States, 1985...

M. Number of deaths and fatality rate of patients discharged from short-stay hospitals by age and selected first-listed diagnosis:United States, 1985.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

hospitals, bysexand geographic regiom United States. 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

P. Number and average length ofstay for newbominfants discharged from non-Federal short-stay hospitals, by sex and

health status: United States, 1985. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Q. Number of all-listed diagnoses for sick newborn infants discharged from short-stay hospitals, by selected diagnostic categoriesand sex: United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2

3

5

7

7

9

11

15

17

18

19

3

3

6

8

10

11

12

13

14

14

15

16

16

17

17

17

!11
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
Utilization of Short-Stay

Hospitals

by Edmund J. Graves, Division of Health Care Statistics

Introduction

This report provides national estimates on the utilization

of non-Federal short-stay hospitals during 1985. Data are summarized for selected demographic characteristics of the patients

discharged, characteristics of the hospitals where the patients

were treated, conditions diagnosed, and surgical and nonsurgical procedures performed.

The statistics in this report are based on data collected by

the National Center for Health Statistics by means of the National Hospital Discharge Survey (NHDS), which is a continuous voluntary survey in use since 1965. The data for the

survey are obtained from 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.

For the first time, the statistics are based on two data collection procedures. The first was the traditional manual system

of sample selection and data abstraction, and the second was

an automated method that involved the purchase of data tapes

from commercial abstracting services. In 1985, the automated

method was used in 17 percent of the hospitals. PreliminaU

analysis of the automated system indicates that a greater number of nonsurgical procedures per patient are reported by these

hospitals than by hospitals submitting data in the traditional

mode. This has resulted in increases from 1984 to 1985 in the

estimation for miscellaneous diagnostic and therapeutic procedures. It appears that approximately one-half of the increase

in that category was because of the change in data collection

methodology.

Approximately 194,800 medical records from 414 hospitals were included in the 1985 survey. A brief description of

the sample design and the source of data can be found in appendix L A detailed report on the design of the NHDS 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 discharge~ by expected

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

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

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

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

by patient and hospital characteristics. Data for newborn infants are included only in the section “Newborn infant discharges.” Because these data are based on a sample, they may

not agree with data on births published in Vital Statistics of the

United States.

Coding of medical data for patients hospitalized is performed according to the Intemational Classz~cation of Diseases, 9th Revision, Clinical Modt~cation2 (ICD–9–CM).

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

Revision International C!lassz~cation of Diseases, Adapted

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

these two systems are discussed in appendix I under the section entitled “Medlcal coding and edit.” A maximum of seven

diagnoses and four procedures may be coded for each medical

record in the sample. Although diagnoses included in the ICD–

9–CM section entitled “Supplementary classification of external causes of injury and poisoning” (codes E800–E999) are

used by the NHDS, these diagnoses are excluded from this

report. The conditions diagnosed and procedures performed

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

groups, some categories of diagnoses and procedures also are

shown. These specific categories were selected primarily because of large frequencies or because they are of special interest. Residual categories of diagnoses and procedures, however, are not included in the table$. More detailed analyses of

these data will be presented in later reports in Series 13 of the

Vital and Health Statistics reports.

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

with statistical data on short-stay hospital utilization that are

available from other sources. Definitions of the terms used in

this report are presented in appendix II.

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

Statistics, the National Health Interview Survey. Estimates

from this survey generally are different from those of the NHDS

because of 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.
. During 1985 an estimated 35.1 million patients, excluding

newborn infants, were discharged from non-Federal shortstay hospitals, and an estimated 226.2 million days of care

were used.

● The average length of stay for patienta discharged from

non-Federal short-stay hospitals was 6.5 days in 1985.

The average length of stay has declined from 7.3 days in

1980 to 6.5 days in 1985—a decline of about 11 percent.

. With a rate of 148 discharges per 1,000 population, 1985

marked the first time since 1971 that the discharge rate

has fallen below 150 per 1,000.

. About 45 percent of all patients discharged during 1985

expected private insurance to pay for at least part of their

hospitalization.

. Females with deliveries was the leading cause of hospitalization during 1985. Of the 35.1 million discharges

during 1985, 3.9 million (or 11 percent) were for females

with deliveries.

. Six procedures were each performed during 1985 more

than 1 million times: procedures to assist delivery (2.5

million), endoscopy of the digestive system (1.5 million),

biopsy (1.4 million), computerized axial tomography (CAT

scan) (1.4 million), diagnostic ultrasound (1.2 million),

and arteriography and angiocardiography using contrast

material (1. 1 million).

● Approximately 16 percent of all patients who were hospitalized had a principal diagnosis of heart disease or

malignant neoplasms, but about 46 percent of all deaths

that occurred in shoti-stay hospitals in 1985 were the result

of these two dkeases.

. The number of patients discharged from short-stay nonFederal hospitals during 1985 for the f~st-listed cliagnosis

of cataract dropped from 481,000 in 1984 to 182,000 in

1985—a drop of about 62 percent.

. Approximately 59 percent of all patients discharged from

short-stay non-Federal hospitals during 1985 hacl at least

one procedure performed. In 1979 only 51 percent had at

least one procedure performed.

● Of the 35.1 million patients discharged tlom short-stay

non-Federal hospitals during 1985, 2.7 percent were known

to have been discharged dead.
Utilization by patient

characteristics

The number of hospital discharges and the rate of discharges have tradhionally been on the rise. Since 1983, changes

have been occurring. With a rate of 148 discharges per 1,000

population, 1985 marked the first time since 1971 that the discharge rate has fallen below 150 discharges per 1,000 population. Table A shows important measures of hospital utilization

for 1965, 1985, and selected years in between. The number of

discharges rose between 1965 and 1983 by about 22 percent,

but it decreased approximately 11 percent in the last 2 years.

Because of population increases and hospital utilization decreases, the discharge rate is at the same level it was in 1965.

In addition, the average length of stay for hospital patients is

continuing to drop. The average length of stay in 1985 was 6.5

days compared with 7.7 days a decade ago.

Although the rate of discharges and days of care decreased

between 1965 and 1970, these differences were not significant.

The decrease was the result of 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! More information on updating the universe can be found

in appendix I.

The total number and rate of discharges and days of care

showed a signitlcant decrease when 1985 data were compared

with 1984 data (table B). However, this did not hold true for

the four age groups. For the number of discharges, only in the

age group 45–64 was there a significant decrease when 1985

data were compared with 1984 datq and for the discharge rates,

there were decreases in all but the age group 15–44. For the

number of days of care, the significant differences were only

for those discharges 45 years and over. The average length of

stay showed no change in the number of days for totals or for

the four age groups.

The 35.1 million patients discharged from short-stay hospitals during 1985 included an estimated 14.2 million males

and 20.9 million females (table 1). The rates per 1,000 populaTable B. Number and rate of discharges and days of cere by agsc

Unitad Stetes, 1984 and 1985

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

Discharged patiants

Age ?984 1985 1984 1985

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

Under 15 years . . . . . . .

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

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

65 years and over. . . . .

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

Under 15 years . . . . . . .

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

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

65 years and over. . . . .

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

Under 15 years . . . . . . .

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

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

65 years and over. . . . .

Number in Rate per

thousands 1,000 population

37,162 35,056 158.5 147.9

3,208 2,972 62.0 57.2

14,533 13,966 132.2 125.1

8,195 7,610 183.3 169.5

11,226 10,508 400.4 368.3

Days of care

1984 1985 1984 1985

— — —.

Number in Rate per

thousands 1,000 population

244,652 226,217 1,043.5 954.4

14,367 13,554 277.7 260,8

71,172 67.397 647.3 603.6

58,877 53,541 1,316.8 1,192.8

100,237 91,726 3,574.8 3,215.1

Average length of stay in days

1984 1985

6.6 6.5

4,5 4.6

4.9 4.8

7,2 7.0

8.9 8.7

tion were 124 for males and 171 for females, making the rate

for females about 38 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

Table A, Selected measures of hospital utilization: United States, 1965, 1970, 1975, 1980, 1983, and 1985

[Data for non-Federal short-stay hosp!tala. Excludes newborn infants]

Measure of utilization 1965 7970 1975 1980 1983 7985

Number of patients discharged in thousands . . . . . . . . . . . . . . . . . . . . . . . . . . 28,792 29,127 34,043 37,832 38,783 35,056

Rate of patients discharged per 1,000 population . . . . . . . . . . . . . . . . . . . . . . 150.3 144.3 159.2 167.7 167,0 147.9

Number ofdaysof care in thousands. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,011 226,445 262,389 274,508 268,337 226,217

Rate ofdaysof care perl,OOO population . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,174.3 1,121.6 1,227.3 1,217.0 1,155,2 954.4

Average length ofstay in lays.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.8 7.8 7,7 7.3 6.9 6.5

Percent of patients with surgery and nonsurgical procedures . . . . . . . . . . . . . 138.2 139.7 141.7 52.2 54.7 58.9

7Figures for 1965, 1970, and 1975 should be compared with caution to those for 1980, 19S3, and 1985 because data prior to 1979 exclude nonsurgical procedures

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

3
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 139, or

only about 12 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 five

times higher for both sexes.

In 1985, male patients used an estimated 97.3 million

days of care in short-stay hospitals, compared with 128.9 million days of care used by females (table 1). The rate of days of

care per 1,000 population was 849 for males and 1,053 for

females, or about 24 percent higher for females than for males.

Differences between the rates of days of care for each sex were

smaller than for discharges, mainly because the average length

of stay for about 3.9 million women who were hospitalized for

deliveries was only 3.3 days (table 7). This length of stay compares with an average length of stay of 6.9 days for males and

6.8 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 261 for patients under 15 years of age to 3,215 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 the result of long average lengths of stay for persons 65 years of age and over (8.7 days). The average length of

stay is longer for the aged because of the greater severity of illness in this group. This situation is indicated by larger proportions of older than younger patients with incapacitating chronic

illness, and the highest proportion of any age group with multiple diagnoses, both of which result in long average lengths of

stay and high annual rates of days of care.

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

other. In 1985, 26.4 million patients were identified on the face

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

other. However, race was not reported for an additional 3.5

million patients. Estimates of number and rates of discharges,

days of care, and average lengths of stay are provided. However, all of the race data should be used with caution because

of the not-stated category, which for 1985 is approximately 10

percent of all discharges.

The number of days of care in 1985 totaled 172.3 million

for white patients, 34.6 million for all other patients, and 19.3

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

was 6.5 days for white patients, 6.7 for all other patients, and

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

The expected principal source of payment for all patients

dkcharged 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 15.7 million discharges from non-Federal short-stay hospitals in 1985, about

45 percent of all discharges. Of these 15.7 million discharges,

98.4 percent were under 65 years of age. The remaining 1.6

percent were 65 years of age and over.

Medicare accounted for 11.3 million discharges (32.4 percent). As expected, 10.0 million (87.8 percent) of these were

for patients 65 years and over. Together these two expected

sources of payment accounted for 27.1 million discharges (77.2

percent). Even though patients expecting to pay hospital costs

through medicare comprised only 32.4 percent of all difichmges,

they comprised 43.6 percent of a!l days of care. This was the

result of longer hospital stays for patients 65 years and over.

This is reflected in the average length of stay—medicare patients were hospitalized an average of 8.7 days, and patients

who expected private insurance to pay their hospital stays averaged 5.3 days. The longest average length of stay was noted for

medicare patients 65 years of age and over in the hTortheast

Region (11.0 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 and South.

During 1985 there were approximately 3.9 million discharges for women with deliveries (tables 7 and 8). Of these, 35

percent were discharged from hospitals in the South Region,

and 52 percent were discharged from hospitals with 300 beds

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

region was insignificant, except when comparing the Northeast

Region (42.5) with the West Region (57.4). The rate for the

Midwest was 50.1, and for the South it was 51.2.

The average length of stay for these women was 3.8 days

in the Northeast Region, 3.5 days in the Midwest Region, 3.3

days in the South Region, and 2.6 days in the West Region.
Utilization by hospital

characteristics

Discharges from shofi-stay hospitals by geographic region

in 1985 ranged from 6.5 million in the West Region to 12.3

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

the number of discharges are accounted for mainly by variations

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

extent, by variations in the discharge rates.

The overall rates of regional discharges per 1,000 population in 1985 were 138 for the West Region, 144 for the Northeast Region, 152 for the South Region, and 154 for the Midwest Region (table 5). There were no significant differences for

discharge rates among the four regions.

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

of care were lowest in the West Region. The h@est number of

days of care was in the South Region (tables 4 and 5). The

number of days of care ranged from 35.4 million in the West

Region to 73.8 million in the South. The rate per 1,000 population was 748 days in the West Region, 912 days in the South

Region, 1,042 days in the Midwest Region, and 1,116 days in

the Northeast Region.

Average lengths of stay by geographic region were 5.4

days in the West Region, 6.0 days in the South Region, 6.8

days in the Midwest Region, and 7.7 days in the Northeast

Region (table 4).

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

by geographic region and bed size of hospitals are shown in

table 4. The percent distributions of these data are shown in

table C.

Discharges ffom shofi-stay hospitals for patients of rdl ages

were about 40 percent male and 60 percent female in every

hospital bed-size group. Females with deliveries accounted for

about 10 percent of the discharges in hospitals with less than

300 beds and 12-13 percent in hospitals with 300 beds or

more. The largest percent of patients in each of the bed size

groups was of patients ages 15–44 years, and the smallest percent was of those under 15 years of age.

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

generally distributed in a fashion similar to dkcharges (table

C). However, a smaller pattern of days of care than of discharges was recorded for patients 15–44 years of age regardless of bed size; and for patients 65 years and over, a larger

percent of days of care than of discharges was recorded for all

bed sizes. The differences for those aged 15–44 years were the

result of short lenglhs of stay for females with deliveries.

However, for those over 65 years of age the differences were

the result of the older patients being hospitalized longer than

those under 65 years of age.

The average length of stay for patients discharged from

short-stay hospitals in 1985 increased steadily fi-om 5.2 days

in the smallest hospitals (6-99 beds) to 7.4 days in the largest

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

stay was slightly longer for males than for females in all hospitals except the smaller ones. However, when females who

were hospitalized for deliveries are excluded, the average lengths

of stay for both sexes were virtually the same. Except for patients under 45 years of age, the average length of stay increased as the age of the patient increased regardless of the size

of the hospital.

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

every year the NHDS was conducted. In 1985, voluntary nonprofit hospitals provided medical care to an estimated 24.0

million patients, or 68 percent of all patients hospitalized.

Hospitals operated by State afd local governments cared for

7.8 million patients, or 22 percent of all discharges, and proprietary hospitals operated for profit cared for 3.3 million patients, or 9 percent of all discharges (table 6).

The estimated 226.2 million days of care utilized by patients in short-stay hospitals during 1985 were distributed by

ownership of hospitals in the following mannen voluntary nonprofit, 159.6 million days, or 71 percent government, 45.9

million days, or 20 percen~ and proprietary, 20.7 million days,

or 9 percent. Average lenghs of stay were 6.7 days in voluntary nonprofit hospitals, 5.9 days in government hospitals, and

6.3 days in proprietary hospitals.

5
Table C. Number and percent distribution of patienta and days of care and average length of stay for patienta discharged from short-stay

hospitals by sex and age of patient, according to bed size of hospital: United States, 1985

[Discharges from nOn-Federal short-stay hospitals, Excludes newborn infants]

All 6–99 100-199 200-299 300-499 500 beds

Sex and age Number sizes beds beds beds beds or more

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

Sex

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

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

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

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

Age

Alleges. .,, ., .,, , ., .,,,,.,. .,.,.,.,,,.,.,.,,,.,.,,,

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

15–44 years ., .,, , . . . . . . . . . . . . .,.,.,,,.,,,,,,,.,.,,,

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

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

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

Sex

8oth sexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Femalea including deliveries. .,, . . . . . . . . . . .

Famales excluding deliveries,,, . . . . . . . . . . . . . .

Age

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

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

15–44 years,,,....,,.,...,,, . . . . . . . . . . . . . . .

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

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

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

Sex

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

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

Females excluding deliveries,,..

Age

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

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

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

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

35,056

35,056

14,160

20,896

17,042

35,056

2,972

13,966

7,610

10,508

226,217

226,217

97,269

128,948

116,306

226,217

13,554

67,397

53,541

91,726

6,5

6.9

6.2

6.8

4.6

4.8

7.0

8.7

35,056

100,0

40,4

59.6

48,6

100.0

8,5

39.8

21.7

30.0

226,217

100.0

43.0

57.0

51.4

100.0

6.0

29.8

23.7

40.5

6.5

6.9

6.2

6.8

4.6

4.8

7.0

8,7

Number of patients discharged in thousands

5,331 6,443 6,953

Percent distribution

100.0

39.7

60.3

50.6

100.0

7.4

39.2

20.0

33.4

100.0

39.8

60.2

49.8

100.0

12.0

39.9

19.9

28.2

00.0

41,8

58.2

48.8

00.0

7.5

37,2

21.8

33,6

Number of days of care in thousands

27,838 37,114 45,309

Percent distribution

100,0 100.0 100.0

41,1 42.8 43.5

58.9 57.2 56.5

53.9 51.5 52.0

100.0 100.0 100.0

4.7 9.0 4.9

31.6 30.7 26.2

21.2 21.8 23.0

42.5 38.6 46.0

Average length of stay in days

5.2 5.8 6.5

5.4 6.2 6.8

5.1 5.5 6.3

5.6 6.0 7.0

3.3 4.3 4.2

4.2 4.4 4.6

5.5 6.3 6.9

6.6 7.9 8.9

8,625

100.0

40.1

59.9

47.9

100.0

7.3

39.6

22.5

30.6

59,079

100.0

42.8

57.2

51.2

100.0

4.9

28.8

24.4

41.9

6.8

7.3

6.5

7.3

4.7

5.0

7.4

9.4

7,703

100.0

40.4

59.6

47.0

100.0

8.5

42.9

23.5

25.1

56,878

100.0

43.9

56.1

49.8

100.0

6.7

32.3

25.9

35.1

7.4

8.0

7,0

7.8

5.8

5.6

8.2

10.3

6
Utilization by diagnosis

First-listed diagnosis

Diseases of the circulatory system ranked first in 1985

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

first-listed diagnosis among patients discharged from nonFederal short-stay hospitals (table 9). These conditions accounted for an estimated 5.5 million discharges. Other leading

ICD–9–CM diagnostic chapters were supplementary classifications, which include females with deliveries (4.3 million

discharges); diseases of the digestive system (3.9 million discharges); injury and poisoning (3.3 million discharges); diseases of the respiratory system (3.2 million discharges); and

diseases of the genitourinary system (2.8 million discharges).

About two-thirds of the patients discharged from non-Federal

shoti-stay hospitals were included in these six ICD-9–CM

diagnostic chapters.

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

acute myocardkl infarction have increased substantially since

1981 because of a decision to reorder circulatory diagnoses involving acute myocardial infarction. For example, in 1981, 60

percent of acute myocardial infarction diagnoses were firstlisted. In 1985, the first-listed acute myocardial infarction

estimate increased to 87 percent because of reordering. This

change is discussed more fidly in appendix I.

The diagnostic categories presented in this summary report

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

are of special interest. Although many of these categories—

such as malignant neoplasms, heart disease, psychoses, and

fractures, all sites—are combinations of more detailed diagnoses, they are presented as single categories without showing

the specific diagnostic inclusions.

It should be noted that even though the total number of

discharges showed no significant decrease from 1983 to 1984,

there was some indication that a downturn in the number was

occurring. In 1985 the drop in the number of discharges became

significant when compared with that in 1984. The most significant drop occurred in the fnst-listed diagnosis of cataract, where

the number of discharges dropped from 481,000 in 1984 to

182,000 in 1985—a drop of 62.2 percent. Other significant

drops in first-listed diagnosis were for disorders of menstruation and other abnormal vaginal bleeding, where the number of

discharges dropped from 254,000 in 1984 to 193,000 in 1985—

a drop of 24.0 percen~ gastritis and duodenitis, where the

number of discharges dropped from 266,000 in 1984 to 203,000

in 1985—a drop of 23.7 percen~ essential hypertension, where

the number of discharges dropped ffom 266,000 in 1984 to

214,000 in 1985—a drop of 19.5 percent diseases of the ear

and mastoid process, where the number of discharges dropped

horn 321,000 in 1984 to 259,000 in 1985—a drop of 19.3 percent and diabetes mellitus, where the number of discharges

dropped from 593,000 in 1984 to 480,000 in 1985—a drop of

19.1 percent.

Although there have been no significant changes in the

total number of procedures between 1984 and 1985, significant decreases and increases have occumed for specific procedures. The most significant drop for procedures occurred for

insertion of prosthetic lens (pseudophakos), where the number

of procedures dropped ftom 455,000 in 1984 to 180,000 in

1985—a drop of 60.4 percent—and extraction of lens, where

the number of procedures dropped from 506,000 in 1984 to

211,000 in 1985—a drop of 58.3 percent. Other significant

decreases in procedures were for diagnostic dilation and curettage of uterus, where the number of procedures dropped from

470,000 in 1984 to 349,000 in 1985—a drop of 25.7 percent—

and operations on the cranial and peripheral nerves, where the

nurnlxr of procedures dropped from 200,000 in 1984 to 167,000

in 1985—a drop of 16.5 percent

Compensating for the drop in some of the procedures was

a signhicant increase in the number of miscellaneous and therapeutic procedures performed. The number of these procedures increased from 7.2 million in 1984 to 8.8 million in

1985—an increase of 23.1 percent. In this group diagnostic

ultrasound, computerized axial tomography, and arteriography

and angiocardiography using contrast material showed the

greatest increase in the number of procedures performed. Diagnostic ultrasound increased from 836,000 in 1984 to

1,234,000 in 1985—an increase of 47.6 percen~ computerized

axial tomography increased from 1,091,000 in 1984 to

1,378,000 in 1985—an increase of 26.3 percent and arteriography and angiocardiography using contrast material increased from 972,000 in 1984 to 1,117,000 in 1985—an increase of 14.9 percent.

There were influences related to hospital admission policies

as well as hospital characteristics that could account for some

of these changes, including the introduction of the prospective

payment system, technological advances, and, possibly, the

shifting of patients from an inpatient setting to an outpatient

setting.

The number and rate of discharges, days of care, and average length of stay by selected fret-listed diagnoses in 1985 are

presented in table D. These categories accounted for 52 per7
Table D. Number and rate of patients and days of care for patients discharged from short-stay hospitals and averaga length of stay, by ealacted

first-listed diagnostic catagorias: United States, 1985

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

Classification of Diseases, 9th Revision, Clinical Modification]

,Average

length

Diagnostic catego~ and ICD-9-CM code Discharged patients Days of care of stay

Allconditionsl, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ,,,

Females with deliveries, , ., .,.,,.,, . .,,...,.,,,..,.,,,,..,.,,, ,., ,,vz7

Normal deliveriesz ., .,, ,., .,.... ., .,, , ., ., .,, .,, ,,, ., .,...,.,, ,,, ,.,

Complicatecl deliveriesz . . . . . . . . . ,,, ,,, . . . . . . . . . . . . . . . . . . . . . . . ,., ,,,

Hesrt disease . . ., ., 391–392,0, 393–398, 402, 404, 410–416, 420–429

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

Atherosclerotic heart disease, ,, .,. .,.,,.,..,,,,..,,,,,,.........OI.$.O

Other ischemic heart disease .,, ,,, .,. ,,, ,., .,. ,,,411-413, 414.1 –414.9

Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . ,., ..427

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

Malignant neoplasms .,......,,., ... ,., .,. ,, . . . . . . . . ..140–208. 230-234

Malignant neoplasms of trachea, bronchus, and lung. ., . ..162. 197.0, 197.3

Malignant neoplasm of breast.. ... , . . . . . . . . . . . . . . . . . . ..174–1 75,198,81

Fractures, all sites, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–829

Cerebrovascular disease. ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..430–438

i%eumonia, all forma.,.,.....,,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486

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

Intervertebral disc disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

Benign neoplasms and neoplasms of uncertain behavior and unspecified

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

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . ...574

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

Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, ,. 493

Noninfectious enteritis and colitis . . . . . . . . . . . . ., .555 -556, 558

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

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

Inguinal hernia....,...,....,., . . . . . . . . . . . . . . . . . .,.,..550

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

Calculus ofkidney and ureter ..,, . . . . . . . . . . . . . . . . . . ., .,,..592

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

Number

in

thousands

Rate per

1,000

population

35,056

3,854

1,386

2,468

3,584

755

304

992

511

557

1,911

315

208

1,129

916

854

707

508

500

480

474

465

462

457

425

388

384

382

325

288

147.9

16.3

5.8

10.4

15.1

3.2

1.3

4.2

2.2

2.4

8.1

1,3

0.9

4.8

3.9

3.6

3.0

2.1

2.1

2.0

2.0

2.0

1.9

1.9

1.B

1.6

1,6

1,6

1.4

1.2

Number

in

thousands

226,217

12,640

3,470

9,170

26,082

7,152

2,016

5,379

3,148

4,459

17,007

2,884

1,489

9,864

9,600

6,788

10,435

3,693

2,740

3,901

3,558

3,584

2,275

2,241

4,092

4,169

1,231

821

1,217

437

Rate per

1,000

954.4

53.3

14.6

38.7

110.0

30.2

8.5

22.7

13.3

18.8

71.7

12.2

6.3

41.6

40.5

28.6

44.0

15.6

11.6

16.5

15.0

15.1

9.6

9.5

17.3

17.6

5.2

3.5

5.1

1.8

Days

6.5

3.3

2.5

3.7

7.3

9.5

6.6

5.4

6.2

8.0

8.9

9.2

7.2

8.7

10.5

7.9

14.9

7.3

5.5

8.1

7.5

7,7

4.9

4.9

9.6

10.7

3.2

2.1

3.7

1.5

llncludes data for diagnostic conditions not shown in table,

‘See appendix II for definition.

cent of all patients discharged during 1985 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.

Discussed below are the most common first-listed diagnoses

for the categories not included above.

For patients under 15 years of age, the most frequent firstlisted diagnoses were acute respiratory infections, except influenzrq pneumonia, all forms; and chronic disease of tonsils

and adenoids. Some other frequent diagnoses for these patients

were asthma; noninfectious enteritis and colitis; fractures, all

sites; and disease of the ear and mastoid process (table 9).

Excluding females with deliveries, the three most frequent

first-listed diagnoses for patients 15–44 years of age were fractures, all sites; psychoses; and all abortions, including ectopic

and molar pregnancies. The most common fwst-listed diagnoses

for patients 45–64 years of age and 65 years of age and over

were heart disease and malignant neoplasms.

For patients other than white, the most frequent first-listed

diagnosis besides deliveries was heart disease. Other common

diagnoses for this group included malignant neoplasms; fractures, all sites; pneumonia, all forms; psychoses; asthrn~ cerebrovascular disease; and abortions and ectopic and molar pregnancies.

For hospitals with 6–99 beds, the most common f~st-listed

diagnosis was heart disease, followed by females with deliveries.

Other frequent diagnoses in these hospitals were pneumonia,

all forms; fractures, all sites; cerebrovascular disease; malignant neoplasms; and alcohol dependence syndrome.

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 1985 in table 9. Although the estimated rates of discharge

from shofi-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 alcc)hol dependence syndrome, calculus of kidney and ureter, interverte8
bral 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 chap

ters and categories of diagnoses. Overall it tended to be higher

for fracture of neck of femur, mental disorders (especially psychoses), alcohol dependence syndrome, and cerebrovascular

disease. Other average lengths of stay of over 10 days were for

diseases of the central nervous system, disease of the skin and

subcutaneous tissue, arthropathies and related disorders, and

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

Short average lengths of stay occurred for patients under

45 years with a first-listed diagnosis of chronic disease of tonsils and adenoids and for patients 15-44 years who were 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 similar for

the two sexes for most of the diagnostic chapters and categories

shown. However, males had signtlcantly higher rates than females for the categories of malignant neoplasm of trachea,

bronchus, and luns alcohol dependence syndrome; acute myocardial infarction, other ischemic heart disease; inguinal herniq

calculus of kkiney and ureteq intracranial injuries (excluding

those with skull fracture); and lacerations and open wounds.

For females, higher rates occurred for the categories of benign

neoplasms and neoplasms of uncertain behavior and unspeciiled

nature, diabetes mellitus, cataract, noninfectious enteritis and

colitis, cholelithiasis, arthropathies and related disorders, and

persons admitted for sterilization.

Seventy-five percent of all patients discharged were white,

15 percent were all other races (including black), and 10 percent did not state race in the medical record. However, the

racial distribution of patients for some diagnostic categories

was significantly different from that of all patients. For example, the percent was higher for white patients dkcharged

with a first-listed diagnosis of atherosclerotic heart disease (86

percent). It was lower for white patients with a diagnosis of

abortions and ectopic and molar pregnancies (60 percent) and

anemias (62 percent). For all other races, it was higher for

abortions and ectopic and molar pregnancies and anemias (29

percent each).

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

discharges ranged from 12.3 million in the South Region to 6.5

million in the West Region. The Midwest Region had 9.1 million discharges, and the Northeast Region had 7.2 million discharges. The South Region had the largest number of discharges for most categories. One major exception to this was

for mental disorders, where the number of discharges was

539,000 for the Midwest Region and only 447,000 for the South

Region. In 1985 the number of discharges per 1,000 population was 138 in the West Region, 144 in the Northeast Region,

152 in the South Region, and 154 in the Midwest Region. Large

variations in rates were noted for malignant neoplasms, alcohol dependence syndrome, heart disease, and females with deliveries.

Average length of stay ranged from 7.7 days in the Northeast Region to 5.4 days in the West Region. The Midwest Region had 6.8 days, and the South Region had 6.0 days. The

average length of stay was longest in the Northeast Region for

most categories. However, one notable exception was mental

disorders where the average length of stay was 14.1 days in the

Midwest Region.

During 1985, 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 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 mental disorders and diseases of the respiratory system (table E). On the other hand, greater proportions of discharges were from the largest hospitals (500 beds or

more) for neoplasms; diseases of the nervous system and sense

organs; complications of pregnancy, childbirth, and the puerperim, congenital anomalies; 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 Region; 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 ( 13.2 days).

All-listed diagnoses

An estimated 101 million diagnoses were recorded for the

35.1 million inpatients of non-Federal short-stay hospitals in

1985 (table 14) for an average of 2.9 diagnoses per discharged

patient. The average number of diagnoses per discharge increased from years prior to 1979 because of changes that were

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

seven diagnoses per discharge now are coded and tabulated on

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

were coded. In addition, the ICD–9–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 liveborn and so forth); however, this was not the case

prior to 1979.

The average number of diagnoses per discharge varied

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

bed size of the hospital. For each of these categories, the aver9
Table E. Percent distribution of patients discharged from short-stay hospitals by bed size of hospital, according to diagnostic class:

United States, 1985

[Discharges from non-Federal shorl-stay hosp]tals. Excl.ding newborn tnfants. D!agnost(c groupings and code number !nclusions are based on the International

Classlflcat!on of Diseases, 9th Revis!on, Clin!cal Modtflcat(onl

All 6-99 700–199

Diagnostic class and ICD-9-CM code

200-299 300-499 500 beds

sizes beds beds beds beds or more

All conditions,........,,.. . . . . . . . .

Infectious andparasltic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..001–1 39

Neoplesms ...,,.....,,.....,.,.. . . . . . . . . . . . . . . . . . . . . . . . . ..140–239

Endocrine, nutritional and metabolic diseases, and immunity

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

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

Mental disorders . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . ..290–31 9

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

Diseases of the circulatory system.., . . . . . . . . . . . . . . . . . . . . . . . . ..390–459

Diseases of therespiratory systam. . ,.. ., . . . . . . . . . . . . . . . . . . . . ..460–519

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

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

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

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

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

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..740–759

Certain conditions originating in the perinstal period . . . . . . . . . . . . 760–779

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

Injury and poison ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..600–999

Supplementary claaaifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VO1–V82

100.0

100.0

100.0

100,0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100,0

100.0

100.0

100.0

100.0

100.0

15.2

14.6

7.6

17.7

14.4

20,2

11,7

14.9

20.3

18.1

15.5

12.6

16.9

13.9

5,7

9.0

13.1

16.2

13.1

Percent distribution

18.4 19.8

21.7 21.0

14.3 19,5

18.3 18.7

18.1 20.1

17,3 16.7

17.8 19.1

16.4 22.0

21.7 21.3

18.8 21,2

21.2 19.1

17.8 16.2

18.7 18.3

20.0 20.4

25.2 14.4

20.0 17.1

19.2 22.5

18.2 20.6

17.4 17.1

24.6 22,0

21.1 21.6

29.6 29.0

24,9 20.4

24,6 22.8

25.5 20.3

24.1 27.3

25.1 21.6

20.7 16.0

23.2 18.7

24.1 20.2

25.6 27.8

22.0 24.0

23.6 22.0

22.7 31.9

30.3 23.6

23.9 21.4

24.5 20.5

26.7 25.7

1Females w!th deliveries are Included under “supplementary class lfmat tons.”

age was 2.8–3.0 diagnoses per patient. A larger variation OG 19.8 million diagnoses. This was followed by diseases of the

curred by age. The average number of diagnoses per discharge digestive system (8.2 million); supplementary classifications

for the age groups under 15 years, 15–44 years, 45–64 years, (8.0 million); diseases of the respirato~ system (7.5 million);

and 65 years and over was 1.9, 2.3, 2.9, and 3.9, respectively. and dkeases of the genitourinary system (7.4 million). These

Diseases of the circulatory system ranked first among the five ICD–9–CM chapters accounted for approximately oneICD–9–CM diagnostic chapters for all-listed diagnoses, with half of the all-listed diagnoses in 1985.

