Utilization of

Short=$tay

Hospitals

United States, 1986

Annual Summary

This report presents statistics on the

utilization of non-Federal short-stay

hospitals based on data collected through

the National Hospital Dkcharga Survey from

a national sample of the hospital records of

discharged inpatients. Estimates are

provided by the demographic characteristics

of patients discharged, condticms

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.

Dsts From the National Heslth Survey

series 13 No. 96

DHHS Publication No. (PHS) 88-1757

U.S. Department of Health and Human

Services

Public Health Service

Centers for Dkx3aee Control

National Center for Health Statistics

Hyattsville, Md.

June 1988
Copyright Infomafh

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

reproduced or copied without permission; citation as to source, however, IS

appreciated.

suggestedCitatbn

National Center for Health Statistics, E. J. Graves. 1968. Utilization of short-stay

hospitals, United States, 1986, annual summary. Vita/ and Hea/th SWsttis.

Series 13, No. 98. DHHS Pub. No. (PHS) 88-1757. Public Health Sew&.

Washington: U.S. Government Printing tXce.

Utilization of short-stay hospitals. United States . annual summaty.-l g81–

—Hyattsville, Md.: U.S. Dept. of Health end Iiuman Services, Public Heaith

service, National Center for Hea~ sta~~=,

v.; 28 cm.-(DHHS publication) (Vital & health stetistce. Series 13, Data

from the national health suwey)

Annual.

Description beeed on: 1981.

r Continues: Unitizationof short-stay hospitals. Annual summary for the United

States.

ISSN 07484793= UWization of short-stay hospitals. United States, annual

summary.

1. Hospital utilization-Unitd Statee-Stati<!~Petials. 2. Hospital

utilization-1 .lnitadStatee-Lengfh of stey-Statistica-PwMlcels. 3. United

States-Statistics, Medical-Periodiils. 1.National Center for Health Statistics

(U.S.) Il. Series. Ill. .%riis: Vil and health statistics. Series 13, Date from the

national health suwey.

RA407.3.U85 362.1’1’097WC19 84-645596

For sale by the Superintendent of Docnments, U.S. Government Printing Office, 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 Director fo~Ana/ysis

and Epidemiology

Gail F. Fisher, Ph.D., Associate Directorfor Planning and

Extramural Programs

Peter L. Hurley, Associate Director for Vital and Health

Statistics Systems

Stephen E. Nieberding, Associate Directorfor Mwzagement

George A. Schrmck, Associate Director for Data Processing

and Services

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

mzd Methodology

Sandra S. Smith, Information Officer

Division of Health Care Statistics

W. Edward Bacon, Division Director

Joan F. Van Nostrand, Deputy Director

Mary Moien, Chiej Hospital Care Statistics Branch

Manoochehr K. Nozary, Chiej Technical Services Branch

Cooperation of the U.S. Bureau of the Census

Under the legislation establiihisrg the Nntionrd Health Stuvey, the Public

Health Service is mrthorized to use, insofar ,nspossible, the services or facilities of

other Federal, State, or private agencies.

In accordance with specifications established by the National Center for Henlth

Stadsti~ the U.S. Bureau of the Census, under a contractual arrangement,

participrited in planning the sur,fey and collecting the data.
. .

introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utilization bypatient characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utilization bydiagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Utilization byprocedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Newborn infant discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

List ofdetailed tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

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

IL Definitions ofterms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text tsbles

A.

B.

c.

D.

E.

F.

G.

H.

J.

K

Selected measures of short-stay hospital utilization: United States, selected years 1965-86 . . . . . . . . . . . . . . . . . . .

Number andrateof patients discharged from short-stay hospitals andofdaysofcare, and average length ofstay,

by age: United States, 1984, 1985, and 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number andpercent distribution ofpatients discharged from short-stay hospitals andofdays ofcareby sexand

age ofpatient, according to bed size ofhospital: United States, l 986 ,. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . , . . .

Averagelengthof stayforpatientsdischarged from short-stayhospitals, bybedsizeofhospital andsexandageof

patient: United States, 1986 . . . . . , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberand rate ofpatientsdischarged from short-stay hospitak and ofdaysofcare, and average length ofstay,

by selected first-listed diagnostic categories: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

diagnosticclass: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

procedures, by selected characteristic~ United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent distribution ofpatients discharged from short-stay hospitak with proceduresby number ofprocedures,

according to selected characteristics: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

surgical categories: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

nonsurgical categories: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2

3

5

7

7

10

11

16

18

19

20

49

58

3

3

5

6

8

9

11

12

13

13

...

III
L.

M.

N.

o.

P.

Q.

R.

s.

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

patient: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

hospital, according to procedure category: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

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

1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

categories of first-listed diagnosis: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

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

States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

short-stay hospitals, by sex and geographic region: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and average length of stay ofnewborn infants discharged fiomnon-Federal short-stayhospitals, bysex

and health status: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number ofall-listed diagnoses for sick newborn infants discharged from short-stay hospitals, by sexand selected

diagnosticcategories: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

14

16

16

17

18

18

18

Symbols

--- Data not available

. . . Category nonapplicable

Quantityzero

0.0 Quantity more than zero but less than

0.05

z Quantity more than zero but less than

500where numbers are roundedto

thousands

* Figuredoes not meet standardof

reliabilityor precision

# Figure suppressed to comply with

confidentiality requirements

iv
Utilization of Short-Stay

rHospitals

by Edmund J. Graves, Divisionof Health

Care Statistics

Introduction

This report provides nation+ estimates on the utilization of non-Federal short-stay hospitals during 1986. 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 repqrt are based on data collected

by the National Center for Health Statistics (NCHS) by

means of the National Hospital Discharge Survey (NHDS),

which is a continuous voluntary survey in use since 1965.

The data for the survey come 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.

These 1986 statistics are based on two data collection

procedures, an approach begun in 1985. The first is the

traditional manual system of sample selection and data

abstraction, and the second is an automated method that

involves the purchase of data tapes from commercial abstracting services. In 1986, the automated method was used

in, 19 percent of the hospit~s. Analysis of the automated

system indicates that a greater number of nonsurgical

procedures per patient are reported by hospitals using this

system than by hospitals submitting data in the traditional

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

1986 in the estimate for miscellaneous diagnostic and

therapeutic procedures. It appears that approximately onehalf of the increase in that category was because of the

change in data collection methodology.

Approximately 193,000 medical records from 418 hospitals were included in the 1986 survey. A brief description

of the sample design and the source of data can be found in

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

first published in 1970 (NCHS, 1977).

Types of hospital utilization measurements shown are

frequencies, rates, and percent distributions of discharges,

days of care, and average len@hs of stay. The estimates are

presented by age, se% and race of the patients discharged

and 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 Wal Stat&tics of the United States.

Coding of medical data for patients hospitalized is

performed according to the Intem&”onal Classification of

Diseases, 9th Revision, Clinical Modification, or ICD-9-CM

(l%blic Health Service and Health Care Financing Administration, 1980). Earlier data for 1970-78 were coded according to the Eighth Revision International Classification of

Direases, Adapted for Use in the United States, or ICDA

(NCHS, 1967a). Differences between these two systems are

discuved in appendix I in the section entitled “Medical

coding and edit.”

A maximum of seven diagnoses and four procedures

may be coded for each medical record in the sample.

Although diagnoses included in the ICD-9-CM section

entitled “Supplementary classification of external causes of

injury and poisoning” (codes E800-E999) are used by

NHDS, they are excluded from this report. The conditions

diagnosed and procedures performed are presented here by

the major diagnostic chapters and procedure groups of the

ICD-9-CM. Within these chapters and groups, some categories of diagnoses and procedures also are shown. These

specific categories were selected primarily because of large

frequencies or because they are of special interest. Residual

categories of diagnoses and procedures, however, are not

included in the tables. More detailed analyses of these data

will be presented in later reports in Series 13 of the Vi(al

and Heaith Statistics reports.

Familiarity with the definitions used in 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.

Informatio~ on short-stay hospital utilization also is

collected through another program of the National Center

for Health Statistics, the National Health Interview Survey.

Estimates from this survey generally are different from

those of 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 V7taland Health Statktics reports.
Highlights

. During 1986 an estimated 34.3 million patients, excluding newborn infants, were discharged horn nonFederal short-stay hospitals, and an estimated

218.5 million days of care were used.

. The average length of stay for patients discharged from

non-Federal short-stay hospitals was 6.4 days in 1986.

The average length of stay has declined from 7.3 days

in 1980—a decline of about 12 percent.

. The 1986 rate of 143 discharges per 1,000 population

was not significantly different from the rates that occurred in 1967, 1968, 1970, and 1971, which were the

lowest discharge rates in the history of the survey.

. About 44 percent of all patients discharged during

1986 expected private insurance to pay for at least part

of their hospitalization.

. Deliveries constituted the leading cause of hospitalization during 1986. Of the 34.3 million discharges during

1986,3.8 million (or 11 percent) were for females with

deliveries.

. Six procedures were each performed during 1986 more

than 1 million times procedures to assist delivery (2.6

million); endoscopy of the digestive system (1.5 million); computerized axial tomography, or CAT scan

(1.5 million); biopsy (1.4 million); diagnostic ultrasound (1.4 million); and arteriography and angiocardiography using contrast material (1.3 million).

. In 1986 approximately 16 percent of all patients who

were hospitalized had a principal diagnosis of heart

disease or malignant neoplasms, but about 45 percent

of all deaths that occurred in short-stay hospitals were

the result of these two diseases.

. The number of patients discharged from short-stay

non-Federal hospitals for the first-listed diagnosis of

cataract decreased from 481,000 in 1984 to 104,000 in

1986—a drop of about 78 percent.

. Approximately 60 percent of all patients discharged

from short-stay non-Federal hospitals during 1986 had

at least one procedure performed. In 1979 only 51

percent had at least one procedure performed.

. Of the 34.3 million patients discharged from short-stay

non-Federal hospitals during 1986, 2.9 percent were

known to have been discharged dead.

2
Utilization by patient

characteristics

The number and rate of hospital discharges have traditionally been on the rise. Since 1983, however, 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 had fallen below 150 discharges per 1,000

population. In 1986, the discharge rate fell to 143 per 1,000

population, which was as low as any discharge rate since the

inception of the survey.

Table A shows important measures of hospital utilization for 1965, 1986, and selected years in between. The

number of discharges rose from 1965 to 1983 by about 35

percent, but it decreased approximately 12 percent in the

next 3 years. In addition, the average length of stay for

hospital patients is continuing to drop. The average length

of stay in 1986 was 6.4 days, compared with 7.7 days 11

years earlier.

The total number and rate of discharges and days of

care decreased significantly from 1984 to 1985 but did not

change significantly from 1985 to 1986 (table B). The

number of discharges and days of care and the rate of

discharges and days of care showed no significant difference in any age group when 1986 data were compared with

1985 data. The average length of stay did not change for

totals or for the four age groups.

The 34.3 million patients discharged from short-stay

hospitals during 1986 included an estimated 13.9 million

males and 20.3 million females (table 1). The rates per

1,000 population were 121 for males and 164 for females,

making the rate for females about 36 percent higher than

the rate for males. The number and rate of discharges

always are higher for females than for males because of the

large number of women in their childbearing years (15-44

years of age) who are hospitalized for deliveries and other

obstetrical conditions. Excluding deliveries, the rate for

females discharged was 134, only about 11 percent higher

than the rate for males.

Table B. Number and rate of patfents discharged from shoti-stay

hospitals and of days of care, and average length of stay, by

age: United States, 1984, 1985, and 1986

[Data for non-Faderal short-slay hospitafs. Excludes newborn infants]

Age 1SS4 1965 1966

Allages . . . . . . . . . . . .

Under 15years . . . . . . .

15-44 yeafe . . . . . . . . . .

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

65 years and over . . . . .

Allages . . . . . . . . . . . .

Under 15years . . . . . . .

15-44 year n . . . . . . . .

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

65 yeare and over . . . . .

All ages . . . . . . . . . . . .

Undar15yaars . . . . . . .

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

45-84 yeara . . . . . . . . . .

65 years and over . . . . .

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

Under 15years. . . . . . .

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

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

65 years and over . . . . .

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

Under 15years . . . . . . .

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

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

65 years and over . . . . .

Number of patiints

discharged in thousands

37,162 35,056 34,256

3,208 2,972 2,763

14,533 13,966 13,458

8,195 7,610 7,300

11,226 10,508 10,716

Rate of patienls discharged

par 1,000 ~pulation

158.5 147.9 143.1

62.0 57.2 53.5

132.2 125.1 116.9

163.3 169.5 162.2

400.4 366.3 387.3

Number of days of

care in thousands

244,652 228,217 218,496

14,367 13,554 12,718

71,172 67,397 65,174

58,877 53,541 49,563

100,237 91,728 91,041

Rate of days of care

par l,CrCOpopulation

1,043,5 954.4 912.8

277.7 280.8 244.7

647.3 803.6 575.7

1,316.8 1,1928 1,101.4

3,574.8 3,215.1 3,120.7

Average length of stay In days

6.6 6.5 6.4

4.5 4.6 4,6

4.9 4.8 4.8

7.2 7.0 6.6

8.9 8.7 8.5

Table A. Selected measures of shoti-stay hospital utilization: United States, selected years 1965-86

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

Measure of utilization 1965 1970 1975 1980 1963 1S86

Number ofpatiants discharged inthouesnds. . . . . . . . . . . . . . . . . . . . . . . . . 26,792 29,127 34,043

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

37,832 38,763 34,256

15a,3 144.3 159.2

Numbarofdays ofcarelnthousands . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

167.7 167.0 143.1

225,011 226,445 262,369

Rateofdays ofcafeper l,OCrOpopulation. . . . . . . . . . . . . . . . . . . . . . . . . . .

274,5J38 286,337 218,496

1,174.3 1,121.6 1,227.3

Average length ofstayin days . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,217.0 1,155.2 912.8

7.8 7.8 7.7

Percent of patients whh surgery and nonsurgical procedures. . . . . . . . . . . . . . .

13&2

7.3

139.7

6.9

141.7

6.4

52.2 54.7 60.2

‘In cnmparl~ figuresfor 1905, 1970, and 1975 withttmsaforlateryears,cautionstild IM usedbecausedata foryearspriorto 1979excludenonsurgical~aeciures andthsfollo+vi~obstetrical

proceduresepislotq artificialrupfureof membrane,internalverslo~ and outletad lowforcepsdelivery.

3
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) were more than six times higher than those for

younger patients (under 15 years of age) for both sexes.

In 1986 male patients used an estimated 94.6 million

days of care in short-stay hospitak compared with 123.9

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

days of care per 1,000 population was 817 for males and

1,003 (about 23 percent higher) for females. Differences by

sex were smaller for rates of days of care than for discharges, mainly because the average length of stay for the

approximately 3.8 million women who were hospitalized for

deliveri~s was only 3.2 days (table 7). In comparison, the

average len~h of stay was 6.8 days for males and 6.8 days

for females who were hospitalized for reasons other than a

delive~.

The annual number of days of care per 1,000 population increased about 13 times with advancing age, from 245

for patients under 15 years of age to 3,121 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

(8.5 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 by

the fact that the proportion of patients with multiple diagnoses is highest among those 65 years and over, 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 or

all other. In 1986, 25.4 million patients were identified on

the face sheets of the medical records as white and 5.1

million as all other. However, race was not reported for an

additional 3,8 million patients. Estimates of numbers and

rates of discharges, days of care, and average lengths of stay

are provided. However, all of the data by race should be

used with caution because of the not-stated category, which

for 1986 was approximately 11 percent of all discharges.

The number of days of care in 1986 totaled 163.6

million for white patients, 33.6 million for all other patients,

and 21.2 million for patients with race not stated (table 2).

The average length of stay was 6.5 days for white patients,

6.6 for all other patients, and 5.6 for patients with race not

stat ed (table 2).

The expected principal source of payment for all patients discharged from short-stay hospitals is presented in

table 3. The expected source of payment recorded cm the

face sheet 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, which consists of Blue Cross

and other private or commercial insurance, was the expected principal source of payment for approximately 14.9

million discharges from non-Federal short-stay hospitals in

1986, about 44 percent of all discharges. Of these 14.9

million discharges, 98.0 percent were under 65 years of age.

Medicare was the principal expected source of payment

for 11.5 million discharges (33.5 percent). As expected,

most of these discharges (10.1 million, or 88.2 percent)

were 65 years of age and over. Together, private insurance

and Medicare accounted for 26.4 million discharges (77.0

percent). Even though patients expecting to pay hospital

costs through Medicare constituted only 33.5 percent of all

discharges, they accounted for 44.6 percent of all days of

care. This was the result of longer hospital stays for patients

65 years of age and over. This is reflected in the average

length of stay–8.5 days for Medicare patients but only 5.2

days for patients who expected private insurance to pay for

their hospital stays. The longest average length of stay was

noted for Medicare patients 15-44 years of age and 65 years

of age and over in the Northeast Region (10.6 and 10.3

days, respectively). Lengths of stay of 5 days or less were

noted for private insurance patients under 45 years of age

in all regions.

During 1986 there were approximately 3.8 million

discharges for women with deliveries (tables 7 and 8). Of

these, 33 percent were discharged from hospitals in the

South Region, and 54 percent were discharged from hospitals with 300 beds or more. Variation in rates per 1,000

civilian population by region was significant only when

comparing the Northeast Region rate (43.4) with the West

Region rate (58.0). The rate for the Midwest was 48.1, and

the rate for the South was 47.0.

The average length of stay for women with deliveries

was 3.7 days in the Northeast Region, 3.4 days in the

Midwest Region, 3.2 days in the South Region, and 2.6 days

in the West Region.

4
Utilization by hospital

characteristics

Discharges horn short-stay hospitals in 1986 ranged million in the West Region to 72.4 million in the South. The

from 6.5 million in the West Region to 11.9 million in the rate per 1,000 population was 735 days in the West Region,

South Region (table 3). Regional differences in the number 883 days in the South, 1,002 days in the Midwest, and 1,029

of discharges are accounted for mainly by variations in days in the Northeast.

population sizes (see appendix I, table III) and, to a lesser Average lengths of stay were 5,5 days in the West

extent, by variations in the discharge rates. Region, 6.1 days in the South, 6.6 days in the Midwest, and

The rates of discharges per 1,000 population in 1986 7.4 days in the Northeast (table 4).

were 134 for the West Region, 139 for the Northeast, 145 The number of patients discharged from short-stay

for the South, and 151 for the Midwest (table 5). There hospitals and days of care are shown by sex and age of the

were no significant differences in discharge rates among the patients and by geographic region and bed size of hospitals

four regions except between the Midwest and the West. in table 4. The percent distrl%utions of these data are shown

Both the number and the rate per 1,000 population of in table C.

days of care were lowest in the West Region (tables 4 and For patients of all ages, about 40 percent of discharges

5). The highest number of days of care was in the South from short-stay hospitals were male and 60 percent female

Region. The number of days of care ranged from 35.4 in every hospital bed-size group. Females with deliveries

Table C. Number and percent distribution of patients discharged from short-stay hospitals and of days of care by sex and age of

patient according to bed size of hospital: United States, 1986

[Dkchergee from non-Feder’al short-stay hos@lals. Excludes newborn Infants]

●

Number 6-99 Icv- 199 2CXX?99 3(.W-4LW

Sex ar7d age it’sthousands

m beds

All SiZrSS twds bsds beds beds or more

Allpatlents discharged . . . . . . . . . . . . . . .

sex

8olhsexee . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Age

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

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

L5-44yeare.. . . . . . . . . . . . . . . . . . . . .

45-64 yeare . . . . . . . . . . . . . . . . . . . . . .

65yeareand over . . . . . . . . . . . . . . . . .

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

sex

E!Othsexes . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Age

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

Under 15yeara . . . . . . . . . . . . . . . . . . .

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

45-64 yeers . . . . . . . . . . . . . . . . . . . . . .

65yeare and over . . . . . . . . . . . . . . . . .

34,256 34,256

34,256 100.0

13,949 40.7

20,307 59.3

16.544 48.3

34,256 100.0

2,783 8.1

13,458 39.3

7,300 21.3

10,716 31.3

218,496 218,496

216,496 100.0

94,593 43.3

123,8+33 56.7

111,609 51.2

218,4% lM.O

12,718 5.8

65,174 29.6

49,563 22.7

91,041 41.7

Numiw of pallents discharged In thousands

5,614 6,243 6,215 8,603

Percent diitributicm of patients dscharged

100.0 Iwo 100.0 lrx).o

40.3 39.1 43.0 39.9

59.7 60.9 57.0 60.1

50.1 50.5 46.3 47.7

100.0

8.5

37.1

19.7

34.7

29.604

100.0

41.5

56.5

53.6

100.0 100.0 100.0

10.9 7.1 6.8

39.4 35.5 39.9

19.5 21.3 22.2

30.3 36.1 31.1

Number of days of care in thousands

35,673 40,257 59,039

Percent distribulbn of days of care

100.0 1OQ.o 100.0

40.5 45.2 42.5

59.5 54.6 57.5

54.2 50.7 51.3

100.0 100.0 100.0 100.0

5.7 7.6 5,1 4.7

29.3 2e.4 25.5 29.6

20.2 21.1 21.7 23.5

44.8 41.8 47.6 42.2

7,3s1

Im.o

41.5

56.5

45.8

Iwr.o

8.0

43.3

23.1

25.6

53,924

100.0

45.5

54.5

46.1

100.0

6.5

33.8

24.9

34.9

5
accounted for about 10 percent of the discharges in hospi-

,, tals with less than 300 beds and 13 percent in hospitals with

300 beds or more. The largest percent of patients in most of

the bed-size groups was of patients 15-44 years of age, and

the smallest percent was those under 15 years of age.,

Days of care were generally distributed by sex age, and

bed size of hospital in a fashion similar to that of discharges

(table C). However, a smaller number of days of care than

of discharges was recorded for patients 15-44 years of age

regardless of bed size; for patients 65 years and over, a

larger percent of days of care than of discharges was

recorded for all bed sizes. The differences for those aged

15-44 years were the result of short lengths of stay for

females with deliveries. However, for those 65 years and

over, the differences were the result of longer hospitalizations for older patients.

The average length of stay for patients discharged from

short-stay hospitals in 1986 increased steadily from 5.3 days

in the smallest hospitals (6-99 beds) to 7.3 days in the

largest hospitals (500 beds or more), as shown in table D.

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-Frxleral

short-stay hospitals were discharged from voluntary nonprofit hospitals operated by church and other nonprofit

groups during every year NHDS was conducted. In 1986,

voluntary nonprofit hospitals provided medical care to an

estimated 23.5 million patients, or 69 percent of all patients

hospitalized. Hospitals operated by State and local governments cared for 7.1 million patients, or 21 percent of all

discharges, and proprietary hospitals operated for profit

cared for 3.6 million patients, or 11 percent of all discharges (table 6).

The estimated 218.5 million days of care utilized by

patients in non-Federal short-stay hospitals during 1986

were distributed by ownership of hospitals in the following

manne~ voluntary nonprofit, 154.8 million days, cjr 71

percent; government, 41.9 million days, or 19 percent; and

proprietary, 21.8 million days, or 10 percent. Average

lengths of stay were 6.6 days in volunta~ nonprofit h~ospitak, 5.9 days in government hospitals, and 6.0 days in

proprietary hospitals.

Table D. Average length of stay for patients discharged from short-stay hospitals, by bed size of hospital and sex and age of patient

United States, 1986

[Discharges from non-Faderal short-stay hospitals. Excludes newborn Infants]

6-99 700-199 Xx7-me 300499 500 beds

Sex and age All S.!Z.SS beds beds beds beds or more

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

8SX

M/de . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female, Including deiiverbs. . . . . . . . . . . . . . . . . . .

Femala, excluding deltverkrs . . . . . . . . . . . . . . . . . .

Age

Under 15yeaffi . . . . . . . . . . . . . . . . . . . . . . . . . .

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

45-64 yaars . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65years And over . . . . . . . . . . . . . . . . . . . . . . . . .

6.4

6.8

6.1

6.8

4.6

4.8

6.6

6.5

5.3

5.4

5.2

5.6

3.5

4.2

5.4

6.8

Average length of stay in days

5.7 6.5

5.9 6.8

5.6 6.2

6.1 6.8

4.0 4.7

4.3 4.7

6.2 6.6

7.9 6.5

6.7 7.3

7.2 8.0

6.4 6.8

7.2 7.7

4.6 5.9

5.0 5.7

7.1 7.9

9.1 9.9

6
Utilization by diagnosis

First-listed diagnosis

Diseases of the circulatory system ranked first in 1986

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

first-listed, diagnosis of patients discharged from

non-Federal short-stay hospitals (table 9). These conditions

accounted for an estimated 5.6 million discharges. Other

leading ICD-9-CM diagnostic chapters were supplementary

classifications, which include females with deliveries (4.2

million discharges); diseases of the digestive system (3.7

million discharges); injury and poisoning (3.2 million discharges); diseases of the respirato~ system (3.2 mi~on

discharges); and diseases of the genitourinary system (2.7

million discharges). About two-thirds of tie patients discharged from non-Federal short-stay hospitals had principal diagnoses in these six ICD-9-CM diagnostic chapters.

The diagnostic categories presented in this summary

report were selected either because they appear as principal, or first-listed, diagnoses with great frequency or because the conditions are of special interest. Although many

of these categories-such as malignant neoplasms; heart

diseas% psychose% and fractures, all sites—are combinations of more detailed diagnoses, they are presented as

single categories without showing the specific diagnostic

inclusions.

The estimates for acute myocardial infarction as a

first-listed diagnosis have increased substantially since 1981

because of a decision to reorder circulatory diagnoses

involving acute myocardial infarction. In 1981, 60 percent

of acute myocardial infarction diagnoses were first listed; by

1986, the proportion had increased to 87 percent because

of reordering. This change is discussed more fully in appendix I.

Even though the total number of discharges showed no

significant change from 1985 to 1986 (NCHS, 1987a), there

were significant drops in some of the first-listed diagnoses.

The most significant drop occurred in the first-listed diagnosis of cataract, for which the number of discharges

decreased from 182,000 in 1985 to 104,000 in 1986–a drop

of 42.9 percent. (The decrease from 1984 to 1986 was from

481,000 to 104,000-a drop of 78.4 percent.) Other significant decreases in first-listed diagnoses were inguinal hernia, for which the number of discharges decreased from

384,000 in 1985 to 304,000 in 1986—a drop of 20.8 percent;

diseases of the ear and mastoid process, which decreased

from 259,000 in 1985 to 217,000 in 1986–a drop of 16.2

percen~ and acute respiratory infections, except influenza,

which decreased horn 464,000 in 1985 to 426,000 in 1986—

a drop of 8.2 percent. The number of discharges increased

for pneumonia, all forms (from 854,000 in 1985 to 943,000

in 1986—an increase of 10.4 percent) and psychoses (from

701,000 in 1985 to 766,000 in 1986–an increase of 9.3

percent). The number and rate of discharges, days of care,

and average length of stay in 1986 are presented by

selected first-listed diagnoses in table E. These categories

accounted for 58 percent of all patients discharged during

1986 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 combined, was females

with deliveries. Excluding this category, the two most tlequent first-listed diagnoses for all groups except patients

under 45 years of age were heart disease and malignant

neoplasms.

For patients under 15 years of age, the most frequent

first-listed diagnoses were pneumoni% all forms; acute

respiratory infections, except influenz% chronic disease of

tonsils and adenoids, and asthma. Other frequent diagnoses

for these patients were fractures, all sites; noninfectious

enteritis and colitis; and diseases 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 psychosew tlactures, all sites and all abortions, including ectopic and molar pregnancies.

For patients of races other than white, the most frequent first-listed diagnosis besides deliveries was heart

disease. Other common diagnoses for this group included

malignant neoplasms; psychoses; pneumoni~ all forms

asthmrq fractures, all site~ diabetes mellitu$ and cerebrovascular disease.

For hospitals with 6-99 beds, the most common firstlisted diagnosis was heart disease, followed by females with

deliveries. Other frequent diagnoses in these hospitals were

pneumonia, all forms; fractures, all sites; malignant neoplasms; cerebrovascuhm disease; and psychoses.

The number and rate of patients discharged from

short-stay hospitals and average length of stay, by ICD-9-

CM diagnostic chapters and selected categories, are presented by age for 1986 in table 9. Although the estimated

rates of discharge from short-stay hospitals generally increased as the age of the patients increased, some decreases

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

first-iisted diagnostic categories: United States, 1986

[Discharges from non-Federal short-stay hospitals. Excludes newborn Infan!s.Disgnosttc groupings and code number inclusions are based on the Vrtematk.mal

Classffkation of Dlseasas, 5th Revlskw?,Clirrbal kfodifkafbn (ICD-9-CM)]

Dtschargad pwents Days of care Average

length of

Num&ar in Rate per Number In Rate per stay in

Diagnosth?category and ICD-9-CM code thousands 1,000 population thousands l,CxM populatkwr days

Allconditlons~ . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Normal deliveries2 . . . . . . . . . . . . . . . . . . . . . . .

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

Heart disease . . . . . . . . . .391 -392.0,393-398,402,404,

410-416,420-429

Acute myocardlal infarction . . . . . . . . . . . . ...410

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

Other Ischemic heart disease. . . .411 -413,414.1-414.9

Cardlacdysrhythmias. . . . . . . . . . . . . . . . ...427

Congestive hearl failure . . . . . . . . . . . . . ...428.0

Malignant neoplasms . . . . . . . . . . . .140-208,2W234

Malignant neoplasm of trachea, bronchus, and

lung . . . . . . . . . . . . . . . . . . ..l62.l97.O.l97.3

Malignant neoplasm of breast . . . . . .174-175.198.81

Fractures, allsites . . . . . . . . . . . . . . . . . ...800-829

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

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

Psychoses . . . . . . . . . . . . . . . . . . . . . ...280-299

Intervertebral discdisorder’s . . . . . . . . . . . . . ...722

Cholelithlasls . . . . . . . . . . . . . . . . . . . . . . ...574

Diabetes mellfius . . . . . . . . . . . . . . . . . . . . ...250

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

Arthropathies andrelated disordere. . . . . . . . .710-719

Benlgnneoplaems and neoplasms ofuncertaln behavior

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

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

Acute respiratory infections, except influenza. ..460-486

Diseases of the central nervous

system . . . . . . . . . . . . . . . . . . . ,320-336,240-349

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

All abortions, including ectopic and molar

pregnancies . . . . . . . . . . . . . . . . . . . . ..830-639

Calculus ofkidneyand ureter. . . . . . . . . . . . ...592

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

Uloersofstomach andsmall intestine . . . . ...531-534

Disorders of boneandcartilage. . . . . . . . ...730-733

Volume depletion . . . . . . . . . . . . . . . . . . ...276.5

Hyperplasia of prostate . . . . . . . . . . . . . . . . ...800

Chronic dkesseoftonslls and adenoids . . . . . ...474

34,258 1

3,762

1,~76

2,584

3,731

758

336

1,043

515

582

1,860

280

216

1,100

943

889

766

504

494

491

477

475

445

428

426

401

397

343

331

304

295

288

261

256

255

43.1

15.7

4.9

10.8

15.6

3.2

1.4

4,4

2.2

2.4

7.8

1.2

0.9

4.6

3.9

3.7

3.2

2.1

2.1

2.1

2.0

2.0

1.9

1.8

1.8

1.7

1.7

1.4

1.4

1.3

1.2

1.1

1.1

1.1

1.1

218,496

12,094

2,840

9,254

26,268

6,712

2,091

5,556

3,037

4,779

16,897

2,584

1,528

9,410

7,347

8,614

11,050

3,459

3,406

3,751

2,279

3,706

2,356

2,082

2,017

3,707

4,240

711

1,162

907

2,108

2,587

1,741

1.488

“328

912.8

50.5

11.9

36.7

109.7

28.0

8.7

23.2

12.7

20.0

70.6

10.7

6.4

39.3

30.7

36.0

46.2

14.5

14.2

15.7

9.5

15.5

9.8

6.7

8.4

15.5

17.7

3.0

4.9

3.6

8.8

10.7

7.3

6.1

1.4

6.4

3.2

2.4

3.6

7.0

8.9

6.2

5.3

5.9

8.2

9.1

8.8

7.1

8.6

7.8

9.7

14.4

8.9

6.9

7.6

4.8

7.8

5.3

4.8

4.7

9,3

10.7

2.1

3.6

3.0

7.1

9.6

6.7

5.7

1.3

Ilncludesdatafor diagnosticconditionsnotsiwwn Intable.

‘See appendk IIfor definition.

were observed. For example, rates decreased from 45-64

years to 65 years and over (the two oldest age groups) for

the categories of alcohol dependence syndrome, calculus of

kidney and ureter, intervertebral disc disorders, and sprains

and strains of back (including neck). Moreover, the rates

generally decreased with increasing age for the category of

chronic disease of tonsils and adenoids.

The average length of stay increased with increasing

age for most chapters and categories of diagnoses. Overall it

tended to be highest for fracture of neck of femur, malignant neoplasms, mental disorders (especially for psychoses

and alcohol dependence syndrome), and cerebrovascular

disease. For patients 65 years of age and over, average

lengths of stay of more than 10 days were found for

malignant neoplasmsof large intestine and rectum; mental

disorders; diseases of the central nervous system; appendicitis; diseases of the skin and subcutaneous tissues; arthropathies and related disorders; and tkactures, all sites.

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 are admit ted for inguinal hernia and for abortions,

including ectopic and molar pregnancies.

Data on discharges, rates of discharges, and average

lengths of stay for patients discharged from short-stay

hospitals are presented by diagnostic chapters and selected

categories of first-listed diagnosis, sex, and race in table 10.

Rates of discharges per 10,000 population were similar

for the two sexes for most of the diagnostic chapters and

categories shown. However, males had significantly higher

rates than females for the categories of malignant neoplasm

of trachea, bronchus, and lung alcohol dependence syndrome; acute myocardial infarction; other ischemic heart

disease; atherosclerotic heart disease; inguinal hernia; calculus of kidney and ureter; intervertebral disc disorders;

intracranial injuries (excluding those with skull fracture);

8
and lacerations and open wounds. Females had higher rates

than men for the categories of benign neoplasms and

neoplasms of uncertain behavior and unspecified nature,

diabetes mellitus, noninfectious enteritis and colitis, choleMhiasis, arthropathies and related disorders, and fracture

of neck of femur.

Seventy-four percent of all patients discharged were

reported to be white, 15 percent were reported to be all

other races (including black), and 11 percent had no race

mentioned in the medical record. However, the racial

distribution of patients for some diagnostic categories differed significantly horn the distribution for all patients

combined. For example, the percent of white patients discharged was higher than average for the first-listed diagnoses of atherosclerotic heart disease (84 percent), other

ischemic heart disease (84 percent), and fracture of neck of

femur (84 percent). For abortions and ectopic and molar

pregnancies, the proportion was lower than average for

white patients (60 percent) and higher than average for all

other races.

Information on patients discharged from short-stay

hospitals is shown by geographic region in table 11. The

number of disch&ges ranged from 11.9 million in the South

Region to 6.5 million in the West, with 8.9 million in the

Midwest and 7.0 million in the Northeast. The South

Region had the largest number of discharges for most

categories. One major exception is mental disorders, which

accounted for 560,000 discharges in the Midwest Region

and only 489,000 in the South. In 1986 the number of

discharges per 1,000 population was 134 in the West Region, 139 in the Northeast, 145 in the South, and 151 in

the Midwest. Large variations in rates were noted for

malignant neoplasms, alcohol dependence syndrome, and

females with deliveries.

Average length of stay ranged from 7.4 days in the

Northeast Region to 5.5 days in the West, with an average

of 6.6 days in the Midwest and 6.1 days in the South. The

average length of stay was longest in the Northeast Region

for most categories. However, one notable exception is

mental disorders, for which the average length of stay was

longer in the Midwest and South Regions.

The number of patients discharged from short-stay

hospitals and the average lengths of stay during 1986 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 than average proportions of patients were treated

in the smallest hospitak (6-99 beds) for diseases of the

respiratory system (table F). On the other hand, greater

than average proportions of discharges were from the

largest hospitals (500 beds or more) for congenital anomalie$ neoplasmq and complications of pregnancy, childbirth, and the puerperium.