10
Utilization by procedures

One or more procedures were performed for an estimated

20.7 million of the 35.1 million inpatients discharged from

short-stay hospitals during 1985. A total of 36.8 million procedures, or an average of 1.8 per patient who underwent at

least one procedure, were recorded in 1985 (table 15).’

These figures are higher than those reported prior to 1979

because changes were made in the tabulation and coding of

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

number of procedures. Beginning in 1979 more procedures,

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

aAs mentioned in the introduction, the use of commercial abstract service data

for a sample of the discharges has resulted in increases in estimates of miscellaneous diagnostic and therapeutic procedures (see appendix I).

coded. Specif3crdly,starting in 1979 up to four procedures, instead of only three, were coded for each discharge. Furthermore, only figures for “surgical” operations were published in

the past. However, since 1979 the total number includes many

additional nonsurgical procedures. (See appendix I under the

section entitled “Medical coding and edit” and appendix II

under the section entitled “Surgical and nonsurgical procedures” for more information on the differences between coding

the ICDA and the ICD-9-CM.)

The number and percent of patients with surgical and nonsurgical procedures in 1985 and the number and percent of

patients with at least one surgical procedure are shown in table

F. About59 percent of the patients discharged had some procedure, including diagnostic and nonsurgical procedures. Some

Table F. Number of patients discharged from short-stay hospitals with and without procedures and percent with procedures by age, sex, and

race of patiant and geographic region and bed size of hospital: United Stetas, 1985

[Discharges from non-Federal short-stay hospitals. Excludas newborn infants]

Patients with procedures

All Patients Patients Patiants

discharged without All with surgical All

Characteristic

with surgical

parients procedures patients procedures patients procedures

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

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Bed size of hospital

6–99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Number in thousand=-- Percent

35,056 14,406 ‘- ‘- 16,097 58.9 45.9

2,972 1,688

13,966 4,863

7,610 3,004

10,508 4,850

14,160 6,261

20,896 8,145

26,379 10,727

5,181 2,192

3,497 1,487

7,168 2,748

9,111 3,712

12,274 5,546

6,502 2,399

5,331 3,231

6,443 2,912

6,953 2,605

8,625 3,236

7,703 2,422

ZU,bb~

1,283

9,104

4,605

5,658

7,900

12,751

15,651

2,989

2,010

4,420

5,399

6,728

4,103

2,100

3,531

4,348

5,389

5,281

991

7,921

3,369

3,816

5,789

10,308

12,121

2,281

1,695

3,248

4,239

5,403

3,207

1,732

2,781

3,171

4,286

4,126

43.2

65.2

60.5

53.8

55.8

61.0

59.3

57.7

57.5

61.7

59.3

54.8

63.1

39.4

54,8

62.5

62.5

68.6

33.3

56.7

44,3

36.3

40.9

49.3

45.9

44,0

48.5

45,3

46,5

44,0

49,3

32,5

43.2

45.6

49.7

53.6

11
variations in the proportions, however, occurred by age and

sex of the patient, geographic region, and bed size of the hospital. Patients 15–44 years of age had the highest proportion of

all the age groups with procedures (65 percent). Women had

more procedures than men (6 1 percent compared with 56 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 39 percent in hospitals with

6–99 beds to about 69 percent in hospitals with 500 beds or

more.

Approximately 52 percent of the patients with procedures

had only one operation or nonsurgical procedure during their

hospitalization (table G). About 27 percent of the patients had

two procedures, about 12 percent had three, and about 9 percent had four or more. By age, patients under 15 years of age

had the lowest proportion of multiple procedures (35 percent)

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

largest proportion (54 and 55 percent, respectively). About 42

percent of the patients discharged from the smallest hospitals

had more than one procedure; about 52 percent of the patients

discharged from hospitals of all other sizes had two or more

procedures during their hospitalization.

Procedures are grouped in the detailed tables of this report

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

within these groups are presented by specflc categories within

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

categories-such as repair of inguinal hernia, prostatectomy,

and hysterectomy—are presented as single categories although

they may be divided into more precise subgroups.

Miscellaneous diagnostic and therapeutic procedures (8.8

million) ranked frost among the surgical and nonsurgical procedures performed during 1985. Other leading ICD–9–CM

groups were operations on the digestive system (5.7 mlillion),

obstetrical procedures (4.3 million), operations on the musculoskeletal system (3.5 million), and operations on the female genital organs (3.3 million). About two-thirds of the procedures

performed in 1985 were included in these five major groups.

The number and rate of all-listed procedures in 1985 by

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

categories presented in this table include procedures that were

performed frequently during the year. Many of the procedures

included in this table are diagnostic and nonsurgical procedures that were not published by the NHDS prior to 1979, such

as endoscopy on the digestive system, computerized axial t~

mography (CAT scan), diagnostic ultrasound, and arteriography and angiocardiography using contrast material. Over

Table G. Percent distribution of petients discharged from short-stay hospitals by number of procedures, according to age, sex, and race of

patient and geographic region and bed size of hospital: United States, 1985

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

All

discharged

patients 4

with 7 2 3 procedures

Characteristic procedures procedure procedures procedures or more

Percent distribution

26.5

23.8

25.7

27.9

27.5

26.7

26.4

26.8

25.3

26.3

26.0

26.7

26.9

26.3

26.6

25,4

27.6

26.1

26.9

All Datients ...,......,.....,.. . . . . . . . . . . . . 100.0 52,3 11,9 9.2

Age

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

15–44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

100.0

100.0

100.0

100,0

65.0

58.1

45.9

45.5

6.5

10.2

14.6

13.7

4.7

6.1

‘11.6

‘13.3

Sex

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

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

100.0

100.0

49.2

54.3

13.1

11.2

11.0

8,1

100.0

100.0

100,0

51.3

55.1

56.4

12.3

10.9

10.6

9.6

8,7

6.7

Geographic region

52.4

49.3

53.9

53.7

11.6

13,2

11,4

11.4

‘10.0

‘10.8

7,8

8.7

100.0

100.0

100.0

100.0

Bed size of hospital

100.0

100.0

100,0

100.0

100.0

57.8

56.4

49,5

51.9

50.3

9.9

10.8

12.9

12.1

12.4

5.8

7.4

‘10.0

9.9

‘10.4

6–99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100–199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

NDTE: A maximum of 4 procedures was coded for each pat!ent dlacharged.

12
Table H. Number and rate of all-listed eurgicai and nonsurgical procedures for patients discharged from short-stay hospitals, by selected

procedure categories: United States, 1985

[Discharges from non-Federal short-stay hospitals. Excludes newborn Infants, Procedure grouprngs and code number jnclus!ons are based on the International

Classlficatlon of Dmeases, 9th Revtslon, Cllnical Modification]

Procedure catego~ and /CD-9–CA4 code Surgical procedures

All procedures...,.......,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Surgical proceduresl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Procedures toasslst delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72–73

Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

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

Repa!rof current obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

Operst!ons on spinal cord and spinal canal structures except biopsies . . . . . . . . . . . . . . . . . . . . . 03–03.31, 03.39 -03.9

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

Arthroplasty of joints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.3-81.8

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

Cholecystectomy, , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

bilateral destruction or occlusion of fallopian tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . ..66.2 –66.3

Repair ofinguinal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.0–53.1

Open heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.1-35.51, 35.53–36.2, 36.9, 37.10-37.11, 37.32-37.33, 37.5

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

Diagnostic dilation andcurettaga of uterus........,........,,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

Operations onmuscle, tendons, fascia, and bursa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82.83 .l. 83.3.83.9

Excision or destruction of intervertebral disc and spinal fusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.5. 81.0

Tonsillectomy with orwithout adenoidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,, . . . . . . . . . . . . . . . . . . . . . ..28.2 –28.3

Division of peritoneal adhesions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.5

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

Endoscopy of the digestive

system . . . . . . . . . . . . . . . . . . . . . 42.21 –42.23, 44.11 –44.13, 45.11 –45.13, 45.21 –45.24, 48.21 –48.22, 51.11, 54.21

Computerized axial tomography (CAT scan) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87.03, 87.41, 87.71, 88,01, 88.38

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

Artenographya ndangiocardiography using contrast material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88,4-88.5

Rad!owotope scan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . ..92.01 –92.1

Endoscopy of the urinary system through natural orifice . . . . . . . . . . . . . . . . . . . . .

Cardiac catheterization . . . . . . . . . . . . . . .

55.21-55.22, 56.31, 57.32, 58,22

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

Clrculato~ monitoring .,....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . ...89.6

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

Contrast myelogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.21

injection ortnfusion of cancer chemotherapeutic substance, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99,25

Bllia~tract X-ray .,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,..........,..87.5

Electrographic monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, . . . . . ...89.54

Number

in

thousands

Rate per

100,000

population

36,760

24,799

2,494

1,438

877

670

593

548

530

525

507

492

475

466

416

379

367

349

340

323

317

309

11,960

1,542

1,378

1,234

1,117

B38

6B3

681

635

442

436

359

322

308

15,508.1

10,462.1

1,052.1

606.5

369.9

282,8

250.2

231.0

223.6

221.3

213.9

207.4

200.3

196.8

175.4

159.9

154.7

147.1

143.4

136.1

133.9

130.3

5045.8

650.7

581.2

520.5

477.3

353.6

288.0

287.1

267.9

186.4

184,0

151.3

135.8

129.8

1See appendix II for ICD-9–CM codes in this catego~.

one million of each of these procedures were performed during

1985.

Data for the more traditional leading surgical operations

are also shown in table H. Some of the most frequently performed surgeries, of which 500,000 or more were performed in

1985, included cesarean section, hysterectomy, excision or destruction of lesion or tissue of skin or subcutaneous tissue,

cardiac catheterization, and arthroplasty of joints.

The estimated 36.8 million procedures performed in 1985

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

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

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

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

Of the 36.8 million procedures performed during 1985,41

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

only 5 percent were performed on patients under 15 years of

age. The most common procedure 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 age group 45–64 years was arteriography and angiocardiography using contrast material; and for those 65 years

and over, the most common procedures were computerized

axial tomography (CAT scan), diagnostic ultrasound, and arteriography and angiocardiography using contrast material.

The rate of procedures per 1,000 population increased

with advancing age from a rate of 37 for patients under 15

years to 387 for patients 65 years of age and over (table J). Except for females 15–44 years of age, the rates for both sexes

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

years of age was about the same as that for females 45–64

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

years of age operated on for obstetrical and gynecological

conditions.

Of the 36.8 million procedures performed during 1985,

about 14.7 million were for males and 22.1 were for females.

13
Table J. Number end rate of all-listed procedures for patients

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

United States, 1985

[Discharges from non-Federal hospitala. Excludes newborn Infants]

Both

Age sexes Male Female

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

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

15–44 years . . . . . . . . . . . . . . . .

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

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

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

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

15–44 years . . . . . . . . . . . . . . . . .

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

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

Number of procedures

in thousands

36,760 14,694 22,066

1,937 1,128 809

14,957 4,011 10,946

8,838 4,361 4,478

11,027 5,194 5,833

Rate per 1,000 population

155.1 128.2 180.2

37.3 42.4 31.9

134.0 72.9 193,4

196.9 203.5 190,8

386.5 450.5 343.1

The corresponding rates per 1,000 population were 155 for

both sexes, 128 for males, and 180 for females. Of the procedures shown in table 17, the most common for males were

arteriography and angiocardiography using contrast material,

CAT scans, endoscopies through natwd orifice, and diagnostic

ultrasound. For females, the most frequently performed procedures were episiotomy without forceps and vacuum extraction, cesarean section, and diagnostic ultrasound.

The distribution of procedures by race is shown in table

19. Seventy-seven percent of all procedures were performed on

white patients, 14 percent were performed on all other races

(including black), and 9 percent were performed on patients

witi no race stated. The percent of procedures for white patients

was higher for open heart surgery; insertion of prosthetic lens

(pseudophakos); cardiac catherization; and pacemaker insertion, replacement, removal, and repair. The percents were lower,

however, for curettage of uterus to terminate pregnancy, circumcision, and bilateral destmction or occlusion of fallopian

tubes. For all other patients, the percents were higher for curettage of uterus to terminate pregnancy, circumcision, and spinal

tap; and they were lower for open heart surgery and insertion of

prosthetic lens (pseudophakos).

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 170 in the Midwest Region, 159 in the Northeast Region,

152 in the West Region, and 144 in the South Region. Rates

were highest in all regions for miscellaneous diagnostic and

therapeutic procedures and operations on the digestive system.

The number of procedures in short-stay hospitals during

1985 for each ICD–9–CM category by bed size of hospital

where the procedure was performed is shown in table 22. Operations on the digestive system were observed to rank highest

of all-listed procedures in hospitals with less than 100 beck. The

most common procedures for hospitals with 500 beds or more

were miscellaneous and therapeutic procedures and operations

on the digestive system.

The percent distribution of the major groups of procedures

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

300 beds or more treated an estimated 47 percent of the patients

hospitalized during 1985, but they performed about 53 percent

of the procedures. Procedures for which large percents were

performed in hospitals with 300 beds or more were operations

on the cardiovascular system (71 percent), operations on the

heroic and lymphatic system (62 percent), operations on the

nervous system (61 percent), and operations on the respiratory

system (60 percent).

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

to procedura category: United States, 1985

[Discharges from non-Federal short-stay hospitals. Excludes newborn Infants. Dlagnostlc groupings and coda number inclusions are basad on the International

Classlflcation of Diseases, 9th Revision, Clinlcal Modification]

Procedure catago~ and ICD-9-CM code

All

sizes

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

beds beds beds bads or more

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

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

Operations ontheendocmnes ystem. . . . . . . . . . . . . . . . . . . . . . . . . . . ..06–07

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

Operations on the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..18–20

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

Operations ontheresplratory system. . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

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

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

Opera t[onson the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..42-54

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

Operations onthemale genital organs . . . . . . . . . . . . . . . . . . . . . . . . . ..60–64

Operations onthe female genital organs .,.. . . . . . . . . . . . . . . . . . . . . ,.65–71

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

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

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

Miscellaneous diagnostic and therapeutic procedures . . 87-99

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

9.3

6,2

7.5

10.3

4.6

12.1

3.7

1.8

5.9

11,9

8,6

9.8

12.8

12.1

13,1

12.6

5.9

Percent distribution

16.3 21.7

15.3 18.0

12.5 20.7

17.6 16.2

22.7 22,6

21.1 20,9

13.8 22.3

7.5 20.2

13.3 19.1

17,1 23.1

17,6 21.8

17.8 21.9

22.2 17.4

16.1 17.4

18.4 20.5

16.6 19.0

14.2 26.8

26.4

26,3

26.0

26.2

24.0

23,9

29.6

31,8

26,8

24.7

29.5

29.1

24.1

28.3

25.3

27,2

25.6

26,3

34.3

33.3

29.7

26.1

22.0

30.6

38.7

35.0

23.1

22.6

21.4

23.4

26.1

22.7

24.7

27,5

14
Deaths in short-stay hospitals

In 1985, 96.2 percent of patients, excluding newborn infants, who were discharged from short-stay hospitals were discharged alive, 2.7 percent were discharged dead, and for 1.1

percent a discharge status was not ascribed. Of the estimated

943,000 patients who died, 50.6 percent were male and 49.4

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

and over accounted for the majority of hospital deaths-71.0

percent. Patients under 65 years of age accounted for 29.0 percent of the deaths. The 943,000 who were discharged dead

from these hospitals represented about 45 percent of all persons who died during 1985.5

The hospital fatality rate is the number of deaths divided

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

conservative rate because 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

1985. The rate for males was higher than that for females—

3.4 for males compared with 2.2 for females.

The age group 65 years and over had a hospital fatality

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

of age had a fatality rate of 1.1.

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 M.

These data are not synonymous with data for underlying cause

of death as reported in Vital Statistics of the United States. Of

the estimated 943,000 deaths in short-stay hospitals, 68 percent are accounted for by the diagnostic groupings shown in

table M. Of these, heart disease and malignant neoplasms accounted for nearly one-half (436,000) of all deaths in shortstay hospitals.

For specitlc diagnoses, the highest fatality rates were for

acute myocardial infarction, with a rate of 15.5 per 100 discharges; heart disease, with a rate of 15.0 per 100 discharges;

and nephritis, nephrotic syndrome, and nephrosis, with a rate

of 14.3 per 100 discharges.

The average length of stay for patients discharged from

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

in table N. The average stay for all patients discharged was 6.5

days. Patients discharged alive had an average stay of 6.3 days,

compared with an average stay of 11.6 days for patients who

died in the hospital.

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

average of 5.4 days; however, those who died had an average

stay of 11.8 days. The hospital stay for patients 15–44 years of

age who died was 2.2 times as long as for those who were discharged alive (10.4 and 4.8). The difference in length of stay

was much smaller for patients 65 years and over—8.5 days for

those discharged alive and 11.6 days for those who died.

Table L. Number of deaths and fatality rate of patients discharged from short-stay hospitals by sex and age: United States, 1985

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

Both Both

Age sexes Male Female sexes Male Female

Number m thousands

Alleges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 943 477 466

Allages excluding obstetric conditions . . . . . . . . . . . . . . . . . . . . . . . . . . 941 477 464

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274 158 116

Under 15 years, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 13 12

15-44 years...,...........,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 36 23

45-64 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 110 81

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 669 319 351

Rate per 100 discharges

2.7 3.4 2.2

3.1 3.4 2.9

1.1 1.6 0.8

0.8 0,8 0.9

0.4 0.9 0.2

2.5 2.9 2.1

6.4 7.0 5.9

15
Table M. Number of deaths and fatality rate of patients discharged from short-stay hospitals by age and selected first-listed diagnosis:

United States, 1985

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

Clinlcal Mod! flcat(on]

All Under 65 years All Under 65 years

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

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

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1 40-208,230–234

Malignant neoplasms of trachea, bronchus, and lung. . . . . . ...162. 197.0, 197.3

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

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

Chronic ischemic heart disease ..,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411-414

Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

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

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

pneumonia, ali forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

Nephritis, nephrotic syndrome, and nephrosis. . . 580-589

lnju~ and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800–999

Number in thousands

943 274 659

190 78 112

47 20 27

246 48 197

117 22 95

19 *4 15

40 10 31

45 *5 40

80 14 65

65 10 55

19 *

15

43 20 23

Rate per 100 discharges

2.7 1.1 6.3

9.9 8.4 11.3

15.0 14,9 16.8

6.9 3.3 9.4

15,5 6.9 21.8

1.5 “0.7 2,2

7.9 5.3 9.4

8.1 *4.5 9.0

8.7 6.2 9.5

7.6 2.2 13.8

14.3 *23.1

1.3 0.8 2.9

Table N. Average length ofstayof patients discharged from shoti-stay hospitals, bydischarge status, age, and aax: United States, 1985

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

Discharge status

Alive Dead

Age Both sexes Male Female Both sexes Male Female

Average length of stay in days

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.3 6.7 6.0 11.6 11.2 12.1

Allsges excluding obstetric conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.8 6.7 6.9 11.6 11,2 12.1

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4 6.0 5.0 11.8 12.0 11.5

Under 15 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.5 4.4 4.6 10.0 10.8 9.2

15-44 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.8 6,0 4.3 10.4 10.7 9.9

45-64 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.9 6.7 7.0 12.5 12.6 12.3

65 years And over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,5 8.3 8.7 11.6 10.7 12.3

16
Newborn infant discharges

The number, percent distribution, andaverage length of

stay of newborn infants discharged from short-stay hospitals,

by sex and geographic region, are shown in table O. Because

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

on births published in Vital Statistics of the United States.

The estimated 3.8 million newborn infants were equally divided

between the sexes.

About 36 percent (1.4 million) of newborn dischages

were from the South Region, and approximately 24 percent

(0.9 million) were from the Midwest Region. The percents of

discharges were approximately 23 percent (0.9 million) for the

West Region and 18 percent (0.7 million) for the Northeast

Region. The average length of stay was 4.3 days in the Northeast Region and 2.9 days in the West Region. The average

length of stay was 4.2 days in the Midwest Region and 3.9

days in the South Region. About 65 percent of the 3.8 million

newborn infants discharged from short-stay hospitals were

“well” (table P). A well infant is defined as one who does not

have an illness or risk-related diagnosis.

The estimated 1.3 million sick infants (35 percent of all

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

diagnosis. Some of these additional diagnoses are shown in

table Q. About 0.6 million (26 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 55 percent of all sick newborn

diagnoses. Males accounted for 59 percent of the congenital

conditions, 58 percent of the respiratory diagnoses, 55 percent

of the jaundice, and 54 percent of the prematurity diagnoses.

Table O. Number, percent distribution, and average Iangth of stay

for newborn infants discharged from non-Faderel short-stay hospitals,

by sex and gaogrephic region: Unitad Statas, 1985

Number of Percent Average length

Sex and region discharges distribution of stay in days

All newborn Infants. 3,794 100.0 3.8

Sex

Male . . . . . . . . . . . . . . . 1,953 51.5 3.8

Female .,,......,,.. 1,841 48.5 3.8

Of the 1.3 million sick newborn infants, there were 21 percent

more boys than girls; the boys also had 24 percent more diagnoses than girls did.

Well newborn infants had an average hospital stay of 2.8

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

(table P). This table tiwther demonstrates that sick newborn infants stay twice as long as well infants (5.7 versus 2.8 days),

and they account for 53 percent of the newborn patient days

although they constitute ordy 35 percent of newborn infants.

Table P. Number and avarage length of stay of nawborn infants

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

status: United Statas, 1985

Both

Health status sexes Male Female

Number in thousands

All newborn infants . . . . . . . . . . . . . . . . 3,794 1,953 1,841

Well newborn infants .,....... . 2,475 1,230 1,245

Sick newborn infants, . . . . . . . . ,. ..,.. 1,319 723 596

Average length of stay

in days

All newborn infants . . . . . . . . . . . . . . . 3.8 3,8 3.8

Well newborn infants . . . . . . . . . . . . . . . 2.8 2.8 2.8

Sick newborn infants,.,,,,,.. . . . . . 5.7 5,6 5.9

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

discharged from short-stay hospitals, by selected diagnostic

categories and sex: United States, 1985

[Ail-lwted diagnoses in non-FederaI short-stay hosp}tals. Dlagnosttc groupings

and code number inclusions are based on the International Class8ficat!on of

Diseases, 9th Revision, Clinical Modification]

Diagnostic categoiy and Both

ICD-9-CM code sexes Male Female

Number In thousands

Sick newborn infant dragnoses! 2,213 1,228 988

Congenital anomalies. . . . . ...740-759 173 102 72

Disorders relating to short gestation

and unspeclfred low bwthwe!ght

(prematurity) . . . . . ...765........765 207 112 95

Respiratory distress syndrome and

other respiratory conditions of fetus

and newborn . . . . . . . . . . . . .,769- 770 248 145 103

Hemolytrc disease of fetus or newborn,

due to Isoimmun!zatlon and other

perinatal jaundice . . . . . . . ...773-774 582 321 261

Region

Northeast . . . . . . . . . . . 665 17.5 4,3

Midwest . . . . . . . . . . . . 909 24.0 4.2

South . . . . . . . . . . . . . . 1,364 35.9 3.9

West . . . . . . . . . . . . . . 856 22.6 2.9

1Includes data for d!agnost!c cond!tmns not shown In table.

17
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short-stay hospitals by characteristics of discharged patients, United

States, 1965. Vital and Health Statistics. Series 13, No. 3. P’HS Pub.

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

Printing Oflice, Dec. 1967.

161nstitute of Medicine Report of a Study, Reliability of National

Hospital Discharge Survey Data. Washington. National Academy of

Sciences, 1980.

171nstitute of Medicine: Report of a Study, Reliability of Medicare

Hospital Discharge Records. Washington. National Academy of

Sciences, Nov. 1977.

1‘Institute of Medicine: Report of a Study, Reliability of Hospital

Discharge Abstracts. Washington. National Academy of Sciences,

Feb. 1977.

18
List of detailed tables

1. Number, percent distribution, and rate of patients discharged from shofi-stay hospitals and of days of care, and

average length of stay for patients discharged from shortstay hospitals, by sex and age: United States, 1985 . . . . . . .

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

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

1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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, and principal expected source of paymenti United

States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Number of patients discharged from short-stay hospitals,

days of care, and average length of stay for patients discharged from short-stay hospitals, by age, geographic region, bed size of hospital, and sex: United States, 1985 . . .

5. Rate of patients discharged from short-stay hospitals and

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

States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6. 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 patienti United States,

1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7. 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, 1985 . . . . . .

8. 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, 1985 . . . . . . . . . . . .

9. Number of patients discharged from short-stay hospitals,

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

of first-listed diagnosis and age: United States, 1985 . . . . . .

10. Number of patients discharged from short-stay hospitals,

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

of first-listed diagnosis, sex, and race: United States,

1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Number of patients discharged from shofi-stay hospitals,

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

of first-listed diagnosis and geographic region United

20 States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

12. Number of patients discharged from shor--stay hospitals,

by category of first-listed diagnosis and bed size of hospitak

United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

13. Average length of stay for patients discharged from short21 stay hospitals, by category of first-listed diagnosis and bed

size of hospital: United States, 1985 . . . . . . . . . . . . . . . . . . . 37

14. 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

22 States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

15. Number of all-listed procedures for patients discharged

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

United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 a.

L+

16. Rate of all-listed procedures for patients discharged from

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

States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 -)7 Al

17. Number of all-listed procedures for patients discharged

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

United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

18. Rate of all-listed procedures for patients discharged from

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

States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

19. Number of all-listed procedures for patients discharged

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

28 United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

20. Number of all-listed procedures for patients discharged

from short-stay hospitals, by procedure category and geographic region United States, 1985.... . . . . . . . . . . . . . . . . 45

29 21. Rate of all-listed procedures for patients discharged from

short-stay hospitals, by procedure category and geographic

regiom United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

30 22. Number of all-listed procedures for patients discharged

from short-stay hospitals, by procedure category and bed

size ofhospital: United States, 1985 . . . . . . . . . . . . . . . . . . . 47

32

19
TABLE 1. NUMBER, PERCENT DISTRIBUTIOtA, ANO RATE OF PATIENTS DISCHARGEO 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: UN ITEO STATES, 198s

(diSChargeS FRoM NONFEDERAL HOSPITALS. EXCLUDES NEIABORN INFANTS I

OISCHARGEO PATIENTS OAYS OF CARE

NUMBER RATE PER

IN

NUMBER RAfE PER

PERCENT

AVERAI; E

1,000 IN PERCENT

SEX AND AGE

1,000

THOUSANOS DISTRIBUTION

LENGTH OF

POPULATION THOUSANOS DISTRIBUTION POPULATION STAY IN OAYS

BOTH SEXES

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

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

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

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

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

15-+4 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

20-24 YE AD S. . . . . . . . . . . . . . . . . . . . . . .

25-3+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .

35-44 YE ADS. . . . . . . . . . . . . . . . . . . . . . .

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

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

55-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

65-74 YEA AS . . . . . . . . . . . . . . . . . . . . . . .

15-84 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

UNOER 17 YE ADS . . . . . . . . . . . . . . . . . . . . . .

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

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

HALE

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

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

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

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

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

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

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

20-24 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

35-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

45-54 YEARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

75-84 VEAL S. . . . . . . . . . . . . . . . . . . . . . .

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

UNOER 17 Years . . . . . . . . . . . . . . . . . . . . . .

17-69 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .

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

FEMALE

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

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

UNOER L YEAR . . . . . . . . . . . . . . . . . . . . . .

1 70 4 YEA AS . . . . . . . . . . . . . . . . . . . . . .

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

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

15-19 YE AR S. . . . . . . . . . . . . . . . . . . . . . .

.20-24 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

25-34 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

35-4+ YE AR S . . . . . . . . . . . . . . . . . . . . . . .

45-64 Y EAR S . . . . . . . . . . . . . . . . . . . . . . . . .

45-54 YEAD S . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

75-84 YE AD S. . . . . . . . . . . . . . . . . . . . . . .

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

uNOER 17 YE ADS. . . . . . . . . . . . . . . . . . . . . .

17-6’? YEAR S . . . . . . . . . . . . . . . . . . . . . . . . .

TO YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

35,056

2,972

787

921

1,264

13,966

1,708

2,813

5,821

3,624

7,610

3,29a

4,312

Lo,50a

5,011

3,969

1,528

3,499

23,533

8,024

14,160

1,698

449

541

708

4*153

530

623

1,522

1,478

3,776

1,596

2,179

4,533

2, 389

L,657

488

1,904

8,942

3.315

20,696

1,274

33a

380

556

9,a13

1,178

2,190

4.299

2, 146

3,834

1,701

2,132

5,975

2,623

2,312

1.040

1,595

14,591

4,709

100.0

a.5

2.2

2.6

3.6

39.8

4.9

a.o

i6.6

10.3

21.7

9.4

12.3

30.0

14.3

11.3

4.4

10.0

67.1

22.9

100.0

12.0

3.2

3.8

5.0

29.3

3.7

4.4

10.8

10.4

26.7

il.3

15.4

32.0

16.9

11.7

3.4

13.4

63.1

23.4

100.0

6.1

1.6

1.8

2.7

47.0

5.6

10.5

20.6

10.3

18.3

a.1

10.2

2a.6

12.6

11.1

5.0

7.6

69.8

22.5

147.9

57.2

210.2

64.4

37.3

125.1

92.9

138.2

140.6

115.0

169.5

146.2

193.1

36a.3

294.9

449.8

563.6

58.9

14a.5

420.1

123.5

63a

234.2

74.0

+o. a

75.4

57.0

62.7

74.5

96.1

176.2

146.1

207.6

393.2

319.9

503. a

631.0

62.6

116.2

455.6

170.7

50.2

las. o

54.4

33.6

173.4

129.5

210.3

205.0

133. L

163.4

146.3

lao. z

351.4

275.2

4t7.7

536a

55.0

17a. a

39a.2

226,217

13,554

5,203

3,230

5,121

61,397

7*339

Il,sal

27,4ao

20,996

53,541

21,736

31, ao5

91,726

41,090

36,024

14,612

16*la3

137,714

72,319

97,269

7,641

2,a29

1,802

3,015

25,26a

2,932

3*6a2

9,560

9,096

26,135

10,322

15. a14

3a,219

19,243

14,514

4,462

a,ab9

59,690

28,710

12a,94a

5.907

2,374

l,42a

2, 106

42*L2a

4,4)07

7,900

17,920

11,901

27,405

11,414

15,991

53,507

21. a47

21,510

10.150

7,314

7a.024

43,609

100.0

6.0

2.3

1.4

2.3

29a

3.2

5.1

12.1

9.3

23.7

9.6

14.1

40.5

la. z

15.9

6.5

7.2

60.9

32. o

100.0

7.9

2.9

1.9

3.1

26.0

3.0

3.a

9.a

9.4

26.9

10.6

16.3

39.3

19. a

14.9

4.6

9.1

61.4

29.5

100.0

4.6

l.a

1.1

1.6

32.7

3.4

6.1

13.9

9.2

21.3

a.9

12.4

41.5

16.9

16.7

7.9

5.7

60.5

33a

954.4

260. a

1,390.5

225.9

150.9

603.6

399.1

56a. FJ

663.7

666.5

1,192. a

963.7

1,424.1

3,215.1

2,417. a

4,0a2.5

5,3a9.8

272.4

a6a.7

3,786.4

a4a.7

2a7.5

1,476.7

246.4

173.6

45a.9

315.3

370.2

467.7

591.4

1,219.9

944.6

1,506.4

3s315.0

2,577.0

4,414.2

5,772.5

291.6

775.9

3,946.4

1,053.3

232.9

1,300.2

204.5

127.2

744.3

4a4.7

75a.6

a54.6

73a.1

1,168.1

9aL.6

1*351.3

3,147.1

2,292.9

3,aa5.5

5,237.2

252.2

956.2

3,6 L37.6

6.!5

4.15

6.6

3.5

4.1

4.13

+.3

4.1

4.7

5.8

7.0

6.6

7.4

8.7

a.,2

9.1

9.15

4.(>

5.,3

9.0

6.9

4.5

6.3

3.3

4.3

6.:1

5.5

5.9

6.3

6.2

6.9

6.5

7.3

a.tt

a.1

a.8

9.n

4.”!

6.7

a.t

6.2

4.6

7.0

3.8

3.8

4.3

3.7

3.$5

4.<2

5.5

7.1

6.7

7.5

9.0

a.3

9.3

9.a

4.15

5.3

9.3

20
TABLE 2. NuPIBER, PERCENT DISTRIBUTION, AND RATE OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS ANO OF DAYS OF CARE, AND AVERAGE

LENGTH OF STAY FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY SEX. RACE, AIAO AGE: UNITEO STATES, 1985

(O ISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUOES NEIABORN INFANTS)

OISCHARGEO PATIENTS OAYS OF CARE

NUMBER RATE PER NUMBER RAIE PER

IN PERCENT 1,000

AVERAGE

IN PERCENT

SEX, RACE, ANO AGE

1,000

THOUSANOS

LENGTH OF

01 STR18UTION POPULATION THOUSANOS OISTRISUTION POPULATION STAY IN OAYS

BOTH SEXES

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

UNOER 15 YEA AS . . . . . . . . . . . . . . . . . . . .

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

45-6+ YEAD S. . . . . . . . . . . . . . . . . . . . . . .

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

IAHITE, ALL AGES . . . . . . . . . . . . . . . . . . . . .

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

15-++ YEARS . . . . . . . . . . . . . . . . . . . . . . .

+5-64 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

15-4+ YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

45-64 YEA RS . . . . . . . . . . . . . . . . . . . . . . .

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

MALE

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

UNOER 15 YEA RS . . . . . . . . . . . . . . . . . . . .

15-44 YEA RS . . . . . . . . . . . . . . . . . . . . . . .

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

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

HHITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .

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

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

45-61i YE AR S . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

45-6+ YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

+5-64 YEA AS . . . . . . . . . . . . . . . . . . . . . . .

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

FEHALE

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

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

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

+5-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

UHITE, ALL AGE S. . . . . . . . . . . . . . . . . . . . .

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

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

45-6+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

+5-64 YE ADS. . . . . . . . . . . . . . . . . . . . . . .

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

RACE NOT ST ATEO, ALL AGE S . . . . . . . . . . .

uNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .

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

45-64 Yeah . . . . . . . . . . . . . . . . . . . . . . .

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

35,056

2.972

100.0

8.5

14T.9

57.2

125.1

169.5

226,217

13,554

67,397

53,541

91,726

100.0

6.0

29. L3

23.7

40.5

76.2

4.1

20.7

18.1

33.3

15.3

1.4

6.0

3.6

4.2

8.5

0.6

3.1

1.9

3.0

100.0

7.9

26.0

26.9

39.3

76.0

5.3

18.1

20.4

3.2.2

15.6

1.8

5.2

4.3

4.2

8.5

0.8

2.7

2.2

2.9

100.0

4.6

32.7

21.3

41.5

T6.3

3.1

22.6

16.4

3+.2

15.1

1.0

6.7

3.1

+.2

8.6

0.4

3.4

1.7

3.1

954.4

260.8

603.6

1,192.8

3,215.1

6.5

4.6

4.a

7.0

8.-A

13;966

7,610

39.8

21.7

10,508

26,379

2,070

9,693

5,927

8*688

5,181

606

2,668

985

922

3,497

296

1,605

697

898

30.0

75.2

5.9

2T.7

16.9

2+.8

14.8

1.7

7.6

2.8

2.6

368.3

131.0

49.2

102.8

150.7

33T.5

172,316

9,176

46,762

41,038

75,340

855.4

218.0

49.5.0

i,043.7

2,926.6

6.5

4.4

4.8

6.9

8.7

145.5

61.3

153.6

34,5.34

3*109

13,675

8,181

9,599

970.9

314.8

787.3

1,469.0

3,444.2

6.7

5.1

5.1

8.3

10.4

177.0

330.7

10.0

0.8

19,337

1,269

6,959

4,322

6,787

5.5

4.3

4.3

6.2

7.6

. . .

. . .

. ..

. ..

. . .

.. .

.. .

. ..

. . .

. . .

4.6

2.0

2.6

14,160

1,698

4*153

3,776

4*533

100.0

12.0

29.3

123.5

63.8

75.4

176.2

393.2

97,269

7,647

25,268

26,135

38,219

848.7

287.5

458.9

1,219.9

3,315.0

6.9

4.5

6.1

6.9

8.4

26.7

32.0

10,839

1.183

2,970

2,943

3,742

76.5

8.4

21.0

20.8

26.4

110.8

5+.8

63. +

155.6

360.2

73,900

5,127

17,635

19,863

31,274

755.7

237.4

376.1

1,050.4

3,010.0

6.8

+.3

5.9

6.8

8.4

1*957

344

724

486

40+

1,364

171

459

3+7

13.8

2.4

5.1

3.4

2.8

116.3

68.7

88.6

193.4

354.3

15,126

1,778

5,040

4*177

898.7

355.5

616.6

1,661.5

3,626.1

7.7

5.2

7.0

8.6

4.130 10.2

9.6

1.2

3.2

2.5

2.7

8,243

741

2,593

2,095

2,815

. . .

. ..

. . .

. . .

. ..

6.0

4.3

5.7

...

. ..

. . .

.. .

6.0

387 7.3

20,896

1,274

9,813

3,834

5,975

100.0

6.1

47.0

18.3

28.6

170.7

50.2

173.4

163.4

351.4

128,9+8

5,907

42,128

27,405

53,507

1,053.3

232.9

744.3

1,168.1

3,147.1

6.2

4.6

4.3

7.1

9.0

15,540

887

6,723

74.+

4.2

32.2

149.9

43.3

141.8

146.2

322.1

98,416

4,048

29,12T

21,175

44,066

949.5

197.6

614.5

1,037.5

2,8T0.2

6.3

4.6

4.3

7.1

.5.9

2,985

4,946

3,223

262

1,944

499

518

2,132

125

1,147

350

511

14.3

23.7

15.4

1.3

9.3

2.4

2.5

10.2

0.6

5.5

1.7

2.4

171.7

53. e

211.4

163.5

314.2

L9,438

1,331

8,635

4,004

5,469

1,035.5

272.1

939.1

1,311.0

3,316.5

6.0

5.1

4.4

8.0

10.6

11,094

529

4,366

2,22T

3,972

. . .

. . .

. . .

. . .

. . .

5.2

4.2

3.8

6.4

7.8

. . .

. . .

. . .

. . .

.. .

21
TABLE 3. NUMBER OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION, AGE, ANO PRINCIPAL EXPECTEO SOURCE OF PAYMENT: UNITEO STATES, 1985

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEHBORN INFANTS)

ALL PRINCIPAL MORKHEN-S OTHER OTHER

ExPECTEO SOURCES PRIVATE COMPEN- GOVERNMENT PAYMENTS ANO

REGION ANO AGE OF PAYMENT INSURANCE MEOICARE MEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE

UN ITEO STATES

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

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

15+4 YE ADS . . . . . . . . . . . . . . . . .

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

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

NORTHEAST

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

UNOER 15 YEA AS . . . . . . . . . . . . . .

15-4+ YE AD S . . . . . . . . . . . . . . . . .

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

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

MI OMEST

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

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

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

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

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

SC(JTH

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

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

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

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

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

uEST

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

uNOER 15 YE ADS . . . . . . . . . . . . . .

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

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

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

UN ITEO STATES

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

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

15-44 YEAD S . . . . . . . . . . . . . . . . .

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

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

NORTHEAST

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

uNOER 15 YE ADS . . . . . . . . . . . . . .

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

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

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

MI OWEST

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

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

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

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

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

SOUTH

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

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

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

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

65 YEARS ANG OVER . . . . . . . . . . .

WEST

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

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

15-4+ YE ADS . . . . . . . . . . . . . . . . .

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

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

35,056

2,972

13,966

7,610

10,508

7,168

529

2,673

1,614

2,353

9,111

754

3,538

1,996

2,823

12,274

1,274

5,006

2,650

3,344

6,5o2

415

2,749

1,350

1,988

226,217

13*55*

67,397

53,541

91,726

55,513

2,391

13,956

13,240

25,925

61,514

3,932

18,987

1+,376

24,2i9

73,817

5,479

23,212

17, e62

27,265

35.3T3

1,751

11,242

8,062

14,318

15,726

1,727

e,691

5,064

244

3,174

311

1,699

1,109

55

4,234

454

2,311

1,410

58

5,726

739

3,168

1,734

86

2,592

223

1,513

ell

45

83,031

7,1e4

40,503

33,431

1,913

18,+10

1,349

8,342

8,174

545

24,246

2,0S9

12,014

9,684

459

28,734

2,886

14,185

11,029

634

11,641

859

5,963

4,545

274

NUMBER OF PATIENTS OISCHARGEO IN THOUSANOS

11,341 3,344 T56 790

35 712 113

332 1,985 464 446

1,014 551 197 196

9,961 96 96 36

2. 5oe 784 106 87

%7 160 *7

50 463 66 52

199 141 35 24

2,252 20 *5 a

3,003 e89 225 172

10 205 26

110 524 97 96

245 139 51 41

2,638 21 76 *9

3,T07 1,140 270 257

12 273 44

109 65e 197 135

395 L78 64 73

3,191 30 *9 *5

2,123 532 156 275

*6 74 37

63

174

340 104

93 46

163

56

l,e80 25 *6 19

NUMBER OF OAYS OF CARE IN THOUSANOS

98,563

272

2,701

6,564

86,946

27,578

*63

419

2*222

24, e75

25,655

71

1,010

2,056

22,516

30s053

97

855

3,016

26,086

15,27T

340

497

1,271

13,469

18,992

3,499

9,988

4, 560

945

5,070

7L9

2,707

1,425

21e

5,538

1,272

2,820

1,212

233

5,661

1,190

2,956

1,272

242

2,723

3i7

1,504

650

252

4,600

2,380

1,259

960

630

35e

235

*37

1,631

500

34e

783

1,573

1,072

429

*72

765

449

24e

*68

4,765

645

2,370

1,433

317

563

*22

304

179*

1,202

216

628

289

*69

1,644

213

757

639

*35

l,35T

194

682

326

155

2,346

316

1,569

402

59

395

30

274

76

14

471

51

316

89

15

966

186

607

153

20

513

4a

372

es

*9

12,101

1,665

6,960

2,972

505

2,583

169

1,492

759

162

2,615

241

1,617

644

112

4,817

1,003

2,542

1,098

174

2,087

252

1,308

471

*56

752

70

479

18t>

~i,

115

14

69

29

::

110

‘&Ij

8(+

20

*(5

200

20

132

53

*

310

27

19!j

81,

>>

4,164!

290

2,413

1,321

140

678

68

334

246

*

62:B

*4.2

39T

143

*45

1*335

90

844

379

*

1,523

89

838

553

*

22
TABLE 3. NUMBER OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGE

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION, AGE, ANO PRINCIPAL EXPECTEO SOURCE OF PAYMENT: UNITEO STATES, 1985—CON.

(DiSChargeS FRoM NONFEOERAL HOsp ITALs. ExCLUOES NEHBORN INFANTS)

ALL PRINCIPAL 140RK!4ENC S OTHER OTHER

EXPECTEO SOURCES PRIvATE COUPEN- GOVERN14ENT

REG1ON ANO AGE

PAYMENTS ANO

OF PAY14ENT INSURANCE MkOICARE MEOICAIO SAT ION PAYMENTS SELF-PAY NG CHARGE

UNITEO STATES AVERAGE LENGTH OF STAY IN OAYS

ALL AGES . . . . . . . . . . . . . . . . . . . . . . 6.5 5.3 6.7 5.7 6.1 6.0 5.2

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

5.5

4.6 4..? T.8 4.9 5.7 5.3

15-+4 YEA RS . . . . . . . . . . . . . . . . .

4.2

4.8 4.7 8.4 5.0 5.1 5.3 +.4

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

5.0

7.0 6.6 8.4 8.3 6.+ T.3 7.+

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

7.1

8.-A 7.9 8.7 9.8 10.0 8.8 a.6 .9.1

NORTHEAST

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . T.7 s.a 11.0 6.5 6.0 6.5 6.5

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

5.9

4.5 4.3 *9.1 4.5 *3.3 5.6

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

4.9

5.2 4..9 a.+ 5..s 5.5 5.8

4S-64 YE ARS . . . . . . . . . . . . . . . . .

5.4 4.a

a.2 7.4 11.1 10.1 6.7 7.3 10.0

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

8.4

11.0 9.9 11.0 11.1 =7.2 * J.I.5 *

!41ouEST

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . 6.a 5.7 a.5 6..? 7.3 7.0

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

5.5 5.3

5.2 4.6 7.2 6.2 a.4 4.7

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

*5.1

5.4 5.2 9.2 5.+ 5.1 6.6 5.1

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

4’.7

7.2 6.9 8.4 8.7 6.a 7.0

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

7.3 7.1

8.6 7.9 8.5 11.1 10.3 *7. + 7.3 *T.9

SOUTH

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . 6.0 5.0 8.1 5.0 5.8 6.4 5.0

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

6.4

4.3 3.9 8.1 4.4 4.9

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

5.4 4.4

4.6 4.5 7.a 4.5 5.4 5.6

+5-64 YE ADS . . . . . . . . . . . . . . . . .

4.2 6.4

6.7 6.4 7.6 7.1 6.7 8.7 7.2

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

7.2

a.2 7.4 8.2 a.o *a.4 =cI.T a.7 *

blEST

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . 5.4 4.5 T’. 2 5.1 4.9 4.9 4.1

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

4.9

4.2 3.a fJ6.5 +.3 5.2 5.3

15-+4 YE ADS . . . . . . . . . . . . . . . . .

3.3

4.1 3.9 7.9 4.4 +.3 4.2 3.5

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

+.3

6.0 5.6 7.3 7.0 5.4 5.8 5.6

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

6.6

7.2 6.1 7.2 10.0 =11.3 a.+ *5.9 *

23
TABLE 4. NUMBER OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERA6E LENGTH LIF STAY FOR PATIENTS OISCHARGEO

FROM SHORT-STAY HOSPITALS, BY AGE, GEOGRAPHIC REGION, BEO SIZE OF HOSPITAL, ANO SEX: UN ITEO STATES, 1985

(O ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NE14BORN INFANTS)

AGE, REG1ON, ANO BEO SIZE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEf4ALE

NuMBER OF PATIENTS OISCHAKGEO

ALL AGES IN THOUSANOS

NUMBER OF OAYS OF CARE

IN THOU SANOS

AVERAGE LENGTH OF STAY

IN DAYS

UN ITEO STATES, ALL SIZES . . . . . . . . . . . .

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

100-199 BEDO . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDO . . . . . . . . . . . . . . . . . . . . . .

300-499 13Eos . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

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

b-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . .

LOO-199 tlEOS . . . . . . . . . . . . . . . . . . . . . .

ZOO-299 BEDO. . . . . . . . . . . . . . . . . . . . . .

300-499 8EOS . . . . . . . . . . . . . . . . . . . . . .

500 BEoS OR MORE . . . . . . . . . . . . . . . . . .

M1OMEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

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

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .

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

300-499 BE DO. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR fore . . . . . . . . . . . . . . . . . .

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

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

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .

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

300-499 8EOS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

MEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

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

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .

ZOO-299 BEDO . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS

UN ITEO STATES, ALL SIZES . . . . . . . . . . . .

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

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

200-299 BED S . . . . . . . . . . . . . . . . . . . . . .

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

500 BEo S OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .

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

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

ZOO-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DO. . . . . . . . . . . . . . . . . . . . . .

500 BEo S OR MORE . . . . . . . . . . . . . . . . . .

MI OMES1, ALL SIZE S. . . . . . . . . . . . . . . . . .

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

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

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

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

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

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

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

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

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

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

500 BEOS OR FOR E. . . . . . . . . . . . . . . . . .

wEST, ALL SIZE S. . . . . . . . . . . . . . . . . . . . .

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

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

ZOO-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDO. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR 140R6 . . . . . . . . . . . . . . . . . .

35,056 14,160 20,896

5,331 2,11B 3,213

6,443

6,953

8,625

7,?03

7,168

793

889

1,433

2,379

1,615

9,111

I, LOO

941

1,651

2,64T

2,773

12,27+

1,984

3,632

1,956

1,999

2,703

6,502

1,454

982

1,913

1,602

552

2,972

396

775

519

625

.557

529

44

56

B3

18+

162

754

83

86

181

189

215

1,274

1T2

580

135

146

241

415

96

54

120

106

39

2,565

2,905

3 *459

3,113

2,998

376

355

631

935

701

3,734

416

384

656

1,140

1,138

4,850

776

1,382

843

780

1,069

2,579

550

444

775

603

206

1,698

230

440

294

362

373

306

25

29

44

111

96

428

45

46

106

110

121

731

10Z

334

74

85

135

233

5B

31

68

55

21

3,078

4,048

5, 167

4,590

4?170

417

534

801

1,443

974

5,37B

684

556

995

1,506

1,635

7,425

1,208

2,250

1,113

1,219

1,635

3,923

904

537

1,138

998

346

1,274

166

335

225

263

284

223

i9

27

38

T3

66

326

38

40

74

79

95

544

71

246

60

61

106

182

3B

22

52

51

18

226,217

2T, B38

37,114

45,309

59,079

56,878

55,513

5,722

6,264

11,677

17,842

14,007

61,514

5,553

5,941

10,859

18,190

20,970

73,817

10,37.9

19,248

12,173

13,7,?2

18,296

35*373

6,184

5,660

10,600

9,324

3,604

13*554

1,310

3,336

2,204

2,912

3,792

2,391

178

183

300

882

849

3,932

268

4b4

905

B69

1,427

5,479

553

2,506

531

651

1,238

1,T51

311

182

46B

510

279

-------- ---

Yr, LOY

11,441

15,8B9

19,695

25,282

24,963

23,952

2,B25

2,454

5,072

7,379

6,223

27,002

2,042

2,766

4*558

8,325

9,312

30,995

4,1+4

7,B91

5,416

5,642

7,901

15,320

2,430

2,778

4,649

3*935

1,527

7,647

732

1,881

1,300

1,659

2,075

1*337

93

90

179

471

505

2,312

135

243

5B6

541

806

3,061

321

1,446

283

368

643

937

182

101

253

279

121

LL8, Y+L!

16,397

21,225

25,6L4

33,797

31,915

31,560

2,897

3,811

6,605

10,463

T,784

34,512

3,512

3,176

6,301

9,B65

11,659

42,823

6,234

11,357

6,757

B,080

10,395

20,053

3*754

2,8B2

5,951

5,389

2,077

5,907

57B

1,455

904

1,254

1,717

1,054

85

93

121

411

344

1,620

132

220

319

328

620

2,418

231

1,060

248

283

595

815

129

81

2X6

231

157

6.5

5.2

5.B

6.5

6.8

7.4

7.7

7.2

7.0

8.2

7.5

8.4

6.8

5.0

6.3

6.6

6.9

T.6

6.0

5.2

5.3

6.2

6.9

6.8

5.4

4.3

5.8

5.5

5.B

6.5

4.6

3.3

4.3

4.2

4.7

5.8

4.5

4.0

3.3

3.6

4.8

5.2

5.2

3.2

5.4

5.0

4.6

6.6

4.3

3.2

4.3

3.9

4.5

5.1

4.2

3.2

3.4

3.9

4.8

7.1

6.9

5.+

6.2

6.8

7.3

8.0

B.O

7.5

6.9

8.0

7.9

8.9

7.2

4.9

7.2

6.9

7.3

8.2

6.4

5.3

5.7

6.4

7.2

7.4

5.9

4.4

6.3

6.0

6.5

7.4

4.5

3.2

4.3

*.4

4.6

5.6

+.4

3.7

3.1

4.0

4.2

5.2

5.4

3.0

5.3

5.5

4.9

6.7

4.2

3.2

4.3

3.8

4.3

4.8

4.0

3.2

3.2

3.7

5.0

5.8

6.2

5.1

5.5

6.3

6.5

7.0

7.6

6.9

7.1

B.2

7.2

8.0

6.4

5.1

5.7

6.3

6.5

T.1

5.B

5.2

5.0

6.1

6.6

6.4

5.1

4.2

5.4

5.2

5.4

6.0

4.6

3.5

4.3

4.0

4.8

6.0

4.7

4.5

3.4

3.1

5.6

5.2

5.0

3.5

5.6

4.3

4.2

6.6

4.4

3.3

4.3

4.1

4.7

5.6

4.5

3.4

3.6

4.2

4.6

8.6

24
TABLE 4. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, OAYS OF CARE.

FROM SHORT-STAY HOSPITALS, BY AGE, GEOGRAPHIC REGION, BED SIZE OF HOSPITAL, ANO

(DISCHARGES FROH NONFEDERAL HOSPITALS. EXCLUOES NEIABORN INFANTS)

ANO AVEPAGE LENGTH OF STAY FOR PATIENTS OISCHARGEO

SEX: UNITEO STATES, 1985--CON.

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

NUMBER OF PATIENTS OISCHARGEO

15-44 YEARS IN THOUSANOS

UNITEO STATES, ALL SIZE S . . . . . . . . . . . .

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

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

ZOO-299 BEDO . . . . . . . . . . . . . . . . . . . . . .

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

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

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

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

100-L99 BEDS . . . . . . . . . . . . . . . . . . . . . .

.?00-299 BEDO. . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR U3RE . . . . . . . . . . . . . . . . . .

HIOHEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

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

1OO-L99 BE DO. . . . . . . . . . . . . . . . . . . . . .

.?00-299 BEDS . . . . . . . . . . . . . . . . . . . . . .

300-+99 BEDO. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR II ORE . . . . . . . . . . . . . . . . . .

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

b-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

300-499 BE DO . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR GORE . . . . . . . . . . . . . . . . . .

uEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

6-99 BE Do . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DO. . . . . . . . . . . . . . . . . . . . . .

200-299 BEDO . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

+5-64 YEARS

uNITEO STATES, ALL SIZES . . . . . . . . . . . .

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

LOO-199 BE DO . . . . . . . . . . . . . . . . . . . . . .

200-.?99 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-+99 BED S . . . . . . . . . . . . . . . . . . . . . .

500 E)EOS OR MORE . . . . . . . . . . . . . . . . . .

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

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

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .

ZOO-299 BEDO . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDO . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

FI1OUEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DO. . . . . . . . . . . . . . . . . . . . . .

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

300-499 BEDO. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

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

6-99 BEDs . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 ETHAS . . . . . . . . . . . . . . . . . . . . . .

200-299 EIEOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DO . . . . . . . . . . . . . . . . . . . . . .

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

wEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 8EOS. . . . . . . . . . . . . . . . . . . . . .

200-299 BE DO. . . . . . . . . . . . . . . . . . . . . .

300-499 EEL S . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

13,966

2,0BB

.2,569

2,56+

3*417

3,308

2,673

330

286

465

902

69o

3,538

390

374

629

1,013

1,131

5,006

729

1,562

708

796

1.211

2,749

639

347

781

706

277

T,61O

1,066

1,.?81

1,515

1,940

l, BOB

1,614

176

182

330

535

391

1,996

216

la9

322

591

677

2,650

386

675

481

471

63T

1,350

288

233

382

343

103

4,153

661

710

B17

995

971

864

158

89

164

240

213

1,083

107

115

194

336

331

1,417

220

386

248

218

344

789

176

119

211

201

B3

3,776

494

613

773

977

919

831

94

87

180

2T2

199

,003

92

93

151

311

356

,267

171

311

244

.?24

317

675

137

122

198

171

46

9,813

1,427

1,860

1,767

2,422

2,337

1,809

172

197

301

662

476

2,455

283

259

436

676

801

3,589

510

1,176

460

577

867

1,960

463

228

570

506

194

3,834

572

667

743

962

890

T82

82

95

150

263

192

993

124

97

lTI

2B0

321

1?384

216

364

237

247

320

675

151

111

184

172

57

NUMBER OF OAYS OF CARE

IN THOUSANOS

67,397

8,801

11*385

11,858

16,991

18,362

13.956

2;029

1*457

2,260

4,299

3,912

18,987

19525

2,183

3,142

5,+99

6,631

23,212

3,093

6*1 BT

3,47B

4,099

6,355

11,242

2.153

1,558

2,977

3,095

1,+59

53,5+1

5,889

8,086

10,40+

14,411

14.750

13,240

1,234

1,355

2,665

4,395

3*591

14,376

1,108

1,165

2,248

4,+14

5,442

17,862

2,229

4*134

3,04T

3*437

5,015

B,062

1,318

1,432

2,444

2,166

T02

25,268

3,394

3,972

4,536

6,2B0

7,087

5,590

1,15B

545

895

1*4+4

1,548

7,464

442

1,023

1,167

2,231

2,602

7,983

1,095

1,755

1,422

1,400

2,312

4,231

699

650

1,052

1,205

625

26, 135

2,701

3,B89

5* 155

7, 163

7,227

6,668

671

594

I,3B0

2,233

L,790

7.060

455

588

979

2,306

2,733

8.440

997

1,933

1,527

1,581

2,+02

3,968

578

775

1,269

1,044

302

42,128

5,407

7,413

7,322

10,711

11,276

8,366

871

912

1,366

2.854

2,363

1,523

1,084

1,161

1,975

3,269

4,035

15,228

1,998

4,432

2,056

2,699

4,043

7,010

1,454

908

1,925

1,890

834

27.405

3,189

4,197

5,249

7,248

7,523

6,572

5b 3

T61

1,286

2,162

1,801

T,316

653

577

1,269

2,108

2,709

9,422

1,232

2,201

1,520

1,856

2,613

4,095

741

657

1.175

1,122

401

AVERAGE LENGTH OF STAY

IN OAYS

4.B

4.2

4.4

4.6

5.0

5.b

5.2

6.2

5.1

4.9

4.8

5.7

5.4

3.9

5.8

5.0

5.4

5.9

4.6

+.2

4.0

4.9

5.2

5.2

~.1

3.4

4.5

3.8

4.4

5.3

7.0

5.5

6.3

6.9

7.4

8.2

8.2

7.0

T.+

8.1

8.2

9.2

7.2

5.1

6.1

7.0

7.5

8.0

6.7

5.8

6.1

6.3

7.3

7.9

.5.0

4.6

6.1

6.4

b. 3

6.8

6.1

5.1

5.6

5.6

6.3

7.3

6.5

7.3

6.1

5.5

6.o

7.3

6.9

4.1

B.9

6.0

6.6

7.9

5.6

5.0

4.5

5.7

6.4

6. T

5.4

4.0

5.5

5.0

6.o

7.6

6.9

5.5

6.3

6.7

7.3

7.9

8.o

7.1

6.8

T.7

8.2

9.0

7.0

4.9

6.3

6.5

7.4

7.7

6.T

5.8

6.2

6.3

7.1

7.6

5.9

4.2

6.3

6.4

6.1

6.5

4.3

3.8

4.0

4.1

4.4

4.8

4.6

5.1

4.6

4.5

4.3

5.0

4.7

3.8

4.5

4.5

4.8

5.0

4.2

3.9

3.E

4.5

4.7

4.7

3.6

3.1

4.0

3.4

3.7

4.3

7.1

5.6

6.3

7.1

7.5

8.5

8.4

6.9

B.O

8.6

8.2

9.4

1.4

5.3

6.0

T.4

7.5

8.4

6.8

5.T

6.0

6.4

7.5

8.2

6.1

4.9

5.9

6.4

6.5

7.1

25
TAL7LE 4. NUM8ER

FROM SHORT-STAY

OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERAGE LENGTH OF STAY FOR PATIENTS OISCHARGEO

HOSPITALS, BY AGE, GEOGRAPHIC REGION, 8E0 SIZE OF HOSPITAL, ANO SSX: uNITED STATES, 1985--CON.

(DISCHARGES FROH NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS)

AGE, REG1ON, AND BEO SIZE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE

NUMBER OF PATIENTS OISCHARGEO NUMBER OF OAYS OF CARE

IN THOUSANOS IN THOUSANOS

AVERAGE LENGTH OF STAY

65 YEARS ANO OVER IN OAYS

UN ITEO STATES, ALL SIZE S . . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S . . . . . . . . . . . . . . . . . . . . . .

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

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

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .

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

100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .

200-299 BEDO. . . . . . . . . . . . . . . . . . . . . .

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

500 BEoS OR MORE . . . . . . . . . . . . . . . . . .

MI OHEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

1OO-L99 BEDS . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DO. . . . . . . . . . . . . . . . . . . . . .

300-499 EELS . . . . . . . . . . . . . . . . . . . . . .

500 EJEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

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

100-199 BED S . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDO. . . . . . . . . . . . . . . . . . . . . .

500 OEOS OR GORE . . . . . . . . . . . . . . . . . .

IIEST, ALL SIZE S. . . . . . . . . . . . . . . . . . . . .

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

100-199 BED S . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DS . . . . . . . . . . . . . . . . . . . . . .

300-499 BEDO . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

5,975

1,048

1,016

1,313

1,520

1.079

91, T26

11..938

1+,308

20, B44

24,764

19,973

25,925

2,281

3,270

6,452

8,266

5,656

38,219

4,614

6,1+T

8,704

10,180

8,574

53,507

7,223

8,161

12,1+0

1+,584

11,399

15,567

1,378

2,045

3,833

5,035

3,276

14,052

1,642

1,217

2,738

4,160

4,295

15,754

2,773

3,663

2,933

3,243

3,143

.9*133

1,430

1,236

2,636

2,146

685

8.7

6.6

7.9

8.9

9.4

10.3

11.0

9.4

9.0

11.6

10.9

13.1

8.6

6.5

7.3

8.8

8.7

10.0

8.2

8.4

6.3

7.7

B.5

9.1

10.1

9.0

6.9

8.0

9.2

9.6

10.6

10,508

I,T81

1.81B

2,335

2,643

1,930

4,533

734

802

1,022

1,124

851

2,353

244

997

99

150

243

312

192

1,356

144

.?15

311

445

240

10*357

902

1,225

2*61a

3,232

2,38o

10.4

9.1

B.2

10.8

10.3

12.4

11.5

9.5

9.5

12.3

11.3

13.6

365

55+

758

432

2,823

410

292

1,219

171

130

205

383

1,604

239

161

31+

+Tl

419

1,908

+12

464

356

334

342

24,219

2,652

10,166

1,010

B.3

5.9

7.0

8.9

8.5

9.6

a.B

6.9

7.5

8.7

8.8

10.3

2,129

4,56+

7,408

7,465

27,265

4,504

6,421

5.117

5,536

5,687

14,318

2,+01

2,4B8

*,711

3,554

1,164

912

1,826

3,248

3,170

519

854

T49 330

3* 344

696

814

632

1,436

204

350

277

11,511 8.0 8.3

6.1

7.9

8.2

9.T

9.2

1,731

2,T58

2,185

2,293

2,545

6.5

T.9

6.1

7.9

8.1

9.4

9.2

7.2

5.6

7.9

9.1

9.3

586

615

252

273

1,988

431

348

630

446

134

882

179

172

298

176

57

1,106

252

175

332

270

T7

6,184

971

1,252

2,075

1,407

479

7.0

5.4

‘7.4

5.7

7.1

7.9

8.0

8.9

7.2

7.5

B.O

7.3

7.0

8.0

8.7 8.5

26
TABLE 5. RATE OF PA TIEtATS OISCHARGEO FROM SHORT-STAY HOSPITALS ANO OF DAYS OF CARE, BY AGE, GEOGRAPHIC REG1ON, ANO SE.Z:

STATES, 1985

UNITEO

(012. CHARGES Fuofl NON FE OERAL HOsPITALs. EXCLUOES NEwBORN INFANTS)

AGE ANO REGION BOTH SEXES HALE FEMALE BOTH SEXES HAL F FEHALE

RATE OF PATIENTS OISCHARGEO

PER 1,000 POPULATION

RATE OF OAYS OF CARE

PER 1,000 POPULATION

95+.4 848.7 1.053.3

1,115.8 1,008.9 1,213.4

1,041.8 941.9 1,136.1

911.6 795.1 1,019.8

748.4 659.7 834.0

ALL AGES

uNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NOR THE AS T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MI DWELT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

uNOER 15 YEARS

UN ITEO ST AT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NOR THE IS T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MIoMEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS

uNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NOR THE IST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MIo HEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IAES T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEARS

UNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1410u ES T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANO OVER

uNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NOR THE IS T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MI Oli ES T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HEAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

147.9

144.1

154.3

151.6

137.6

123.5

126.3

130.2

124.4

111.0

170.7

160.3

177. o

176.8

163..?