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. Short hospital stays were more

Table F. Percent distribution of patients discharged from short-stay hospitals by bad size of hospitel, aooording to diagnostic ciass:

Unfted States, 1966

[Discharges from non-Faderal short-stay hospitals. Excludes newtmm infants. Diagnostic groupings and coda numbsr hcfusbns ara based on the /nfenrafbna/

CWss#katti of Dkeasfw 9fh RfMs&rr,CWnlcalModticatkm(CD-9-CM)]

A/I 6-99 Im-lm 2W299 3c@499 mbds

Dkwnosfk classand CD-9-CM code s&es beds bsds tmds beds Orrnom

Parted distrbufbn

18.2 18.1

21.1 17.7

13.6 18.4

103.0

IM.O

100.0

16.4

18.1

8.5

25.7

22.3

30.5

Anacmdltbns. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Infaotbus and Parasilk dleeasea. . . . . . . . ...031-139

Naoplasrn s . . . . . . . . . . . . . . . . . . . . ...140-239

Endoorina, nutrlfbnal and metabolic dbeases and

frnmunSydisoKfers . . . . . . . . . . . . . . . . ..24WZ79

Dbaases of the bfood and blood-formiw

.260-269

MmwW%=e~:::::::::::::: ::::: .ZO-319

Dlseasas of the nervous system and sense

organs . . . . . . . . . . . . . . . . . . . . . . . ..320-3S3

Dlsaasas of the CiIWk3t~ SySk3fI’I . . . . . . ...390-459

Dtseases of the respiratory system . . . . . . ...450-519

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

Diseases of the genitourkmty system. . . . . ...560-622

Cornpflcafbns of ptegnancy, chlldbirih, and the

puer@um . . . . . . . . . . . . . . . . . . . . ..630-676

Diseases of the skin and subcutaneous tissue . .13W709

Diseases IX the musculoskelelal system and Oxmsctlve

tls.we . . . . . . . . . . . . . . . . . . . . . . . . ..71G739

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

Cartaln ccmditbns originating In the perlnatal

..760-779

Sy?pYrn;, si&, .&d HldeilnA&dtii&: : . .78D-799

ln@yandpoiscming.. . . . . . . . . . . . . . ...630-999

Supplarnentay class@dbns’ . . . . . . . . . . .WI-V62

21.5

20.9

29,0

100.0 20.6 19.0 18.2 22.2 20.1

100.0

Ifxr.o

18.2

19.9

20.7 16.2

17.2 16.4

25.2

26.7

21.6

19.7

100.0

100.0

103.0

IIXLO

100.0

13.8

16.2

23.0

19.7

16.1

15.0 17.3

16.4 20.4

21.3 16.5

19.1 19.4

21.1 17.4

26.9

26.5

21.0

23.9

24.5

27.0

20.4

16.1

17.9

20,9

Icm.o

100.0

13.5

18.3

17.2 123

18.6 17.3

26.3

22.5

28.7

23.3

103.0

100.0

13.0

7,1

20.7 19.9

23.2 11.6

25.4

26.6

21.0

31.5

100.0

100.0

Ico.o

100.0

74.4

14.8

16.1

13.9

20.1 17.3

16.7 21.8

18.5 19,5

17.0 14.6

24.5

25.1

25.3

29.0

23.0

21.4

20.6

25.3

lFemab W dsItwries m imkldd wdar %u@emOfltaly CkSifiCdOPS”

9
comtion 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.

All-listed diagnoses

An estimated 103 million diagnoses (table 14) were

recorded for the 34.3 million inpatients of non-Federal

short-stay hospitals in 1986, for an average of 3.0 diagnoses

per discharged patient. The average number of diagnoses

per discharge increased beginning in 1979 because of

changes 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 Iiveborn; 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 average was 2.9-3.2 diagnoses per patient. A larger

variation occurred by age. The average numbers of diagnoses per discharge for the age groups under 15 years,

15-44 years, 45-64 years, and 65 years and over were 2.0,

2.4,3.1, and 4.0, respectively.

Diseases of the circulatory system ranked first among

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

with 20.4 million diagnoses. This was followed by diseases

of the digestive system (8.2 million); supplementary classifications, including women with deliveries (8.0 million);

diseases of the respiratory system (7.6 million); and diseases of the genitourinary system (7.4 million). These five

ICD-9-CM chapters accounted for approximately one-half

of the all-listed diagnoses in 1986.

10
Utilization by

‘procedures

Oneormore procedures were performed for an estimated 20.6 million of the 34.3 million inpatients discharged

from short-stay hospitals during 1986. A total of 38.0

million procedures were recorded in 1986 (table 15), an

average of 1.8 per patient who underwent at least one

procedure.

These figures on the number of procedures performed

are higher than those reported prior to 1979 because of

changes in the tabulation and coding of data for NHDS.

Beginning in 1979, more procedures, both in number per

patient and in type of proce@re, were coded. Specifically,

starting in 1979 up to four procedures, instead of only

three, were cmded for each discharge. Furthermore, only

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

However, since 1979 the total number includes many nonsurgical procedures. (See the section entitled “Medical

coding and edit” in appendix I and the section entitled

“Surgical and nonsurgical procedures” in appendix II for

more information on the differences between coding the

ICDA and the ICD-9-CM.)

The number and percent of patients with any surgical

or nonsurgical procedure in 1986 and the number and

percent of patients with at least one surgical procedure are

shown in table G. About 60 percent of the patients discharged had some procedure, including diagnostic and

nonsurgical procedures. Some variations in the proportion,

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 with procedures of all the

age groups (66 percent). Women had more procedures

than men (62 percent, compared with 57 percent),

primarily because of those relating to childbirth. The

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

selected characteristics: United States, 1986

[Discharges from non-Federal strmt-stay hospitals. =cludes newborn infants]

PatisrltsWUhprtwedurt?s

Pa!hmfs Palierris Patlsrlt.$

All discharged wflhout All /X?tkMtS w~h SU@S/ An patk?nts wi?hSUi@d

Charaderistk patients procedures w~h -UIBS pmxduras wlh -LIES mum

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

Age

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

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

45-64 yearn . . . . . . . . . . . . . . . .

65years andover . . . . . . . . . . . . .

Sex

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

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

Race

VvhRe. . . . . . . . . . . . . . . . . . . . .

Allolher . . . . . . . . . . . . . . . . . . .

Notstated . . . . . . . . . . . . . . . . . .

Regkm

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

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

8oulh . . . . . . . . . . . . . . . . . . . .

west . . . . . . . . . . . . . . . . . . . . .

W SiZe Of hospital

Gw beds . . . . . . . . . . . . . . . . . .

Ioo-lwb eds . . . . . . . . . . . . . . . .

2oo-299 beds . . . . . . . . . . . . . . . .

300499 beds . . . . . . . . . . . . . . . .

500 bedsormore . . . . . . . . . . . . .

Number In thousands

34,256 13,637 20,619 15,797

2,783 1,55a 1,224 911

13,458 4,560 8,898 7,661

7,300 2,787 4,513 3,263

10,716 4,732 5,984 3,963

13,949 5,954 7,995 5,742

20,307 7,682 12,624 10,055

25,383 10,050 15,313 ll,83a

5,116 2,018 3,096 2,330

3,776 1,569 2,21J7 1,83a

6,955 2,489 4,466 3,168

8,931 3,587 5,344 4,162

11,662 5,230 6,662 5,252

6,478 2,330 4,147 3,215

5,814 3,284 2,329 1,810

6,243 2,755 3,487 2,664

6,215 2,323 3,892 2,619

8,803 3,149 5,655 4,446

7,381 2,125 5,256 4,060

60.2 46.1

44.0 32.7

66.1 56.9

61.8 44.7

55.8 37.0

57.3 41.2

62.2 49.5

60.4 45.9

60.6 45.5

58.4 48.7

64.2 45.6

59.8 46.6

56.0 44.2

64.0 49.6

41.5 32.2

55.9 42.7

62.6 45.4

64.2 50.5

71.2 55.0

11
proportion of patients with one or more procedures increased with the size of the hospital, from 42 percent in

hospitals with 6-99 beds to about 71 percent in hospitals

with 500 beds or more.

Approximately 50 percent of the patients with procedures had only one operation or nonsurgical procedure

during their hospitalization (table H). About 27 percent of

the patients had two procedures, about 13 percent had

three, and about 11 percent had four or more. Patients

under 15 years of age had the lowest proportion of multiple

procedures (36 percent) and those 45-64 years and 65 years

of age and over had the largest proportions (57 and 56

percent, respectively). About 44 percent of the patients with

procedures discharged from the smallest hospitals had

more than one procedure; about 51 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 specific categories in 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.

Table H. Percent distribution of patients discharged from

short-stay hospitais with procedures by number of procedures,

according to seiected characteristics: United States, 1986

[Dischargesfrom non-Federalshort-stayhospitals.Excludes newtmrn infants]

Number of procedures

Total wlfh 4 or

Charactertstlc procedures 1 2 3 more

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

Age

Under 15yeare . . . . . . . . . .

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

45-64 yeare . . . . . . . . . . . .

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

Sex

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

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

Race

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

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

Notstated . . . . . . . . . . . . .

Region

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

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

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

west . . . . . . . . . . . . . . . .

Bed size of hospital

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

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

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

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

500 bedsormore . . . . . . . .

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

1Oil.o

100.0

100.0

100.0

49.8

64.1

54.6

43.3

44.3

47.4

51.3

46.9

51.1

51.1

46.6

48.3

50.3

52.1

56.3

52.1

50,6

47.9

46.3

Percent distribution

26.6

23.2

26.7

27.5

26.5

26.1

26.9

27.0

25.7

25.7

26.6

26.4

26.8

26.5

26.9

26.4

25.9

27.3

26.3

13.1

7.1

11.4

16.2

14.6

13,9

12,6

13.3

13.1

13.1

13.2

13.9

13.2

12.0

10.3

12.2

12.6

14.4

14.0

10.5

5.5

7.1

13.0

14.7

12.6

9.2

10.9

10.1

10.1

11.6

11.4

9.6

9.4

6.4

9.3

10.8

10.4

12.9

NOTE A msxknum of 4 procedures were coded for each patient discharged.

12

Although there were no significant changes in the total

number of procedures from 1985 to 1986, significant decreases and increases occurred for specific procedures

(NCHS, 1987a). The most significant drops occurred for

insertion of prosthetic lens (pseudophakos), which decreased from 180,000 in 1985 to 105,000 in 1986 (a drop of

41.7 percent) and extraction of lens, which decreased from

211,000 in 1985 to 122,000 in 1986 (a drop of 42.2 percent).

Other significant decreases occurred for dilation and curettage of uterus, which decreased from 576,000 in 1985 to

472,000 in 1986 (a drop of 18.1 percent) and repa~ir of

inguinal hernia, which decreased from 416,000 to 32!),000

(a drop of 20.9 percent).

Compensating for the drop in some procedures was a

significant increase in other procedures. The most significant increase occurred for direct heart revascularization,

which increased from 230,000 in 1985 to 284,000 in 1986

(up 23.5 percent). Other significant increases occurred for

arteriography and angiocardiography using contrast material, which increased from 1,117,000 in 1985 to 1,285,000 in

1986 (up 15.0 percent); diagnostic ultrasound, which increased from 1,234,000 to 1,411,000 (up 14.3 percent); and

cardiac catheterization, which increased from 681,000 to

775,000 (up 13.8 percent).

Influences related to hospital admission policies, as

well as hospital characteristics, could account for some of

these changes. Examples include the introduction of the

prospective payment system, technological advances, and,

possibly, the shifting of patients from an inpatient setting to

an outpatient setting.

Miscellaneous diagnostic and therapeutic procedures

(9.8 million) ranked first among the surgical and nonsurgical procedures performed during 1986. Other leading

ICD-9-CM groups were operations on the digestive system

(5.7 million), obstetrical procedures (4.7 million), operations on the musculoskeletal system (3.5 million), and

operations on the female genital organs (3.0 million).

About 70 percent of the procedures performed in 1986

were included in these five major groups.

The number and rate of all-listed surgical procedures

in 1986 are shown by selected ICD-9-CM categories in

table J. The number and rate of all-listed nonsurgical

procedures are shown in table K. The categories presented

in these tables include the procedures that were performed

most frequently during the year. Data on the diagnostic and

nonsurgical procedures shown in table K were not published in NHDS reports on hospital use prior to 1979.

These procedures include endoscopy of the digestive system, computerized axial tomography (CAT scan), diagnostic ultrasound, and arteriography and angiocardiography

using contrast material. More than 1 million of each of

these procedures were performed during 1986. As mentioned in the introduction, the use of commercial abstract

service data for a sample of the discharges has resulted in

recent increases in the estimates of these diagnostic procedures. (See appendix I.)

Data for the leading surgical operations are shown in

table J. Some of the most frequently performed surgeries,
Table J. Number and rate of all-listed surgical procedures for patients discharged from shoti-stay hospitals, by selected surgical

categories: United States, 1986

[Discharges from non-Faderal short-stay hospilafs. Excludes newborn infants. Procedure groupings and code number inclusions are based on the Krterrratlonaf

ClasWkathxr of Diseases, 9th Revisbn, Cllrrbal Modltkation (ICD-9-CM)]

Rate per

Number in Im,ooo

Sutgical category and ICD-9-CM code thousands populatbn

Surgical procedures’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Procedures toessisldelfvery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-73

BiOpSy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Cesarean seclion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. @74.2.74.4.74.9g

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

Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...66.3-66.7

Repalrofcurrentobstetriclaceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.575.6

Operations onsplnsd cordandspinal canal structures except biopsies. . . . . . . . . . . . . . . .03-03.31,03.39-03.9

Exclsionordestructionoflesfonortissueofskin orsubcutaneoustissue. . . . . . . . . . . . . . . . . . ...66.2-86.4

Arthroplastyofjoinls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.3-81.8

Cholecysteclomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5I.2

Oophorectomyand salpingo-oophorectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

Dllalionand cureffageofuterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..69.0

Openraductionoffracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76.79.79.2-79.3.79.5-79.6

Bilateral destruction orocclusion offallopiantubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66.2-66.3

prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60.2-60.6

Operations onmuscles, tendons,fescia, andbursa. . . . . . . . . . . . . . . . . . . . . . . . . . ...82-63.1.83.3-63.9

Excision ordestruction ofintervertebrel dscandspinalfusion . . . . . . . . . . . . . . . . . . . . . . . . ...60.5.81.0

Repsiroflnguinalhernis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

Divlslonofpertionealadheslons.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..54-5

Punotureofvessal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.9

Partialgastrsclomyand resaction ofintestine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43.5-43.6,45.6-45.8

Dlractheartrevsscularization.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...3-6.1

Tonslllectomywtth orwithoutadenoldectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

Appandeclomy,excludlngincidental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47.0

25,041

2,605

1,412

m

775

644

612

571

565

537

502

502

472

459

423

367

344

338

329

325

295

293

264

261

275

10,461.7

1,066.2

5a9.9

378.4

323.8

269.1

255.6

238.7

235.9

224.2

209.8

209.6

197.0

191.7

176.8

153.2

143.8

141.1

137.5

135.9

123.4

122.5

116.8

117.4

115.0

‘2ee appedx II for ICDQ-CM codes in this category.

Table K. Number and rate ofall-listed nonsurgical procedures for patients discharged from short-stay hospitals, byselected nonsurgical

categories: United States, 1986

iDischargesfrom non-Federel short-stayhospifals. Excludesnewbom infants. Prccaduregroupings sndcodenumbsrinclusbns arebesadonthe/rrtamatlona/

ClastrkaflorrofD&asas, 9thRevtskxr,C llnkxl Modtflcafhr(lCD-9-CM)i

Rate par

Number in Ioc,m

NonsurgicaIcategory arrdlCD-9-CMcocte thousands populatkwr

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

Endoscopyof thedigestive system.. . .4221-42.23,44.1 144.13,45.1 145.13,45.21-45 .24,48.2 l48.Z,5l.ll,54.2l

Computerized exialtomography (CATscan) . . . . . . . . . . . . . . . . . . . . . . . ..87.03,87.41,87.71,W.01,66.36

Diagnostiiultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

Arteriigrsphyandangiocardiographyusing contrestmaterlaf. . . . . . . . . . . . . . . . . . . . . . . . . ...88.4-88.5

Radiiisotopescan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...9201-92.1

Circulatorymonhoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...69.6

Endoscopy of theutinary system through natural orifiie. . . . . . . . . . . . . . . . . .55.21 -55.22,%.31,57.32,56.22

Electrographicmonitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.54

Confrastmyebgram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.21

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

lniec~on orlnfusion ofcancerchemotherapeuticsubstance . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...99.25

Blliarytractxray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.5

12,959

1,542

1,531

1,411

1,285

851

799

671

469

417

406

395

327

5,414.3

644.5

639.6

569.7

536.7

355.3

334,0

260.3

196.1

174.0

169.8

165.1

136.8

‘%e appemflx II for ICD-S-CM codes in this category.

ofwhich 500,000 or more were performed in 1986, were

cesarean section, cardiac catheterization, hysterectomy, repair of current obstetric laceration, operations on spinal

cord and spinal canal structures except biopsies, excision or

destruction of lesion or tissue of skin or subcutaneous

tissue, arthroplasty of joints, cholecystectomy, and oophorectomy and salpingo-oophorectomy.

The estimated 38.O million procedures performed in

1986 are presented forthe ICD-9-CM major groups and

selected categories by age, sex, race, and region in tabIes

15, 17,19, and20, respectively. The correspondingrates by

age, sex, and region are shown in tables 16, 18, and 21,

respectively.

Of the 38.0 million procedures performed during 1986,

40 percent were performed on patients 15-44 years ofage,

and only5 percent were performed on patients under 15

years ofage. The most common procedure performedon

patients under15 years was tonsillectomy with orwithout

adenoidectomy, and for those 15-44 years of age it was

episiotornywith or without forceps or vacuum extraction.

Themostcommon procedure forthe agegroup45-G4 years

was arteriography and angiocardiography using contrast

13
Table L. Number and rate of all-listed procedures for patients

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

United States, 1986

[Dischargesfrom non-Federslshoti-stayhospitals. Excludes newborn infants]

8oih

Age sexes Male Female

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

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

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

45-84 years . . . . . . . . . . . .

65years And over . . . . . . . .

Allagss . . . . . . . . . . . . . .

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

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

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

65yearz.Andover . . . . . . . .

Number of procedures

in thousands

36,000 15,318 22,8s2

1,887 1,142 745

15,192 4,043 11,149

8,976 4,412 4,584

11,946 5,721 6,225

Rale of procedures per

1,000 population

158.8 132.3 163,6

36.3 42.9 28,4

134.2 72.4 194.5

189.5 205.3 le4.1

409.5 483.9 35S.8

material. For those 65 years and over, the most common

procedures were computerized axial tomography (CAT

scan), diagnostic ultrasound, and arteriography and angiocardiography us+ng contrast material.

The rate of procedures per 1,000 population increased

with advancing age fi-om a rate of 36 for patients under 15

years to 409 for patients 65 years of age and over (table L).

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

sexes also increased as age increased. The rates for females

15-44 years and 45-64 years were about the same because

of the large number of females 15-44 years of age operated

on for obstetrical and gynecological conditions.

Of the 38.0 million procedures performed during 1986,

about 15.3 million were for males and 22.7 million were for

females. The em-responding rates per 1,000 population

were 159 for both sexes, 132 for males, and 184 for females.

Of the procedures shown in table 17, the most common for

males were arteriography and angiocardiography using

contrast material, CAT scans, diagnostic ultrasound,

cardiac catheterization, and endoscopies through natural

orifice. For females, the most frequently performed procedures were episiotomy with or without forceps or vacuum

extraction, cesarean section, and diagnostic ultrasound.

The distribution of procedures by race is shown in table

19. Seventy-five percent of all procedures were performed

on white patients, 15 percent were performed on all other

races, and 10 percent were performed on patients with no

race stated. The percent of procedures for white patients

was higher than the overall proportion for direct heart

revaseularization and removal of coronary artery obstruction. The percents were lower, however, for repair of

current obstetric laceration, bilateral destruction or occlusion of fallopian tubes, episiotomy with or without forceps

or vacuum extraction, cesarean section, dilation and curettage of uterus, and spinal tap. The percent of procedures for

all other patients was higher than average for spinal tap,

dilation and curettage of uterus, bilateral destruction or

occlusion of fallopian tubes, and repair of current obstetric

laceration. The percents were lower for arthroplasty and

replacement of hip, rhinoplasty and repair of nose, direct

heart revascularization, and repair of cystocele and

rectocele.

The number of procedures for patients discharged

from short-stay hospitals is presented by procedure category and geographic region 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, 168 in the

Northeast, 154 in the West, and 148 in the South. Rates

were highest in most regions for miscellaneous diagnostic

and therapeutic procedures and operations on the digestive

system.

The number of procedures in short-stay hospitals during 1986 for each ICD-9-CM category is shown in table 22

by bed size of hospital where the procedure was performed.

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

to procedure category: United States, 1986

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

ClassitkaUon of Diseases, 9th Revislcn, Cllnlcal Modifbtlon (ICD-9-CM)]

All e-99 IOL-199 200-299 300-499 500 beds

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

Percent distribution

All procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,0 10.2 16.4 18.8 27.9 26.7

Operations on the nervous system. . . . . . . . . . . . ..01-05 100.0 6.2 16.8 17.9 26.3

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

33.0

100.0 *5.9 9.9 18.8 27.7

Operations ontheeya . . . . . . . . . . . . . . . . . . . . ...06-16

36.6

100.0 14.8 7.7 14.8 29.9

Oparetions ontheear . . . . . . . . . . . . . . . . . . . . . ...18-20

32.8

100.0 6.7 21.6 19.7 28.4

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

24.0

100.0 13.3 18.3 17.7 25.4

Operations on the resplreto~ system . . . . . . . . . .30-34

25.2

100.0 7.5 15.0 18.5 28.4

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

30.6

100.0 2.0 9.0 17.5 33.4

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

38.1

100.0 6.2 13.6 15.6 31.0

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

33.5

100.0 13.2 18.2 20.4 25.2

Operations on the urinary system . . . . . . . . . . . . . ...55-59

23.0

100.0 9.0 18.7 17.8 28.1

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

26.5

100.0 11.6 18.5 20.1 27.6

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

22.3

100.0 13.4 20.4 16.2 26.5

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

23.6

100.0 12.4 16.3 12.8 31.7

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

26.7

100.0 11.8 20.4 20.4 26.2

Operations on the integumentary syslem. . . . . . . . . . . .85-66

21.2

100.0 14.3 16.4 17.4 26.8 25.3

Miscellaneous diagnostic and therapeutic procedures. .87-99 100.0 8.0 14.8 22.3 27.3 27.6

14
Miscellaneous diagnostic and therapeutic procedures and about 55 percent of the procedures were performed in

operations on the digestive system ranked highest of all- these hospitals. Procedures for which large percents were

listed procedures in hospitals for most bed sizes. performed in hospitals with 300 beds or more were operaThe percent distribution of the major groups of proce- tions on the cardiovascular system (72 percent), operations

dures is shown by bed size of hospital in table M. An on the endocrine system (66 percent), operations on the

estimated 47 percent of the patients hospitalized during heroic and lymphatic system (65 percent), and operations

1986.were treated in hospitals with 300 beds or more, but on the eye (63 percent).

15
Deaths in short-stay

‘hospitals

In 1986, 95.5 percent of patients, excluding newborn

infants, who were discharged from short-stay hospitals were

discharged alive, 2.9 percent were discharged dead, and for

1.6 ,percent a discharge status was not ascribed. Of the

estimated 982,000 patients who died, 50.1 percent were

male and 49.9 percent were female (table N). As expected,

patients 65 years and over accounted for the majority of

hospital deaths—72.6 percent. Patients under 65 years of

age accounted for 27.4 percent of the deaths. The 982,000

patients who were discharged dead from’ these hospitals

represented about 47 percent of all persons who died

during 1986 (NCHS, 1987b).

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 it is assumed in the

formula that all patients whose discharge status was not

stated were discharged alive. A fatality rate of 2.9 has been

computed for patients in 1986. The rate for males (3.5) was

higher than that for females (2.4).

The age group 65 years and over had a hospital fatalityrate of 6.7 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 O. These data are not synonymous with data for

underlying cause of death as reported in P7tal Statistics of

the United States. Of the estimated 982,000 deaths in

Table N. Number of deaths and fatality rate of patients discharged from shoti-stay hospitsls, by sex and age: United States, 1986

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

Both Bo!h

Age Sexs Mate Female saxes Male Female

Number in thousands Rate per 100 discharges

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 982 492

All ages excluding obsletric conditions. . . . . . . . . . . . . . . .

490 2.9 3.5

981 492

2.4

489 3.2 3.5 3.0

U.nder65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 147 122 1.1

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

1.6

25

0.9

15 11 0.9

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

0.9

60 34

0.9

26

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

0.4 0.8

184 96

0.3

86 2.5

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

2.7

713 345

2.3

368 6.7 7.4 6.1

Table O. Number of deaths and fatality rate of patients discharged from short-stay hospitals, by age and selected categories of

first-listed diagnosk: United Statee, 1986

[Deaths In non-Federai short-stay hospiials. Diagnostb groupings and code number inclusions are based on the /rrterrraWoms/C/ass/fkat/on of Diseases, Wr 17ev/s/err,

Clinical Modi%atkmr (CD9-CM)]

All Under 65 years All Under

Cak?gcvy of rht-listad dtagnos/s and ICD-SCM code

65 years

agas 65 years and over ages 65 years and over

Number in thousands Rate per 100 discharges

Aildeaihs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 962 289 713 2.9 1.1 6.7

Malignant neoplaems . . . . . . . . . . . . . . . . . . .14&208,230-234

Malignant neoplasm of Irache& bronchus, and

lUtIg . . . . . . . . . . . . . . . . . . . . . . . . . . ...162.197.0.197.3

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

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

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

Cardiac dysrhythmlas . . . . . . . . . . . . . . . . . . . . . . . ...427

Congesfiie heart failure . . . . . . . . . . . . . . . . . . . . ...428.0

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

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

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

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

191

49

253

118

18

37

50

81

70

19

46

75

20

51

23

*5

10

*5

15

10

*

18

116

29

202

95

13

27

48

67

60

15

28

10.3

16.9

6.8

15.6

1.3

7.3

8.6

9.2

7.4

13.7

1.4

8.4

15.2

3.4

7.6

*0.8

5.8

*3.7

6.9

2.0

*

0.7

12.0

18.4

9.0

21.0

1.6

8.0

9.9

9.9

13.0

22.1

3.5

16
short-stay hospitals, 67 percent are accounted for by the

diagnostic groupings shown in table O. Of these, heart

disease and malignant neoplasms accounted for nearly

one-half (445,000) of all deaths in short-stay hospitals.

For specific diagnoses, the highest fatality rates were

for malignant neoplasm of trachea, bronchus, and lung,

with a rate of 16.9 per 100 discharges; acute myocardial

infarction, with a rate of 15.6 per 100 discharges; and

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

13.7 per 100 discharges.

The average length of stay for patients discharged from

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

sex in table P. The average stay for all patients discharged

was 6.4 days. Patients discharged alive had an average stay

of 6.2 days, compared with an average stay of 11.7 days for

patients who died in the hospital.

Patients under 65 years of age who were discharged

alive stayed an average of 5.3 days however, those who died

had an average stay of 12.8 days. The hospital stay for

patients 15-44 years of age who died was 2.7 times as long

as the stay for those who were discharged alive (12.8 and

4.8 days). The difference in length of stay was much smaller

for patients 65 years and over—8.3 days for those discharged alive and 11.2 days for those who died.

Table P. Average length of stay of patients discharged from short-stay hospitals, by discharge status, sex, and age: United States, 1986

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

Dtschmge status

Allve Dead

Age Both sexes Male Female Both sexes Male Female

Average length of stay in days

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.2 6.6 5.9 11.7 11.3

All ages excluding obstetric conditions . . . . . . . . . . . . . . 6.6

12.1

6.6 6.6 11.7 11.3 12.1

Under 65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,3 5.9 4.9 12.8 12.8

Under 15years . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.5

12.9

4.5 4.6 10.6 12.9

15-44 yeare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.8

7.5

6.1 4.2 12.8 13.9

45-64 yeare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11.4

6.6 6.5 6.7 13.1 12.4

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

14,0

6.3 8.0 8.5 11.2 10.6 11.8

17
Newborn infant

discharges

The number, percent distribution, and average length

of stay of newborn infants discharged from short-stay hospitals are shown by sex and geographic region in table Q.

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 33 percent (1.3 million) of newborn discharges

were from the South Region, 24 percent (0.9 million) each

were from the Midwest and the West, and 18 percent (0.7

million) were from the Northeast. The average length of

stay ranged from a high of 4.2 days in the Northeast Region

to a low of 2.8 days in the West. The average length of stay

was 3.7 days in the Midwest Region and 3.8 days in the

South. About 63 percent of the 3.8 million newborn infants

discharged from short-stay hospitals were “well” (table R).

A well infant is defined as one who does not have an illness

or risk-related diagnosis.

The estimated 1.4 million sick infants (37 percent of all

newborns) had at least one diagnosis in addition to the

newborn diagnosis. Some of these additional diagnoses are

shown in table S. About 0.6 million (24 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 52 percent of all sick newborn diagnoses.

Males accounted for 61 percent of the respiratory

diagnoses, 57 percent of the congenital conditions, 55

percent of the jaundice, and 51 percent of the prematurity

diagnoses. Of the 1.4 million sick newborn infants, there

Table Q. Number, percent distribution, and average length of

stay for newborn Infants discharged from non-Federal short-stay

hospitals, by sex and geographic region: United States, 1986

Number of Percent Average length

Sex and ragtorr dbcharges dlstrlbutiorr of stay In days

All newborn Infants. . . . 3,751 100.0 3.6

Sex

Male . . . . . . . . . . . . . . 1,954 52.1 3.8

Female . . . . . . . . . . . . 1,796 47.9 3.5

Region

Northeast . . . . . . . . . . . 666 18.3 4.2

Mktwest . . . . . . . . . . . . 911 24.3 3.7

South . . . . . . . . . . . . . 1,251 33.3 3.8

West . . . . . . . . . . . . . . 904 24.1 2.8

were 24 percent more boys than girls. Moreover, sick

newborn boys had 28 percent more diagnoses than sick

newborn girls had.

Well newborn infants had an average hospital stay of

2.6 days, and there was no difference in the length of stay by

sex, as shown in table R. This table further documents that

sick newborn infants stay twice as long as well infants (5.3

versus 2.6 days). Sick newborns account for 54 percent of

the newborn patient days, although they constitute only 37

percent of newborn infants.

Table R. Number and average length of stay of newborn iinfants

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

health status: United States, 1986

Both

Health status sexes Male Female

Number in thousands

Totat . . . . . . . . . . . . . . . . . . . . . . . 3,751 1,954 1,798

Welt . . . . . . . . . . . . . . . . . . . . . . . . 2,377 1,193 1,184

Sick . . . . . . . . . . . . . . . . . . . . . . . . 1,375 761 614

Average length of stay in days

Total . . . . . . . . . . . . . . . . . . . . . . . 3.6 3.8 3.5

Well . . . . . . . . . . . . . . . . . . . . . . . . 2.6 2.7 2.6

Sick . . . . . . . . . . . . . . . . . . . . . . . . 5.3 5.5 5.1

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

discharged from shoti-stay hospitals, by sex and selected

diagnostic categories: United States, 1986

[Dischargesfrom non-Federal short-stay hospitals. Dlagnostlc groupings and

code number inclusions are based on the /nternaUona/ C/assifbat!en of

Diseases, 9th Revision, Clinical Modlf?eation (ICD-9-CM)]

Dlegnostic category Both

and ICD-9-CM code sexes Male Female

Number in thousands

Sick newborn infant diagnoses’ . . . . . 2,383 1,336 1,046

Congenital anomalies. . . . ...740-759 198 112 86

Disorders relating to shori gestation and

unspectfled low birth weight

(prematurity) . . . . . . . . . . . . ...765 207 105 102

Respiratory distress syndrome and other

respkatofy conditions of fetus and

newborn . . . . . . . . . . . . ...769-770 259 157 102

Hemolytic diseese of fetus or newborn,

due to Isoimmunizetion and other

parinalal jaundice . . . . . . ...773-774 577 316 261

1Includes data for diagnostic conditions ml slwwn in table.

18
References

American Hospital Association. 1986. The American Hospital

Association Annual Suwey, Chicago.

Institute of Medicine. 1977a. Repoti of a StudX Reliability of

HospitaZ Dischaqe Abstracts. WashingIon National Academy of

Sciences. -

Institute of Medicine. 1977b. Report of a Studyj Reliabili~ of

Medicare Hospital Dhchmge Records. Washington: National Academy of Sciences.

Institute of Medicine. 1980. Repoti of a StudR Reliability of

National HospitaPDischarge Survey Data. Washington: National

Academy of Sciences.

National Center for Health Statistics. 1965. Development and

maintenance of a national inventory of hospitals and institutions.

V7tal and Health Statktics. Series 1, No. 3. PHS Pub. No. 1000.

Public Health Service. WashingtoIX U.S. Government Printing

Office.

National C-enter for Health Statistics. 1967a. Eighth Revision

International Classification of Diseases, Adapted for Use in the

United States. PHS Pub. No. 1693. Public Health SeMce. Washington U.S. Government Printing Office.

National Center for Health Statistics, M. G. Sirken. 1967b. Utilization of short-stay hospitals, summa~ of nonmedical statistics,

United States, 1965. Htd and Health Statistics. Series 13, No. 2.

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

Government Printing Office.

National Center for Health Statistics, M. J. Witkin. 1967c. Utilization of short-stay hospitals by characteristics of discharged

patients, United States, 1965. Wtal and Health Statistics. Series 13,

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

U.S. Government Printing Office.

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

Schnack 1977. Development of the design of the NCHS Hospital

Discharge Survey. Vitaland Health Statistics. Series 2, No. 39.

DHEW Pub. No. (HIW) 77-1199 Health Resources Administration. Washington: U.S. Government Printing Office.

National Center for Health Statistics, B. J. Haupt. 1980a. Utilization of short-stay hospitals, annual summaq for the United States,

1978. Vitaland Health Statistics. Series 13, No. 46. DHEW Pub.

No. (PHS) 80-1797. Public Health Service. Washington: U.S.

Government Printing Office.

National Center for Health Statistics. 1980b. Un~orm Hospital

Discharge Data Set, Minimum Data Set, Repti of the National

Committee on Wal and Health Statistics. DHEW Pub. No. (PHS)

80-1157. Public Health Service. Washington U.S. Government

Printing Office.

National Center for Health Statistics, B. J. Haupt. 1981. Utilization of short-stay hospitals, annual summary for the United States,

1979. Wal and Health Statistics. Series 13, No. 60. DHHS Pub.

No. (THS) 82-1721. Public Health Service. Washington: U.S.

Government Printing Office.

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

1984. Adjustment of hospital utilization rates, United States,

1965-80. V7tal and Health Statistics. Series 13, No. 81. DHHS Pub.

No. (PHS) 85-1742. Public Health Service. Washington: U.S.

Government Printing Office.

National C&nter for Health Statistics, E. J. Graves. 1987a. Utilization of short-stay hospitals, annual summary for the United

States, 1985. J3tal and Health Statkdcs. Series 13, No. 91. DHHS

Pub. No. (_PHS)87-1752. Public Health Sexvice. Washington: U.S.

Government Printing Oftice.

National Center for Health Statistics, 1987b. Annual summa~ of

births, deaths, marriages, and divorces. Monthly V7tal Statistics

Report. Vol. 35, No. 13. DHHS Pub. No. (PHS) 87-1120. Public

Health Service. Hyattsville, Md.

National Center for Health Statistics. E. Graves. 1987c.

Diagnosis-related groups using data from the National Hospital

Discharge Survey, United States, 1985. Advance Data Front Vital

and Heailh Statistics, No. 137. DHHS Pub. No. (PHS) 87-1250.

Public Health Swice. Hyattsville, Md.

Public Health Semite and Health Care Financing Administration.

1980, International CLzrsification of Diseases, 9111Re\>ision, Clinical Modification. DHHS Pub. No. (PHS) 80-1260. Public Health

SeMce. Washington: U.S. Government Printing Office.

U.S. National Committee on Vital and Health Statistics, Technical

Consultant Panel. 1978. lJHDDS Classes of Procedures, ICD-9-

CM. Ann Arbor, Mich Commission on Professional and Hospital

Activities.

19
List of detailed tables

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

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

with average lengths of stay, by sex and age: United

States, 1986 ...... ....... ....... ....... .............. .......... ....

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

with average lengths of stay, by sex, race, and age:

United States. 1986 .......... ...................................

Number of patients discharged from short-stay hospitak, days of care, and average lengths of stay, by

principal expected source of payment, geographic region, and age: United States, 1986 ..........................

Number of patients discharged from short-stay hospitals, days of care, and average lengths of stay, by sex,

age, geographic region, and bed size of hospital: United

States, 1986 ............. ....... ....... ....... ....... ..............

Rate of patients discharged from short-stay hospitals

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

United States, 1986 .................................... ....... ..

Number of patients discharged from short-stay hospitals, days of care, and average lengths of stay, by sex,

type of ownership of hospital, and age of patient:

United States, 1986 ..... ....... ...................... ...........

Number, percent distniution, and rate of women with

deliveries discharged from short-stay hospitals and of

days of care, with average lengths of stay, by age, race,

geographic region, and bed size of hospital: United

States, 1986 ...... ............................ .....................