57.2

53.8

63.8

60.8

50.2

46.5

50.6

61.4

34.4

260.8 287.5 23.?.9

243.5 265.9 219.9

298.1 342.0 252.0

302.3 330.1 273.2

161.8 169.1 154.2

57.2

70.3

38.4

63.4

78.8

42.1

125.1

115.6

128.6

131. T

119.5

75.4

76.4

79.3

76.2

68.7

173.4

153.1

603.6 458.9 744.3

603. k +94.1 T08. O

690.1 546.5 a31.8

610.7 429.2 784. T

488.6 368.4 608.5

1T7.2

1.s5.0

170.2

169.5

157.8

176.2

172.1

188.6

176.2

165.0

163.4

145.0

173.4

172.5

156.2

1,192.8 1,219.9 1,168.1

1,295.0 1,380.5 1,218.5

1,301.5 1,327.9 1,277.0

i,174.3 1*174.1 1,174.5

959.0 970.1 949.3

180.7

174.2

160.5

368.3

357.9

386.9

347.2

395.4

393.2

388.0

415.7

366.1

418.9

351.4

338.6

36T.6

334.2

378.5

3,215.1 3,315.0 3,147.1

3,944.1 4.031.7 3,887.0

3,319.0 3,466.1 3,220.1

2,830.6 2,934.9 2,759.0

2,847.6 2,938.0 2,782.5

TAOLE 6. NuMBER

FROM SHORT-STAY

(015cHARGEs FROH

OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVERAGE LENGTH OF STAY FCIR PATIEFATS OISCHARGEO

HOSPITALS, BY TYPE OF OHNERSHIP OF HOSPITAL ANO AGE ANO SEX OF PATIENT: UNITEO STATES, 1985

NONFEDERAL HOSPITALS. EXCLUOES NEIA80RN INFANTS)

TYPE OF OIANERSHIP ANO AGE 80TH SEXES HALE FEMALE 80TH sExES HALE FEFIALE BOTH SEXES MALE FEMALE

NUM8ER OF PATIENTS OISCHARGEO

ALL TYPES I N THOUSANOS

?WM8ER OF OAYS OF CARE AVERAGE LENGTH OF STAY

IN THOUSANOS IN OAYS

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

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

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

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

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

VOLUNTARY NONPROFIT

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

uNo ER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

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

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

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

GOVERNMENT

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

uNOER 15 YEA AS . . . . . . . . . . . . . . . . . . . .

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

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

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

PROPRIETARY

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

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

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

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

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

35,056

2,972

13,966

7,610

10,508

14,160

1.698

20,896

1,.?74

9,813

3,834

5,975

14,339

894

6,594

2,651

4,200

4,623

308

2,356

7’s0

1,179

1*933

7.?

864

402

596

226,217

13,554

67,397

53,541

91,726

97,269

7,6+7

25,268

26,135

38,219

126,948 6.5 6.9 6.2

5,907 4.6 4.5 4.6

42,128 4.8 6.1 4.3

27,405 7.0 6.9 T.L

53,507 8.7 8.4 9.0

4*153

3,776

4,533

23,984

2,089

9,208

5*Z90

7*397

9,645

1,195

2,615

2,638

3*197

159,562

9,631

44,217

38,017

67,698

68,174

5,+21

15*856

18,588

2.9*3O9

91,388 6.T 7.1 6.4

4.210 4.6 +.5 4.7

28,360 4.8 6.1 4.3

19,429 7.2 7.0 7.3

39,389 9.2 8.9 9.4

T,776

717

3,402

1,558

2?099

3*153

409

1,046

778

920

45,923

3,247

16,211

10,575

15,890

19,980

1.861

6,390

5* 147

6,582

25,943 5.9 6.3 5.6

1,386 4.5 4.5 4.5

9,820 4.8 6.1 4.2

5,+28 6.6 6.6 7.0

9,308 7.6 7.2 7.9

3,296

166

1,356

762

1,012

1,362

94

493

360

416

20,732

676

6,969

4*9+9

8,138

9*115

365

3,022

2.401

3,327

11,617 6.3 6.7 6.0

311 4.1 3.9 4.3

3,9+7 5.1 6.1 +.6

2,548 6.5 6.7 6.3

4,811 8.0 8.0 0.1

27
TABLE 7. NUMBER, PERCENT OISTRIBUTION, AND RATE OF wOMEN lfl TH DELIVERIES OISCHARGEO FROM SHORT-STAY HCLSPITALS ANO OF CMYS OF CARE,

AND AVERAGE LENGTH OF STAY, BY AGE, RACE, GEOGRAPHIC REGION, AND BED SIZE OF HOSPITAL: UN ITEO STATES, 1985

(Ot SCHARGES FRoF4 NONFEOERAL H03.p ITALs)

OISCHARGEO PATIENTS OAYS GF CARE

NU14EIER RATE PER NUMBER RATE PER

IN

AVERAGE

PERCENT 1,000

AGE, RACE, REGION, ANO BEO SIZE

IN PERCENT 1,000

THOU SANOS DISTRIBUTION POPULATION

LENGTH OF

THOUSANOS OISTRILWTION POPULATION STAY IN OAYS

10-54 YE ADS . . . . . . . . . . . . . . . . . . . . . . . . .

AGE

10-14 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-+4 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

20-24 YEADS . . . . . . . . . . . . . . . . . . . . . . .

25-29 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

30-3+ YEAR S. . . . . . . . . . . . . . . . . . . . . . .

35-44 YEADS . . . . . . . . . . . . . . . . . . . . . . .

45-54 YE ADS. . . . . . . . . . . . . . . . . . . . . . . . .

1O-1T YE ADS . . . . . . . . . . . . . . . . . . . . . . . . .

18-54 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .

RACE

MIT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ALL OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . .

RACE NOT STAT E. . . . . . . . . . . . . . . . . . . . .

REGION

NOR THE I ST . . . . . . . . . . . . . . . . . . . . . . . . . . .

PIIOIAEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IAES T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BEO SIZE

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

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . . . .

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

300-499 BEDO. . . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . . . .

3,854 100.0 50.3 12,640 100.0 165.1 3.3

11

3,838

4T0

1,145

1,260

722

241

*5

184

3,6T0

0.3

99.6

12.2

29.7

32.7

18. T

6.3

*0.1

+.8

95.2

L.3

67.8

51.7

110.0

116.5

71.1

15.0

*0.4

36

12,569

1*38+

3,606

4,172

2,541

.986

*16

0.3

99.6

10.9

28.5

33.0

20.1

7.0

*0.1

13.4 553 4.4

58.4 12,087 95.6

4.3 3.4

222.4 3.3

152.2 2.51

346.3 3.1.

385.5 3.3

250.4 3.5

55.0 3.7’

*1.3 *3. O

40.3 3.C)

192.4 3.3

2,584 67.1 40.3 8,473

744

67.0

19.3 59.7

132.2 3.3

2,540

526

20.1

13. T

203.8 3.4

. . . 1, 62T 12.9 . . . 3.1,

682 17.7 42.5 2,556 20.2 159.3

9+2 24.4 50.1

3.0

3,343

1.351

26.4

35.0

177.7

51.2

3.5

4*417 34.9 167.4

880 22.8

3.3

57.4 2,32+ 18. + 151.6 2.6

517 13.4 . . . 1,387

672

11.0

17.4

. . . 2.7

. . . 2,101 16.6

658

. . .

lT.1

3.1

. . . 2,049 16.2 3.?,

1,036 26.9

. . .

. . . 3,528

972

27.9

25.2

. . . 3.4

. . . 3,575 28.3 . . . 3.7

28
TABLE 8. NUMBER OF WOUEtA wITH OELIVERIES ANO NUMBER OF OAYS OF CARE AND AVERAGE LENGTH OF

FROM SHORT-STAY HOSPITALS, BY GEOGRAPHIC REGION ANO BEO SIZE OF HOSPITAL: UNITEO STATES,

(O ISCHARGES FROM NONFEDERAL HOSPITALS)

STAY FOR WOMEN HITH DELIVERIES OISCHARGEO

1985

REGION ALL SIZES 6-99 BEOS 100-199 8EOS 200-299 BEoS 300-499 BEOS 500 BEOS OR MORE

NUMBER OF PATIENTS OISCHARGEO IN THOUSANDS

UN ITEO STAT ES . . . . . . . . . . . . 3,854 51T

NOR THEIST . . . . . . . . . . . . . . . . 682 52

HIGH ES T . . . . . . . . . . . . . . . . . . 942 95

SOUTH . . . . . . . . . . . . . . . . . . . . 1?351 174

HEAT . . . . . . . . . . . . . . . . . . . . . 880 197

UNITEO STAT ES . . . . . . . . . . . . 12,640 1,387

NOR THEIST . . . . . . . . . . . . . . . . 2,556 165

MI CHEST. . . . . . . . . . . . . . . . . . 3.34’3 327

SOUTH . . . . . . . . . . . . . . . . . . . . 4,41T 473

BEST . . . . . . . . . . . . . . . . . . . . . 2,324 423

UN ITEO STATE S . . . . . . . . . . . . 3.3 2.7

NOR THEIST . . . . . . . . . . . . . . . . 3.8 3.2

$IIOUEST . . . . . . . . . . . . . . . . . . 3.5 3.4

SOUTH . . . . . . . . . . . . . . . . . . . . 3.3 2.7

BEs T . . . . . . . . . . . . . . . . . . . . . 2.6 2.1

672 658

T1 96

97 16T

440 119

64 276

NUH8ER OF OAY.S OF CARE IN THOUSANOS

2,101 2,049

236 352

319 5T5

1,390

155

379

743

AVERAGE LENGTH OF STAY IN OAVS

3.1 3.1

3.3 3.7

3.3 3.4

3.2 3.2

2.+ 2.7

1,036

287

259

244

245

3,528

1,115

886

822

705

3.4

3.9

3.+

3.4

2.9

9T2

176

325

373

98

3*575

688

1,237

1*353

298

3.7

3.9

3.8

3.6

3.1

29
TABLE 9. NUH8ER OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, AND AVERAGE LENGTH OF STAY,

FIRS T-L ISTEO DIAGNOSIS AND AGE: UN ITEO STATES, 1985

(DiSChargeS FRou NONFEDERAL HOSPITALs. EXCLUOES NE UBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

BY CATEGORY OF

ARE BASEO ON THE

UNOER 15 15-44 45-64 65 YEARS

CATEGORY OF FIRS T-L ISTEO OIAGNOSIS ANO ICO-9-CM COOE ALL AGES YEARS YEARS YEARS ANO OVER

NuMBER OF PATIENTS CIKSCHARGEO IN THOUSANDS

02

03

o+

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

+1

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62—

RLL L- U!w”, l’”!. a.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..140-208.230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O. 197.3

UALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175 .198.81

BENIGN NEOPLASMS ANO NEOPLASAIS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFXEO NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES OF THE BLOOO ANO 6LOO0-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . ...280-289

AN EMI AS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEH ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..320 -336,340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO #lASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPE RTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART OISEASE . . . . . . . . . . . . . . . . . ...391-392 .0,393 -398,402,404,410-416,420-429

ACUTE MYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER lSCHEMIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9

CONGESTIVE HEART FAILURE .i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. O

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..430-438

OISEASES OF THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480-486

AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+93

OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO S)4ALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . ..531-534

GASTRITIS ANO OUODENI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGu INAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTI NE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF ThE GENITOURINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROS TATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEED ING . . . . . . . . ..626

COMPLICATIONS OF PREGNANCY, CHILOBIRTH, ANO THE PUERPERIUM . . . . . . ..l/ 630-676

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANC I ES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SU13CUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

OISEASES OF THE IIuSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . ...710-739

ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISORGERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PERIOO . . . . . . . . . . . . . ..76 O-779

SYMPTOMS, SIGNS, ANO lLL-oEFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . .. T80-799

INJURY ANO PO IRON IN G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

FRACTURE OF NECK OF FE MAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

spRAINs ANO sTRAINS OF BACK (I NCLUOING NE CK) . . . . . . . . . . . . . . . . . . . . . ..846-847

INTRACRANIAL INJURIES (EXCLUOING THOSE WITH SKULL FRACTURE ) . . . . . . ..85 O-854

LACERATIONS ANO OPEN uOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..870-904

SUPPLEMENTARY CL OSSIF I C AT IONS..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. V01-V82

PERSONS AOMITTEO FOR STERILI CATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v25.2

FEMALES wITH DELIVER I ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v27

—.

2,, U,0

669

2,411

1,911

315

208

500

1,068

+80

342

229

1,700

701

195

388

1,211

425

182

259

5,470

214

3,584

755

304

992

557

916

3,238

+64

288

854

462

3, E373

292

203

250

384

+57

174

474

2,805

325

246

193

968

382

542

2,170

465

508

269

159

534

3,303

1,129

258

237

260

277

4,324

82

3,854

<,7, L

193

69

43

*

*

26

70

21

58

22

49

*6

*5

*

229

64

*

118

35

*

20

*

*

*

*

*

848

229

186

206

144

346

*

15

65

47

133

*

101

*

e

*

*5

*

58

70

18

*

150

158

85

398

132

*

o

64

38

52

e

11

L3,’JC)Q

210

454

229

13

35

225

271

128

90

53

1,014

396

120

239

305

143

*6

55

481

45

250

50

13

67

11

34

656

78

98

100

L24

1,222

73

7’9

148

100

165

16

162

1,324

165

*

148

961

37.s

203

860

133

265

72

*

235

1.510

398

11

146

140

181

4,098

81

3,838

7,610 ‘- ‘-”

95

794

648

132

91

147

279

160

56

41

396

164

44

121

267

93

38

47

1,728

84

1,204

267

134

423

96

192

612

59

*

147

97

1,03B

86

57

23

llB

66

55

154

646

119

65

43

3

*

134

699

130

191

30

*

135

603

181

24

63

31

35

92

*

*5

.“, >“0

172

1,094

991

169

81

103

448

171

138

113

240

135

26

26

409

126

13B

39

3,224

82

2*111

436

157

501

4+6

686

1,121

98

400

97

1,267

131

51

14

120

94

103

157

T35

39

179

*

. . .

. . .

147

542

183

51

17

79

793

419

219

25

34

23

82

. . .

1/ FIR ST-L ISTEO OIAGNOSIS FOR FEMALES wITH DELIVERIES IS COOEO v27, SHOIAN UNOER ‘SUPPLEMENTARY CLASS IF ICATIONS. ii

30
TABLE 9. NUMBER OF PATIENTS DISCHARGED FRO14 SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTH OF STAY, BY CATEGORY OF

FIRS T-L ISTEO OIAGNOSIS AND AGE: UNITED STATES, 1985—CON.

(01 SCHARGE5 fRon NON FEOERAL H05PITALS. EXCLUOES NEH80RN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUi18ER INCLUSIONS ARE BASEO O& THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

UNOER 15 15-44 45-6+ 65 YEARS

ALL AGES

UNOER 15 15-44

YEARS YEARS YEARS

45-64 65 YEARS

ANO OVER ALL AGES YEARS YEARS YEARS ANO OVER

RATE OF PATIENTS OISCHARGEO PER 10,000 POPULATION AVERAGE LENGTH OF STAY IN oAys

L,478.9 571.9 3,683.2

60.2

383.3

34T.3

59.4

28.3

36.1

156.9

59.9

48.3

39.5

84.3

47.2

9.0

9.3

143.5

44.1

48.2

13.8

1,130.2

28.8

739.8

152.7

5-4.9

175.6

156.3

240.3

393.1

34.5

140.3

34.1

444.1

45.9

18.0

4.8

42.1

32.8

36.2

55.0

257.6

13.7

62.8

*

. . .

. . .

51.5

189.9

64.2

18.0

6.1

27.5

277. B

146.8

76.9

8.8

12.1

8.1

2B.8

1,250.8 1,695.2

21.1

177.0

6.5 4.6

4.1

4.2

5.0

=

*

3.0

5.1

5.3

3.9

5.0

20.3

*26.3

*20.5

*

3.6

7.0

s

2.2

7.1

*

7.9

*

n

*

*

*

3.2

3.2

1.6

4.3

3.5

3.4

*

2.9

4.3

1.8

3.0

*

3.6

*

*

*

*2.1

*

4.0

5.4

6.1

*

5.6

12.9

3.3

3.9

5.0

*

*

2.6

3.6

4.7

*

3.+

4.8

5.4

5.9

6.9

7.9

5.2

4.9

5.9

5.9

5.4

6.1

11. B

1+.1

9.-i

11.0

5.5

7.9

*2.5

2.7

5.9

4.0

5.6

7-1

+.8

4.2

6.6

9.3

4.1

4.0

1.4

6.6

4.3

4.8

5.1

+.2

4.3

2.6

4.7

6.8

6.1

4.2

3.1

*

3.7

2.5

2.2

6.6

5.4

4.1

6.8

4.1

*

3.3

5.4

6.8

12.7

5.7

5.7

4.2

3.2

1.6

3.3

7.0

8.6

8.2

8.7

9.1

6.5

5.9

r.2

8.2

6.4

6.3

11.8

15.6

B.7

9.8

5.7

9.6

2.2

3.3

7.2

4.8

6.6

9.5

5.3

4.8

7.3

11.1

7.2

5.3

*

8.5

6.1

6.4

6.13

4.9

7.6

3.1

5.8

1.8

7.0

5.1

3.9

5.7

3.8

*

*

7.8

6.7

7.8

1.4

T.8

*

4.1

6.7

7.4

12.7

6.3

6.8

4.3

3.9

*

*3.O

8.7

11.2

9.4

9.7

9.3

8.8

6.8

8.6

10.1

7.1

6.9

13.8

16.0

11.0

12.3

6.3

12.9

1.9

4.3

8.6

5.6

7.9

9.7

7.9

6.1

8.2

lo.+

8.1

7.1

9.9

6.7

8.1

8.6

6.0

11.7

4.4

7.4

8.2

9.5

7.2

6.2

6.7

*

...

...

11.4

9.1

10.5

9.3

8.0

5.3

10.3

12.4

15.0

7.6

9.5

6.1

5.7

...

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

.?9

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

28.2 37.2 18.8 7.0

101.7

80.6

13.3

8.8

13.3

8.4

*

*

40.6 8.2

8.9

9.2

7.2

20.5

1.2

3.1

144.3

29.4

20.2

21.1 5.0 20.1 32.7 5.5

45.1

20.2

13.4

4.1

24.3

11.5

62.3

35.5

7.3

.s.1

1+.4

9.6

11.1

4.3

8.1

4.7

12.6

9.0

6.0

6.4

71.7

29.6

8.2

16.4

9.4 90.8

35.5

10.7

21.4

27.3

12.8

*0.5

4.9

43.1

4.1

22.4

4.5

1.2

6.0

1.0

3.0

58.8

7.0

8.8

9.0

11.1

109.4

6.6

7.1

13.3

9.0

14.7

1.4

14.5

118.6

14.8

*

13.2

86.1

33.8

18.2

77.0

11.9

23.7

6.4

88.3

36.6

9.7

26.9

12.3

14.9

10.0

10.7

*1.1

*1.O

*

51.1

17.9

7.7

10.9

44.1

12.2

*

22.7

59.5

20.6

8.4

10.6

385.1

18.7

268.2

59.5

29.9

94.3

21.4

42.9

5.4

9.6

2.0

2.8

230.8

9.0

151.2

6.8

*

7.9

4.9

7.3

9.5

6.6

5.4

8.0

10.5

3.8

*

*

31.8

12.8

41.8

23.5

38.6

136.6

19.6

*

*

*

163.1

44.0

35.7

39.7

27.8

136.4

13.2

*

32.8

21.5

6.0

4.5

12.1

36.0

1.5

7.9

19.5

L63.4

12.3

8.6

10.5

4.9

66.5

*

231.3

19.1

12.8

5.1

26.2

14.7

12.3

34.3

6.2

7.1

4.8

5.0

3.2

4.9

8.0

7.5

5.2

3.7

6.4

3.-1

2.5

2.1

7.9

6.7

7.7

7.3

5.6

13.0

3.8

2.8

12.5

9.0

25.6

16.2

19.3

7.3

20.0 *

118.3

13.7

10.4

8.1

40.8

16.1

22.8

91.6

19.6

21.4

11.4

6.7

22.5

139.4

47.6

10.9

10.0

19.4

*

*

*

143.9

26.4

14.4

9.5

*1. O

*

*

*

11.1 29.9

13.4

3.5

*

155.8

29.0

42.6

28.8 6.7

30.4 * *

16.3 21.1 30.2

76.5

25.3

*

*

12.2

7.3

135.2

35.6

1.0

134.4

40.3

5.4

14.0

6.8

7.9

6.6

8.T

14.7

6.0

5.6

4.3

13.1

11.3 12.5

11.7 16.2

182.4

3.5

162.6

10.0

3

2.0

367.o

7.2

343.8

20.4

*

*1.2

3.3

1.6

3.3

31
TABLE 10. NUMBER OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, RATE OF OISCHARGES, ANO AVERAGE LENGTH OF STAY, BY CATEGORY OF

FIR ST-L ISTEO OIAGNOSIS, SEX, ANO RACE: UNITEO STATES, 1985

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEHBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARE BASEO ON THE

INTERNATIONAL CLASS 1F1CATION OF OISEASES, 9TH REV1S1ON, CLINICAL MOOIF ICATION)

SEX

BOTH

CATEGORY OF FIRS T- LISTEO OIAGNOSIS ANO ICO-9-CPiCOOE

BOTH

sExES MALE FEMALE SEXES MALE FEMALE

01

02

03

04

05

06

07

L78

09

10

11

12

13

1+

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

*1

+2

43

44

45

+6

+7

48

49

50

51

52

53

54

55

56

5T

58

59

60

61

62

NuMBER OF PATIENTS RATE OF PATIENTS OISCHARGEO

OISCHARGEO IN THOUSANOS PER 10,000 POPULATION

ALL CONOXTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ‘- ‘- ‘ - - ‘-

INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG. . . . . ...162.197.0.197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1 T4-175.198.81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO lMHUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..240-2T9

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGABE . . . . . . . . . . . . . . . . . . . . ...280-289

ANEMIAS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..280-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..320 -336,340-349

CA TAR AC T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO I4ASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O-459

ESSENTIAL HYPERTENSI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4o1

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.402 .4 O4.4lO-4l6.42O-429

ACUTE UYOCAROIAL INFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41 O

ATHEROSCLEROTIC HEART Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . ..460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FOR MS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480-486

AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GAS7RITIS ANO OUOOENI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPCNOIC IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS EN TER171S ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556. 558

OIVERTICULA OF INTESTI NE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562

CHOLELITHIASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF K1ONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PRO ST AT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . ...626

COHPLICATIONS OF PREGNANCY, CH1LO131RTH, ANO THE PUERPERIUH . . . . . . ..l/ 630-676

ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCIE S . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

OISEASES OF THE HuscuLOsKELETAL sysTEM ANO connective T1ssuE . . . . . . . ..71o-739

AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T40-759

CERTAIN CONO1TIONS 0R1G1NA71NG IN THE PER INATAL PERIOO . . . . . . . . . . . . . .. T6O-779

SYMPTOMS, SIGNS, ANO IL L-O EFINEO CONDITION S........ . . . . . . . . . . . . . . . . ..T8 0-799

[N.AURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

FRACTURE OF NECK OF FE MAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

SPRAINS ANO STRAINS oF BACK (I NCLUOING NEcK) . . . . . . . . . . . . . . . . . . . . ...846-047

INTRACRANIAL INJURIES (ExCLUOING THOSE WITH SKULL FRACTURE ) . . . . . . ..85 O-854

LACERATIONS ANO OPEN UOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..870-904

SUPPLEMENTARY CL AS SIF I CAT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V8Z

PERSONS AOMITTEO FOR ST ERILIZAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v Z5.2

FEMALES UITH DE LIVE RI BE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

3>*U>6

669

2,411

1,911

315

208

500

1,068

480

342

229

1,700

701

195

388

1.211

425

1B2

259

5,470

214

3*584

755

304

992

55T

916

3,238

464

208

B54

462

3,873

292

203

250

384

457

174

474

2,805

325

2+6

193

968

382

542

2,1T0

465

508

269

159

534

3,303

1,129

2S8

237

260

2 T7

4,324

82

3,854

L4,16U

300

1,008

892

206

*

116

409

194

149

91

918

325

68

312

537

196

67

117

2,783

69

1,910

466

190

549

247

416

1*591

236

124

433

195

1,839

156

87

143

343

191

66

140

95a

215

246

. . .

. . .

. . .

266

939

188

281

156

82

260

1,800

550

62

117

162

203

156

*

. . .

LO, U96

361

1?403

1,019

110

207

384

659

286

193

137

782

376

126

76

671t

229

114

142

2,686

124

I,6T4

289

114

443

310

500

1,64T

229

164

421

266

2,034

137

116

LOT

4Z

266

106

333

1,848

110

...

193

96B

382

273

1,231

276

227

113

77

275

1s503

579

196

120

107

74

4,168

80

3,854

1 ,478.9

28.2

101.7

80.6

13.3

8.8

21.1

45.1

20.2

14.4

9.6

71.7

29.6

8.2

16.4

51.1

lT.9

7.7

10.9

230.8

9.0

151.2

31.8

12.8

41.B

23.5

38.6

136.6

19.6

12.1

36.0

19.5

163.4

12.3

8.6

10.5

16.2

19.3

7.3

20.0

llB.3

13.7

10.4

8.1

40.8

16.1

22.8

91.6

19.6

21.4

11.4

6.7

22.5

139.4

47.6

10.9

10.0

11.3

11.7

182.4

3.5

16Z.6

L, Z35.5

26.9

87.9

77.8

17.9

*

10.1

35.7

16.9

13.0

8.0

80.1

Z8.4

6.0

2T.3

46.8

17.1

5.9

10.2

242.8

7.8

166.7

40.6

16.6

47.9

21.5

36.3

138.8

20.6

10.8

37.B

lT.O

160.4

13.6

7.6

12.5

29.9

16.T

6.0

12.2

83.5

18.7

21.4

...

...

...

23.4

az.o

16.4

24.5

13.6

T.2

22.6

157.0

48.0

5.4

10.2

14.1

17.7

13.6

*

...

1,706.9

29.5

114.6

83.3

8.9

16.9

31.4

53.8

23.4

15.8

11.2

63.9

30.7

10.3

6.2

55.1

18.7

9.4

11.6

219.4

10.2

136.7

23.6

9.3

36.2

25.4

40.8

134.5

18. T

13.4

34.4

21.8

166.2

11.2

9.5

8.7

3.4

21.7

B.6

27.2

150.9

9.0

...

15.8

79.1

31.2

22.3

100.6

22.6

18.6

9.2

6.3

2Z.4

122.0

47.3

16.0

9.0

0.7

6.1

340.5

6.6

314.8

1/ FIR ST- LISTEO OIAGNUSIS FOA FEMALES MITH OELIVERIES 1S COOEO V27, SHOHN UNOER ‘SUPPLEMENTARY CLASSIFICATIONS.!,

32
TABLE 10. NuMBER OF PATIENTS OISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, AND AVERAGE LENGTH OF STAY, BY CATEGORY OF

FIRST-L ISTEO OIAGNOSIS, SEX, ANO RACE: UNITEO STATES, 1985--CON.

(DISCHARGES FRom NONFEDERAL HOspITALs. EXCLUOES NEuf30RN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE hUflBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL 14001FICATION)

SEX--CON. RACE

BOTH ALL ALL NOT ALL ALL NOT

SEXES HALE

ALL ALL

FE14ALE

NOT

RACES WHITE OTHER STATEO RACES uHITE OTHER STATEO RACES WHITE OTHER STATEO

AVERAGE LENGTH

OF STAY IN OAYS

NUH13ER OF PATIENTS

DISCHARGEO IN THOUSANOS

RATE OF PATIENTS OISCHARGEO

PER 10,000 POPULATION

AVERAGE LENGTH OF STAY

IN OAYS

6.5

1.0

8.2

8.9

9.2

7.2

5.5

7.3

8.1

6.0

6.+

12.3

14.9

10.0

10.7

5.4

9.6

2.0

2.8

7.9

4.9

T.3

9.5

6.6

5.4

8.0

10.5

6.0

+.5

1.5

7.9

+.9

6.2

7.1

+.8

5.0

3.2

4.9

8.0

7.5

5.2

3.7

6.4

3.7

2.5

2.1

T.9

6.7

7.7

7.3

5.6

13.0

3.8

6.6

8.7

14.7

6.0

5.6

+.3

3.3

1.6

3.3

6.9

7.2

8.6

9.1

8.8

*

4.7

7.5

8.0

5.9

6.4

11.5

13.1

10.4

10.7

5.5

9.7

2.0

2.6

7.5

4.4

7.0

9.0

5.8

5.3

7.8

10.0

6.0

+.+

1.5

7.8

+.5

5.7

6..9

4.3

5.1

3.1

4.6

7.b

8.3

5.5

3.5

6.+

...

...

...

7.6

6.6

7.0

6.8

5.7

1.?.2

3.T

6.1

7.7

16.6

5.6

6.1

4.4

4.4

0

...

6.2

6.7

7.9

8.7

9.9

7.2

5.7

7.3

8.2

6.1

6.5

13.3

16.4

9.7

11.1

5.4

9.6

2.0

3.0

8.3

5.2

7.6

10.3

7.9

5.6

8.2

10.9

6.1

4.6

1.6

8.1

5.3

6.6

T.5

5.1

+.9

4.0

5.1

8.2

1.2

5.0

4.2

...

3.T

2.5

2.1

.9.2

6.9

8.2

7.9

5.5

13.8

3.9

1.3

9.8

14.1

6.4

+.8

+.2

3.3

1.6

3.3

35,056

669

2,411

1,911

315

208

500

1,068

+80

342

229

1,700

701

195

388

1,211

+25

182

259

5,470

214

3.584

755

30+

992

557

916

3.238

+64

288

854

462

3*873

292

203

250

384

457

1T4

474

2,805

325

266

193

968

382

542

2,170

465

508

269

159

534

3,303

1,129

258

237

268

277

4,324

82

3,854

26,379

490

1,886

1,535

257

163

351

776

327

232

143

1,234

527

159

247

921

320

152

197

4,419

136

2,957

636

262

830

447

T32

2,494

353

229

660

309

3,018

22T

158

193

301

356

145

379

2,142

270

203

141

611

2.?8

404

1,671

356

395

202

103

395

2,+57

870

217

174

207

178

2,925

54

2,584

5,181

125

320

221

36

26

99

199

107

80

66

273

117

17

69

1TO

66

15

37

617

51

351

57

19

85

72

113

462

72

1;:

113

496

41

30

25

43

56

14

50

388

.?0

20

31

249

112

96

240

51

49

38

35

84

490

130

15

40

36

70

818

19

744

3,497

55

205

156

23

20

50

93

45

29

19

193

57

19

72

120

39

15

26

433

20

276

61

23

77

38

72

282

40

27

72

40

360

2+

15

32

40

45

14

45

2T4

3+

23

21

108

42

42

260

57

64

29

21

55

356

128

26

23

25

30

582

a9

526

1,478.9

28.2

101.7

80.6

13.3

8.8

21.1

45.1

20.2

14.4

9.6

71.7

29.6

8.2

16.4

51.1

17.9

7.T

10.9

230.8

9.0

151.2

31.8

12.8

41.8

23.5

38.6

136.6

19.6

12.1

36.0

19.5

163.4

12.3

8.6

10.5

16.2

19.3

7.3

20.0

118.3

13.7

10.4

8.1

40.8

1.5.1

22.8

91.6

19.6

21.4

6.7

22.5

139.4

47.6

10.9

10.0

11.3

11.7

182.4

3.5

162.6

1,309.5

24.3

93.6

76.2

12.7

8.1

17.4

38.5

16.2

11.5

7.1

61.3

26.2

7.9

12.3

45.7

15.9

7.5

9.8

219.4

6.8

146.8

31.6

13.0

41.2

22.2

36.3

123.8

17.5

11.3

32.7

15.3

149.8

11.3

1.8

9.6

14.9

17. T

7.2

18.8

106.4

13.4

10.1

7.0

30.3

11.3

20.1

8Z.9

17.7

i9.6

10.0

5.1

19.6

122.0

43.2

10.8

8.6

10.3

8.8

145.2

2.7

128.3

1,455.3

35.0

89.9

62.0

10.0

7.2

27.8

56.0

30.2

22.5

18.6

76.7

32.8

4.9

19.2

47.8

18.6

4.2

10.3

173.4

16.1

98.7

16.0

5.4

23.8

20.2

31.6

129.6

20.2

9.2

34.5

31.7

139.2

11.6

8.5

7.1

12.2

15.6

4.1

13.9

109.1

5.8

5.6

8.6

70.0

31.5

26.9

67.4

14.4

13.8

10.8

9.9

23.7

137.7

36.6

4.2

11.2

10.2

19.6

229.8

5.3

208.9

. . .

. ..

. . .

. . .

. ..

. . .

. . .

. . .

. . .

. . .

. . .

.. .

.. .

. ..

. . .

. . .

. . .

. . .

. . .

. ..

. ..

. . .

. . .

. ..

. . .

. ..

. . .

. . .

. ..

. . .

. ..

. ..

. ..

. . .

. . .

. . .

. . .

. ..

. . .

. . .

. ..

. . .

. . .

.. .

. . .

.. .

. . .

. . .

. . .

. ..

. . .

. ..

. . .

. . .

. ..

. ..

.. .

.. .

...

...

...

6.5

7.0

8.2

8.9

9.2

7.2

5.5

7.3

8.1

6.0

6.4

12.3

14.9

10.0

10.7

5.4

9.6

2.0

2.8

7.9

4.9

7.3

9.5

6.6

5.4

8.0

10.5

6.0

4.5

1.5

7.9

4.9

6.2

7.1

4.8

5.0

3.2

4.9

8.0

7.5

5.2

3.7

6.4

3.7

2.5

2.1

7.9

6.7

7.7

1.3

5.6

13.0

3.8

6.6

8.7

14.7

6.0

5.6

4.3

3.3

1.6

3.3

6.5

7.0

8.1

8.8

9.0

7.2

5.5

7.2

8.1

5.9

6.4

12.6

15.1

10.2

11.1

5.6

10.0

2.0

2.8

7.8

4.7

7.3

9.5

6.6

5.4

8.o

9.9

6.2

4.6

1.4

8.1

5.2

6.2

7.0

+.8

4.9

3.,?

5.2

7.8

7.5

5.2

3.8

6.2

3.8

2.4

2.0

7.8

6.8

7.9

7.3

5.4

12.2

3.7

6.8

9.1

14.9

5.8

5.9

+.5

3.3

1.5

3.3

6.7

7.4

9.2

10.6

11.0

8.4

6.0

8.2

8.7

6.6

6.6

12.2

15.6

8.9

8.7

5.9

9.4

2.7

3.1

9.4

5.4

8.0

9.6

8.2

5.8

8.7

14.4

5.?

+.4

2.4

7.6

4.2

6.6

8.4

4.4

6.2

3.3

4.4

9.3

8.3

5.6

4.4

8.5

3.3

2.9

2.5

8.9

7.1

8.0

7.9

6.8

17.4

4.1

6..?

7.6

14.7

6.6

5.7

4.0

3.+

1.8

3.4

5.5

6.0

7.1

7.9

7.9

5.+

4.5

6.3

7.1

5.4

5.8

10.7

11.1

9.3

11.3

4.0

6.8

1.7

2.2

7.0

4.6

6.4

8.7

5.9

4.9

7.3

9.9

5.5

3.8

1.4

6.8

4.9

5.3

6.2

4.8

4.5

3.0

3.+

8.0

T.O

+.T

3.2

6.2

4.3

2.4

2.4

7.1

5.7

6.6

6.5

5.1

9.2

3.8

5.8

7.4

12.4

6.7

2.9

4.1

3.1

1.7

3.1

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

;:

37

38

39

ko

41

42

+3

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

—
TABLE 11. NUMBER OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTH OF STAY, BY CATEGORY OF

FIRS T-L ISTEO DIAGNOSIS ANO GEOGRAPHIC REGION: UNITED STATES, 1985

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REV IS1ON, CLINICAL MOO IF ICATION)

UN ITEO NORTHCATEGORY OF FIRS T-L ISTEO OIAGNOSIS ANO lCO-9-CM CODE STATES EAST 1410u EST SOUTH NEST

01

02

03

0+

05

06

07

08

09

10

11

12

13

1+

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

+1

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

bi

62

ALL CONDITION S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1NFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..001 -139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NE OPLAWIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..140-208.230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.19 T7. O.19T.3

UALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1 T4-175. 198.81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO UN SPECIFIED NAT URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENDOCRINE. NUTRITIONAL ANO METABOLIC OISEASES,

ANO IHHUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2+0-2T9

DIABETES IIELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

DISEASES OF THE BLOOO ANO BLOOD-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-Z89

AN EMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..280-Z85

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCH OS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Z90-Z99

NEUROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

DISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..320 -336,340-349

CA TAR AC T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

DISEASES OF THE EAR ANO MASTOID PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPE RTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+01

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.40Z .4 04.41 O-4l6.42O-4Z9

ACUTE MY OCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER ISCHEfSIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Z8. O

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+60-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . ..+60-466

CHRONIC DISEASE OF TONSILS ANO ADENOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4T4

PNEUMONIA, ALL FORM S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

AS THEA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

DISEASES OF THE DIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . .. s . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TI S...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

lNGU INAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

cHoLELITHI As Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

DISEASES OF THE GE NITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..580-6Z9

CALCULUS OF K1ONEY ANO URE7ER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROS TAKE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM . . . . . . ..l/ 630-676

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES....... . . . . . . . . . . . . . . ...630-639

DISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...600-709

DISEASES OF THE MUSCIJLOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . ...710-739

AR THROPATHIES ANO RELATED OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL DISC OISOKOERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72Z

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T40-759

CERTAIIU COkOITIONS ORIGINATING IN THE PER INATAL PERIOO . . . . . . . . . . . . . ..76 O-779

,SYHPTOMS, SIGNS, ANO ILL-DEFINED CO ND IT IO NO . . . . . . . . . . . . . . . . . . . . . . . ...780-799

INJURY ANO PO IRON IN G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO. B29

FRACTURE OF NECK OF FE MuR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

SPRAINS ANO STRAINS OF B.4cK (I NCLUOING NEcK) . . . . . . . . . . . . . . . . . . . . ...846-847

It4TRAc RANIAL INJuRIEs (EiCLUOING THOSE WITH sKuLL FRACTURE ) . . . . . . ..85 O-854

LACERATIONS ANO OPEN HO UNDO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CL OS SIF I CA TIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VO l-v B2

PERSONS AOMITTEO FOR ST ERILIZATI ON...... . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v25. Z

FEMALES HITH DE LIVE RI BE....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v2T

NUMBER OF PATIENTS DISCHARGED IN THOUSANIX3

35,056

669

2,411

1,911

315

208

500

1,068

480

342

ZZ9

1,700

701

195

3a 8

I,zll

4Z5

18Z

Z59

5,470

z 14

3,584

755

304

992

557

916

3,238

464

ZB8

854

462

3,873

292

203

250

384

457

1T4

474

2,Li05

3Z5

246

193

968

38 z

54Z

2,170

465

508

269

159

534

3,303

1*129

258

237

268

2T7

4,324

8Z

3,854

T,168

129

519

403

70

44

116

224

119

66

45

463

195

30

150

278

79

65

ST

1,205

35

B 16

168

6T

Z27

1+1

194

63 L

81

55

153

105

799

56

36

48

100

87

41

103

53+

5a

56

39

220

lla

lza

370

89

TO

4a

Zo

92

64a

Z30

61

50

57

46

794

2Z

682

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

Y,ll L

165

660

546

87

55

114

Z79

115

86

55

539

zoo

63

133

35a

129

56

70

1,434

56

931

la6

99

249

153

234

839

Lla

BO

ZZ9

113

994

74

51

62

96

1Z3

+3

134

6a4

79

67

41

239

7a

130

560

143

120

67

33

140

a44

2B5

69

57

a3

62

1,06Z

14

942

LL, L4’t

265

759

5a6

105

63

173

377

172

126

a5

44T

176

74

67

367

143

30

95

i,a53

92

1,217

267

93

343

16a

3oa

1,234

202

113

332

166

1,4Z6

111

93

a6

131

laz

65

165

1,107

134

T6

86

335

130

196

7ao

131

Z04

111

TO

203

1*121

360

74

102

a3

111

1,+99

37

1,351

u, 3UL

111

+7+

376

53

45

97

1aa

73

64

43

251

L30

27

3-1

208

74

30

37

97a

31

620

134

45

17Z

95

1 ao

533

64

40

141

TT

654

5Z

23

53

57

65

Z5

72

481

55

46

27

1T3

57

88

461

102

114

44

36

99

691

254

54

27

44

5B

969

10

aao

1/ F[RST-L1S7E0 oIAGNOSIS FOR FEMALES uITH DELIVERIES 1S COOEO v27, SHOHN UNDER ‘SUPPLEMENTARY CL OSSIFICATIONS.”

34
TABLE 11. NUMBER OF PATIENTS OISCHARGEO FROH SHORT-STAY HOSPITALS. RATE OF DISCHARGES. ANO AVERAGE LENGTH OF STAY. BY CATEGORY OF

FIRS T-L ISTEO OIAGNOSIS AND GEOGRAPHIC REG1ON: UNITED STATES, 1985—CON.

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUDES NE MBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARE L!AStO ON THE

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MODIFICATION)

UNITEO NORTH- uN1 TED NORTHSTATES EAST FIIDWEST SOUTH wEST STATES EAST )! IOHEST SOUTH ‘dEST

RATE OF PATIENTS OISCHARGEO PER 10,000 POPULATION AvERAGE LENGTH OF STAY IN DAYS

., --- ., --- . . .. . . . .. . . .-. /

L,+ IO.7

28.2

101.7

80.6

13*3

0.8

21.1

45.1

20.2

1+..4

9.6

71.7

29.6

8.2

16. +

51.1

17.9

7.-A

10.9

230.8

9.0

151.2

31.8

12.8

41.8

23.5

38.6

136.6

19.6

12.1

36.0

19.5

163. +

12.3

8.6

10.5

16.2

19.3

7.3

20.0

118.3

13.7

10.4

8.1

40.8

16.1

22.8

91.6

19.6

21.4

11.4

6.7

22.5

139. +

47.6

10.9

10.0

11.3

11.7

182.4

3.5

162.6

L, V*U. Y

25.9

104.4

81.0

14.1

8.9

23.3

45.0

24.0

13.2

9.1

93.1

39.3

6.1

30.1

55.9

15.9

13.1

11.4

242.2

6.9

164.1

33.7

13.5

45.7

28.4

39.0

126.9

16.2

11.0

30.8

21.2

160.7

11.2

7.3

9.7

20.1

17.4

8.2

20.6

107.4

11.6

11.4

7.9

44.2

23.7

25.7

74.4

17.8

14.0

9.6

4.0

18.4

130.2

46.3

12.3

10.0

11.5

9.3

L59.7

4.*

137.0

A, >+>..

27.9

111.7

92. +

14.7

9.3

19.3

47.2

19.5

14.6

9.3

91.3

33.8

10.6

22.6

60.6

21.9

9.6

11.9

2+2.8

9.4

157.6

31.5

16.7

+2.2

25.8

39.6

142.0

19.9

13.6

38.7

19.2

168.4

12.5

8.6

10.5

16.3

20. s

7.3

22.7

115.8

13.3

11.3

6.9

40.5

13.1

22.0

94.8

24.3

20.3

11.4

5.6

23.8

142.9

48.2

11.8

9.7

14.1

10.5

179..8

2.3

159.6

L,>. >.o

32.7

93.7

72.3

13.0

7.8

21.4

46.6

21.3

15.5

10.5

55.2

21.7

9.2

8.3

45.3

17.6

3.7

11.7

228.8

11.4

150.3

33.0

11.5

42.4

20.8

38.0

152.4

25. o

14.0

41.0

20.5

176.1

13.7

11.5

10.6

16.2

22.5

8.0

20.4

136.7

16.5

9.+

LO.6

41.4

16.1

2+.2

96.3

16.1

25.2

13.7

8.6

25.0

138.4

44.5

9.1

12.6

10.3

13.7

185.1

4.5

166.8

L,>t>.0

23.4

100.2

79.1

11..2

9.6

20.5

39.9

15. +

13.6

9.1

53.0

27.6

5.8

7.9

44.0

15.7

6.4

7.9

206.9

6.6

131.1

28.2

9.6

36.4

20.1

38.1

112.8

13.5

8.4

29.7

16.3

138.3

11.0

4..9

11.3

12.1

13.8

5.3

15.2

101.7

11.4

9.8

5.7

36.6

12.1

18.5

97.5

21.6

24.2

9.2

7.6

21.0

146.2

53.7

11.4

5.8

9.4

12.4

205.0

.?.1

186.1

6.5

7.0

8.2

8.9

9.2

7.2

5.5

7.3

8.1

6.0

6.4

12.3

14.9

10.0

10.7

5.4

9.6

2.0

2.8

7.9

4.9

7.3

9.5

6.6

5.4

8.0

10.5

6.0

4.5

1.5

7.9

4.9

6.2

7.1

4.8

5.0

3.2

4.9

8.0

7.5

5.2

3.7

6.4

3.T

2.5

2.1

7.9

6.7

7.7

T.3

5.6

13.0

3.8

6.6

8.7

14.7

6.0

5.6

4.3

3.3

1.6

3.3

7.-7

7.8

9.8

10.9

11.1

8.0

5.9

9.2

10.2

7.5

8.1

12.8

18.0

10.4

7.6

6.0

13.9

2.1

2.7

10.0

7.2

6.8

11.4

8.4

6.1

9.6

7.4.8

7.5

5.0

1.7

10.5

5.7

7.0

8.1

5.4

5.6

3.3

5.6

9.5

8.4

5.6

4.5

8.2

2.7

2.5

1.9

9.1

8.0

8.7

8.2

5.6

17.0

4.2

8.1

L1.6

20.3

7.5

5.2

5.3

3.7

1.7

3.8

6.8

7.6

.9.2

8.7

8.5

8.o

5.9

6.8

7.3

6.5

7.4

14.1

15.4

12.6

13.8

5.7

10.0

1.9

2.8

7.9

4.9

7.4

9.8

6.5

5.7

8.3

10.4

5.8

+.4

1.3

7.7

4.7

6.4

7.3

5.0

5.0

3.2

5.4

7..9

7.8

5.3

3.9

6.1

4.5

2.7

2.4

8.3

7.0

8.1

7.2

6.0

16.8

3.7

6.7

8.5

13.2

5.9

6.7

4.3

3.6

1.7

3.5

6.0

6.3

7.8

8.6

9.3

7.1

5.4

7.3

7.9

5.5

5.6

10.9

13.3

8.7

10.6

5.2

7.7

2.7

3.1

T.3

4.5

6.8

8.9

6.4

5.4

7.1

9.4

5.6

4.5

1.7

7.1

4.9

5.8

7.1

+.3

4.8

3.5

4.4

7.3

7.3

5.1

3.6

6.2

3.9

2.6

2.2

7.3

6.7

7.9

8.0

5.5

10.8

4.0

6.2

8.1

12.4

5.7

5.4

4.2

3.3

1.7

3.3

5.4

.s.7

7.0

?.6

7.4

5.5

4.5

6.1

6.7

4.8

5.2

10.3

11.6

6.9

12.6

+.6

8.2

1.4

2.3

6.5

3.5

6.0

7.8

4.8

4.2

6.6

1.9

5.7

3.8

1.1

7.5

4.2

5.6

6.0

5.5

4.7

2.3

4.4

7.4

6.3

4.6

3.2

5.0

3.7

2.3

2.2

7.2

5.4

6.1

5.5

5.1

11.3

3.1

3.8

1.$

13.:

+.~

+.1

3.9

.,.7

1.1

2.6

01

02

03

04

05

06

07

06

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

3T

3e

39

40

41

+2

43

+4

45

+6

47

48

4’9

50

51

52

●.3

34

55

56

57

58

59

60

61

62

35
TABLE 12. NUMBER OF PATIENTS OISCMARGEO FROM SHORT-STAY

uNITEO STATES, 1985

[DISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUOES NEWBORN

INTERNATIONAL CLASSIFICATION OF OISEASESS 9TH REv Is IoN*

HOSPITALS, BY CATEGORY OF FIRS T-L ISTEO LJIAGNOSIS ANO L3E0 SIZE OF HOSPITAL:

INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARE BASEll ON THE

CLINICAL MODIFICATION)

ALL 6-99 100-199 200-299 300-499 500 8EOS

CATEGORY OF FIRST-L 13TE0 OIAGNOSIS ANO ICO-9-CM COOE SIZES BEOS BEOS BEOS HEOS OR HORE

NUMBER OF PATIENTS OISCHARGEO IN THOU SANOS

ALL CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASAIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..140 -208,230-234

MALIGNANT NEOPLASti OF TRACHEA, BRONCHUS, ANCI LUNG . . . . . . . . . . ..1623197. o*l97.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175 .198.81

BENIGN NEOPLASMS ANO NEOPLAWIS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENOOCRINE, NUTRIONAL ANO METABOLIC OISEASES!

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..240-Z79

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25O

oISEASES OF THE BLOOO ANO BLOOO-FORMING ORGABS . . . . . . . . . . . . . . . . . . . . . . . . ...280-289

ANEMI AS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...260-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29 O.299

NEUROTIC A?40 PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANO . . . . . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERvOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . ...320-336.340-349

CA TAR ACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPE RTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . 391-392 .0,393-398,402,404,410-+16,420-429

ACUTE HYOCAROIAL INFARCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . ...41 1-413 .414.1-414-9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. O

CEREBROVASCULAR 01 SE AS6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

OISEASES OF THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46 O.5I9

ACUTE RESPIRATORY INFECTIONS, EXCEPT IN FLU EN ZA . . . . . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORM S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480-486

AS THE A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TI S...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

[NGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..555 -556,55B

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI AS IS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629

CALCULUS OF K1ONEY ANO URETER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROS TAKE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERI UP . . . . . . . . . . . . 1/ 630-676

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANC I ES . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..680-T09

OISEASES OF THE PWSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 O-739

AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T40-759

CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PER IOD . . . . . . . . . . . . . . . . . ..760-779

SYt4PTOHS, SIGNS. ANO ILL-O EFINEO CONDITIONS .....................- . . . . ..--7 So-799

INJURY ANO PO IRON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. BOO-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800-8Z9

FRACTURE OF NECK OF FE MAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

SPRA[NS ANO STRAINS OF BACK (l NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . . ...846-847

INTRACRANIAL INJURIES (Ex CLUEING THOSE bIITH SKULL FRACTURE ).-- . . . ..-...850-e5+

LACERATIONS ANO OPEN UOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87 O.9O4

SUPPLEMENTARY CL OS SIF I CA TIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOI-V82

PERSONS AOMITTEO FOR ST ERILIZATI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VZ5.2

FEMALES WITH DELIVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V2T

35,056

669

2,411

1,911

315

208

500

1,068

480

342

229

1,700

701

195

3B8

1,211

425

182

259

5,470

214

3,5B4

T55

304

992

557

9L6

3,238

464

2B8

854

462

3,873

29Z

203

250

384

457

174

474

2,805

325

246

193

968

382

542

2,170

465

SOB

269

159

534

3,303

1,129

258

Z37

268

27T

4,324

82

3,B54

5*331

98

183

136

21

16

47

189

BO

49

34

343

104

39

132

142

54

18

35

815

41

544

120

25

148

114

146

658

101

39

22T

69

ToO

54

56

47

59

9B

35

BB

435

51

2T

31

122

38

92

303

48

67

15

14

70

535

162

36

53

53

40

569

22

517

6,443

1+5

345

258

42

29

87

195

B5

62

36

294

111

40

58

215

71

36

61

899

41

574

126

27

162

104

156

703

118

69

172

101

730

55

41

%6

16

92

39

87

594

66

41

50

172

65

102

435

78

100

6a

32

102

600

200

48

64

45

44

751

26

6TZ

6,953

141

471

3T6

63

+1

94

200

B1

69

48

284

112

30

59

231

B8

38

48

1,206

41

T93

163

66

213

131

210

691

106

66

166

103

B21

71

46

50

79

94

35

103

535

67

59

34

157

6T

99

443

98

112

39

27

120

682

242

59

52

49

51

739

$8

65B

8,625

141

715

578

98

65

136

266

130

84

57

434

200

46

91

292

94

50

61

1,371

42

891

188

78

257

121

226

669

82

66

161

98

B97

67

36

61

97

96

43

109

676

83

69

42

248

94

119

512

12T

119

61

48

128

808

297

66

36

73

66

L,15T

14

1,036

7,703

144

698

563

91

57

135

Z18

104

7B

53

345

174

40

4T

331

117

40

54

1,180

4T

783

158

10B

212

80

177

517

57

48

12B

90

724

45

25

44

74

77

23

86

566

58

49

35

269

118

130

478

114

110

86

37

114

678

228

+9

31

49

76

1,109

12

972

1/ FIR ST-L ISTEO 01.AGNOSIS FOR FEMALES !dITH DELIVERIES IS COOEO V27, SHOtAN UNOER ‘SUPPLEMENTARY CLASS IF ICATIONS. #

36
TABLE 13. AVERAGE LENGTH OF STAY FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, EIY CATEGORY OF FIRST-L ISTEO OIAGNOSIS AND t$EO

SIZE OF HOSPITAL: IJNITEO STATES, 1985

(DISCHARGES FRon NONFEOERAL HOSPITALS. EXCLUOES NEH80RN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL t4001FICATION)

CATEGORY OF FIRS T-LISTEO OIAGNOSIS ANO ICO-9-C$I COOE

ALL 6-99 LOO-199 200-299 300-It99 500 BEOS

SIZES BEOS BEOS BEoS BEOS OR MORE

AVERAGE LENGTH OF STAY IN OAYS

5.2

5.2

6.6

7.3

6.+

5.6

% 5

5.5

5.7

4.+

4.7

9.9

13.7

8.6

8.0

+.6

7.5

1.4

2.9

5.8

4.0

5.5

7.1

5.7

3.8

6.5

1.1

5.3

4.2

1.3

6.5

+.6

5.1

6.o

3.8

4.6

3.6

3.9

6.3

6.4

4.5

2.6

5.4

3.7

2..?

1.9

6.1

5.8

6.9

8.0

+.4

2.9

2.7

5.0

6.8

12.0

6.2

3.1

2.8

2.7

1.6

2.7

5.8

5.7

7.2

B.o

8.4

6.6

+.8

6.8

7.7

4.7

5.2

12.9

14.8

10.5

13.2

4.2

6.9

.?.2

2.7

7.1

4.6

6.7

8.7

6.7

+.8

7.6

8.6

5.3

+.2

1.5

6.9

4.7

5.6

6.8

+.2

4.8

3.2

4.3

T.1

6.9

6.8

3.7

6.3

3.7

2.3

2.1

6.5

5.7

7.3

6.3

5.2

12.9

4.0

5.T

T. T

14.1

5.6

3.4

3.2

3.1

1.4

3.1

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.5 6.8 7.4

INFECTIOUS ANO PARASITIC DISEASE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l+o-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l+o-2oB.230-234

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . . .. 16Z3197. O.197.3

MALIGNANT NEOPLAS!i OF 8REAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. I7~l75.l98.SI

8ENIGN NEOPLASHS ANO NEOPLAWIS OF UNCERTAIN 8EHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zlo-229.235-239

ENOOCRINE, NUTRIONAL ANO METABOLIC OISEASES,

ANO 1t4WNITY olsoRo ERs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2+o.279

OIABETES HELL ITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o

OISEASES OF THE BLOOO ANO BLOOO-FORHING ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . ..zso-2B9

ANEtTIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zso-z85

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-.......290-299

NEUROTIC ANO PERSONALITY oISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...300-301

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEH . . . . . . . . . . . . . . . . . . . . . . . ..32 O-336 .34o-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..380-389

OISEASES OF THE CIRCULATORY SYS7EM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O.459

ESSENTIAL HYPERTENSI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . ..39 L-39 Z. 0.393-39B. +02. +O+.4LO-+16. +ZO-+29

ACUTE MYOCAROIAL INFARCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Io

ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. o

OTHER ISCHEA41C HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 14. I.4l4.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. o

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+3O.43B

OISEASES OF THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUEN,?A . . . . . . . . . . . . . . . . . . . . . . . ..+6O-+66

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+80-486

AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+93

OISEASES OF THE OIGESTIVE SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53 I-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

lNGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S5S-556.55B

OIVERTICULA OF INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...562

CHOLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

DISEASES OF THE GEN170uRINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5 Be-629

CALCULUS OF K1ONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PRO STAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . . . . . ...626

COMPLICATIONS OF PREGNANCY, CHIL081RTH, ANO THE PUERPERIUH . . . . . . . . . . . . 1/ 630-676

ABORTIONS ANO EC TOPIC ANO 140LAR PREGNANCIE S. . . . . . . . . . . . . . . . . . . . . . . . . . ..63o-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6s0-T09

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 O-739

AR THROPATHIES ANO RELATEo OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7zz

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . ..74o-759

CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . . . . . ..76 O-779

SYMPTOMS, SIGNS, ANO ILL-OEFINEO CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799

INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. SOO.S29

FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8zo

SPRAINS ANO STRAINS OF BACK (l NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . . ...846-847

INTRACRANIAL INJURIES (E XCLUOING THOSE IAITH SKULL FRACTURE ) . . . . . . . . . . ..85 O-85+

LACERATIONS ANO OPEN wOUNDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CL ASS IF I CAT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vol-vB2

PERSONS AOMITTEO FOR STERILI ZATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vz5. z

FEMALES ldITH DELIVERIES . . . . . . . . . . . . .. L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

6.5

7.0

8.2

8.9

9.2

1.2

5.5

7.3

8.1

6.0

6.4

12.3

14.9

10.0

10.7

5.4

9.6

2.0

2.8

7.9

4.9

7.3

9.5

6.6

5.4

8.0

10.5

6.0

4.5

1.5

7.9

4.9

6.2

7.1

4.8

5.0

3.2

4.9

8.0

7.5

5.2

3.7

6.4

3.7

2.5

2.1

7.9

6.7

7.7

7.3

5.6

13.0

3.8

6.6

8.7

14.7

6.0

5.6

4.3

3.3

1.6

3.3

7.3 7.0 9.2

8.3

9.1

9.1

7.8

B.3

8.9

9.3

6.8

9.0

9.6

10.1

7.8

4.9 5.5 6.6

7.5

8.4

7.7

8.3

9.0

9.9

6.2

7.0

6.6

7.1

7.2

7.2

11.0

12.8

7.5

12.6

12.8

14.2

10.4

12.1

14.7

i7.8

12.1

10.4

5.5

9.2

2.2

3.0

5.4

9.9

1.9

2.6

6.6

12.3

2.0

3.0

7.9 8.6 9.0

5.7

8.2

10.7

6.6

6.5

4.8

7.2

10.1

6.5

5.1

8.4

10.B

5.4

7.9

9.9

7.0

6.1

8.6

11.7

9.2

13.1

6.3

4.7

1.3

6.6

+.4

1.8

7.0

4.9

1.5

10.0

5.1

a. 5

5.4

9.0

4.7

6.4

7.3

6.5

7.9

5.0

5.2

3.2

5.2

8.7

7.B

7.2

7.5

6.3

5.1

3.1

5.1

9.0

8.3

4.8

5.3

3.1

6.3

9.1

7.9

5.+

3.7

5.9

3.8

5.*

4.2

6.8

3.9

2.6

2.2

9.1

7.6

8.3

8.3

4.7

13.1

3.7

7.1

9.2

14.6

6.4

5.9

5.2

5.6

4.2

7.1

3.7

Z.4

2.Z

2.9

2.2

7.9 9.3

6.4

7.1

6.6

T.’T

8.2

T.3

5.5 6.8

13.3 16.5

4.3 3.8

6.7

9.1

15.4

6.0

4.7

4.4

a.1

9.9

16.3

6.1

10.8

4.9

3.2

01.4

3.1

3.4

1.9

3.4

3.1

1.9

3.7

1/ FIR ST-L ISTEO OIAGNOSIS FOR FEMALES UITH OELIVERIES IS COOEO V27, SHOIAN uNOER ‘SUPPLEMENTARY CL OSSIFICATIONS.-

37
TABLE 14. NUMBER OF ALL-LISTED OIAGNOSES FOR PATIENTS OISCHARGEo FRoM S+oRT-sTAy HospIT~Ls, By diagnostic cATEGoRy A.NoAGE* SEX*

RACE, GEOGRAPHIC REGION, ANO 8E0 SIZE OF HOSPITAL: uNITEO STATES, 1985

(DISCHARGES FROM NONFEDERAL HOSPITALS. EY.CLUOES NEIA80RN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES. 9TH REVISION. CLINICAL MODIFICATION)

ACE

ALL UNOER 15 15-+4 45-6+ 65 YEARS

DIAGNOSTIC CATEGORY ANO lCO-9-CM COOE OIAGNOSES YEARS YEARS YEARS ANO OVER

01

02

03

0+

05

06

07

08

09

10

11

12

13

14

15

16

17

lB

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

+4

45

46

47

48

49

50

51

52

53

5+

55

56

57

58

59

60

61

62

ALL CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208 ,230-234

MALIGNANT NEOPLASH OF TRACHEA, 8RONCHUS, ANO LUNG . . . . . . ..10.1977 .O.197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174-175. 19.9.81

BENIGN NEOPLASHS ANO NEOPLASHS OF uNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENOOCRINE, NU7R1TIONAL ANO METABOLIC oIs EAs Es*

ANO IHNUN17Y OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

OIA8ETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGABE . . . . . . . . . . . . . . . . . . . . ...280-289

ANEMI AS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2 B0-285

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCH OSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

NEuROTIC ANO PERSONALITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 OO-3Ol

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . ...320-336.340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

oISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

ESSENTIAL HYPE RTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

HEART OISEASE . . . . . . . . . . . . . . . . . . . . 391-392 .0,393-398,402,404,410-416,420-429

ACUTE MYOCAROIAL INFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHE ROSCLEROT’l C HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER IS CHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413*4 14. 1-414.9

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..42B. O

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.438

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS? EXCEP7 Influenza . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

AS THEA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+93

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL IN TEST IN G. . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535

APPEND IC IB IS...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COLIT I S. . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

OIVERTICULA OF IN TEST ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562

CHOLELITHI AS IS.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLAS IA ❑F PROST AT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

OISOROERS OF MENSTRUATION ANO OTHER ABNORMAL VAGINAL BLEEOING . . . . . . . ...626

COt4PLICATIONS OF PREGNANCY, CHIL081RTH, ANO THE PUERPERIUM . . . . . . ..l/ 630-676

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES....... . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SXIN ANO SUBCUTANEOUS T ISSUE . . . . . . . . . . . . . . . . . . . . . . ...600-709

OISEASES OF THE WJSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . .. TLO-739

AR THROPATHIES ANO RELATEO OISOUOERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722

CONGENi TAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759

CERTAIN CONDITIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . ...760-779

SYMPTOMS, SIGNS, ANO IL L-O EFINEO COED IT ION S........ . ...-.....-....-..780-799

INJUR’f ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

FRACTURE OF NECK OF FE MAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

SPRAINS ANO STRAINS OF BACK (I NC LUOING NE CK) . . . . . . . . . . . . . . . . . . . . . ..846-B47

INTRACRANIAL INJURIES (ExCLUOING THOSE IAITH SKULL FRACTURE ) . . . . . . .. B50-854

LACERATIONS ANO OPEN uOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CL AS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VO 1-VB2

PERSONS AOMITTEi3 FOR ST ERILIZATI ON...... . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v25.2

FEMALES WITH DEL IV ERIE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27

NUMBER OF ALL-L ISTEO oIAGNOSIS IN THOU SANOS

100,716

2,205

+,T68

3,739

524

279

1,o29

6,509

2,757

2,071

1,609

4,646

1,336

829

849

3,679

1,572

254

693

19*773

2,104

12,411

871

1,769

3,132

1,635

1,972

7,452

894

373

1 ●379

743

8,224

556

586

291

467

727

464

749

7,388

413

467

340

6,654

419

1,316

5,089

1,671

644

679

396

5,434

6,426

1,686

286

408

354

685

8,006

482

3,854

5,738

352

92

59

*

$

32

2B3

26

144

79

101

10

14

*

537

114

*

341

116

10

70

*

*5

*

11

11

1,266

341

249

290

190

489

*

25

70

58

175

*

*

181

*

*

:

22

*

L14

104

32

*

296

3B3

475

601

161

*

*5

71

74

183

*

11

31,869

634

781

368

22

39

413

1,097

394

534

411

2,255

564

440

458

751

34T

10

121

1,275

265

611

56

41

147

32

59

1,271

173

117

150

192

2,157

118

181

173

109

233

24

207

2,894

191

*

265

6,620

414

384

1,431

258

310

190

*

1,323

3,004

662

14

250

187

434

5,264

+72

3,838

22,437

385

1,546

1,229

209

116

317

1,838

897

408

306

1,083

301

196

297

786

319

47

101

5,34a

928

3,304

296

432

1,140

280

385

1,612

143

*6

240

169

2,206

167

164

30

132

121

116

219

1,651

146

111

72

12

*

323

1*477

402

242

103

*9

1,398

1,223

284

2T

104

45

96

1,o27

*8

:5

40,672

834

2,349

2,083

290

123

266

3,29L

1,440

986

813

1,206

461

1Ta

91

1,605

792

194

131

13,034

19501

0,425

517

1,292

1,841

1,311

1,516

3,303

236

0

690

192

3,372

266

217

19

167

199

323

322

2,661

73

353

*

...