Number, of women with deliveries discharged from

short-stay hospitals and number’ of days of care and

average lengths of stay for women with deliveries, by

bed size of hospital and geographic region: United

States, 1986 .......... ............ ....... ............... ....... .. ..

Number of patients discharged from short-stay hospitals, rate of discharges, and average lengths of stay, by

age and catego~ of first-listed diagnosis United States,

1986 . ....... .. ................... .............. ..... .. ..............

Number of patients discharged from short-stay hospi21

22

23

25

28

28

29

29

30

tals, rate of discharges, and average lengths of stay, by

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

States, 1986 .................. .... .............. ................... 32

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

Number of patients discharged from short-stay hospitals, rate of discharges, and average lengths of stay, by

geographic region and catego~ of first-listed diagnosis:

United States, 1986 ..... ..................... ............... ....

Number of patients discharged from short-stay hospitals, by bed size of hospital and category of first-listed

diagnosis United States, 1986 .................. ....... .......

Average length of stay for patients discharged from

short-stay hospitals, by bed size of hospital and catego~

of fimt-listed diagnosi~ United States, 1986 ..............

Number of all-listed diagnoses for patients discharged

from short-stay hospitals, by age, sex, race, geographic

region, and bed size of hospital, by diagnostic category

United States, 1986 ..... ....... .................................

Number of all-listed procedures for patients discharg{sd

from short-stay hospitals, by age and procedure category United States, 1986 . .................................... ....

Rate of all-listed procedures for patients discharged

from short-stay hospitals, by age and procedure category United States, 1986 . ..... ...................................

Number of all-listed procedures for patients discharged

from short-stay hospitals, by sex and procedure category: United States, 1986 ...... ..... ....... .............. .........

Rate of all-listed procedures for patients discharged

from short-stay hospitals, by sex and procedure catego-

~ United States, 1986 .... .... .................................

Number of all-listed procedures for patients discharged

from short-stay hospitals, by race and procedure category United States, 1986 ............ ............ ..............

Number of all-listed procedures for patients discharged

from short-stay hospitals, by geographic region and

procedure catego~: United States, 1986 .......... .. .......

Rate of all-listed procedures for patients discharged

from short-stay hospitals, by geographic region and

procedure category: United States, 1986 ...................

Number of all-listed procedures for patients discharged

from short-stay hospitals, by bed size of hospital and

procedure category: United States, 1986 ...................

34

36

37

38

40

41

42

43

44

45

46

47

20
AND RATE OF PATIENTS DISCHARGED FRuH SHORT-STAY rlOSPITALS ANO OF CAYS OF CARE, UITH AVERAGE

STATES, 1986

TABLE 1. NIJM8ER, PERCENT DISTRIBUTION*

LENGTHS dF STAY, bY SEX ANo AGE: uNITED

[DISCHARGES FRO14 NON-FEDERAL HOSPITALS. tXCLUOES NEwBORN INFANTS 1

0 lSCHARGEO PATIENTS OAYS OF CARE

NUMBER RATE PER NUPIB&R

IN

RATE PER

PERCENT

AVERAGE

1,000 IN PERCEtiT 1,000

SEX ANO AbE THOUSANOS

LENGTH OF

DISTRIBUTION POPULATION THOUSANOS O1STR1EIUTION POPULATION STAY IN OAYS

f30TH SEXES

143.1

53.5

196.1

58.6

35.7

118.9

90.6

132.2

133.2

108.4

162.2

138.0

18_l.O

367.3

296.8

44.?.9

559.7

55.2

142.1

419.7

120.5

60.3

228.5

66.7

39.0

73.4

56.2

61.6

72.8

91.3

166.1

136.2

197.6

395.6

323.6

495.9

660.0

59.0

111.7

463.4

164.4

46.5

162.1

50.0

32.2

163.2

125.9

199.7

19.?.1

124.8

158.7

139.7

177.6

348.1

275.4

411.3

520.1

51.2

170.8

392.7

218,496

12.718

4,193

3,L34

5,391

65, L74

7,561

10,750

26,532

20,332

49,563

19,925

29,638

91,041

40,’752

35,691

14,397

15,339

131,392

71,764

94,5s3

7,274

2,303

1,802

3,170

25,180

3,046

3*454

9,660

9,020

23,752

9,340

14,+12

38,386

19,546

14,251

4,589

8,432

57,072

29,089

123.903

5*444

1,890

1,332

2,222

39*994

4,515

7,296

16,8T3

11,312

25e811

lo,5a5

15,225

52,655

21,4C6

21,441

9,80a

6,907

74,320

+2,676

100.0

5.a

1.9

1.4

2.5

29a

3.5

4.9

12.1

9.3

22.7

9.1

13.6

41.7

la.7

16.3

6.6

7.0

60.1

32a

100.0

7.7

2.4

1.9

3.4

26.6

3.2

3.7

10.2

9.5

25.1

9.9

15.2

40.6

20.7

15.1

+.9

8.9

60.3

30.8

100.0

4.4

1.5

1.1

1.8

32.3

3.6

5.9

13.6

9.1

20.8

8.5

12.3

42.5

17.3

lT.3

7.9

5.6

60.0

34.4

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256 6.4

2,783

731

844

l,zoa

13,45a

1,6T2

2,61a

5,613

3*554

7,300

3,143

4,157

10,716

5,141

4,009

1,565

100.0 912.8

244.7

1,124.7

217.6

L59.2

575. T

409.7

542.6

629.5

620.0

1.101. +

a74.9

1,333.4

3,120.7

2,363a

3,943.3

5*149.3

257.+

a19.9

3,67a.2

a16.9

273.3

1,207.1

244.6

182.a

450.7

326.1

356a

463.8

563.0

1,105.2

a46.1

1.37a.8

3,246a

2*556. a

4,20a.7

5,794.6

276.4

T33.2

3,906.6

l,ooz.a

21+.6

1,039.0

189.3

134.5

697.7

495.3

720.8

791.4

674.5

l,097.a

901.9

1,293.1

3*034.b

2,211.1

3,7a4.7

*,a94.2

237.5

8.1

2.1

2.5

3.5

4.6

5.7

3.7

4.5

uNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . . .

UNOER 1 YE AR . . . . . . . . . . . . . . . . . . . . . .

1-4 YE ADS . . . . . . . . . . . . . . . . . . . . . . . . .

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

39.3

4.9

7.6

16.4

10.4

4.8

4.5

4.1

+.7

5.7

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

A5-L9 YEARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

6.a

6.3

7.1

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

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

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

21.3

9.2

12.1

8.5

8.0

8.9

9.2

.55 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .

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

75-84 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

31.3

15.0

11.7

4.6

4.7

5.a

a.a

~OER 17 YEARS . . . . . . . . . . . . . . . . . . . . . .

17-69 YE AR S. . . . . . . . . . . . . . . . . . . . . . . . .

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

3,291

22,776

8,189

9.6

66.5

23.9

MALE

13,949 100.0

11.5

6.a

4.5

5.3

3.7

4.7

6.1

5.8

5.a

6.4

6.2

6.7

6.2

7.0

a.z

7.9

a.5

a.a

4.7

6.6

a.4

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

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

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

1-4 YAW. . . . . . . . . . . . . . . . . . . . . . . . .

5-14 YEAR S. . . . . . . . . . . . . . . . . . . . . . . .

1,603

436

492

676

3.1

3.5

4.a

4*1OO

525

597

29.4

3.a

4.3

10.9

10.5

L5-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .

15-19 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

1,516

1,462

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

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

55-64 YEA RS . . . . . . . . . . . . . . . . . . . . . . .

3,569

1,503

2,066

25.6

lo. a

14.8

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

65-74 YEARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

4,677

2,475

1,679

523

33.5

17.7

12.0

3.7

uNOER 17 YEAR S . . . . . . . . . . . . . . . . . . . . . .

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

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

1,801

8,698

3,451

12.9

62.4

24.7

FEHALE

20,307 100.0

s.a

1.5

1.7

2.6

46.1

5.7

10.0

20.2

10.3

18.4

a.1

10.3

29.7

13.1

11.5

5.1

7.3

69.3

23.3

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1

4.6

6.4

3.&1

4.2

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

UNOER 1 YE AR. . . . . . . . . . . . . . . . . . . . . .

1-4 YE ARS. . . . . . . . . . . . . . . . . . . . . . . . .

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

1*179

295

352

532

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

15-19 YEA RS . . . . . . . . . . . . . . . . . . . . . . .

20-24 YE ARS . . . . . . . . . . . . . . . . . . . . . . .

25-34 YE ADS.- . . . . . . . . . . . . . . . . . . . . .

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

9,35a

1,147

2,022

4,097

2,092

3,731

1,6+0

2,091

6.039

2,666

2,330

1,042

1,490

14,0T9

4,73a

4.3

3.9

3.b

4.1

5.4

6.9

6.5

7.3

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

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

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

8.T

a.o

9.2

9.+

65 YeARS ANO OVER . . . . . . . . . . . . . . . . . . .

b5-74 YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

85 yEARs ANO AvER . . . . . . . . . . . . . . . . .

4.6

5.3

9.0

UNOER 17 YE AR S . . . . . . . . . . . . . . . . . . . . . .

17-69 YE AR S. . . . . . . . . . . . . . . . . . . . . . . . .

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

901.9

3,537.2

21
TABLk 2. NLMI.EER, PERCENT O1STR1BUTION, AND RATk OF PATIENTS DISC HARGEC FROM SHOMT-STAV HUSPITALS ANO GF DAYS OF CARE, wITH AVERAGE

LENGTHS OF STAY, 13Y SEX, RACt, ANO AGE: UN ITEO STATES, 1986

[DISCHARGES FRIJM NON-F EIMRAL HOSPITALS. EXCLUOES NEWBORN INFANTS 1

OISCHARGEO PATIENTS OAVS OF CARE

NUMBER RATE PER NUMBER

IN

RATE PER

PERCENT 1,000

AVERAGE

IN PERCENT 1,000

SEX, RACE, ANO AGE THOU SANOS

LENGTH 06

DISTRIBUTION POPULATION THOUSANOS OISTR18b TION POPULATION STAY IN OAYS

BOTH SEXES

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

Uii OER 15 YE ARS . . . . . . . . . . . . . . . . . . . .

15-W+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

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

WHITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

+5-64 YE Ads . . . . . . . . . . . . . . . . . . . . . . .

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

RACE NOT ST ATEO, ALL AGE S. . . . . . . . . . .

uNUER 15 YE ADS . . . . . . . . . . . . . . . . . . . .

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

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

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

MALE

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

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

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

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

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

wHITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .

uNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

15-44 YEAD S . . . . . . . . . . . . . . . . . . . . . . .

45-64 VEARS . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

L5-44 YE AD S . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEAD S . . . . . . . . . . . . . . . . . . . . . . .

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

FEMALE

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

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

15-44 VEALS . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEA AS . . . . . . . . . . . . . . . . . . . . . . .

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

!4HITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .

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

15-4+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .

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

65 VEARS ANO OVER . . . . . . . . . . . . . . . . .

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

uNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .

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

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

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

RACE NOT ST ATEO, ALL AGE S. . . . . . . . . . .

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

15-44 VEALS . . . . . . . . . . . . . . . . . . . . . . .

45-64 VEARS . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS ANL7 OVER . . . . . . . . . . . . . . . . .

34,256

2,783

13,458

7,300

10,716

25,363

1,925

9,128

5,571

8,740

5,116

5+9

2,642

988

937

3,776

309

1*688

741

1,039

13*949

1,603

4’,100

3,569

4,677

10,488

1*101

2,861

.?,732

3,79+

1,982

322

T73

+.57

420

1,479

180

466

370

463

20,307

1,179

9,358

3,731

6,039

14.875

824

6,267

2,839

4,946

3,13+

227

1,869

52o

517

2,297

128

1,222

372

575

100.0

8.1

39.3

21.3

31.3

74.0

5.6

26.6

16.3

25.5

14.9

1.6

7.7

2.9

2.7

11.0

0.9

.4.9

2.2

3.0

100.0

11.5

29.4

25.6

33.5

75.2

7.9

20.5

19.6

27.2

14.2

2.3

5.5

3.4

3.0

10.6

1.3

3.3

2.7

3.3

100.0

5.8

46.1

18.4

29.7

73.3

4.1

30.9

14.0

24.4

15.4

1.1

9.2

2.6

2.5

11.3

0.6

6.0

1.0

2.8

143.1

53.5

118.9

162.2

367.3

125.0

45.8

95.7

141.7

332.4

140.6

55.0

148.1

173.5

325.9

...

...

...

...

...

120.5

60.3

73.4

166.1

395.6

106.4

51.1

60.3

144.4

356.3

115.1

63.6

91.8

181.8

357.3

...

...

...

...

...

164.4

46.5

L63.2

158.7

3+8.1

142.5

40.3

130.8

139.2

316.1

163.4

46.1

i9a.3

166.6

304.2

...

...

...

...

...

218,496

12,718

65,174

49,563

9L,04L

163,628

8,549

44,029

37,096

73,953

33,638

2,702

13,813

7,975

9,148

21,231

1,467

7,332

4,492

7,940

94,593

7,274

25,180

23,752

38,386

70,663

4,81L

17,116

17,730

31,005

L4.760

1.636

5,428

3,752

3,944

9,170

826

2,636

2,270

3,437

123,903

5,444

39,994

25,811

52,655

92,965

3,73a

26,913

19,366

42,947

L8,877

L,065

8,385

4,223

5,2o+

12,061

640

4,696

2.221

4.503

100.0

5.8

29.8

22.7

4L.7

74.9

3.9

20.2

17.0

33.8

15.4

1.2

6.3

3.6

4.2

9.7

0.7

3.4

2.1

3.6

100.0

7.7

26.6

25.1

40.6

74.7

5.1

18.1

18.7

32.8

15.6

1.7

5.7

4.0

4.2

9.7

0.9

2.8

2.4

3.6

100.0

4.4

32.3

20.8

42.5

75.0

3.0

21.7

15.6

34.7

15.2

0.9

6.8

3.4

4.2

9.7

0.5

3.8

1.8

3.6

912.8

244.7

575.7

1,101.4

3,120.7

806.2

203.6

461.7

943.8

2,812.2

924.1

27o.4

774.3

1,400.6

3,182.0

. . .

. ..

. ..

. ..

. . .

816.9

273.3

450.7

1,105.2

3,246.8

716.8

223.3

360.6

937.1

2.911.9

857.1

323.1

645.3

1,459.2

3*359.5

.. .

.. .

. . .

.. .

.. .

1,002.8

214.6

697.7

1,097.8

3,034.8

890.6

182.8

561.9

949.9

2,744.4

9&4.4

216.2

a89.5

1,352.3

3,059.6

. . .

. . .

. ..

. . .

. . .

6.4

4.6

4.8

6.8

,8.5

6.5

4.4

4.8

6.7

8.5

6.6

4.9

5.2

8.1

9.8

5.6

4.8

4.3

6.1

7.6

6.8

4.5

6.1

6.7

8.2

6.7

4.4

6.0

6.5

8.2

7.4

5.1

7.0

8.0

9.4

6.2

4.6

5.7

6.1

7.4

6.1

4.6

4.3

6.9

8.7

6.2

4.5

4.3

6.8

8.7

6.0

4.7

4.5

8.1

10.1

5.3

5.0

3.8

6.0

7.8

22
TABLE 3. NUMBER L7F PATIENTS DISCHARGED FRIIM SHORT-STAY HOSPITALS* DAYS OF CARE* ANO AVERAGE LENGTHS OF STAY. W PRINCIPAL EXPkCTEO

SOURCE OF PAYMENT. GEOGRAPHIC REGION. ANO AGE: UNITED STATE. % 1%36

[OISCHAUL.ES FROM NON-FEOERAL HOSPITALS. EXCLUOES NE HEIORN INFANTS 1

ALL PRINCIPAL HORKHEN-S OTHER OTHER

ExPECTEO SOURCES PRIVATE COHPENREGION ANO AGE

GOVERNMENT PAYt4Et4TS AND

OF PAYMENT INSURANCE HEDICARE MEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE

UNITED STATES

ALL AGE . . . . . . . . . . . . . . . . . . . . . .

uNOER 15 YE ADS . . . . . . . . . . . . . .

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

45-64 WARS . . . . . . . . . . . . . . . . .

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

NORTHEAST

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

uNOER 15 YE ADS . . . . . . . . . . . . . .

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

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

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

HIOHEST

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

uNOER 15 YE ADS . . . . . . . . . . . . . .

15-+4 YE ADS . . . . . . . . . . . . . . . . .

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

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

SOUTH

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

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

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

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

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

14EST

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

uNOER 15 YE ADS . . . . . . . . . . . . . .

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

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

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

uNITEo STATES

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

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

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

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

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

NORTHEAST

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

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

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

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

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

MIoHEST

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

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

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

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

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

SOUTH

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

uNOER 15 YE ADS . . . . . . . . . . . . . .

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

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

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

HEST

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

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

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

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

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

NUMBER OF PAT IEhTS OISCHARGEO IN THOUSANOS

635

395

170

T76

113

821

84

515

198

24

129

11

76

36

*

162

18

100

37

*6

188

19

122

42

*

342

36

2L4

83

10

+,517

397

2,501

1,398

220

T44

4:;

252

*

870

T5

465

27+

056

1,230

118

715

357

*

1,672

lbo

912

515

85

34,256

2,783

13,458

7,300

10,116

6,955

458

2,657

1,500

2,341

8,931

720

3*434

1,967

2,810

11.892

1, L76

4,681

2,520

3,514

6,478

429

2,685

1*313

2,051

21a.496

12,718

65,174

49,563

91,041

51.339

1,893

14,124

11,280

24,042

59,282

3,837

17,848

13,629

23,968

T2,448

5,023

22,056

L6,982

28,387

35,426

1,964

11,147

7,672

14,643

14,910

1,572

8,170

4,864

305

3,013

266

L,636

1,045

65

4,101

432

2,194

1,405

70

5,232

640

2,872

1,619

101

2,564

234

1,468

794

69

77,619

6,492

3T,524

31,176

2,427

16,724

952

7,792

7,374

607

22,9+4

2,112

11,054

9,218

559

26,391

2,44T

12,883

10,204

857

L1,560

981

5,795

4,380

404

11,483 3,304

3s 684

375 1,991

943 530

10,127 99

2,325

292

1,571

404

58

38B

33

273

65

17

478

51

327

90

10

9E12

169

616

176

20

477

39

354

73

10

11,857

1.509

7,058

2,760

530

2,293

136

1,465

486

205

2,735

329

1,586

719

100

+,888

859

2,.575

1,191

163

1,941

184

1,332

363

62

441

191

70 34

2,462 791 93 80

*6 138 *5

62 497 60 50

170 133 30 21

2,224 24 * *

3,014 839 187 149

13 179 26

125 518 86 85

227 124 49 35

2,649 18 53 *

3,86.? 1*140 232 257

12 288 47

1.?5 642 168 135

381 176 57 68

3,344 32 *6 *7

2,145

*7

63

3.65

1,910

534

78

335

97

25

123

81

35

*7

293

35

170

67

21

NUkWER OF OAYS CIF CARE IN THOUSANOS

19,101

3,432

10,560

4,309

800

3,766

2.017

1.044

705

4.090

584

2,126

1,122

258

97,547

30+

3,389

7,753

86,101

25,194

*55

656

1,605

22,817

5*298

69L

3*1 O.?

1,237

268

553

333

196

*

532

*14

367

129

*

25,604

100

1,054

1,946

22,504

4,908

1,037

2,774

941

155

1,262

380

318

56+

960

184

535

212

*

31,206

87

1,061

3,062

26,996

6,080 l,33d

946

328

*64

1,314

208

596

466

*44

1,304

3,1M0

1,373

223

613

359

201

353

1,283

178

628

315

162

15*543

*62

618

1,140

13,724

2,814

400

1,503

75a

154

23
TAEILE 3. NUMBkR OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVEkAGE LENGTHS OF STAY, BY PRItMCIPAL EXPECTED

SOURCE OF PAYMENT, GEOGRAPHIC REGION, ANO AGE: UN ITEO STATES, 1986--CON.

[DISCHARGES FROfi NON-FEOERAL HOSPITALS. EXCLUOES NEwBORN INFANTS]

ALL PRINCIPAL MORKMEN-S OTHER

ExPECTEO SOURCES

OTHER

PRIVATE COMPENREGiON ANO AGE

GOVERNMENT PAYNENTS ANO

OF PA Y14ENT INSURANCE MEOICARE UEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE

UNITEO STATES AVERAGE LENGTH OF STAY IN GAYS

ALL AGE S . . . . . . . . . . . . . . . . . . . . . . 6.4 5.2 8.5 5.8

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

5.9

+.6

5.3 5.1 5.5

4.1 7.9 5.0

15-44 YEARS . . . . . . . . . . . . . . . . . 4.8

5.2 5.2

+.6

4.7

9.0 5.3

45-64 YE AD S . . . . . . . . . . . . . . . . . 6.8

5.1 4.a

6.4 8.2

4.5 +.9

8.1

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

6.L

8.5

5.9

8.0

6.8

8.5

7.1

8.1 10.0 T.6 9.2 9.2

NORTHEAST

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

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

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

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

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

MIO14EST

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

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

15-44 YE ARs . . . . . . . . . . . . . . . . .

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

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

SOUTH

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

UNO&t 15 YE ADS . . . . . . . . . . . . . .

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

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

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

WEST

7.4

4.1

5.3

7.5

10.3

6.6

5.3

5.2

6.9

8.5

6.1

+.3

4.7

6.7

8.1

5.6

3.6

4.8

7.1

9.3

5.6

4.9

5.0

6.6

8.0

5.0

3.8

4.5

6.3

8.5

10.2

*9.4

10.6

9.4

10.3

8.5

7.9

8.4

8.6

8.5

8.1

7.0

8.5

8.0

8.1

6.7

5.0

6.2

9.3

11.3

5.8

5.8

5.4

7.6

8.7

5.3

4.5

5.0

7.8

6.9

5.9

5.6

6.6

*

6.7

4.4

6.5

10.7

5.8

5.6

5.7

*9.)3

6.7

*3.1

7.3

6.2

*

6.4

7.0

6.3

6.1

*

5.1

4.4

4.4

6.8

*6.7

5.9

4.2

5.4

1.5

12.1

5.7

6.4

4.9

8.0

9.6

5.0

5.1

4.3

6.8

8.2

5,.8

4.1

5.2

68.9

*

5.4

4.1

4.6

7.4

*8.9

6.6

6.2

5.9

8.5

*

ALL AGES . . . . . . . . . . . . . . . . . . . . . . 5.5 4.5 7.2

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

5.3

4.6

5.0 4.4

4.2 *8.3

4.1 4.9

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

5.1

4.2

5.1

3.9 9.8

4.7 4.5

4.5

45-64 YE ADS . . . . . . . . . . . . . . . . . 5.s

4.4 3.7

5.5

3.a

6.9

4.3

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

7.8

7.1

5.8

5.9

4.7

T.2

5.0 6.2

6.2 *7.2 7.8 6.0 8.8

24
TA13Lc 4. NUiiEER UF PATIENTS DISCti-ARGEO mu SHURT-STAY HOSPITALS, oAYs IJF CAREV Am AvERAGE LENGTHs GF STAY, ay sEx* AGk,

GEIJGKAPHIC REGION, ANLI BEO SIZE OF HOSPITAL: uNITEO STATES, 1986

[DISCHARGES fRilH NON-FEDERAL HOSPITALS. EXCLUOkS NEu80RN INFANTS]

AGE, REGION, ANO BEO SIZt BOTH SEXES MALk FEMALE 80TH SEXES HAL E FEMALE MOTH SEX6S UALt Fk14ALE

NIJfli3ER LIF PATIENTS OISCHARGEO

ALL AGES IN THOUSANOS

UNITEO STATES, ALL SIZE S . . . . . . . . . . . .

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

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .

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

3(30-499 BE Do . . . . . . . . . . . . . . . . . . . . . .

500 dEOS OR MORE. . . . . . . . . . . . . . . . . .

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

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

100-199 BE Do . . . . . . . . . . . . . . . . . . . . . .

200-299 EIEUS . . . . . . . . . . . . . . . . . . . ..-

300-499 L3EOS. . . . . . .. . . . . . . . . . . . . . . .

500 BEOS OR fore . . . . . . . . . . . . . . . . . .

1410wEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

b-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .

200-299 EIEOS . . . . . . . . . . . . . . . . . . . . . .

300-+99 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .

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

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

500 !3EOS OR MORE . . . . . . . . . . . . . . . . . .

HEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE Ds . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 aEDS OR tore . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS

uNITEO STATES, ALL SIZE S . . . . . . . . . . . .

6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .

b-99 BED S. . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

500 dEOS OR MORE . . . . . . . . . . . . . . . . . .

MIDwEST, ALL SIZES. . . . . . . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . ..-. . . . . . . . . . . .

100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .

200-.?99 !3EOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS GR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

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

100-199 BED S . . . . . . . . . . . . . . . . . . . . . .

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

300-499 BED S. . . . . . . . . . . . . . . . . . . . . .

500 BEoS OR MORE . . . . . . . . . . . . . . . . . .

II EST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

6-99 &EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 8Eo S . . . . . . . . . . . . . . . . . . . . . .

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

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

500 i3EOSOR MORE..................

34*256

5,614

6,243

6,215

8,803

7,381

6,955

788

761

1,637

2,1+6

1,623

8,931

1,164

1,234

1,415

2,577

2,541

11,892

2 ,.2B9

3,248

1,641

2,104

2,611

b,478

1,372

1,000

1,523

1,977

607

2,TB3

475

678

440

59T

593

458

49

46

86

162

115

720

86

115

156

169

L94

1,176

256

465

91

130

235

429

85

52

107

136

49

13,949

2,260

2,444

2,670

3,512

3,063

2,925

373

300

713

846

693

3,712

453

487

611

1*1OO

L,062

4,758

920

1,211

740

826

1,062

2,555

515

447

607

740

246

1,603

264

388

262

339

350

270

27

24

51

97

70

410

48

62

96

93

112

681

142

273

50

79

138

242

48

28

65

70

30

20,307

3,354

3,799

3*544

5,29L

4,318

4,031

416

461

924

1,299

931

5*.219

712

747

803

L,478

1,479

7*1341

1,370

2,037

901

1,277

1,5+8

3,923

857

553

916

1,.?37

360

1,179

211

290

178

258

.?43

18B

22

22

35

65

45

310

39

53

60

76

82

495

114

192

41

51

96

187

36

23

42

66

19

NIJHBER OF OAYS OF CARE

IN THOUSANOS

218,496

29,604

35,673

40,257

59,039

53,924

51*339

5,509

5,201

11,900

15,918

12,809

59,282

5,974

7,518

9,230

17,624

18,935

72,448

12,217

17,179

10,526

14,447

18,078

35,426

5,903

5,773

8,600

11,049

4,101

12,718

1,683

2.728

2,058

2,764

3,485

1,893

159

143

330

641

621

3,837

292

457

88.?

894

1,312

5,023

952

1,938

336

559

1,237

1,964

280

190

510

670

315

94,5s3

L2,280

14.450

18,LS3

25,110

24,560

22,598

2,606

2, COB

5,292

6,647

6,045

26.146

2,335

3,070

4,262

7,967

8,511

30*5C4

5,022

6,503

4.753

6,036

8,150

15,345

2,318

2,869

3,845

4,459

1,854

7,274

881

1,536

1,282

1,528

2,049

1,087

aa

68

196

337

398

2,214

141

271

593

489

721

2,864

502

1,080

187

354

742

1,168

150

116

306

348

188

123,903

17,324

21,223

22,065

33,929

29,363

28,741

2,904

3* 194

6.608

9,27L

6,765

33,137

3,639

4,448

4,968

9,657

10,424

41,944

7,195

10,676

5,733

8,412

9,928

20,081

3,586

2,905

4*755

6, 5B9

2,246

5,444

803

1,192

776

1,236

1,437

806

71

74

134

304

223

l,b23

151

186

289

405

592

2,L58

450

858

150

205

*95

856

L30

74

204

322

127

AVERAGE LENGTH OF STAY

IN OAYS

6.4

5.3

5.7

6.5

6.7

7.3

7.4

7.0

6.8

7.3

7.4

7.9

6.6

5.1

6.1

6.5

6.8

7.5

6.1

5.3

5.3

6.4

6.9

6.9

5.5

4.3

5..9

5.6

5.6

6.8

4.6

3.5

4.0

4.7

4.6

5.9

4.1

3.3

3.1

3.8

4.0

5.4

5.3

3.4

4.0

5.7

5.3

6.6

4.3

3.T

4.2

3.7

+ 3

5.3

4.6

3.3

3.7

4.7

+.9

6.5

6.8

5.4

5.9

6.8

7.2

8.0

7.7

7.0

6.7

7.4

7.9

8.T

7.0

5.2

6.3

7.0

7.2

8.0

6.4

5.5

5.4

6.5

7.3

7.7

6.0

4.5

6.4

6.3

6.0

7.5

4.5

3.3

4.0

4.9

4.5

5.9

4.0

3.3

2.8

3.8

3.5

5.7

5.4

3.0

4.4

6.2

5.3

6.5

4.2

3.5

4.0

3.7

4.5

5.4

4.6

3.1

4.1

4.7

4.9

6.3

6.1

5.2

5.6

6.2

6.4

6.8

7.1

7.0

6.9

T.2

7.1

7.3

6.3

5.1

6.0

6.2

6.5

7.0

5.9

5.3

5.2

6.4

6.6

6.4

5.1

4.2

5.3

5.2

5.3

6.2

4.6

3.8

4.1

4.4

4.8

5.9

4.3

3.2

3.4

3.9

4.7

4.9

5.2

3.9

3.5

4.8

5.3

7.2

4.4

3.9

4.5

3.7

4.0

5.1

4.6

3.6

3.1

4.8

4.9

6.8

25
TA8LE 4. NUMBER OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, OAYS OF CAk E, ANO AVERAGE LENGTHS OF STAY, BY %X, AGE,

GEOGRAPHIC REGION, ANO L!EU SIZE OF HOSPITAL: UN ITEO STATES, 1986--CON.

[O IS Charges FRIJM NON-FEDERAL HOSPITALS. EXCLUUES NE HBOKN INFANTS 1

AGE, REG1ON, AN: 8k0 SIZE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEMALk BOTH SEXES MALE FEMALE

ruJMLiER OF PATIENTS OISCHARGEO

15-+4 YEARS IN THOU SANOS

UN ITEO STATES, ALL SIZE S. . . . . . . . . . . .

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

100-199 BED S . . . . . . . . . . . . . . . . . . . . . .

LOO-299 8EOS . . . . . . . . . . . . . . . . . . . . . .

300-499 13EOS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

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

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 13 EOS . . . . . . . . . . . . . . . . . . . . .

200-299 EIEOS . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

MI OIIEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .

1OO-A99 BEDS . . . . . . . . . . . . . . . . . . . . . .

ZOO-299 E!EOS . . . . . . . . . . . . . . . . . . . . . .

300-499 tJEos . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .

6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 demos . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR tore . . . . . . . . . . . . . . . . . .

uEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

6-99 EIEOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 BEDO . . . . . . . . . . . . . . . . . . . . . .

500 OEOS OR MORE . . . . . . . . . . . . . . . . . .

45-6+ YEARS

UN ITEO STATES, ALL SIZE S. . . . . . . . . . . .

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

1OO-L99 EIEOS . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

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

500 BEoS OR MORE . . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .

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

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

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

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

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

MI OHEST, ALL SIZE S . . . . . . . . . . . . . . . . . .

6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .

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

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

500 EIEOS OR MORE . . . . . . . . . . . . . . . . . .

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

6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 Boos . . . . . . . . . . . . . . . . . . . . . .

200-299 BED S. . . . . . . . . . . . . . . . . . . . . .

300-499 13Eos . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE. . . . . . . . . . . . . . . . . .

hEs T, ALL SIZE S. . . . . . . . . . . . . . . . . . . . .

6-99 demos . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BED S. . . . . . . . . . . . . . . . . . . . . .

200-299 BED S . . . . . . . . . . . . . . . . . . . . . .

300-499 BE DO . . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR MORE . . . . . . . . . . . . . . . . . .

13,458

2,085

2,458

2,2o7

3,515

3,193

2,657

313

253

582

8L9

689

3,434

391

480

540

994

1,028

4,681

7T8

1,379

522

834

1*168

2,685

6D3

346

563

867

307

1,300

1,106

1,215

1,324

1,953

1,703

1,500

164

152

359

+63

360

1,967

225

236

267

605

634

2,52o

441

599

428

457

595

1,313

276

227

26?

428

113

4*1OO

’554

689

761

1,019

976

877

143

84

208

210

233

,086

108

148

190

346

294

●379

243

343

215

233

345

758

160

115

149

230

104

3,569

518

550

658

967

877

772

87

69

189

238

la9

988

96

107

139

309

336

1,194

2D2

2b3

214

2i6

299

616

133

110

116

203

53

9,35a

1,+31

1,769

1,446

2,496

2,216

1,780

170

169

374

610

456

2,348

283

332

350

668

734

3,302

535

1,036

308

601

823

1,928

443

231

4L3

637

203

3,731

58a

665

665

986

826

728

77

83

170

225

172

979

129

129

128

296

.?98

1,327

.238

337

215

241

296

697

144

117

153

224

bO

NUM8ER OF OAYS OF CARE

IN THUUSANOS

65,17+

8,672

10,505

10,281

17,501

18,216

14,124

L,746

1,331

2,746

4,056

4,244

17,848

1,535

2,289

2,7i3

5,351

5,959

22,056

3,382

5,393

2,492

4,347

6*442

11,147

2,009

1*491

2,330

3,747

1*571

49,563

5,982

7,530

8,753

13*873

13,424

11,280

1,148

9d6

2,534

3,668

2,944

13,6,!9

1,165

1,472

1,709

4,311

4,973

16,982

2,47B

3,749

2,d O0

3,329

4,626

7,672

1,191

1,323

1,710

2,56b

881

25,180

3,410

3,541

4,207

6,560

7,462

5,925

96.?

521

1,099

1,303

2,041

7,058

452

850

1,181

2,306

2,269

8,022

1,318

1,544

1,097

1,633

2,431

4,175

679

626

831

l,31a

722

23,752

2,700

3,21LI

4,398

6,652

6,785

5,662

561

432

1,324

1,860

1,485

6,685

499

634

904

2,163

2,485

7,755

1,094

1,472

1*357

1,436

2,396

3,651

545

680

813

1,153

419

39,994

5,262

6,964

6,074

to*94L

10*754

8,198

784

810

1,647

2,754

2,203

0,790

1,084

1,440

1,532

3,045

3,690

4 ● 034

2,064

3,849

1,395

2,714

4,012

6,972

1.330

865

1,499

2,429

849

25,811

3,283

4,312

4,355

7,222

6,639

5,618

587

554

1,209

1,008

1*459

6,945

665

B3E3

805

2,1+8

2,4138

9,227

1,384

2,276

1,443

1,893

2s230

4,021

646

643

897

1,373

462

AvERAGE LENGTH OF STA’f

IN OAVS

4.8

4.2

4.3

4.7

5.0

5.7

5.3

5.6

5.3

4.7

5.0

6.2

5.2

3.9

4.8

5.0

5.4

5.8

4.7

4.3

3.9

4.8

5.2

5.5

4.2

3.3

4.3

4.1

4.3

5.1

6.8

5.4

6.2

6.6

7.1

7.9

7.5

7.0

6.5

7.1

7.9

8.2

6.9

5.2

6.2

6.4

7.1

7.8

6.7

5.6

b.3

6.5

7.3

7.8

5.8

4.3

5.8

6.4

6.0

7.8

6.1

5.2

5.1

5.5

6.4

7.6

6.8

b.T

6.2

5.3

6.2

8.8

6.5

4.2

5.7

6.2

6.7

7.7

5.8

5.4

4.5

5.1

7.0

7.0

5.5

4.2

5.5

5.6

5.7

6.9

6.7

5.2

5.9

6.7

6.9

7.7

7.3

6.4

6.2

7.0

7.8

7.9

b.8

5.2

5.9

6.5

7.0

T.4

6.5

5.4

5.6

6.3

6.6

8.0

5.9

4.1

6.2

7.0

5.9

7.9

4.3

3.7

3.9

4.2

4.4

4.9

4.6

4.6

4.8

4.4

4.5

4.8

4.6

3.6’

4.3

4.4

4.7

5.0

4.2

3.9

3.7

4.5

4.5

4.9

3.6

3.0

3.7

3.6

3.8

4.2

6.9

5.6

6.5

6.5

7.3

8.0

7.7

7.6

6.7

7.1

8.0

8.5

7.1

5.2

6.5

6.3

T.3

8.3

7.0

5.8

6.8

6.7

7.9

7.5

5.8

4.5

5.5

5.9

6.1

7.8

26
TABLE 4. NUMBER Of PATIENTS DISCHMRLEO FRL7M SHORT-STAY HOSPITALS, OAYS OF CARk, ANO AVkRAGk LENGTHS IJF STAY, cIY SEX* AGE,

GEOMAPHIL REGION, ANO tIEO SIZE OF HOSPITAL: LJNITEO STATkS* 19a6--CoN.