...

494

2,076

979

92

91

*

2,238

1,598

579

241

41

51

81

1,532

0

...

1/ FIR ST-L IST*O oIAGNOSIS FOR FEMALES tiITH DELIVERIES IS COOEO V2T* SHOuN uNoER ‘SUPPLEMENTARY CLASS IF I CATIONS.”

38
TABLE 1+. NUMBER OF ALL-LISTED DIAGNOSES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY OIAGNOSTIC CATEGORY ANG AGE, SEX,

RACE, GEOGRAPHIC REG1ON, ANO BED SIZE OF HOSPITAL: uNITEO STATES, 1985--CON.

(DiSChargeS FROU NON FEOERAL H05p ITALs. EXCLUOES NE H60RN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NUHBER INCL~JSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CLINICAL IIOOIFICATION)

SEX RACE REGION BED SIZE

ALL NOT

HALE

NORTH- 6-99

FEMALE UHITE OTHER STATEO

100-199 .?00-.299 300-499 500 BEOS

EAST HIOliEST SOUTH !.IEsT BEDS BEOS BEOS BEOS OR MORE

NUMBER OF ALL-L ISTEO OIAGNOSES IN THOUSANOS--CON.

8,995

1T7

386

2B-4

39

Z4

102

498

226

163

121

503

126

89

124

311

123

22

58

1,418

187

884

72

109

229

115

142

611

-/2

35

111

63

704

43

41

36

+8

65

34

64

643

+0

42

34

853

46

98

505

142

77

73

48

461

654

174

28

40

35

72

B88

58

526

33,823

768

L,472

1,119

169

85

353

Z*147

899

694

551

I,Z80

353

271

173

1,125

488

50

267

6,463

860

4,035

305

500

1,058

516

664

2,633

3T2

150

516

248

Z*9W

198

240

100

L57

279

174

254

2,744

169

142

140

2,266

145

434

l,T67

538

262

251

163

1,924

2,128

536

83

163

105

.?53

2,613

226

1,351

18,694

428

925

T40

94

58

184

1,116

433

411

313

771

243

131

120

624

280

39

98

3*333

43a

2,059

156

245

500

285

350

1,255

127

55

238

127

1,395

95

87

60

T2

107

57

115

1.308

66

82

54

3.,541

65

227

989

306

139

125

85

1●O21

1,406

376

59

48

62

144

1,735

?8

.380

16,095

366

431

318

47

24

114

1,160

424

313

251

964

229

178

243

494

229

26

100

3,084

450

1,922

139

215

450

338

321

1.459

202

47

332

121

1.470

100

127

54

74

151

87

136

1,124

63

62

53

888

45

218

882

298

95

69

24

928

1.111

Z+z

39

97

75

111

1,109

87

517

40,782

944

59,934 77,464

1,629

3,788

3,037

431

225

751

5,002

2,054

1,457

1*102

3,426

1,002

658

548

2,863

1,234

208

540

16,136

Z,033

10,326

734

1,526

2,659

1,333

1,596

5,917

690

.?94

L,072

521

6,499

441

464

226

367

577

309

608

5,666

345

380

243

4,382

248

1,011

4,026

1,349

503

512

265

+,Z20

4,83B

1,321

240

286

271

479

5,826

310

2,584

21,387 26,812

570

1*311

1,052

148

75

260

1,787

715

522

390

1,409

378

249

255

1,106

475

80

194

5,181

762

3,194

213

510

794

419

525

2,033

230

101

360

193

2,140

138

146

74

119

202

116

210

1,880

103

137

74

1,665

85

340

1,389

491

152

187

97

1,451

1,653

438

77

105

107

167

2,092

98

9+2

14,258

399

594

41.5

55

30

176

1.009

47T

451

386

717

208

82

177

506

216

24

95

2,219

483

1*200

66

133

245

186

233

925

132

43

197

159

1,021

72

82

29

52

85

42

77

1,078

28

45

62

1,419

125

206

557

181

64

94

83

753

934

191

18

81

48

134

1,Z92

114

744

17,723

406

716

530

73

40

186

1*117

461

336

258

770

212

151

127

639

260

51

158

3,237

415

2.024

147

261

490

283

327

1,481

.?10

94

2T4

146

1,496

105

114

55

91

143

89

132

I*51O

82

84

86

1,132

72

23T

978

290

127

14D

71

97T

1*121

293

54

97

57

110

1,357

116

672

20,226

450

957

759

103

54

198

1,295

546

427

341

841

239

147

139

T09

333

49

138

4,301

542

2,750

187

391

672

368

452

1,609

193

85

276

162

1,784

138

149

59

96

146

99

161

1,438

86

Lol

58

1,121

72

249

1,014

351

141

102

76

1,171

1,316

350

64

99

65

134

1,364

73

658

25,225

492

1,391

1,112

159

86

279

1,622

724

519

398

1,154

356

201

207

912

382

65

148

5,132

695

3,205

215

511

034

384

505

1,628

169

85

273

163

1,906

123

111

74

115

154

114

184

1,827

109

131

74

1*779

101

317

1,219

414

150

163

li8

1,303

1,606

460

75

62

95

173

2,137

105

1,036

21,448

491

1,273

1,021

142

75

252

1,315

601

476

362

916

299

152

133

926

368

62

150

4,020

601

2,510

183

390

687

261

367

1,274

120

62

225

150

1,568

90

85

49

91

133

75

136

1,488

73

89

69

1,734

129

295

996

318

131

206

106

1,055

1,271

341

54

53

62

156

2,039

101

972

01

02

03

04

05

Db

07

08

09

10

11

12

13

14

15

lb

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

439

2,087

1*821

326

*

2,681

1,918

198

278

1,060

828

114

61

266 163 232

2,546

1,152

3,964

1,605

1,459

7L1

445

355

1*186

801

571

1,270

1.039

2,378

630

2,268

706 362

177

301

311

651

518

197

1,693

745

94

333

1,987

827

160

360

825

330

S5

134

9,598 10,175

1,580

6,144

344

B64

1,387

919

1,070

4*795

1,124 644

6,267

527

905

1,746

3,123

197

514

780

414

433

1,532

165

68

265

174

716

901

3,812

430

163

718

304

3,641

464

Z09

661

439

3,689

282

4*535

275

322

136

56

434

297

510

1.740

125

264 114

155 56

118

L39

116

170

411

293

167

239

2,443

Z6L

467

4,945

153

1,455

75

. . .

340

107

. . . 72

6,654

419

. . .

. . .

1,181

123

315

944

336

90

116

52

1,038

b06 709

1*914

574

341

3,175

1,098

303

352 328

218 178

2,562 2,872

3,514

868

72

19T

211

470

2,912 1,239

335

67

817

214

212

143

214

93

80

122

1,566

80

6B2

1,625

*7

6,381

475

. . . 3,854

39
TABLE 15. NUMBER OF ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS,

STATES, 1985

(O ISCHARGES FROM NONFEDERAL HOSPITALS. EXCLU@ES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY

INCLUSIONS ARE 8ASE0 ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL

BY PROCEOURE CATEGORY A%O AGE: UN!TEO

ANATOMICAL SYSTEMS AND COOE NUMBER

MODIFICATION)

UNOER 15 L5-4+ +5-64 65 YEAhS

PROCEOURE CATEGORY ANO ICO-9-CM CODE ALL AGES YEARS YEARS YEARS ANO OVER

NUM8ER OF ALL-L ISTEO PROCEOURLS IN THOUSANDS

ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NE RVES . . . . . . . . . . . . . . . ..04.0,04 .2-04.9

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .08-16

ExTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. 1-13.6

INSERTION OF prosthetic LENs (ps Euoo PHAKOs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-20

MYRI NGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20. O

OPERATIONS ON THE NOSE, MOUTHS ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21..9

TONSILLECTOMY HITH OR 161THOUT AOENOIOECTORY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33. Zl.33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGE RY . . . ..3351 -35.51535 .53-36 .29.6.9. 37.10 -37.11,37.32-37.33,37.5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHE TERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HEPiIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

ES OPHAGOSCOPY ANo GASTROSCOPY (NATURAL ORIFICE) . . . . . . . . . . . . . . . . . . ..4.? .23.44.13

PARTIAL GASTRECTOMY ANO RESECTION OF IN7ESTI NE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . ..-- . . . ..+5-24

APPENDECTOMY, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HE MORRHO1OECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -+9.46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF IN GUINAL HER NIB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA REP AI 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 . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-6+

PROS TAT ECTOM Y..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60. 6

CIRCUMCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64.0

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PH0RECT0M% ANO SAL PING O-OOPHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL 0ESTRUC710N OR OCCLUSION OF FALLOPIAN TUBE S . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

CURETTAGE OF UTERUS TO TERHINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

OIL AT ION ANO CURETTAGE OF UTERUS AF7ER OELIVERY OR ABORT ION . . . . . . . . . . . . ..69. O2

OIAGNOSTIC OILATION ANO CURETTAGE OF UT ECU S. . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOHY WITH FORCEPS ANO VACUUM EXTRACT ION . . . . . . . . . . .7721 .72.21 .72.31 .72.71

EP1S1OTOIIY WITHOUT FORCEPS ANO VACUUM ExTRACT I ON. . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SEC TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0- 7+.2.74 .4.74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T6-84

OPEN REOUCTION OF FRACTURE . .. T6. 72.76.74,76.76-76.77,76.79,79.2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . ..76.7 O.76.7 1,76.73,76 .75,76 .78, ?9.0-79.1, 79.4

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80. 2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FuSION . . . ..8 0.5081. O

EXCIS1ON OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.6

AR THROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B 1.41-81.47

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...8 1 .5,81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . . ..82 -B3.1 ,B3.3-83.9

OPERATIONS ON THE IN TEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B5-B6

EXCISION OR OBSTRUCTION OF 8REAST TISSUE (PARTIAL MAST EC TOMY) . . . . ..88522385 .23

MAST ECTOMY....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURE S . . . . . . . . . . . . . . . . . . . . . ...87-99

COHPUTERIZEO AxIAL TOMOGRAPHY (cAT sCAN) . . . . . . . ..841 .87871 .8 B801V88838O1V88.38

CONTRAST MYEL OGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.21

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87.73-87 .75

AR TER1OGRAPHY ANO ANGIOCARO1OGRAPHY USING CONTRAST HA TERIAL . . . . . . . . .. B8.4-88. 5

DIAGNOSTIC ULTRA SOUN D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B8.7

RADIOISOTOPE SC AN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..9 Z.0-92.1

36,760

898

305

167

95

718

211

1.90

256

104

1,173

193

317

981

195

2,414

379

230

6B1

223

397

5,740

207

282

506

283

123

475

416

186

212

309

1,729

683

119

744

367

52

3,318

525

466

670

50

227

349

165

49304

370

1,451

877

548

3,523

492

240

176

323

97

160

196

340

1,653

92

116

8,B19

1,378

436

442

1,117

1,234

838

1,937

157

113

*B

$

54

e

*

129

89

306

*6

197

52

13

9B

11

24

*

21

236

*7

3

+6

69

*

*

53

10

*

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71

19

*8

83

. . .

31

14

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*

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*

*

*

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13

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*

*

233

29

62

*7

*5

*

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37

103

*

a

364

68

e

=9

12

49

17

14,957

312

80

77

37

93

*8

*

70

*7

567

139

114

168

25

304

37

15

79

*8

96

1,870

47

46

94

173

55

167

L06

45

197

179

3B7

115

21

87

*

*8

2,438

304

461

421

48

225

232

56

4,287

369

1,442

875

546

1*543

215

89

11.2

183

60

66

11

155

674

33

17

2,024

311

225

156

128

379

150

8,838

242

55

54

29

159

42

37

40

=6

188

35

+6

331

67

973

193

126

350

47

113

1,555

62

78

140

26

47

157

125

69

10

59

451

173

27

160

81

*6

605

165

1%

.$

*

83

64

0

*

*

*

886

91

37

42

108

26

32

37

95

471

35

50

2,630

349

156

133

514

300

249

11,027

187

57

27

25

413

157

139

18

*

111

12

*

429

89

1,038

137

89

227

167

167

2,079

91

155

267

14

19

150

131

62

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68

818

375

62

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284

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260

54

60

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45

. ..

. ..

. ..

. ..

. ..

861

151

51

15

27

10

58

148

53

405

23

4B

3,801

650

52

143

463

506

421

MOTE: SEE ,*MEOICAL COOING ANO EOI T,” APPENOIX I, FOR COOING MOOIF ICATIONS FOR THE NAT IoNAL Hospl TAL olsc HARGE suRVEy.

40
TABLE 16. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO AGE:

STATES, 1985

UN ITEO

(discharges FROM NONFEDERAL HOSPITALS. EXCLUOES NE HBORN IN fANTs. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUM8ER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICAIION)

uNOER 15 15-*+

PROCEOURE CATEGORY ANO ICO-9-CH COOE

45-64 65 YEARS

ALL AGES YEARS YEAR? YEARS ANO OVER

RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVE S...... . . . . . . . . ...04.0.04.2-04.9

OPERATIONS ON THE ENOOCRINE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 08. L6

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS (p5Eu00PHAKos )....... . . . . . . . . . . . . . . . . . . . . . . ..13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1.s-20

MYRI NGOTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo. o

OPERATIONS ON THE NOSE, MOUTH. ANo PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..z I-z9

RHINOPLASTY ANO REPAIR OF NOSE.• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ZI.S

TONSILLECTOMY wITH OR HITHOUT AOENOIOECTOFIY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRoNcHoscoPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33. zl.33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGE RY . . . ..335 I-35.51535 .53-36 .Z9.379.37. 10-37 .11,37.32-37.33,37.5

OIRECT HEART REV ASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37. ZI.37. Z3

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . . .37.7 -37.8

OPERATIONS ON THE HEMIC ANO LYHPHATIC SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4+54

EsOpHAGOscOPY ANO GAsTROsc OPY (N ATuRAL oRIFIc E) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3

PARTIAL GAS TRECTOHY ANO RESECTION OF INTESTINE . . . . . . . . . . . . .43.5 -43.8,45.6-45.8

EN DOSCOPY OF LARGE INTESTINE (NATURAL oRIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUDING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HEMORRHOIOEC TOMYP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+9. +3-49.46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. L

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. z-53.9

LAPAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54.z I

01VISIOf4OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31,57 .32,58.22

O1LATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROS TAT EC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2 -60.6

CIRCUMCIS I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64.0

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOIIY ANO SAL PINGO-OOPHOR ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL DESTRUCTION OR OCCLUSION OF FALLOPIAN TuBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.9.3 -6s. T

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69.01,69 .51

OILATION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORT ION . . . . . . . . . . . . ..69.G2

DIAGNOSTIC OIL AT ION ANO CURETTAGE OF UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7o.5

0.9ST ETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T2-T5

EPISIOTOHY wITH FORCEPS ANO VACUUM EXTRACTION . . . . . . . . . .. TZ.1. 7Z.21,72.31, T2.71

EPISIOTOHY UITHOUT FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAtA SEC TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. O. T4.2. T4.4.74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE . ..76. 7Z.76.74,76 .76-T6.77,76 .79,79 .2-T9.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . ..76.7• .76.7 l.76.73.76.75 .76.78 .79. O-79.l,79.4

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..80. z

EXCISION bR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.6

AR THROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ARTIWOPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . . ..3 Z-83.1.83.3-83.9

OPERATIONS ON THE IN TEGUIIENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

EXCISION OR DESTRUCTION OF BREAST TISSUE (PARTIAL MAs TECTOMY) . . . . ..885 Z2385.23

MAST EC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS OIALWOSTIC ANO THERAPEuTIC Procedure s . . . . . . . . . . . . . . . . . . . . . . ..s7-99

COMPUTERIZE AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .88801 .88838 OI.88.38

CONTRAST HYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B7.21

PYELOGRAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.7 >-87.75

AR TERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . .. B8.4-.98.5

OIAGNUSTIC ULTRA SOUND........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8s.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-92. I

15,50s.1

378.8

128.7

70.3

40.1

303.0

89.2

76.0

108.1

43.8

494.9

81.2

133.9

413.7

82.1

1.018.3

159.8

97.2

287.1

94.3

167.5

2,421.7

87.2

118.8

213.4

119.5

52.0

200.3

175.4

78.6

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130.3

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288.0

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313.7

154.7

21.9

1,399.6

221.3

196.8

282.8

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95.6

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1,815.6

155.9

612.0

369.9

231.0

1,486.2

207.4

101.2

74.5

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581.2

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301.3

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124.3

101.8

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488.9

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278.8

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122.6

120.2

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418.6

79.1

*13.3

737.3

149.1

2,167.7

430.5

281.7

779.3

104. T

251. T

3,463.7

137.8

173.6

312.3

58.5

105.3

349.1

279.3

154.1

22.3

131.2

1,005.5

385.1

61.0

356.4

181.0

*14.+

1,348.6

367.0

*12.6

423.2

*

*

184.7

141.8

*

*

*

*

1.974.7

202.8

83.1

94.6

240.0

56.8

71.3

81. T

212.4

1,050.1

T8.4

110.8

38,651.o

655.3

199.3

95.6

88.7

1,446.8

551.2

488.3

62.0

*

390.6

42.7

*

1,503.4

311.6

3,638. B

481.2

310.6

797.1

587.0

584.8

7,288.0

319.4

542.2

934.2

5D.T

68.2

526. +

458.9

ZIT. Z

*

238.4

2,868.8

1,315.2

218.9

1,+50.7

996.6

*21.8

912.4

189.5

208.T

. . .

114.8

156.0

.. .

.. .

.. .

.. .

. . .

3,017.+

549.1

179.6

52.4

95.1

35.1

203.4

519.3

18+.9

1,418.2

81.Z

1.58.0

5,859.0 13,323.8

T77.O Z,278.1

346.5 181.7

297.1 501.7

1,144.1 1,623.7

668.1 I, T75. O

555.7 I,47T. o

NOTE: SEE ‘ME OICAL COOING ANO EOIT, S1 APPENOIX 1, FOR COOING UOOIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

41
TABLE 17. NUMBER OF ALL-L ISTEO PROCEDURES F!JR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO SEX:

STATES, 1985

UNITEO

(DISCHARGES FROM NONFEDERAL HOSPITALS. ExCLUOES NEWL30RN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVIS1ON. CLINICAL MOOIFICATION)

PROCEOURE CATEGORY ANO lCO-9-CH COOE BOTH SEXES MALE FENALE

ALL PROCEDUR ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . . ..04.0 .04.2 -O+.9

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-OT

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS (P SEUOOPHAKO S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

MYRI NGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20. O

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.6

TONSILLECTOMY 141TH OR uITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..335 I-35.51535.53-36.2 ,36.9,37 .1 O-37.1 I,37.32-3T.33, 37.5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36. 1

CAROIAC CATHETER lZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . ..37. T-37.8

❑pERATi0N5 ON THE HEmC ANO LYMPHATIC SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

❑AERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GASTRECTOIIY ANO RESECTION OF INTESTI NE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

I+EMORRHOIOEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYS TECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HE RNI A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LA PAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL ❑RI FICE . . . . . . . . . . . ...55.21-55.22. 56.31,57.32.58.22

O1LATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PRO STAT EC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUUCISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64. O

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SALPINGO-OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65.3 -65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TuBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68. 7

CUR E7TAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69.01 *69.51

OILATIOtA ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69. O2

OIAGNOSTIC OILATION ANO CURETTAGE OF uTERuS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69. O9

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

oBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY wITH FORCEPS ANO VACUUM ExTRAc TIoN . . . . . . . . . ..72.1 .T2.21*72.31.72.71

EP1S1OTOHY UITHOUT FORCEPS ANO VACUUH Extraction . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SEC TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0- 74.2.74 .4.74.99

REPAIR OF CURRENT OBSTETRIC LA AERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE HUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-B+

OPEN REOUCTION OF FRACTURE . ..76. 72.76.74.76.76-76.77,76.79,79.2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . ..76.7 0.76.71 .76.73 .76.75 .7b.78.79. O-79.l ,79.4

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2

EXCISION OR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXC1S1ON OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.6

AR THROPLASTY ANO REPLACEMENT OF KNE E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B 1 .41-81.47

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B 1.5, B1.6

OPERATIONS ON HUSCLES, TEN OONS, FASCIA, ANO BURSA . . . . . . . . . ...82-83. 1, B3.3-B3.9

OPERATIONS ON THE lNTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

Exc1510N OR 0E5TRuc Tt0N OF 8REAST TISSUE (pARTIAL MAs TECTOMY) . . . . .. B8522385.23

MAST EC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS 01 AGNOSTIC ANO THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . B7-99

COMPUTER IZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . .. B41.3.87.41. 87.71,8 B.01,8B.38

CONTRAST HYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.21

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 T.73-8T.75

AR TERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL. ..--.-...88.4-88. 5

OIA GNOSTIC ULTRA SOUND........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. BB.7

RAO1O1SOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92.0-92.1

NUMBER OF ALL-L ISTEO PROCEDURES IN THOUSANDS

36,760

898

305

167

95

718

211

180

256

10+

1,173

193

31T

981

195

2,414

3T9

230

681

223

397

5,740

207

2B2

506

283

123

475

416

186

212

309

1,729

683

119

74+

367

52

3,318

525

466

670

50

227

349

165

4,304

370

1,451

877

546

3,523

492

240

IT6

323

97

160

196

340

1,653

92

116

8,819

1,3T8

+36

442

1,117

1,23+

B38

14,694

451

159

77

24

309

79

6T

130

60

589

99

135

582

123

1,+25

264

172

439

118

190

2,530

100

127

223

150

67

i47

370

71

:

44

1,049

4B7

73

744

367

52

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

. ..

. . .

1,734

251

125

108

191

66

86

60

194

658

*

*

4*279

671

2+4

242

693

47B

375

22,066

447

146

89

71

409

132

113

126

44

5B4

94

1B3

398

71

9B9

114

58

241

105

207

3,210

106

155

283

133

56

327

46

115

209

265

679

195

47

. . .

. . .

. . .

3,318

525

466

670

50

227

349

165

4.304

3T0

1,451

B7T

548

l,7&9

241

115

68

132

31

7’5

137

14.6

9514

f19

11,4

4,540

707

192

200

425

756

463

NOTE: SEE **MEOICAL COOING AND EOI T.” APPENOIX I, FOR COOING MOOIF ICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

42
TABLE 18. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO SEX:

STATES, 1985

UNITEO

(discharges FRoM NONFEOERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO CODE NuMBER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL 14001 FICA TION)

PROCEDURE CATEGORY ANO ICO-9-CM CODE BOTH SEXES HALE FEMALE

RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,50B. I

37B.8

18,024. T

365.0

119.5

73.0

12,820.1

OPERATIONS ON THE NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05 393.5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES... . . . . . . . . . . . . ..04.0 .0+.2-0+.9

128.7

70.3

138.5

67.5

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07 40.1

303.0

20.6 58.3

334.5

108.0

92.4

102.7

35.8

477.4

T6. 7

149.3

3.?5.3

58.3

807.6

93.4

4T.3

197.2

86.1

169.3

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..oE-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

xNs ERTIoN oF Prosthetic LENS (PSEUOOPHA KOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. T

269.4

69.0

58.4

89.2

76.0

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

14YRINGOTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo. o

108.1

43.8

494.9

81.2

133.9

413.7

.s2.1

1,018.3

159.8

97.2

113.8

52.2

OPERATIONS ON THE NOSE, 140UTH. ANO PHARYNx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..z1-z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY IAITH OR HITHOU7 AOENOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . .2 E.2-zEJ.3

513.6

86.1

117.4

OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

508.1

107.5

OPERATIONS ON THE CARDIOVASCULAR SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGE RY . . . ..35.1-35.5 l.35.53-36.2.3b .9.37 .lO-37.ll,37. 32-37 .33,37.5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETER lZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, AND REP AIR . . . . . . . . . . . . . . . .37.7 -37.8

1,243.4

230.7

150.5

383.2

103.0

287.1

94.3

167.5

2,421. T

87.2

118.8

213.4

119.5

52.0

200.3

175.4

78.6

89.3

130.3

729.2

288.0

50.3

313.7

154. T

.?1.9

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 165.5

OPERATIONS ON THE OIGESTIVE SYSTEFI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+2-5+

EsOPHAGOscOPY ANO GASTROSCOPY (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

2,207.2

87.5

110.6

194.1

130.9

58.8

2,622.5

86.9

L26.4

231.5

108. T

PARTIAL GAS TRECTO14Y ANO RESECTION OF INTESTI NE . . . . . . . . . . . ..43.5 -43. tj.+5i6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATURAL ORIFICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENOECTO14Y, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HE140RRHOIDECTO!4 Y.. ;...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTEC TOIIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z

45.6

267.4

37.6

128.6

322.5

62.0

*

38.4

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-.3.1

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

Laparoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5+.2l

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

94.2

171.1

216.3

OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

Et400SCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.3Z.58.22

LIILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

915.4

425.1

63.3

554.9

159.6

38.0

. . .

. . .

. . .

2,709.9

428.5

381.1

547.6

OPERATIONS ON THE HALE GEN17AL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PROSTATECT OHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

crRcuMcxsIoN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64. o

648.8

320.0

45.2

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-T1

00 PHORECTOHY ANO SAL PINGO-OOPHOR ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

81 LATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3-6&7

CURETTAGE OF uTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69.01 .69.51

OILAIION ANO CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69. O2

DIAGNOSTIC OIL ATICIN ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYS70CELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TO.5

1,399.6

221.3

. ..

. . .

. . .

. . .

. . .

. . .

. ..

. . .

196.8

282.8

20.9

95.6

147.1

69.4

1,815.6

155. ?

612.0

369.9

231.0

40.5

185.1

28+.8

134.4

3,515.5

301.9

1,185.0

716.2

44T.3

1,+61.6

196.9

94.0

55.8

107.7

25.5

61. G

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Tz-75

EPISIOTOt4Y UITH FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . 72.1,72.21,72.31,72.71

EPISIOTO14Y IAIT HOUT FORCEPS ANO VACUUM EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T4. O- T4. Z,74.4,74.99

REPAIR OF CURRENT 08 ST ETR1C LA AERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

. . .

. . .

. ..

. . .

. . .

OPERATIONS ON THE MJSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE . ..7 T2 .76774,76776776777,76779,9, T9.2-79.3,79.5- 79.6

OTHER REOUCTION OF FRACTURE . . . . . . . 76.70,76 .71,76.73,76.75,76.78, 79.0 -79.1,79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8o.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

EXCISION OF SE II ILUNAR CARTILAGE ,3F KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8o.6

AR THROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ARTHROPLASTY ANO REP LACE PIENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 $BI.6

OPERAT IONS GN MUSCLES, TENOONS, FASCIA, ANO 8URSA . . . . . . . . . ...82-83.1.83.3-83.9

1,486.2

207.4

1,512.5

218.6

108.8

94.4

166.5

57.6

74.9

52.0

169.3

101.2

74.5

136.1

41.0

67.7

82.8

143.4

697.2

38.9

+8.9

3,720.6

581.2

184.0

186.4

471.3

520.5

353.6

111.6

119.2

812.1

72.6

93.4

OPERATIONS ON THE IN TEGIJ4ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL MAST ECTOMY) . . . . ..8852 Z385.Z3

MAST ECTO MY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.+

574.5

*

*

II ISCELLANEOUS OIAGiqOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

CL3MPUTER12E0 AXIAL TO140GkAPHY (CAT SCAN) . . . . . . . ..841 .87871 .88801 .L788.01. L78.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.21

PYELOGRAH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87. 73-87.75

AR TER1OGRAPHY ANO AN GIOCAROIOGRAPHY USING CONTRAST HA TERIAL . . . . . . . ...88.4-88.5

OIAGNOSTIC ULTRA SO UND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 88.7

RALIIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92. o-9z.l

3,733.7

585.3

212.6

211.5

604.2

416.8

326.8

3,708.3

57 T.+

157.2

163.0

346.8

61T.6

378.6

NOTE: SEE leMEOICAL COOIkG ANO EOIT, W APPENOIX I, FOR COOING MOOIFICATIONS FOR THE NATIONAL HOSPITAL OISCHAR.GE SURVEY.