[O13CHARGES FROH NUN-F E13ERAL HOSPITALS. EXCLU13ES NEwBORN INFANTS 1

AGE, REGION, AND i3kD SIZE BOTH SEXES MALE FEHALE SGTH SEXES MALE FEMALt BCTH SEXES MALE FkMALt

65 YEARS AND OVER

uNITED STATES, ALL SIZE S. . . . . . . . . . . .

b-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 EtOS . . . . . . . . . . . . . . . . . . . . . .

200-299 tiers . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S . . . . . . . . . . . . . . . . . . . . . .

500 13EOS OR HARE. . . . . . . . . . . . . . . . . .

NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .

6-99 060s. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .

200-299 dads . . . . . . . . . . . . . . . . . . . . . .

300-499 BED S . . . . . . . . . . . . . . . . . . . . . .

500 BEDS 13R MORE . . . . . . . . . . . . . . . . . .

HIOUEST, ALL SIZES ..................

6-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 ados . . . . . . . . . . . . . . . . . . . . . .

200-299 BE DO. . . . . . . . . . . . . . . . . . . . . .

300-’t99 beds ......................

500 dEOS OR 140RE . . . . . . . . . . . . . . . . . .

SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . .

6-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . .

100-199 3EOS . . . . . . . . . . . . . . . . . . . . . .

.?00-299 ii EOS . . . . . . . . . . . . . . . . . . . . . .

300-+99 BE DO. . . . . . . . . . . . . . . . . . . . . .

500 BEOS OR 140Rk . . . . . . . . . . . . . . . . . .

NEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .

b-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 IsEOS......................

LOO-299 8EOS ......................

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

501JtIEOS OR MORE . . . . . . . . . . . . . . . . . .

NuMBER OF PATIENTS DISCHARGED

IN THOUSANOS

LO, T16

1,947

1,892

2,245

2,73a

1,893

2,341

262

309

&lo

701

45a

z,alo

462

402

45Z

809

6a5

3*514

a15

aos

599

683

6L3

Z*051

408

375

584

546

L3a

4,677

823

a17

9a9

1.La7

a60

1,005

116

122

265

301

201

1,228

201

169

lab

352

320

1,505

333

332

26Z

29a

zao

939

174

194

276

236

59

6,039

1,124

1,075

1,256

1,551

1,033

1,335

146

laa

345

399

257

1,582

Z62

233

266

*5T

364

‘?*O1O

48Z

473

338

3a4

333

1*112

234

182

308

310

79

NUM8ER OF OAYS LIE CARE

IN THOUSANOS

91,041

13,267

14,911

19,165

24,900

la.798

24,0ztZ

2,456

Z,742

6,290

7,554

5,001

23.968

2,9I32

3,300

3,926

7*06a

6,692

2a,387

5,405

6,100

4,898

6,212

5,772

14,643

2,423

2,770

4,051

4,066

1*333

3a,3a6

5,290

6,156

8,306

10,371

8,264

9,924

995

9a7

2,673

3,14a

2,121

lo,la9

i,244

1,315

1,583

3,010

3,037

11,a63

z,loa

2,4C7

2,153

2,613

2,581

6,411

943

L,447

l,a96

1,600

526

52,655

7*977

a.754

lo,a60

14*530

10*534

14,11a

1,461

1,755

3,617

4,405

z.aao

13.779

1,738

l,9a4

2,342

4,059

3,655

16,525

3,297

3,692

2,745

3,600

3,191

a..233

1,481

1,323

2,155

2,466

&o&

AVERAGE LENGTH UF STAY

IN OAYS

a.5 a.2 a.7

6.a 6.4 7.1

7.9 7.5 8.1

a. 5

9.1

9.9

10.3

9.4

L!.9

10.3

lo-a

10.9

a.5

6.4

a.z

a.7

a.7

9.a

8.1

6.6

7.6

a.z

9.1

9.4

-I.1

5.9

7.4

6.9

7.4

9.7

a.+

a.7

9.6

9.9

a.6

&.1

10.1

10.4

10.6

a.3

6.2

7.8

8.5

L3.6

9.5

7.9

6.3

7.2

8.2

8.a

9.2

6.a

5.4

7.5

6.9

6.8

a.9

6.6

9.4

10. Z

10.6

10.0

9.4

10.5

11.0

11.2

6.7

6.6

a.5

a.a

8.9

10.0

8.2

6.a

7.a

8.1

9.4

9.6

7.4

6.3

7.3

7.0

a.o

10.3

27
TABLE 5. RATE OF PATIENTS DISCHARGED FROM SHORT–STAY HOSPITALS AND OF oAYS OF CARE, Bi’ SEX, AGE, AND GEOGRAPHIC REG1ON:

UNITED STATES, 1986

[DISCHARGES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEtiBORN INFANTSJ

AGE ANO REG1ON BOTH SEXES HALE FENALE BOTH SEXES HAL E FEMALE

RATE OF PATIENTS OISCHARGEO

PER I.00LI POPULATION

RATE OF DAYS ❑F cARE

PER 1.000 Population

912.8 L116.9 1,002.8

1,028.7 948.1 1,102.4

1,002.0 910.3 lvoaa.s

882.5 771.6 985.6

135.1 647.2 820.2

ALL AGES

UNITED STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MI OIAEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

wEsT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNOER 15 YEARS

UNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

141DHEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .

MAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEARS

UNITEO STATES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MIDWELT...................................

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HEAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45-64 YEARS

Ufi ITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MIoIIEsT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SOUTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65 YEARS A140 OVER

UNITED STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MI OUEST . . . . . . . . . . . . ..s . . . . . . . . . . . . . . . . . . . .

S(3UTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

143.1 120.5 164.4

139.4 122.7 154.6

150.9 129.2 171.4

14+.9 120.4 Lb_I.6

134.4 107.7 160.3

53.5 60.3 46.5

+6.9 54.0 39.5

55.7 61.9 +9.2

64.3 72.8 55.4

38.9 43.0 34.7

244.7 .?73.3 214.6

194.1 217.7 169.3

297.0 334.4 257.7

276.6 306.1 241.6

178.4 196.7 159.3

118.9 73.4 163.2

114.0 76.9 149.7

123.5 78.6 .167-9

121.3 72.9 167.7

114.3 64.5 164.a

575.7 450.7 697.7

606.2 519.6 689.4

642.1 511.0 771.5

571.3 424.1 712.7

474.4 355.6 593.0

162.2 166.1 158.7

147.6 160.8 135.8

178.0 185.7 171.0

164.8 165.0 164.6

154.5 148.8 159.8

1,101.4 1,105.2 1v09T.8

1,110.5 1,179.3 1, 04s.9

1.233.3 1.256.5 1!,212.2

1*11O.2 1.072.2 1,144.4

90.3.9 882.3 922.2

367.3 395.6 348.1

349.5 381.4 328.7

380. o 414.2 357.1

355.2 373.6 342.4

395.5 427.7 371.9

3,120.7 3,246.8 3,034.8

3.589.5 3,764.9 3,475. T

3.241.5 3,436.4 3$,111.1

2,868.9 2,94$.8 2*915.6

2,824.1 2,920.5 2,T53.4

TABLE 6. NUIWER EIF PATIENTS OISCHARGEO FR(IH SHORT-STAY HOSP lTALS, OAYS OF C4RE. ANO AVERAGE LENGTHS OF STAY, 8V SEX. TYPE OF

OUNERSHIP OF HOSPITAL, AhD AGE OF PATIENT: UNITED STATES, 1986

co IscnAaGEs man NON-FE• ERAL MOSp ITALS. EXCLLN)ES NEH8CIRN INFANTS J

TYPE OF OifNERSHIP ANLI AGE ELITH SEXES HALE FEMALE 813TH SEXES MALE FEMALE dOTH SEXES HALE FEMALE

NUMBER OF PATIENTS OXSCHARGEO

ALL TYPES IN THOUSANOS

MSMBER OF OAVS OF CARI? AVERAGE LENGTH OF S7AV

IN THOUSANOS IN OAVS

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

UNOER 15 VEALS . . . . . . . . . . . . . . . . . . . .

13-44 VEAL S . . . . . . . . . . . . . . . . . . . . . . .

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

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

VOLUNTARY NONPROFIT

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

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

15-44 VEAL S . . . . . . . . . . . . . . . . . . . . . . .

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

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

GOVERNMENT

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

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

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

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

65 YEARS ANO LIVER . . . . . . . . . . . . . . . . .

PROPRIETARY

ALL AGEs . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

34,256

2.783

13,458

7.300

10,716

13,949

1,603

4.100

3,569

4*677

20,307

1.179

9,358

3,731

6,039

13,928

811

6,298

2,566

4,253

4,229

275

2,153

735

1,066

2,150

93

907

430

720

218,496

12.71e

65,174

49.563

91,041

94,593

7,27+

25.180

23,752

38,386

66,847

5,065

16,216

17,120

28,446

18,528

1,809

6,223

4,298

6, 1s1

9,21E

400

2,741

2,334

3,743

123,903

5,444

39,99*

25,811

52.655

6.+

4.6

4.8

6.8

a.5

6.8

4.5

6.1

6.7

8.2

6.1

4.6

4.3

6.9

8.7

23,506

1*939

8,918

5,094

T,555

9*578

1,1.?8

2,621

2,529

3.301

154,810

8,767

+3,384

35,165

67,494

87,963

3,102

27.167

18,045

39,048

6.6

4.5

4.9

6.9

8.9

T.o

4.5

6.2

6.8

8.6

b.3

4.6

4.3

7.0

9.2

7*131

647

3.139

1,392

1*953

41,906

3,196

15,144

9,344

14,222

2,903

3T3

986

657

887

23,378

1,387

8,921

5.9

4.9

4.8

6.7

7.3

6.4

4.9

6.3

6.5

7.0

5.5

5.0

4.1

6.9

7.5

5,045

8.025

3,618

196

1,400

81+

1,208

1,460

la3

493

21.780

754

6,647

5,D55

9,325

12,562

354

3,906

2,721

5,502

6.0

3.B

4.7

6.2

7.7

6.3

3.9

5.6

6.1

7.7

5.s

3.8

4.3

6.3

7.8

384

488

28
TA8LE 7. NWBER, PERcENT DISTRIBUTIONS AND RATE OF wOMEN WITH DELIVERIES OISCHAMEO FROM SHORT-STAY HOSP ITAI-S ANO OF OAYS OF CARE,

tiITH AVERAGE LENGTHS OF STAY* BY AGE, RACE, GEOGRAPHIC REG1ON* AND BEO SIZE .OF HOSPITAL: UNITED STATES? 1986

[DISCHARGES FROM NON-FEOERAL H13SPITALS1

OISCHARGEO PATIENTS OAYS OF CARE

NUMBER RATE PER

IN PERCEtiT 1.000

THOUSANOS DISTRIBUTION POPULATION

NUHBER RATE PER AVERAGE

IN PERCENT l.oao LENGTH OF

AbE, RACE. REGION, AND BEO SIZE THOUSANDS DISTRIBUTION POPULATION STAY IN OAYS

XD-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

ACE

la-14 YEARs . . . . . . . . . . . . . . . . . . . . . . . . .

15-44 YEAAS . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

25-29 YEARS . . . . . . . . . . . . . . . . . . . . . . .

30-34 YEARS . . . . . . . . . . . . . . . . . . . . . . .

35-4+ YE ARS . . . . . . . . . . . . . . . . . . . . . . .

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

10-17 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

16-5+ YEARS . . . . . . . . . . . . . . . . . . . . . . . . .

RACE

!4HITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ALL OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . .

RACE NOT STATE . . . . . . . . . . . . . . . . . . . . .

REGION

NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . .

HIouEST . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3.762 100.0 +a.a 12,094 100.0 156.8 3.2

11

3,748

475

0.3 1.4

99.6 6S.4

12.6 52.1

2a.7 106.T

32.3 111.1

39 0.3

1.?,0+2 99.6

1.436 11.9

4.B

210.1

157.6

3.5

3.2

3.CJ

3.1

3.2

3.4

3.6

*

1,080

1s215

72a

251

*

3.296 27.3 325.6

3*913 3Z.+ 3s7.7

Z*499 20.7 240.7

898 7.4 53.6

* * *

19.4 70.1

6.7 15.0

* ●

186

3,576

4.9 13.7

95.1 56.3

581 4.8 4Z.8

11*513 95.Z 181.1

3.1

3.,Z

2,413

783

561

64.1 37.4

20.8 61.6

15.1 ..-

7*B54 64.9 121.9

Z,611 21.6 205.4

I,6Z9 13.5 -..

3.3

3.3

2.9

695

90s

L.252

906

18.5

24.1

33.3

24.1

43.4

4a .1

47.0

58.0

2,s74 ZI.3 16a.8

3,072 25.+ 162.9

4.066 33.6 152..5

2.382 19.7 152.Z

3.7

3.4

3.2

2.0

BEO SIZE

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

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

20cI-ZS195EOS........................

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

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

1,456 lZ.O . . .

1,902 15.7 . . .

1,63s 13.5 . . .

3,648 30.2 . . .

3,450 28.5 . . .

540

647

545

1,092

937

14.3 . . .

17.2 . . .

14.5 ..-

29.0 . . .

Z4.9 ---

2.7

2.9

3.0

3.3

3.7

TABLE d. NUMER OF kOMEN UITH OELXVERIES OISCHARGEO FROM SHORT-STAY HGSPITALS ANO NUHBER OF OAYS CF CARE ANO AVERAGE LENGTHS Oi=

STAY FOR NOMEN uITH DELIVERIES. BY BED sIZE OF HOSPITAL ANO GEOGRAPHIC i7EGION: UNITEO STATES. 19s6

[ DISCHARGES FROH NON_FEOERAL Hospitals

REGION ALL SIZES 6-99 BEDS la-199 BEOS ZO-299 BEDS 300-499 BEDS 500 BEDS OR t40RE

NUHBER OF PATIENTS OISCHARGEO IN THOUSANGS

UNITEO STAT ES . . . . . . . . . . . . 647 545

NORTHEAST . . . . . . . . . . . . . . . .

HIoUEST . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . .

lest . . . . . . . . . . . . . . . . . . . . .

3,762 540 1.092 937

695

908

1,252

908

59

95

184

205

59

1Z8

387

75

126

136

75

208

277

247

25+

315

174

305

35Z

107

NUNBER OF OAKS aF CARE IN THOUSAtiDS

UNITEO STAT ES . . . . . . . . . . . .

NORTH EAST . . . . . . . . . . . . . . . .

MODEST . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . .

HEAT. . . . . . . . . . . . . . . . . . . . .

12.094 1.456 1.902 1,638 3.648 3,450

Z,574

3, 07Z

4,066

.2,38Z

180

301

505

469

196 468

396 419

1*135 Z34

175 517

1,078

824

844

901

653

1.131

1,347

320

AvERAGE LENGTH DF STAV IN OAYS

UN ITEO STAT ES . . . . . . . . . . . . Z.9 3.0

NORTHEAST . . . . . . . . . . . . . . . .

H112biEST . . . . . . . . . . . . . . . . . .

SOUTH . . . . . . . . . . . . . . . . . . . .

BEST . . . . . . . . . . . . . . . . . . . . .

3.2 2.7 3.3 3.7

3.7

3.4

3.2

2.6

3.1

3.3

Z.7

2.3

3.3 3.7

3.1 3.1

2.9 3.1

2.4 2.5

3.9

3.3

3.3

2.9

3.7

3.7

3.8

3.0

29
TA8LE 9.

. .

NUMdER OF PATIENTS OISCHARGEO FRUM SHORT- SIAY HOSPITALS, RATt OF UISCHARGk S, ANO AVt RAGE LENGTHS lilF STAY, EIV AGE AND

CATEGORY OF FIRS T-L ISTEO OIAGNOSIS: UN ITEO STATES, 1985

[D ISCHARGti S FROM NON- FEOERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. DIAGNosTIC 6ROUPIN6S ANO CLIOE tiUMd ER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CL AS SIFICATIIJN OF OISt ASES, 9TH KEV1S1ON, CLINICAL MOOIFICATIUN (l CO-9-CH) 1

UNOER 15 15-44 65 YEARS -

CATkGORY OF FIRS T-L ISTEO OIAbNOSIS ANO ICO-9-CH COOE

45-64

ALL AGES YEARS YEARS YEARS ANO OVER

NUIIBER OF PATIENTS OISLHARGEO IN JhOUSAf40S

ALL COED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256

700

2,305

2,783

184

60

42

*

L7

80

20

.50

53

..6 ..

$

196

60

*

94

30

25

*

*

*

*8

*

*

772

169

166

194

158

308

*

12.

56

34

115

*

91

=s

*

*5

*

50

53

14

*

163

138

83

395

134

~

*

60

35

55

11

13,458

223

423

222

35

15

35

201

268

133

92

1,111

7,300

95

T 74

631

59

120

84

143

285

159

55

392

180

114

225

79

20

41

1,717

1,219

263

156

412

12s

104

178

585

00

*

148

99

977

80

54

28

94

65

150

613

L14

60

*

*

132

639

125

178

31

*

A09

561

173

23

55

29

36

110

*

10,716

198

1,049

964

146

155

96

85

484

L79

126

251

158

24

34a

1.?7

76

35

3,341

2,240

452

164

561

338

461

614

1,189

118

*

466

9.9

L,288

i46

54

13

98

90

170

751

51

194

. . .

. . .

L56

552

193

52

14

66

816

413

21.9

16

38

26

84

. . .