43
TABLE 19. NUMSER OF ALL-LISTED PROCEDURES FOR PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS,

UNITEO STATES, 1985

(OISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL

BY PROCEOURE CATEGORY ANO RACE:

ANATOMICAL SYSTEMS ANO COOE NUMBER

MODIFICATION)

PROCEOURE CATEGORY ANO lCO-9-CH COOE

ALL NOT

ALL RACES UHITE OTHER STATEO

NUtiFSER OF ALL-L ISTEO PROCEDURES IN THOU SANOS

ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,760 28,213

666

200

133

70

567

177

153

195

83

914

158

2+6

T61

152

1,983

336

206

580

190

312

4,499

1 5-I

225

413

219

96

3.91

325

147

144

225

1,397

563

96

589

301

30

2,345

396

298

501

5* 180

147

82

17

17

71

17

12

35

13

127

14

39

148

28

2T2

20

11

63

17

59

737

37

29

60

28

17

:;

21

40

53

194

72

L6

9+

33

17

608

72

112

94

29

52

73

*9

75+

47

227

159

100

419

60

31

21

24

11

19

14

42

225

12

11

1,273

211

44

51

112

231

130

3,367

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3l

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVE S. . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

898

305

84

23

161 16

OPERATIONS ON THE ENDOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07 95 *8

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

T113

211

180

80

18

16

OPERATIONS ON Tti E EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

MYRI NGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20.0

256

104

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY HITH OR WITHOUT AOENOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28. 3

1.173

193

317

132

21

33

OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

981

195

72

15

159

23

l’i

38

16

26

505

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SURGERY . . . ..35.1 -35.51 .35.53- 36.2.36 .9.37 .1 O-37. 11,37 .32-37.33,37.5

DIRECT HEART REVASCULAR lZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R . . . . . . . . . . . . . . . .37. T-37.8

2,414

379

230

681

223

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

E50pHAGosc0Py 4No GA5TROSCOPY (NATuRAL ORIF1c E) . . . . . . . . . . . . . . . . . . ..42.23,4+ .13

PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENOOSCOPY OF LAuGE INTESTINE (NATuRAL orifice ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.2+

APPENOECTOHY, ExCLUOING INCIDENT AL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4T. o

HEMORRHOIOEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+9.43-49.46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGu INAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA REP AI R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LA PAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

397

5.740

207

202

506

14

28

33

283

123

475

36

11

43

416

186

212

309

45

19

27

31

operations ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22

OIL AT ION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

1,729

683

119

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PROS TATECTOHY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMCIS1 ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..64.•

T4+ 61

33

*

367

52

3,318

525

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PING O-OOPHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL 0ES7RUCTION OR OCCLUS1ON OF FALLOPIAN TuBES . . . . . . . . . . . . . ...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 ABORT ION . . . . . . . . . . . . ..69. O2

OIAGNOSTIC OIL AT ION ANO CURETTAGE OF UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

364

57

57

75

*

24

32

19

589

51

185

118

72

+66

670

50

227

349

165

16

151

244

137

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPIS1OTOMY UITH FORCEPS ANO VACUUM Extraction . . . . . . . . ...72.1. 72.21,72.31,72.71

EPIS1OTOHY UITHOUT FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SEC TI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

4,304

370

1,451

%77

540

961

272

039

599

375

2

1

OPERATIONS ON THE MU5cu LOs KELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84 2

OPEN REOUCTION OF FRACTURE ...772,76774,76776776777,76779,9, 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

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.2

EXCISION OR OBSTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

3,,523

492

240

687

378

416

54

183 25

136

262

76

115

161

253

1,276

70

92

6,991

1,091

338

361

933

932

671

176

323

20

37

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.6

AR THROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6

OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BuRSA . . . . . . . . . ...82-83. 1,83.3 -83.9

97

160

196

340

1,653

92

116

8,819

1,378

436

4+2

1.117

1,23+

a3a

10

27

21

44

OPERATIONS oh THE lNTEGutIENTARy sYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a5-06

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL !lASTECTOM Y) . . . . ..at35O-t35.23

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

151

*9

12

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURE S . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTERIZE AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .88801 .1.88. O1. 88.38

CONTRAST MY ELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.21

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75

AR TERIOGRAPHY ANO A>NGIOCARO1OGRAPHY USING CONTRAST MATERIAL . . . . . . . ...88.4-88.5

DIAGNOSTIC ULTRA SOUND........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8a.7

RAO1O1SOTOPE SC AN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92.0-92.1

555

76

54

29

72

70

38

NOTE : SEE “ME OICAL COal NG ANO EOIT,l* APPENOIX 1, FOR COOING MoOIF1CATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
TABLE 20. NUMBER OF ALL-LISTED PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY AMO GEOGRAPHIC

REGION: UN ITEO STATES, 1985

(DISCHARGES FROM NONFEDERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS ARE BASED ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MODIFICATION)

VNITEO NORTHPROCEOURE CATEGORY AND lCO-9-CM COOE STATES EAST 1410MEST SOUTH UEST

ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE CRANIAL ANO PERIPHERAL NERVES . . . . . . . . . . . . . . . .. 04. O. O4.2-O4.9

OPERATIONS ON THE ENOOCRINE SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS (P SEUOOPHAKOS )....... . . . . . . . . . . . . . . . . . . . . . . . .13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

HYRINGOTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...20.0

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2l.8

TONS ILLECTOf4Y HITH OR UITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..2s..+.2s.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

8RoNcHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33. Z3

OPERATIONS ON THE CARO1OVASCULAR 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 REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETERIZAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REHOVAL, ANO REP AI R. . . . . . . . . . . . . . . .37.7 -37.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE DIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4Z.54

E50PHAG0sc0PY ANO GAsTRoscOpy (NATuRAL oRIFIce) . . . . . . . . . . . . . . . . . . ..42.23 .44.l3

PARTIAL GASTRECTOMY ANO RESECTION OF IN TESTINE . . . . . . . . . . . ..46.4548 .8.+5.6-45.8

ENOOSCOPY OF LARGE ‘INTESTINE (NATURAL oRxf IcE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEHORRHOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 .49.+6

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. O.53.l

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LA PAROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . ...55.21-55.22. 56.31,57.32,58.22

OILATION OF URETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROS TATEC70MY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

CIRCUMCISE ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64.0

OPERATIONS ON THE FEMALE GENITAL C)RGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7 I

00 PHORECTOMY ANO SAL PINGO-OOPHOREC TOM Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL DESTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. b8.3-6&7

CURETTAGE OF UTERUS TO TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

OIL AT ION ANG CURETTAGE OF UTERUS AFTER OELIVERY OR ABORTION . . . . . . . . . . . . ..69.O2

OIAGNOSTIC OIL AT ION ANO CURETTAGE OF UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPIS1OTOMY UITH FORCEPS ANO VACUUM EXTRACT ION . . . . . . . . . ..72.1 .72.21 .72.31 .72.71

EPISIOTOPIY HITHOUT FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . ...73.6

CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE WJSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE . ..77 Z. T6T74, T6T7677676. 77,76 .79,79.2-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . ...76.71.76.71.76. 73,76 .T5,76.7L4,79 .O-79.1, 79.4

ARTHROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . . ..9 O. 0.81. O

EXCISION OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S0.6

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BuRSA . . . . . . . . . ...82-83.1 ,83.3 -83.9

OPERATIONS ON THE IN TEGLN4ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

EXCISION OR OBSTRUCTION OF BREAST TISSUE (PARTIAL MASTECTOMY ) . . . . .. L3S5Z23S5.23

MAST EC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. BT-99

COHPUTERIZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..87. 03. E171.88801.88838 O1.88.38

CONTRAST HYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87..21

PYELOGRAM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75

AR TERIOGRAPHY ANO ANGIOCAROIUGRAPHY USING CONTRAST uATERIAL . . . . . . . . .. BB.4-BB. 5

DIAGNOSTIC ULTRA SO UND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8B.7

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-92.1

NUMBER OF ALL-LISTED PROCEDURES IN THOU SANOS

36,760

898

305

167

95

7L8

211

lBO

256

104

1,173

193

317

981

195

2,414

379

230

681

223

397

5.740

207

282

506

283

1.?3

475

416

186

212

309

1,729

683

119

744

367

52

3,318

525

466

670

50

227

349

165

4,304

370

1,451

877

54a

3,523

492

240

176

323

9T

160

196

340

1,653

92

116

8,B19

1,378

436

442

1,117

1,234

838

7,920

150

62

32

18

199

69

63

52

26

241

35

55

229

49

417

54

32

100

46

99

1,216

46

57

125

52

24

99

107

40

39

53

388

167

26

L74

79

14

673

76

80

92

,?9

64

115

23

742

56

280

155

92

636

93

48

40

43

21

23

41

65

360

29

21

2,32T

425

65

114

196

397

280

10,013

249

84

33

28

251

72

56

75

24

366

72

84

261

53

771

136

83

224

61

121

1,552

51

82

126

72

32

139

105

51

61

85

485

197

36

208

110

11

74L

125

94

158

*

46

70

43

1,175

80

370

207

137

913

119

59

39

75

21

48

62

91

439

20

30

2,379

352

92

120

377

325

208

11,644

327

113

64

28

141

36

30

92

43

371

53

129

308

62

759

124

74

256

79

118

1,943

82

82

189

96

50

160

141

59

69

112

588

238

47

238

111

23

1,287

208

216

273

11

81

126

63

1,393

169

482

317

182

1,121

156

81

46

129

27

43

48

112

571

37

40

2,359

356

168

144

340

288

196

T, 182

172

46

38

21

127

34

31

37

10

195

32

49

183

31

466

65

41

100

3T

60

1,030

27

60

66

63

17

77

62

37

43

60

267

80

10

124

68

*

617

116

77

147

06

35

38

36

993

64

319

197

137

853

122

52

52

76

27

47

44

72

282

*7

24

1,755

244

110

63

205

224

154

NOTE: SEE ‘M ELIICAL COOING ANO EOIT, m APPENOIX 1, FOR COOING MOOIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

45
TABLE 21. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS DISC14ARGE0 FROM SHORT-STAY HOSPITALS, BY PROCEOURE CATEGORY ANO GEOlBRAPt41C

REGION: UN ITEO STATES, 1985

(DISCHARGES FROM NONFEDERAL ~SPITALS. EXCLUOES NEWBORN INFANTS. GROUPINGS OF PROCEOUAES BY ANATOMICAL SYSTEPV3 ANO COOE NUMBER

INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISIONO CLINICAL MODIFICATION)

PROCEOURt CA TECORY ANO [cO-9-CM COOE

uNITEO NORTHSTATES EAST NIOMEST StXJTH uEST

RATE OF ALL-L ISIEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVWS SYSTEAV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON lHE CRANIAL ANO PERIPHERAL NERVE S. . . . . . . . . . . . . . . .. O+. O. O4.2-O4.9

OPERATIONS ON THE ENOOCRINE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13.1 -13.6

1NSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-zO

MYll INGOTO#lY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..zo. o

OPERATIONS ON THE NOSE. MOUTH. ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..z I-z9

RHINOPLASTY ANO REPAIR OF NOSE... S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ZI.8

TONS ILLEC70UY MITH OR WITHOUT AOENOl OECTOllY . . . . . . . . . . . . . . . . . . . . . . . . .. ZS. Z-Z8.3

OPERATIONS ON THE RESPIRATORY SVSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0 . . ...30-34

BRONCHOSCOPY . . . . . . ..~.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33. ZI-33.23

OPERATIONS ON THE CARO1OVASCULAR SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

OPEN HEART SWGERY . . . ..35.1-35.5 l.35.53-36. Z.36.9.37.1 0-37.11,37.3Z-37 .33,37. 5

OIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.1

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . . .37.7 -37.6

OPERATIONS ON THE HEMXC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OXGEST!VE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4z-54

ESOPHAGOSCOPY ANO GASTROSCOpY (NATURAL OR IFICE) . . . . . . . . . . . . . . . . . . ..4 Z. Z3.44. I3

PARTIAL GAS IRECTOAIY’ ANO RESECTION OF INTES71NE . . . . . . . . . . . ..4 A.454B.8.45. A-45. B

ENOOSCOPY OF LARGE INTESTINE (MATURAL oRIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENOECTO14Y, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

MEblORRHOI OECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -+9.+6

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INCUXNAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OTHER HERNIA Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.2-53.9

LAPAROSCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

OIVISION OF PERITONEAL A014ESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYS7EU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPXES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . . . 55.21 -55.22,56 .31,57 .32.58.22

OIL AT ION OF URETHRA . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PROS TATECTOIVY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60. z-60.6

C1RCU!4C lSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6+.0

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PIIOREC70MY ANO SALPXNGO-00P140 RECTOAVY.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OESTRUCTXON OR OCCLUSION OF FALLWXAN TUBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -68.7

CURETTAGE OF UTERUS TO TERHINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. O1.69.51

OIL AT ION ANO CURETTAGE OF UTERUS AFTER OELIVERV OR ABORT ION . . . . . . . . . . . . ..69. OZ

OIAGNOSTIC OIL AT ION ANO CURETIACE OF UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.09

REPAIR OF CVSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-15

EPIS1OTOI4V WITH FORCEPS ANO VACUUM EXTRACT ION . . . . . . . . . ..7 Z.1.7Z. Z1.72.3L.7Z.7I

EPISIOTOW M! THOUT FORCEPS ANO VACUUM EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . . ..?3.6

CESAREAN SEC TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-74.2,74.4,74.99

REPAIR OF CURRENT oBSTETRIC LACE RAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE HUSCULOSKELE7AL SVS7EM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE . ..7 Z2.2, 16. t4,16.76-16.77,76 .79.19 .Z-79.3,79.5-79.6

OTHER REOUCTION OF FRAC7URE . . . . . ..76. ?0.76. ? 1,76.13,76 .75,76.76,79.0-79.1 ,79.4

AR THROSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2

EXCISION OR OBSTRUCTION OF INTERVERTEBRAL OXSC ANO SPINAL FuSION . . . .. B0.508L. O

EXCISION OF SE NILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8O.6

AR THROPLASTV ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ARTHROPLASTV ANO REPLACEMENT OF MAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. BI.5. sI.6

OPERATIONS ON HUSCLES, 7E$JOONS, FASCIA, ANO BURSA . . . . . . . . . . ..8 Z-83. 1,83.3 -83.9

OPERATIONS ON THE IN TEGUIIENTARV SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E5-B6

ExCISION OR OESTRUCIION OF BREAST TISSUE (PARTIAL HASTECTOMV) . . . . .. B85ZZ385. Z3

14AS TECTOMV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

●

. t4t SC ELLAiNEOUS 01 AGNOS71C ANO THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ..s7-99

COMPUTERIZE AXIAL 70AVOGRAPMV (CAT SCAN) . . . . . . ...841.8787.41.87.7 1,88.01,88.38

CONTRAST HVELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87.21

PYELOGRAU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73-87 .75

AR TER1OGRAPHV AND ANG1OCARO1OGRAPHV uSING CONTRAST MATERIAL . . . . . . . ...68.4-88. 5

DIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. BB.7

RAOIOIS070PE SC AIW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..9z. o-9z. I

15.508.1

378.8

128.7

70.3

40.1

303.0

89.2

76.0

108.1

43.8

494.9

81.2

133.9

413.7

82.1

1,018.3

159.8

97.2

287.1

94.3

167.5

2,421.7

87.2

11$3.8

213.4

119.5

52.0

200.3

175.4

7J3.6

e9.3

130.3

729.2

288.0

50.3

313.7

154.7

21.9

1,399.6

221.3

196. B

Z8Z.8

20.9

95.6

147.1

69.4

1,815.6

155.9

612.0

369.9

231.0

1,486.2

207.4

10I. Z

74.5

136.1

41.0

67.7

82.8

143.4

697.2

38.9

48.9

3,720.6

581.2

184.0

186.4

471.3

520.5

353.6

15,919.1

301.0

125.5

65.2

36.1

399.8

139.2

126.7

103.9

53.0

485.4

71.1

110.3

459.5

98.1

e39. z

107.8

64.0

201.5

92.5

198.2

2,444.2

92.9

115.0

251.5

103.6

48.8

199.9

214.4

79.5

79.0

105.9

780.3

336.3

52.0

349.9

158.1

27.8

1*351.8

152.7

161.0

184.6

58.9

129.4

231.2

47.2

1*491.3

112.3

562.1

312.4

18+.1

1,277.8

187.5

97.3

80.1

86.0

42.6

46.3

83.4

130.4

7.?4.0

57.6

42.1

4,676.1

854.1

131.0

229.4

393.4

798.5

563.3

16,959.4

421.4

141.9

55.2

47.5

424.6

122.6

95.4

LZ6.7

41.1

619.9

122.4

143.1

441.9

89.1

1,306.0

230.9

141.2

380.0

104.1

204.1

2,620.9

85.7

139.6

214.1

122.6

53.5

234.8

178.2

86.3

103.1

143.3

821.6

333.0

61. +

352.4

186.1

18.6

1,255.2

211.9

158.7

268.0

*

78.2

118.2

72.6

1,990.7

136.2

626.0

351.0

231.3

1,546.1

202.3

99.1

65.9

126.3

36.0

80.6

105.1

153.8

7+3.4

33.0

51.2

4,028.5

596.5

156.5

203.5

638.0

549.9

352.9

14,380.1

403.7

139.7

78.6

34.4

174.7

44.1

36.8

114.0

52.8

458.1

65.7

159.9

379.8

76.7

937.5

152.5

91.9

316.6

97.1

145.5

2,390.9

101.8

10L.1

232.8

118.5

bz. o

197.2

174.7

73.1

84.6

138.2

726.5

294.1

57.8

293.8

136.5

28.9

1,589.9

256.7

266.1

337.7

14.1

99.8

156.0

77.2

1,720.5

208.6

595.7

391.7

224.7

1,38+.3

193.2

100. Z

56.8

159.0

34.0

53.2

59.8

138.1

T05.6

45.2

49.5

2,912.8

439.9

207.7

178.1

419.7

355.2

2+1.8

15,195.1

364.9

96. +

60.4

44.6

268.9

71.9

65.3

79.2

22.0

411.6

67.1

102.7

388.2

65.4

965. e

136.2

86.2

Z1O.7

78.9

127.0

2.178.L

58.0

127.1

139.3

133. e

36.2

163.0

132.0

T7.6

90.9

126.1

564.5

170.3

21.4

261.4

143.4

*

1,304.4

244.6

163.3

310.5

*13.2

74.5

79.4

75.4

Z,101.3

136.1

674.9

416.6

290.8

1,805.2

259.0

109.5

109.4

161. e

57.9

98.9

93.7

153.3

596.7

*15.7

51.6

3,713.3

51T. o

233.7

13+.2

+33.4

47*. *

325.1

I

‘.~

NOTE: SEE ‘i4EOICAL COOING ANO EOXT, II APPENDIX 1, FOR COOING 14001 FICAT[ONS FOR THE NATIONAL HOSPITAL 01 SC HAR6E SURVEY.

46
TABLE 22. NUMBER OF ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS. BY PROCEOURE CATEGORY ANO BED SIZE OF

HOSPI TAL: UNITED STATES, 1985

(Discharges FROM NONFEDERAL HOSPITALs. EXCLUDES NEwBORN INFANTS. GROUPINGS OF PROCEDURES BV ANATOMICAL SYSTEPIS AND COOE NUMBER

INCLUSIONS ARE BASED ON THE 1N1ERNATIONAL CLASSIFICATION OF DISEASES. 9TH REvISION, CLINICAL NOOIFICATIOt4)

PROCEOURE CATEGORY ANO ICO-9-CM CODE

ALL 6-99 100-199 200-299 300-499 500 5iEoS

SIZES BEDS &EDs BEOS BEDS OR MORE

ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36. 7~0

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-D5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D3.31

898

OPERATIONS ON tHE CRANIAL ANo PERIPHERAL NERVES . . . . . . . . . . . . . . . .. O+. O. O+. Z-O+.9

305

161

OPERATIONS ON THE ENDOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D~-07 95

OPERATIONS ON THE EVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..08-1~

EX7RAC1K0N OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

118

IN SERTiON OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

211

180

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lg-20

NV R1NGOT014V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ZO. D

256

104

OPERATIONS ON THE NOSE, NOUTH, ANO PtiARVNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 1,173

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.6

TONSILLECTOMY WITH OR IAITHOU7 AOENOf 0EC70TW . . . . . . . . . . . . . . . . . . . . . . . . ..2 D.2-26. q

193

317

OPERATIONS ON THE RESPIRATORV SVSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O...3D-3+

BRONCHOSCOPV . . . . . . . ..b... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33. zi-33. z3

981

195

OPERATIONS ON THE CARDIOVASCULAR SVSIEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . ...35-39 z,41+

OPEN HEART SURGERV . . . ..3351 -35.51535 .53-36 .29.6.9. 3?.10-37.11,37.32 -37.33,37.5

OXRECT HEART REVASCULAR 1ZA710N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36. I

379

CARDIAC CA7HE1ER12 A1lON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

230

PACEMAKER 1NSERTION, REPLACEMENT, REASOVALV ANO REPAIR . . . . . . . . . . . . . . ..37.7 -37. E

681

223

OPERATIONS ON 7HE HENIC ANO LYHPHA71C SVS7E14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 397

OPERATIONS ON THE DIGESTIVE SVS7EN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4z-54 5,7+D

ESOPHAGOSCOPV ANO GA S7ROSCOPY (NA7URAL oRIFIc E) . . . . . . . . . . . . . . . . . . ..42.23 .+4.l3

PAR71AL GAS TRECTOAIV ANO RESECTION OF INTESTINE . . . . . . . . . . . ..46.45 +8. O.+ S.6-45.8

207

ENOOSCOPV OF LARGE INTEsTINE (NATURAL OR IF fcE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

28,?

APPENOECTOISY, EXCLUOING lNCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

506

HEMORRNOIOEC 70UY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43-49 .46

2B3

CHOLECVSTEC TONV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. Z

123

REPAIR OF INWINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. o-53. I

475

OTHER HERNIA REPAIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. z-53.9

416

LAPAROSCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.21

186

OX VISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5+.5

212

309

OPERATIONS ON THE URINARV SVSTEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..00 . . . ...55-59 l,7z9

END4JSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55. Zl-55.2Z.56.3 l.57.3Z.5$.22

O1LATION OF uRETHRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...58.6

6.93

119

OPERATIONS ON TIIE NALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0...0 ~o~6+6+

PROSTATEC701W . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...0........60.2-6006

7++

367

CIRCUMCISE ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...64-D 5z

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71 3,318

OOPHOREC70NV ANO SALPIN60-OOPHOR EC TOMV.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

81 LATERAL OESTRUCTXON OR OCCLUSION OF FALLOPIAN TuBEs . . . . . . . . . . . . . . ..66. z-66.3

525

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~.3-68.7

466

670

CUR E77AGE OF UTERUS 10 TERMINATE PREGNANCY . . . . . . . . . . . . . . . . . . . . . . . ..69. DI. ~9.5l 50

DILATION ANO CURETTAGt OF UTERUS AF7ER OELIVERV OR ABORTION . . . . . . . . . . . . ..69. O2

OIAGNOSIIC OIL AI ION ANO CURE11A6E OF UIERUs . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69009

227

REPAIR OF CVSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7o.5

349

165

OBSTETRICAL PRCCEOURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75 4,3o4

EPISI070)W MITH FORCEPS ANO VACUUN EXTRACTION...........7Z. l,7z.21,72 .31,7z. TI 370

EP1S1L3TONV MI THOU1 F9RCEPS ANO VACUUN Extraction . . . . . . . . . . . . . . . . . . . . . . . ...73.6 1,451

CESAREAN SE CT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7+.0-74.2.7+.4 .7+.99

REPAIR OF CURRENT 0BS7E1RIC LACE RAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

877

548

OPERATIONS ON 7HE !NJSCULOSKELETAL SYSIEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-S+ 3,523

OPEN REOUCTION OF FRACTURE ...76. 72,76 .7+,76.76-76.77,76.79,79.2-79.3.79.5-79.6

OTHER REOUCTION OF FRACTURE . . . . . ..76.71 .76.7l ,76.73,76 .75.76 .78.79 .o-79. ~, lq.~

492

AR THROSCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0...8z. z

2+0

EXCISION OR DESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSXON . . . .. S0.5081. O

176

EXC1S1ON OF SEMILUNAR CARTILAGE OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...80.6

323

AR TMROPLASTV ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I.41-@I.47

97

AR THROPLAS7V ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. SI.5.81.6

160

OPt RAIIONS ON MuSCLES, TENOONS, FASCIA, ANO TNJRSA. . . . . . . . . . .. BZ-B3. 1,83.3 -s3.9

196

3+0

OPERA IIONS GN THE IN TEGU!IENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S5-86 1,653

EXCISION OR OESIRUCTION OF bREAST TISSUE (PARTIAL ISASTECTOMY) . . . . ..8852 Z385. Z3

MAST EC TOPIC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a5.4

92

k16

fjlSCELLANEOUs DiagnOStiC ANO THERA#Eu71c 7ROCEOURES . . . . . . . . . . . . . . . . . . . . . . .. E7_99 a,gl~

cOMPUTERIZEO AXIAL TOMOGRAPH (CAT SC AN) . . . . . . . ..a41.87B71. B8801. eaB3aol. ea.3a 1,37.9

CONTRAST UVELOGRA14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E7.z I

PVELOGRAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..e7.73-a7.75

436

++2

AR TERIOGRAPHt ANo ANGIOCAROIOGRAPHV USING CONTRAST MATERIAL . . . . . . . . ..88.4 -E6.5 1,117

O! AGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ea. 7 1.zJ4

NUMBER OF ALL-L ISTEO PROCEDURES IN THOU SANOS

RADIOISOTOPE SC AN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..9z. o-92.1 838

3,437

56

15

LB

*7

74

18

17

12

*6

142

33

40

37

● 5

44

●

13

23

684

17

35

+a

53

19

78

63

33

30

33

1 +9

54

10

73

38

*7

426

6+

06

86

●

2a

41

22

520

31

215

94

7a

460

59

35

20

31

10

16

16

40

208

10

11

522

+0

36

+6

10

76

42

5,976

137

47

31

12

126

50

38

58

27

241

36

al

135

27

180

15

*B

53

983

34

+3

8i

52

21

al

az

32

51

68

304

1 z+

.?2

132

67

12

737

125

110

155

*

4+

90

30

695

81

263

155

84

648

75

*5

32

51

17

32

31

66

27+

20

19

1.255

198

74

al

80

202

136

1,917

16.?

51

31

20

116

41

37

58

23

245

40

73

219

43

4a7

54

37

127

60

76

1,327

5Z

66.

133

57

30

102

86

39

39

57’

377

153

27

163

86

*.9

570

95

70

124

*5

41

59

37

7+1

56

231

1+9

92

723

112

47

4B

65

28

36

48

65

314

15

25

2,365

401

109

113

2+3

311

215

9,710

236

72

4!3

25

1L18

55

4a

6Z

25

281

43

71

290

62

768

121

72

20+

72

106

1,419

49

73

121

72

31

118

10Z

44

40

79

509

192

44

216

105

12

798

128

100

161

● z.

60

81

43

1,217

95

422

248

14s’

892

13B

63

42

72

24

45

s+

aT

449

30

34

2.255

339

9+

115

367

311

217

—.

9,661

308

120

3a

32

213

48

40

67

23

258

40

53

300

58

93+

la9

113

319

57

139

1,327

55

65

121

48

22

96

8Z

3a

52

72

390

159

16

776

113

101

1+5

32

54

77

32

1,125

107

321

232

145

801

108

50

34

103

18

32

48

82

408

19

2fi

2,+22

399

123

86

*17

33+

228

NOTE: SEE ‘ME OICAL COOING ANO EOI T,- APPENOIX 1, FOR COOING MODIFICATIONS FOR 7HE NATIONAL HOSPITAL OISCHARGE SURVEY.

4-.7
Appendixes

Contents

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

Statistical design ofthe National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Data collection andprocessing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Presentation ofestimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Reliability ofestimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tests ofsignificance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Hospitals and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Surgical and nonsurgical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Demographic terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of appendix figures

I. Medical abstractforthe National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

II. Approximate relative standard errors of estimated numbers ofpatients discharged, oroffirst-listed diagnoses, and of

all-listed diagnoses, by selected patient and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

‘III. Approximate relative standardemors ofestimated numbers ofdaysofcareby selectedpatientandhospitalcharacteristics. . .

IV. Approximate relative standard errors ofestimated numbers of procedures for patients discharged by selected patient

and hospital characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of appendix tables

I. Numberofhospitals addedtotheNational HospitalDischarge Survey(NHDS) universe andnumberofhospitals added

totheNHDSsample byyearofaddition andyearofMaster FacilityInventory (MFI)used:United States, 1963–83. . . .

11. Distribution ofshofi-stay hospitals inthe National Hospital Discharge Suweyuniverse andsumey smplebygeo~aphic

region and bed size ofhospital: United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

III. Civilian population byselected characteristics: United States, July 1,1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

49

49

49

52

53

54

58

58

58

59

60

51

55

56

57

49

50

53

48
Appendix I

Technical notes on methods

Statistical design of the National

Hospital Discharge Survey

Scope of the survey

The National Hospital Discharge Survey (NHDS) consists of patients discharged from noninstitutional hospitals, exclusive of military and Veterans Administration hospitals,

located in the 50 States and the District of Columbia. Only

hospitals with six beds or more for patient use and those in

which the average length of stay for all patients is less than 30

days are included in the survey. Discharges of all patients from

Federal hospitals are excluded.

Sample size

The Master Facility Inventory of Hospitals (MFI) is the

universe from which the NHDS sample is drawn. A detailed

description of the development, contents, maintenance plans,

and assessment of coverage was published in 1965.6

The original universe for the survey consisted of 6,965

short-stay hospitals contained in the 1963 MFI. This universe

is updated periodically (table I). Data on the universe of shortstay non-Federal hospitals is now obtained from the American

Hospital Association. The distribution of the current hospitals

in the American Hospital Association universe7 and NHDS

sample of in-scope hospitals for 1985 is given by bed size and

geographic region in table II.

The sample for 1985 consisted of 558 hospitals. Of these,

82 refused to participate and 62 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, 414 hospitals participated in the survey during 1985 and provided ap

proximately 194,800 abstracts of medical records.

Sample design

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 primay stratum, the allocation of the hospitals

was made through a controlled selection technique so that hospitals in the sample would be distributed properly with regard

to ownership and geographic division. Sample hospitals were

drawn with probabilities ranging from certainty for the largest

hospitals to 1 in 40 for the smallest hospitals.

NOTE: A list of referencesfollowsthe text,

Table 1. Number of hospitals in the National Hospital Discharga

Survey (NHDS) universe and number of hospitals added to the

NHDS sample by year of addition and year of Master Facility

Inventory (M Fl) used: United States, 1963–1 983

Nh’DS universe and sample

Number Number

Year added to added to

MFI data year added universe sample

1963 . . . . . . . . . . . . . . . . . . . . . . . .,, 1965

1963 ...,,.......,,........,,. . 1969

1969, . . . . . . . . . . . . . . . . . . . . . . . . . 1972

1972 . . . . . . . . . . . . . . . . . . . . . . . . . . 1975

1975 . . . . . . . . . . . . . . . . . . . . . . . . . . 1977

1977 . . . . . . . . . . . . . . . . . . . . . . . . . . 1979

1979 . . . . . . . . . . . . . . . . . . . . . . . . . . 1981

1981 . . . . . . . . . . . . . . . . . . . . . . . .,, 1983

1983 . . . . . . . . . . . . . . . . . . . . . . . . . . 1985

6,965

. . .

442

223

273

114

63

50

45

315

150

32

14

24

9

6

3

5

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, using the traditional manual system ,-

of sample selection and data abstraction, the daily listing sheet

of discharges was the frame from which the subsamples of discharges were selected withh the sample hospitals. The sample

discharges were selected by a random technique, usually on the

basis of the terminal digit(s) of the patient’s medical record

number that was assigned when the patient was admitted to the

hospital. If the hospital’s daily discharge listing did not show

the medical record numbers, the sample was selected by starting

with a randomly selected discharge and taking every kth discharge thereafter.

Data collection and processing

Data collection

In 1985, for the first time, there were two data collection

procedures used for the survey. The first was the traditional

manual system of sample selection and data abstraction. The

second was an automated method, used in approximately 17

percent of the sample hospitals, that involved the purchase of

data tapes from commercial abstracting services.

49
Table 11. Distribution of short-stay hospitals in the National

Hospital Discharge Survey universe and survey sample by geographic

region and bed size of hospital: United States, 1985

Bed size All Northof hospital regions east Midwest South West

All sizes

Universe . . . . . . . . .

In-scope sample

O–49 beds

Universe . . . . . . . . .

In-scope sample

50–59 beds

Universe, . . . . . . . .

In-scope sample .,

100-199 beds

Universe, . . . . . . . .

In-scope sample

200–299 beds

Universe . . . . . . . . .

In-scopa sample . .

300-499 beds

Universe . . . . . . . . .

In-scope sample . .

500–999 beds

Universe . . . ...’.,.

In-scope sample.

1,000 beds or more

Universe, . . . . . . . .

In-scope sample..

6,007

496

1,351

36

1,464

65

1,410

92

747

80

706

115

302

96

27

12

Number of hospitals

902

115

73

6

163

11

204

15

199

19

177

35

77

24

9

5

1,687

140

420

10

414

15

374

21

179

21

196

37

96

33

8

3

2,301 1,117

166 75

527 331

11 9

623 264

31 8

574 258

43 13

247 122

24 16

214 119

24 19

107 22

30 9

9 1

3 1

Inthemanual system, depending on the study procedure

agreed on with the hospital administrator, the sample selection

and the transcription of information from the hospital records

to abstract forms were performed by either the hospital staff or

by representatives of the National Center for Health Statistics

(NCHS) or by both. In 1985, about 50 percent of the hospitals

that participated in the manual NHDS system had the work

performed by the medical records department of the hospital.

In the remaining hospitals using this system, the work was performed by personnel of the U.S. Bureau of the Census acting

for NCHS. The completed forms were forwarded to NCHS for

coding, editing, and weighting procedures.

For hospitals using the automated system, tapes containing machine-readable medical record data were purchased

from commercial abstracting services. Upon receipt of these

tapes they were subject to NCHS sampling, editing, and weighting procedures. A detailed description of the automated process will be published.

The Medical Abstract Form (figure I) and the abstract

service data tapes contain items relating to the personal characteristics of the patient, including birth date, sex, race, and

marital status, but not name and address; administrative information, including admission and discharge dates, discharge

status, and medical record numbev and medical information,

including diagnoses and surgical and nonsurgical operations or

procedures. Since 1977, patient zip code, expected source of

payment, and dates of surgery have also been collected. (The

medical record number and patient zip code are considered

confidential information and are not available to the public.)

Medical coding and edit

The medical information recorded on the sample patient

abstracts that was collected by the manual system was coded

centrally by the NCHS staff. A maximum of seven diagnostic

codes was assigned for each sample abstracc 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 abstracts.

If the sex or age of the patient was incompatible with the recorded medical information, priority was given to the medical

information in the editing decision.

NHDS medical coders code from abstracts of medical

records in the order the diagnoses and procedures are entered.

For most abstracts, this coding procedure is relatively free of

problems. It was noted, however, that acute myocardial infarction frequently was not the lead entry in a group of circulatory

diagnoses. For example, the patient’s record may have arteriosclerosis listed first and arteriosclerotic heart disease listed

second with acute myocardial infarction listed third. If the usual

procedure were followed as it was until 1982, acute myocardial infarction would be coded in third place and :retrievable

only under the heading of all-listed diagnoses. A decision was

made to reorder some acute myocardial infarction diagnoses.

The new procedure, based on accepted medical coding practice, states that whenever an acute 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 the medical abstract forms and the data that appears on the commercial abstracting services data tape is the

International Classz#icationof Diseases, 9th Revision, Clinical

Modlficationz (ICD–9–CM). Earlier data for 1971D–78 were

coded according to the Eighth Revision International Classification of Diseases, Adapted for Use in the United States3

(ICDA), with some modifications. These modifications, which

were necessary because of incomplete or ill-defined terminology in the abstracts, me presented elsewhere.s It has not been

necessary, however, to modify the ICD–9–CM for use in the

NHDS.

Both the ICDA and the ICD–9–CM are divided into two

main sections: diseases and injuries, and surgical and nonsurgical procedures. However, many differences exist between

the two classifications. These differences are discussed in a

previous report.g

Some ICD–9–CM diagnostic codes cannot appear alone;

they must appear with another diagnostic code. Specifically,

the following codes cannot be first-listed 320.7,321.1-321.8,

323.0-323.4, 323.6-323.7, 330.2-330.3, 331.7, 334.4,

336.2-336.3, 337.1, 357.1-357.4, 358.1, 359.5-359.6,

NOTE:A list of references follows the text.

50
O.M. B, No. 0937-0004: Approval Expires September 30, 1986

CONFIDENTIAL – All ,nformatlon wh,ch would perm,t ,denl,f,cat,on of an mdpqdual or of an establishment WIII be held con fldent,al, WIII be used only

by Qersons engaged m and for the purposes of the survey, and WIII nor be dtsclosed or released 10 other persons or used for any other purpose

FORM H DS-I DEPART ME NT OFHEALTHA ND HUM AF.SERWCES

[10.25.831 J S PU8LIC HEALTH SERVICE

lvATIONAL CENTER FOR HEALTH StatiStiCS

MEDICAL ABSTRACT – NATIONAL HOSPITAL DISCHARGE SURVEY

l. Hospital number, ... . . ..l. ..l I ‘ I

2. HDS number, . . . . . . . . . . . . . . I

3. Medical record number —

. PATIENT CHARACTERISTICS

Month Day Year

7. Date of birth m-m-~

9. Sex (Mark (X) one) 1~ Male

Month Oay Year

4. Date ofadmlsslon ~- ~- ml

5. Date ofdlscharge ~- ~- ~

6. Res!dence ZIP code ]

I

I

I

8. Age (Complete only If date of

brthnotgwen) ,, ..,...,,,,. a {:yjh’

~~ ~ema,e

.—

3_ Not stated

I 10. Race , ~ Whtte I ❑Amer\ can Indian/Alaskan Natwe 5 ~ Other (Spemfy}

2~ Black 4 ~ P.s!an! Pacific [slander G~ Not staled

!

11.Ethnlcity (Mark (X) one] I c Hq2anrc or[grn ? ~Non. Hmpanlc 3 F Not stated

12. Marital status I ~ Married ? ~ Widowed 5 ~ Separated

(Mark (X) one) 2~Smg!e ~— Dworced E ~ NOI staled

13. Expected source(s) of payment

Government

sources

Private

sources

Other

sources

I

Pnnclpal Other addmonal

(Mark one only/ sources

{

1. Workmen’s Compensation c 2.Medicare ,., ,.. .,

3. Medlcald ,. ..,. ,,,

::

4. Title V... ,. ,,,

5. Other government payments

,.:

{

6. Blue Cross ,. ., .,,...

n

7. Other prwate or commercial

insurance ,. ,,. ,. ,,, ❑

{

8. Self pay ., ,, ❑

9.No charge .,,

10. Other (Specify)

.:

(Mark accordingly)

B

❑

❑

❑

❑

•1

c

G

❑

❑ No source of payment indiceted

C. FINAL DIAGNOSES

Principal:

14. Status/Disposition of patient

(Mark (X) appropriate box(es))

Status Draposmon

I ❑ Alwa @ a.❑ Routma dtscharge/

discharged home

b. U Left against medical adwce

c. ❑ Oscharged,transferred to

another short-term hospital

d.❑ Discharged, transferred to

long-term care mstltutlon

e. D Dtsposmon not slated

2nO[ed

~ ❑ Status not stated

Other/additional:

—

—

.—

? See reverse s(de

D. SURGICAL AND DIAGNOSTIC PROCEDURES D;;?

,,.. ,. . . . .

...

Principal: m-m-m

Other/additional: m-m-m

m-m-m

m-m-m

gNONE ~ See reverse side

Completed by Date

Figure 1. Medical abstract for the National Hospital Discharge Survey

51
362.01-362.02, 362.71-362.72, 364.11, 365.41-365.44,

366.41-366.44, 370.44, 372.15, 372.31-372.33, 373.4-

373.6, 374.51, 376.13-376.22, 380.13, 380.15, 382.02,

420.0,421.1, 422.0, 424.91, 425.7-425.8, 443.81, 456.20-

456.21, 484.1-484.8, 516.1, 517.1-517.8, 567.0, 573.1-

573.2,580.81,581.81, 582.81,583.81,590.81, 595.4,598.01,

601.4, 604.91, 608.81, 616.11, 616.51, 628.1, 711.10-

711.89, 712.10-712.39, 713.0-713.8, 720.81, 727.01,

730.70-730.89,731.1, 731.8, 737.40-737.43, 774.0, 774.31,

774.5. In addition, all discharges with the diagnostic codes

640.0-643.9 and 645.0 -676.9 with a fifth digit of 1 or 2 or

650 (indicating delivery) must have a code V27.O–V27.9 as a

first-listed diagnosis. Conversely, every discharge with a i%stIisted diagnosis of V27.O–V27.9 also must have one of these

delivery codes.

Prior to 1979, data on radiotherapy and physical medicine

and rehabilitation (ICDA codes R1 –R4) and some obstetrical

procedures were not collected by means of the NHDS. The

obstetrical procedures not coded were artitlcial rupture of

membranes; external, internal, and combined version; outlet

and low forceps delivery with and without episiotomy; and

episiotomy (ICDA codes 75.0–75.6 and 75.9). In addition,

data for diagnostic endoscopy, radiography, and other nonsurgical procedures (ICDA codes A4-A9 and R9), although

coded, were not published. Starting with 1979 data, however,

the procedures coding has followed the guidelines of the

Uniform Hospital Discharge Data Set (UHDDS).lO,l 1 The

UHDDS is a minimum data set of items uniformly defined and

abstracted from hospital medical records. These items were

selected on the basis of their continuous usefulness to organizations and agencies requiring hospital information.

‘ According to the UHDDS guidelines, all procedures are

allocated into one of four classes. Classes 1–3 consist of procedures that carry an operative or anesthetic risk or require

highly trained personnel, special facilities, or special equipment. Class 4 procedures do not meet these criteria. See appendix II for the procedure codes included in these classes.

Until 1983, the only Class 4 procedures coded in the

NHDS were circumcision (ICD-9-CM code 64.0), episiotomy

(code 73.6), and removal of intrauterine contraceptive device

(code 97.7 1). The coding of additional Class 4 procedures,

listed in appendix II, that are used in the assignment of

diagnosis-related groupings (DRG’s), was begun in mid-1 983.

DRG’s, developed at the Yale School of Organization and

Management, are being used by the Health Care Financing

Administration, some States, and some third-party payers to

reimburse hospitals for inpatient care. A report has been published on the conversion of NHDS data to DRG’s.l 2

Presentation of estimates

Grouping of diagnoses and procedures

In this report the diagnostic chapters, the broadest group

ings of diseases and injuries shown, correspond to ICD-9–CM

chapters 1– 17 and the supplementary classification of factors

NOTE: A list of references follows the text.

52

influencing health status and contact with health services. 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 tabular 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 tie 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 0.5 percent of the discharges. Imputations of these missing items were made by assigning the patient an age or sex

consistent with the age or sex of other patients with the same

diagnostic code.

During 1985, 9.6 percent of the records had no :race identified in the hospital records.

If the dates of admission or discharge were not given and

could not be obtained from the monthly sample listing sheet

transmitted by the sample hospital, a length of sta!y was imputed by assigning the patient a length of stay characteristic of

the stays of other patients of the same age. During 1985, only

0.04 percent of the records were missing the date of admission

or discharge.

Rounded numbers

Estimates of the numbers of inpatient discharges, days of

care, discharges with procedures, all-listed diagnoses, and alllisted procedures have been rounded to the nearest thousand

for tabular presentation. Therefore, detailed figures within the

tables do not always add to totals. Rates and percents were

calculated on the basis of unrounded figures and will not necessarily agree with computations made from the 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 111 and are consistent with the

population estimates published in Current Population Repotis,

Series P–25.

Although the civilian noninstitutionalized population was

used prior to 1981, it has been determined that the civilian

population is more appropriate to use for the NHDS as persons in institutions usually are hospitalized in short-stay hospitals. This is true especially for elderly residents of nursing

homes. A comparison of NHDS rates based on the civilian

population with the civilian noninstitutionalized population is

available in another publication. ls
Table 111. Civilian population by seiectad characteristics:

Unitad States, July 1, 1985

[Population estimates consistent w!th Series P-25, Current Population Reporrs,

U.S. Bureau of the Census]

Age, geographic reg!on, Both

and race sexes Male Female

Population in thousands

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

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

Midwest . . . . . . . . . . . . . . . . . . . ,,

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

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

White . . . . . . . . . . . . . . . . . . . . . ,.

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

O-14 years . . . . . . . . . . . . . . . . . . .

Under l year . . . . . . . . . . . . . . . . . .

l-4 years........,,......,,..

5-14 years . . . . . . . . . . . . . . . . . . .

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

Midwest . . . . . . . . . . . . . . . . . . . . .

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

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

White ..,,......,,........,..

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

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

15-24 years . . . . . . . . . . . . . . . . . .

25-34 years . . . . . . . . . . . . . . . . . .

35-44 years . . . . . . . . . . . . . . . . . .

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

Midwest, . . . . . . . . . . . . . . . . . . . .

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

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

White ... , . . . . . . . . . . . . . . . . . . . .

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

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

45–54 years .,, . . . . . . . . . . . . .

55-64 years, . . . . . . . . . . . . . . . . .

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

Midwest . . . . . . . . . . . . . . . . . . . . .

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

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

White, . . . . . . . . . . . . . . . . . . . . . .

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

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

65-74 years . . . . . . . . . . . . . . . . . .

75-84 years . . . . . . . . . . . . . . . . . .

85 years and over...,......,.,

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

Midwest ..,,,.............,,,

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

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

White .,, . . . . . . . . . . . . . . . . . . . .

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

237,036

49,750

59,044

80,976

47,267

201,435

35,600

51,962

3,742

14,295

33,925

9,823

13,190

18,125

10,823

42,087

9,875

111,657

38,749

41,406

31,502

23,129

27,512

38,009

23,007

94,287

17,370

44,888

22,555

22,333

10,224

11,046

15,211

8,407

39,318

5,569

28,530

16,995

8,824

2,711

6,573

7,297

9,632

5,028

25,743

2,787

114,614

23,740

28,667

38,984

23,223

97,784

16,830

26,601

1,916

7,314

17,370

5,028

6,760

9,272

5,540

21,599

5,003

55,059

19,243

20,438

15,379

11,314

13,657

18,602

11,485

46,885

8,174

21,425

10,927

10,498

4,830

5,317

7,188

4,090

18,910

2,514

11,529

7,467

3,288

773

2,569

2,933

3,922

2,105

10,390

1,139

122,422

26,010

30,377

41,991

24,044

103,652

18,771

25,360

1>826

6,980

16,553

4,795

6,430

8,852

5,283

20,488

4,872

56,598

19,506

20,969

16,124

11,816

13,853

193407

11,520

47,402

9,195

23,462

11,628

11,834

5,394

5,729

8,022

4,318

20,409

3,054

17,002

9,528

5,536

1,938

4,005

4,364

5,710

2,923

15,353

1,649

Reliability of estimates

Estimation

Statktics 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 recip

rocals 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. 14,15

Measurement errors

As in any survey, results are subject to nonsampling or

measurement errors, which include errors because of hospital

nonresponse, missing abstracts, information incompletely or

inaccurately recorded on abstract forms, and processing errors.

Some of these errors were discussed in an earlier section entitled “Patient characteristics not stated.”

The Institute of Medicine (IOM) has conducted three

studies on the reliability of hospital abstract data collection;

the most recent study was on the NHDS. The IOM NHDS

study was performed by using data coded according to the

ICDA; however, some of the findings are relevant to the 1981

NHDS data even though these data 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 IOM after a

study of the entire medical record. For example, when diagnoses at the ICDA class level were examined, the principal

diagnosis from IOM matched the first-listed diagnosis ffom the

NHDS in approximately 86 percent of the cases. Detailed accounts of this and other IOM findings have been published.lG-l 8

Sampling errors

The standard error is primarily a measure of the variability

attributed to a value obtained from a sample as en 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 emor as a percent

of the estimate.

The standard error of one statistic generally is different

from that of another, even when the two come from the same

survey. To derive standard errors that would be applicable to a

wide variety of statistics that could be prepared at a moderate

cost, a number of approximations are required. As a result, the

figures in this appendix provide general relative standard errors

for a wide variety of estimates rather than the specfic error for

a particular statistic.

Approximate relative standard errors end standard errors

have been prepared for measuring the variances applicable to

(1) estimates of the discharges or first-listed diagnoses, and

days of care for patient characteristics (for example, age, sex,

and race) and hospital characteristics (for example, region, bed

size, and ownership), and patient characteristics crosstabulated

by hospital characteristics; and (2) estimates of all procedures

NOTE: A Iist ofreferences followsthe text.

53
performed by the specific procedure for the patient characteristics age, sex, and race and the hospital characteristics geographic region and bed size of hospital.

The relative standard errors applicable to patients discharged or first-listed diagnoses, all-listed diagnoses, days of

care, and procedures are provided in figures II–IV. The curves

for relative standard errors of the estimates in each figure relate

to the variables by which estimates are presented in this report.

In these figures, curves are shown for variables the relative

standard errors of which are different from those in the curve

for “All other variables,” which is relevant to most of the estimates. For example, one curve is applicable only to estimates

of discharges t%omvoluntary nonprofit hospitals, a second curve

is concerned with dkcharges from hospitals by bed size, and a

third curve pertains to estimates of days of care in proprietary

hospitals.

The selection of the appropriate relative standard error

curve is made as follows:

1.

2.

3.

Discharges for jirst-listed diagnoses and all-listed diagnoses for patient and hospital characteristics: Relative

standard errors of the estimated number of discharges and

of all-listed diagnoses are obtained from the curves in tigure II.

Days of care for discharges orjirst-listed diagnoses for

patient and hospital characteristics: Relative standard

emors of the estimated number of days of care are obtained

from the curves in figure III.

Procedures: Relative standard errors for procedures are

obtained from the curve in figure IV.

The presentation of estimates for the NHDS is based on

the relative standard error of the estimate and the number of

sample records on which the estimate is based (referred to as

the sample size). Estimates are not presented unless a reasonable assumption regarding the probability distribution of the

sampling error is possible. The Central Limit Theorem is used

to determine the distribution of the sampling errors. The Central Limit Theorem states that, given a sufficiently large sample

size, the sample estimate is approximately normally distributed

and approximates the population estimate.

Based on consideration of the complex sample design of

the NHDS, the following guidelines are used for presenting

NHDS estimates:

1. If the sample size is less than 30, the value of the estimate

is not reported. Only an asterisk (*) is shown in the tables.

2. If the sample size is 30–59, the value of the estimate is

reported but should be used with caution. The estimate is

preceded by an asterisk (*) in the tables.

3. If the sample size is 60 or more but the relative standard

error is over 30 percent, the estimate is reported but should

be used with caution. The estimate is preceded by an asterisk (*) in the tables.

Tests of significance

In this report, the determination of statistical inference is

based on the t-test with a critical value of 1.96 (0.05 level of

significance). Terms relating to differences, such as “higher”

and “less,” indicate that the differences are statistically significant. Terms such as “similar” or “no difference” mean that no

statistically signtilcant difference exists between the estimates

being compared. A lack of comment on the dfierence between

any two estimates does not mean that the difference was tested

and found to be not significant.

54
u

k

‘u

c

m

z

50

40

30

20

10

0

50

40

30

20

10

0

A 2 3 456789A 2 3 456789A 2

1

3 456769A 2 3 456789A 2 3 456789A

10 100 1.000 10,000 100,000

SiZe Of estimate (in thousands)

A Region, government, profit, race not stated

B Bed size equal to or greater than 50

C All other variablee

D White

EXAMPLE: As shown in table 4, an estimated 2,569,000 pstlents 15-44 years of age were discharged from non-Federal short-stsy hospitala with 100-499 beds. The relative stsndard error of this eatimete ss read

from curve B is approximately 4.5 percent. Thus, the standard error IS approximately 115,605 (4.5 percent of 2,569,000),

Figure Il. Approximate relative standard arrors of estimated numbars of patients discharged, or of first-listed diagnoses, and of all-listed diagnoaes, by selected patient and hospital

characteristic
50

40

30

20

10

0

50

40

30

20

10

0

A 2 3 456789A 2 3 456789A 2 3 456789A 2 3 456789A 2

10 100

3 456789A

1,000 10,000 100,000 1,000,000

Size of estimate (in thousands)

A Region

B All other variables

C White

EXAMPLE: Aa shown in table 2, an estimated 7,647,000 daya of care were provided during 1985 to male patienta under 15 years of age discharged from short-stay hospitals. The relative standard error

of this estimate as raad from curve B is approximately 4.5 percent. Thus, the standard error is approximately 344,115 (4.5 percent of 7,647,000).

Figure 111. Approximate relative standerd errors of eetimated numbers of daya of care by selectad patiant and hospital charactaristica
50

40

30

20

10

0

50

40

30

20

10

0

A 2 3 456789A 2 3 456789A

1

2 3 456789A 2 3 456789A

10

2 3 456789A

100 1,000 10,000 100,000

Size of estimate (in thousends)

A Region

B All other variables

EX4MPLE: As shown in table 17 an estimated 379,000 open heart aurgeriea were performed during 1985 for all patienta discharged from short-stay hospitals. The relative standard error of this estimate as read

from curve f? is approximately 4.4 percent. Thus, the standard error is approximately 16,676 [4.4 percent of 379,000).

Figure IV. Approximate relative standard errors of estimatad numbers of procedures for patienta discharged by selected patient and hospitel characteristic
Appendix 1I

Definitions of terms

Hospitals and hospital characteristics

Hospitals—Shoti-stay special and general hospitals have

six beds or more for inpatient use and an average length of stay

of less than 30 days. Federal hospitals and hospital units of institutions are not included.

Bed size of hospital—Size is measured by the number of

beds, cribs, and pediatric bassinets regularly maintained (set

up and staffed for use) for patients; bassinets for newborn infants are not included. In this report the classification of hospitals by bed size is based on the number of beds at or near

midyear as reported by the hospitals.

Type of ownership of hospital—The type is determined by

the organization that controls and operates the hospital. Hospitals are grouped as follows:

● Voluntary nonprojit-Hospitals operated by a church or

another nonprofit organization.

● Government—Hospitals operated by State or local governments.

. Proprietary-Hospitals operated by individuals, partnerships, or corporations for profit.

Patient—A person who is formally admitted to the inpatient service of a short-stay hospital for observation, care, diagnosis, or treatment is considered a patient. In thk report the

number of patients refers to the number of discharges during

the year, including any multiple discharges of the same individual from one short-stay hospital or more. Infants admitted

on the day of birth, directly or by transfer from another medical

facility, with or without mention of a disease, disorder, or immaturity, are included. All newborn infants, defined as those

admitted by birth to the hospital, are excluded from the tables

in this report except those in the newborn section of the report.

The terms “patient” and “inpatient” are used synonymously.

Newborn infant—A newborn infant is defined as a patient

admitted by birth to a hospital.

Discharge—Discharge is the formal release of a patient by

a hospital; that is, the termination of a period of hospitalization

by death or by disposition to place of residence, nursing home,

or another hospital. The terms “discharges” and “patients discharged” are used synonymously.

Discharge 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

short-stay hospitals during a year constitutes days of care. A

stay of less than 1 day (patient admission and discharge on the

same day) is counted as 1 day in the summation of total days of

care. For patients admitted and discharged on different days,

the number of days of care is computed by counting all days

fi-om (and including) the date of admission to (but not including)

the date of discharge.

Rate of days of care—The rate of days of care is the ratio

of the number of patient days accumulated at time of discharge

by patients discharged from short-stay hospitals during a year

to the number of persons in the civilian population on July I of

that year.

Average length of stay—The average length of stay is the

totaI number of patient days accumulated at time of clischarge

by patients discharged during the year divided by the number

of patients discharged.

Diagnoses

Discharge diagnoses—One or more diseases or injuries

(or some factor that influences health status and contact with

health services that is not itself a current illness or injury) listed

by the attending physician on the medical record of patients. In

the NHDS all discharge (or final) dlagnoaes 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 ccmdition 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 firstlisted diagnoses is equivalent to the number of discharges.

AU-listed diagnoses—All-listed diagnoses are an estimated number of discharge (or final) diagnoses, up to a maximum of seven, that are listed on the face sheet of the medical

record for inpatients discharged from non-Federal short-stay

hospitals during the year.

Obstetrical diagnosis—A diagnosis relating to conditions

arising from or affecting the management of pregnancy, childbirth, and the puerpenum (the period following childbirth).

These are code numbers 640–676 of the International Classification of Diseases, 9th Revision, Clinical .Modl&ation

(ICD-9-CM).2

58

,
Normal delivery-Delivery without abnormali~ or complication of pregnancy, childbirth, or the puerperium, and with

spontaneous cephalic delivery (that is, presentation of the child

headfirst and delivery of the child without external aid). No

mention of fetal manipulation or instrumentation is made;

ICD-9-CM code 650 is assigned.

Complicated delive~—All deliveries not considered normal, including deliveries of multiple gestation. ICD–9–CM

code numbers 640-648 and 65 1–676 are assigned.

Surgical and nonsurgical procedures

Discharges with procedures—The estimated number of

patients discharged from non-Federal shofl-stay hospitals during the year who underwent at least one procedure during their

hospitalization are termed “discharges with procedures.”

Procedure—A procedure is one or more surgical or nonsurgical operations, diagnostic procedures, or special treatments assigned by the physician to the medical record of patients

discharged from the inpatient service of short-stay hospitals. In

the NHDS all terms listed on the face sheet of the medical

record under captions such as “operation,” “operative pr~

cedures,” “operations and/or special treatments” are transcribed in the order listed. A maximum of four 4-digit codes is

assigned per sample discharge according to ICD-9–CM and

NHDS directives. (See “Medical coding and edit” in the “Data

collection and processing” section of appendix I for fhrther

details.)

All-listed procedures—All coded procedures that are listed

on the face sheet of the medical record exclusive of most Class

4 procedures.

UHDDS classes of procedures—l?rocedures are categ~

rized into four classes according to UHDDS guidelines. Classes

1–3 consist of significant procedures—that is, procedures that

carry an operative or anesthetic risk or require highly trained

persomel, special facilities, or special equipment. Class’4 procedures do not meet these criteria.

UHDDS Class 1 procedures—All procedures not categorized as Class 2, 3, or 4 procedures.

UHDDS Class 2 procedures—The following ICD–9-CM

procedure codes identifi Class 2 procedures as categorized by

the UHDDS:

03.31, 03.91-03.92, 04.80-04.89, 21.01, 24.7, 31.41-

31.42,34 .91-34.92,37.92-37.93, 42.22-42.23,44.12-

44.13, 45.12-45.13,45.22-45.24, 48.22,50.92,54.91,

54.97-54.98,57.31,58.22, 59.95,62.91,66 .8,69.6-69.7,

69.93, 70.0, 73.01-73.1, 73.3, 73.51-73.59, 76.96,

81.91-81.92, 82.92-82.96, 83.94-83.98, 85.91–85.92,

86.01, 87.03-87.08, 87.13-87.15, 87.31-87.35, 87.38,

87.41-87.42, 87.51-87.52, 87.54-87.66, 87.71-87.73,

87.75, 87.77-87.78, 87.81-87.84, 87.91, 87.93-87.94,

88.01-88.03, 88.12-88.15, 88.38, 88.71-88.89, 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—From 1979 through the

middle of 1983 only three Class 4 procedures were coded for

the NHDS: circumcision (ICD–9–CM code 64.0), episiotomy

(code 73.6), and removal of intrauterine contraceptive device

(code 97.71 ). The ICD-9-CM codes for the Class 4 procedures coded since the last half of 1983 are as follows:

01.18-01.19,03.39,04.19, 05.19,06.19,07.19,08.91-

08.93,09.19,09.41-09.49, 10.29, 11.29, 12.29, 14.19,

15.09, 16.29, 20.39, 28.19, 33.28–33.29, 34.28–34.29,

38.29, 40.19, 50.19, 51.19, 52.19, 54.29, 55.29, 56.39,

57.39, 59.29.60.18, 62.19, 63.09, 64.0, 65.19, 66.19,

67.19, 68.19, 70.29, 71.19, 73.6, 76.19, 78.8, 81.98,

83.29,97.71.

The following ICD–9–CM procedure codes identify Class 4

procedures not coded by the NHDS:

08.19, 16.21, 18.01, 18.11, 18.19,21.21,21.29,22.19,

24.19,25.09,25.91,26.19, 27.29,27.91,29.19,31.48-

31.49,37.29,41.38-41.39, 42.29,44.19,45.19,45.28-

45.29, 48.23, 48.29, 49.21, 49.29, 49.41,58.29, 61.19,

64.19, 64.91, 64.94, 69.92, 70.21, 73.91–73.92, 75.35,

85.19,86 .19,86.92,87.09-87.12, 87.16-87.17,87.22-

87.29, 87.36-87.37, 87.39,87.43-87.49, 87.69,87.79,

87.85-87.89, 87.92, 87.95-87.99, 88.09, 88.16-88.31,

88.33, 88.35, 88.37, 88.39, 89.01–89.13, 89.15-89.16.

89.26-89.31, 89.33-89.39, 89.45-89.53, 89.55-89.59,

89.66, 89.7, 90.01-91.99, 93.01-93.25, 93.27-93.28,

93.31-93.39,93.42-93.44, 93.61-93.91,93.94, 93.96.

93.99-94.23,94.25,94.29-95.03, 95.05-95.11,95.14-

95.15,95 .31-95.49,96.09-96.19, 96.26-96.28,96.34-

97.04,97 .14-97.69,97.72-97.89, 99.02-99.24,99.26-

99.59,99 .71-99.79,99.82-99.99.

SurgicaI operations—All procedures exclusive of those

listed under “nonsurgical procedures” are listed as surgical

operations.

Biopsy—Biopsy is excision of tissue for microscopic examination. The ICD–9–CM biopsy codes are as follows:

0.11-0.15, 03.32, 04.11–04.12, 05.11, 06.11-06.13.

07.11-07.17, 08.11, 09.11-09.12, 10.21, 11.22, 12.22,

15.01, 16.23, 18.12, 20.32, 21.22, 22.11, 24.11-24.12,

25.01,25 .02,26.11,27.21-27.24, 28.11,29.12,31.43-

31.44, 33.24-33.27, 34.23-34.27,37.24-37.25, 38.21,

40.11, 41,31-41.33, 42.24, 44.14-44.15, 45.14-45.15,

45.25-45.27, 48.24-48.26, 49.22-49.23, 50.11-50.12,

51.12-51.13, 52.1 1–52.12, 54.22-54.23, 55.23-55.24,

56.32-56.33,57.33-57.34, 58.23 -58.24,59.21,60.1 1-

60.15, 61.11, 62.11-62.12,63.01,64.11, 65.11-65.12.

66.11,67.11-67.12, 68.13-68.14, 70.23-70.24,71.11.

76.11, 77.40-77.49, 80.30-80.39, 83.21, 85.11-85.12,

86.11.

59
Vkal and Health Statistics

series descriptions

SERIES 1.

SERIES 2.

SERIES 3.

SERIES 4.

SERIES 5.

SERIES 10

SERIES 11.

SERIES

SERIES

2.

3<

Programs and Collection Procedures—Reports describing

the general programs of the National Center for Health

Statistics and its offices and divisions and the data COI.

Iection methods used. They also include definitions and

other material necessary for understanding the data.

Deta Evaluation and Methods Rasaarch—Studies of new

statistical methodology including experimental tests of

new survey methods, studies of vital statistics collection

methods, new analytical techniques, objective evaluations

of reliability of collected data, and contributions to

statistical theory. Studies also include comparison of

U.S. methodology with those of other countries.

Analytical and Epidemiological Studies—Reports presenting analytical or interpretive studies based on wtal

and health statistics, carrying the analysis further than

the expository types of reports in the other series.

Documents and Committee Repotis-Final reports of

major committees concerned with vital and health statistics and documents such as recommended model wtal

registration Iawa and revised birth and death certificates.

Comparative International Vital and Health Statistics

Repo*—Analytical and descriptive reports comparing

U.S. vital and health statistics with those of other countries.

Data From the National Health Interview Survey-Statwtics on illness, accidental injuries, disability, use of hospital, medical, dental, and other services, and other

health-related topics, all based on data collected in tha

continuing national household interview survey.

Data From the National Health Examination Survey and

the National Health and Nutrition Examination Survey—

Data from direct examination, testing, and measurement

of national samples of the civilian noninstitutional ized

population provide the basis for (1) estimates of the

medically defined prevalence of specific diseases in the

United States and the distributions of the population

with respact to physical, physiological, and psychological characteristics and (2) analysis of relationships

among the various measurements without reference to

an explicit finite universe of persons.

Data From the Institutionalized Population Surveys-Discontinued in 1975. Reports from these sunfeys are included in Series 13.

Date on Health Resources Utilization—Statistics on the

utilization of health manpower and facilities providing

long-term care, ambulatory care, hospital care, and family

planning services.

SERIES 14.

SERIES 15.

SERIES 20.

SERIES 21.

SERIES 22.

SERIES 23.

For answers

Data on Health Resources Manpower and Facilities—

Statistics on the numbers, geographic distribution, and

characteristics of health resources including physicians,

dentists, nurses, other health occupations, hospitals,

nursing homes, and outpatient facilities.

Data From Special Surveys-Statistics on health and

health-related topics collected in special surveys that

are not a parf of the continuing data systems of the

National Center for Health Statistics.

Data on Mortality-Various statistics on mortality other

than as included in regular annual or monthly reports.

Special analyses by cause of death, age, and other demographic variables; geographic and time series analyses;

and statistics on characteristics of deaths not available

from the vital records based on sample surveys of those

records.

Data on Natality, Marriage, and Divorce-Various statistics on natality, marriage, and divorce other than as

included in regular annual or monthly reports. Special

analyses by demographic variables; geographic and tima

series analyses; studies of fertility; and statistics on

characteristics of births not available from the vital

records based on sample surveys of those records.

Data From the National Mortality and Natality Surveys—

Discontinued in 1975. Reports from these sample surveys

basad on vital records are included in Series 20 and 21,

respectively.

Data From tha National Survey of Family Growth—

Statistics on fertility, family formation and dw.solution,

family planning, and related maternal and infant health

topics derivad from a pariodic suwey of a nationwide

probability sampla of women 15-44 years of aga.

to questions about this report or for a list of titles of

reports published in these series, contact

Scientific and Technical Information Branch

National Center for Health Statistics

Public Health Service

Hyattsville, Md. 20782

301-436-8500
U.S. DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Public Health Service

National Center for Health Statistics

3700 East-West Highway

Hyattsville, Maryland 20782

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DHHS Publlcatlon No. (PHS) 87–1 752, Series 13, No. 91