02 INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

03

04

05

06

NE OPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASKIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1+0-208.230-234

MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTU14 . . . . . . . . ...153-154. 197.5

t4AL1GNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O. 197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198.81

BENIGN NEOPLAS14S ANO NEOPLASMS OF UNCti RTAIN BEHAV1OR

ANO UNSPECIFIED NAT URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

1,860

210

29o

216

445

07

08

09 ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO IMMuNITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..240-279

OIAb ETES MEL LITu S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

1,117

10 491

11 OISEASES OF 7i=lE f3LOO0 ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-289 333

12

13

14

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCH OSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

1,807

766

397

422

258

270

134

*5

4a

468

247

42

16

67

41

13

34

657

80

86

134

122

,158

67

77

153

78

159

171

,210

164

*

883

341

177

838

142

273

59

*

196

A5

16

17

18

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NERVOUS SYSTEFI . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 S0-389

1,039

401

104

217

19

20

OISEAStS OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-S98.402 .4 O4.4iO-4l6.42O-429

ACUTE UYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER IS CHEtiIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9

CAROIAC OYSRHYTHMI AS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+30-438

5,563

3,731

758

338

21

22

23 1,043

515

582

24

25

26

27

2a

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

889

3,204

426

255

943

477

3,732

295

196

25o

304

429

494

OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46 O-5I9

ACUTE RESPIRATORY INFECTIONS, EXCEPT influenza . . . . . . . . . . . . . . . . . . . ..46 O-466

CHRONfC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FORMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4!30-4LT6

As THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O-579

ULCERS OF THE STOMACH ANO WALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITiS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND IC IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O

NONINFECTIOUS ENTERITIS ANO COL IBIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

CHOLEL17HIAS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITCIURINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROS TAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

2,665

331

256

CWIPLICATIONS OF PREGNANCY, CHILOBIRTH, AND THE PUERPERIUM 1/....... 630-676

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639

.

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

889

343

515

OISEASES OF THE NuSCULOSKELETAL SVSTEM ANO CONNECTIVE TISSUk . . . . . . . ..7lO-739

AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

2,081

475

504

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759 267

CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-7T9 139

SYMPTOMS, SIGNS, ANO ILL-OEFINEO CIJNOITIONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799 454

51

52

53

54

55

56

INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.829

FRACTURE UF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O

SPRA1N5 ANO STRAINS IJF BACK (lNcLuOiNG NEcK) . . . . . . . . . . . . . . . . . . . . . ..846-84T

INTRACRANIAL INJURIES (ExCLUOING THOS6 WITH SKULL FRACTIJRE) . . . . . . ..85 O-854

LACERATIONS ANO OPEN kOUNUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87 O.9O4

3,225

1*1OO

1,453

381

=6

118

140

187

252

192

267

284

5T

>8

SUPPLEMENTARY CLASSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82 3,973

FEMALES uITH DE LIVE RI BE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27 3,748

4,222

3,762

1/ FIR ST- LtSTEO OIAGNOSIS FUR bEMALES HITH OtLIVERIEs Is COOEO v27, SHOWN UNOER WSUPp LEUENTARy CL ASs IFlcA710Ns. *V

30
TA6LE 9. NU14BER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS? RATE OF DISCHARGES, ANO AVERAGE LENGTHS GF STAY, 8Y AGE ANO

CATEGORY OF FIRST-L ISTtd DIAGNOSIS: UN ITEO STATES, 1986--CON.

[DISCHARGES FROM NLN4-FEOERAL HUSPITALS. EXCLUDES NEHLIORN INFANTS. LIIAGNOSTIC GROUPINGS ANO COOk NUMBER INCLUSIONS ARE BASEO ON THE

INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CL Iti ICAL A40DIFICATION (ICO-9-CM) 1

UNOER 15 15+4 45-64 65 YEARS UNOER 15 15-44 45-64

ALL AGES YEARS YEARS

65 YEARS

YEARS ANO OVER ALL AGES YEARS YEARS YtARS AtiD OVER

RATE OF PATIENTS DISCHARGED PER 10.000 POPULATION AVERAGE LENGTH OF STAY IN OAYS

1,431.2

29.3

96.3

77.7

8.8

12.1

9.0

18.6

46.7

20.5

13.9

T5.5

32.0

lb.6

43.4

16.7

4.3

9.1

232.4

155.9

31.7

14.1

43.6

21.5

24.3

37.1

133.8

17.8

10.6

39.4

19.9

155.9

12.3

8.2

10.5

12.7

L7.9

20.6

111.3

13.8

10.7

37.1

14.3

21.5

8?.0

19.8

21.0

11.1

5.8

19.0

134.7

46.0

10.5

8.0

11.1

11.9

176.4

157..2

535.3

35.4

11.5

8.2

.v

3.3

15.5

3.8

11.5

10.2

*1.1

*

37.6

11.6

*

18.0

7.3

4.&

*

*

*

*1.5

*

*

148.6

32.4

3L.9

37.4

30.3

59.3

*

2.2

10.8

6.5

22.1

*

LT.4

*

*

*0.9

*

9.6

10.2

2.7

*

51.4

26.5

16.0

76.0

z5. T

*

*

11.6

6.7

10.6

2.A

1,188.8

19.7

37.3

19.6

*0.4

1.3

3.1

17.7

23.6

11.7

8.2

98.1

37.3

22.8

23.8

11.9

*0.5

4.2

41.3

21.8

3.7

1.5

5.9

3.6

1.2

3.0

58.1

7.1

7.6

11.9

10.8

102.3

5.9

6.8

13.5

6.9

14.1

15.1

106.9

14.5

*

78.0

30.1

15.6

74.0

12.6

2+.1

5.2

~

17.3

128.3

33.6

30.7

10.4

12.3

16.5

350.9

331.1

1,622.2

21.1

171.9

140.2

13.0

26.7

18.8

31.7

63.3

35.4

12.2

87.1

40.1

25.4

50.0

17.5

4.4

9.0

381.5

270.9

58.4

34.7

91.5

28.5

23.1

39.5

130.0

13.3

*

32.9

22.0

21T.1

17.8

12.1

6.2

2G.8

14.5

33.4

136.2

25.3

13.3

*

*

29.4

142.0

27.9

39.5

6.8

*

24.3

124.6

38.4

5.1

12.3

6.4

a. I

24.5

*

3,673. L

68.0

359.6

330.6

50.1

53.3

32.9

29.0

105.9

61.5

43.3

86.L

54.2

a.1

119.4

43.7

26.0

12.0

1,145.3

767.7

155.0

56.4

192.3

116.0

158.2

231.0

407.6

40.3

*

159.9

33.7

441.7

50.2

18.4

4.6

33.7

30.a

5a.3

257.4

17.5

66.5

...

...

53.5

la9.1

66.0

lT.8

4.8

22.T

279.8

141.5

74.8

5.6

13.0

8.9

2a.7

...

6.4

7.0

8.4

9.1

lz.a

a.a

7.1

5.3

7.2

7.6

5.a

12.3

14.4

10.7

5.6

9.3

1.7

2.9

7.5

7.0

a.9

6.2

5.3

5.9

a.z

9.7

6.0

4.T

1.3

7.a

4.a

6.1

7.1

4.5

4.9

3.0

4.8

6.9

5.2

3.6

5.7

2.5

2.1

7.9

6.6

7.6

6.9

5.5

9.0

3.4

6.4

a.6

14.2

5.6

5.0

4.5

3.3

3.2

4.6

3.9

5.4

6.6

*

2.5

5.6

4.1

4.0

24.2

*41.6

*

4.0

6.a

*

2.3

6.8

7.T

*

*

*

%9.9

*

*

3.2

3.2

1.3

4.6

3.2

3.4

*

2.9

+.1

1.7

3.0

*

4.0

*

*

*2.O

*

4.4

6.3

7.2

*

5.1

9.0

3.0

4.2

5.2

*

*

z.a

3.1

4.0

4.a

6.3

5.9

6.8

*1O.9

8.0

6.2

4.9

5.4

5.4

5.4

12.0

14.5

10.4

5.a

a.1

*2.3

2.5

5.7

5.7

7.2

5.0

4.2

4.2

7.3

10.9

4.0

3.6

1.3

6.3

4.1

4.a

5.2

3.a

4.2

2.3

5.0

5.7

4.2

2.9

*

2.5

2.1

5.9

5.1

4.4

6.4

4.4

*

3.2

5.2

6.4

=15.1

5.4

5.3

4.1

3.2

3.5 3.2

6.a

8.7

8.2

a.a

11.3

a.7

fi.a

5.4

7.0

a.o

5.9

11.5

14.2

10.7

5.4

9.a

1.7

2.9

6.7

6.4

a.z

5.5

4.9

5.5

U.o

9.7

6.7

5.9

*

a.o

6.1

6.2

T.2

4.6

0.8

3.0

5.4

6.5

5.0

3.7

5.0

*

*

a.1

6.4

7.0

T.o

8.1

*

3..?

6.4

7.ti

13.0

5.8

4.9

5.8

*.2

*

8.5

9.a

9.6

9.9

13.5

9.0

7.7

6.6

a.5

9.4

7.0

12.2

13.5

13.1

6.5

11.3

1.7

4.9

a.1

7.5

9.4

7.0

5.a

6.1

8.3

9.6

a.6

7.0

*

9.5

6.a

7.a

8.0

5.a

11.3

3.9

6.6

a.a

7.2

5.2

6.0

10.9

9.3

10.9

a.9

6.7

4.7

9.a

11.9

14).2

6.5

7.4

7.3

6.8

...

01

02

03

04

05

06

07

oa

09

10

11

12

13

14

15

16

17

la

19

20

21

22

23

24

25

26

27

2a

29

30

31

32

33

34

35

36

37

3a

39

40

41

42

43

44

45

46

47

4a

49

50

51

52

53

54

55

56

2:

—

31
FRIJM SHORT-STAY HOSPITALS, RATE OF IJISCliARGES, ANO AVERAGE LENGTHS OF STAY, BY SEX, RACE,

UN ITE(I STATES, 1986

EXCLUOES NEu80RN INFANTS. OIAGNIJSTIC GROUPINGS ANO COOE NuMLIER INCLUS1ONS ARE 6ASE0 ON THE

INTERNATIONAL CLASSIFICATION OF DiSEASES, 9TH REVISION, CLINICAL MOOIF1CATION (I C17-9-Ct4)l

TABLti 10. NUMbER (IF PATIENTS OISCHARGEO

ANil CATEGORY OF FIRS T-L ISTEO OIAGNOSIS:

[DISCHARGES FROM NON- FE OERAL HOSPITALS.

SEX

BOTH

CATEGORY OF FIR ST-L ISTEO JIAGNCISIS ANO lCO-9-Cii COOE

80TH

SEXES MALE FEMALE SEXES MALE FEMALE

NUMBER (JF PATIENTS RATE OF PATIENTS OISCHARGEO

OISCHARGEO IN THOU SANOS PER 10,000 POPULATION

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

lT

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

+2

43

44

+5

+6

47

48

49

50

Si

52

53

54

55

56

5T

58

ALL COED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256 13,949 20,307 1,+31.2 1,204.6

INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..00 I-L39

NEIJPLASMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i+o-239

MALIGNANT NEOPLASUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l+o-2013. ~30-23+

MALIGNANT NEOPLASti OF LARGE INTESTINE ANO RECTUH . . . . . . . . ...153-154. 197.5

MALI GtiANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10. L977. O. L97.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175. 198.8L

BENIGN NEOPLASMS ANO NEOPLASt4S OF uNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENOOCRINE, NuTRITIONAL ANO METABOLIC OISEASES.

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2+o-279

01 A13ETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o

OISEASES OF 7HE aLOOO ANO dLOOO-FORn ING ORGAN S . . . . . . . . . . . . . . . . . . . . . .. ZdO-Z89

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3

OISEASES OF THE NERVOUS SYSTE14 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NE RVLIUS SYSTEM . . . . . . . . . . . . . . . . . . . ..320 -336,340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

HEART oIsEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398. +o2. 40+, +lo-+16,420-+29

ACUTE MYOCAROIAL IN FAR CT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41o

ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. o

OTHER 1SCHEt41C HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . 411-413,414 .1-414.9

CAROIAC OYSRHYTHMI AS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+27

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . ..428. o

CERELIROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-4313

OISEASES OF THE RESPIRATORY SYSl Et4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+60-519

ACUTE RESPIRATORY 1NFECTIONS, EXCEPT IN FLuENZA . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ALL FOR MS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480-+6~

AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOt4ACH ANo SHALL INTEs TINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o

NONINFECTIOUS ENTERITIS ANO cOLi TIS . . . . . . . . . . . . . . . . . . . . . . . . . . ..555 -556.55e

CHOLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5T4

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PRO STAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

COMPLICATIONS OF PREGNANCY, CHILOa IRTH, ANO THE PUERPERIUM 1/ . . . . . . . 630-676

Ad ORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE .........................6aO-7o9

OISEASES OF THE MUSCULOSKELCTAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..7 LO-T39

AR THROPATHIES ANO RELATEO 01 SORC7ERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIO-719

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T22

CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..740-759

C6RTAI!4 CONO IT IONS ORIGINATING IN THE PER INATAL PERIOO . . . . . . . . . . . . . ..760-T79

SYMPTOM. SIGNS. ANO xLL-OEFINEO COND IT IONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799

IN.Iu RY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800 -cLz9

FRACTURE OF NECK OF FEMUR............................................• ZO

SPRAINS ANO STRAINS OF 8ACK (I NCLUOING NE OK) . . . . . . . . . . . . . . . . . . . . ...846-8+7

INTRACRANIAL INJURIES (EXCLUOINL, THOSE HITH SKULL FRACTURE ) . . . . . . ..85 O-a54

LACERATIONS ANO OPEN !4GUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-So+

SUPPLEMENTARY CLASS IF I CA TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..”o1-”82

FEMALES HITH DE LIv ERI Es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..”z7

700

2,305

1,860

210

29o

216

445

1,117

491

333

1,807

766

397

1,039

401

104

217

5,563

3,731

758

338

1,043

515

582

889

3,204

426

255

943

477

3,732

255

196

250

304

429

494

2,665

331

256

889

343

515

2,081

475

504

267

139

454

3,225

1,100

252

192

267

284

4,222

3,762

343

959

a66

105

175

*

T

93

422

205

147

962

356

303

480

194

41

107

2,a46

2,002

467

219

565

240

274

398

1,560

213

107

471

206

1,696

149

T9

13a

273

169

142

949

2L9

256

...

...

249

940

194

zaa

149

79

225

1,T76

540

62

98

163

219

169

...

35T

1,346

994

105

115

214

353

695

286

L86

$345

410

93

558

206

62

110

2,717

1,729

290

119

479

275

308

491

L,644

213

L48

472

271

2,036

146

llT

112

2:;

352

1,715

112

...

089

343

266

1,142

zao

216

118

60

229

1,449

560

190

95

104

65

4,052

3,762

29.3

9b.3

77.7

8.a

12.1

9.0

ia.b

46.7

20.5

13.9

T5.5

32.0

lb.6

43.4

16.7

4.3

9.1

232.4

155.9

31.7

14.1

+3.6

21.5

24.3

37.1

133.8

17.L7

10.6

39.4

19.9

155.9

12.3

8.2

10.5

L2.7

17.9

20.6

111.3

13.8

10.7

37.1

14.3

21.5

87.0

19.8

21.0

11.1

5.a

19.0

134.7

46.0

10.5

a.o

11.1

11.9

176.4

i57.2

29.6

a2.a

74a

9.1

15.1

*

a.o

36.4

17.7

12.7

83.1

30.a

26.2

41.5

16.a

3.6

9.3

245a

172.9

40.4

la.9

48.8

20.7

23.7

34.4

134.7

la.4

9.2

+0.6

17.a

146.4

12.9

6.a

11.9

23.6

14.6

12.2

a2.o

18.9

22.1

...

...

21.5

81.2

16.a

24.8

Lz.a

6.8

19.4

i53.4

46.6

5.4

U.4

14.1

la.9

14.6

...

L,643.5

2a.9

109.0

ao.4

a.5

9.3

17.3

28.6

56.3

23.1

15.0

6a.4

33.2

7.6

45.2

16.7

5.0

8.9

219.9

139.9

23.5

9.6

38a

22.3

24.9

39.7

133.0

17.2

12.0

3a.2

21.9

L64. a

11..9

9.5

9.1

2.5

21.1

2a.5

138.8

9.1

. . .

72.0

27.8

21.5

92.4

22. T

17.5

9.6

4.9

ia.5

117.3

45.4

15.4

7.7

a.4

5.3

32a. o

304.5 ——

1/ FIR ST-L ISTk O OIAGti OSIS FOR Fti MALEs WITH OELIVk RIES IS COOEO v27, SHOUN UNOER WUPPLEMkNTARY CLASS IF I CA TIONS.,,

32
TAdLE 10. NUMBER OF PATIENTS DISCHARGEO FROH SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVk RAGE LENGTHS OF STAY. dY SEX, RACE,

ANO CATEGORY OF FIRST-L ISTEO OIAGNOSIS: UN ITEO STATES, 1986 --CCN.

.

[DISCHARGES FROfl NON-FEOERAL HOSPITALS. EXCLUOES NEwuORN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NUMBER INCLUSIONS ARE 8ASE0 ON THE

IN TkRNATIONAL CLASSIFICATION OF OISEASESV 9TH REV IS1ON* CLINICAL HoolFIcATIoN (lco-9-cn) J

SEX--CON. RACE

abTH ALL ALL NOT ALL ALL NOT ALL ALL

SEXES

NOT

HAL E FEMALE RACES HHITE OTHER STATEO RACES hHITE OTHER STATkO RACES HHITE OTHER STATEO

AVERAGE LENGTH

OF STAY IN OAYS

NUMtIER OF PATIENTS

OISCHARGEO IN THOUSANOS

RATE OF PATIENTS OISCHARGkO

PER 10,000 POPULATION

AVERAGE LENGTH OF STAY

IN OAYS

-.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

. ..

. ..

. ..

. . .

. ..

. . .

. . .

. ..

. ..

. . .

. ..

. . .

. . .

. ..

. . .

. . .

. ..

. . .

. . .

. . .

. . .

. . .

. . .

. ..

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

. . .

. ..

. . .

. . .

. . .

. . .

. . .

. . .

6.4

7.0

a.4

9.1

lz. a

a.a

l.1

5.3

7.2

7.6

s.a

12.3

14.4

10.7

5.6

9.3

1.7

2.%

T.5

7.0

a.9

6.2

5.3

5.9

a.z

9.7

6.0

4.7

1.3

7.8

4.8

6.L

7.1

4.5

4.9

3.0

4.a

6.9

5.2

3.6

5.7

2.5

2.1

7.9

6.6

7.a

6.9

5.5

9.0

3.4

6.4

13.6

14.2

5.6

5.0

4.5

3.3

3.2

6.5 6.6

a.5

a.T

9.9

14.2

11.0

7.1

5.6

a.3

9.3

5.4

11.4

13.7

8.0

6.7

10.5

1.7

2.9

8.5

7.8

a.9

5.9

s.a

7.1

a.7

11.2

5.a

4.0

1.4

a.z

4.0

6.5

a.2

4.4

5.T

3.3

5.7

7.2

5.6

5.0

7.1

z.a

2.2

9.7

T.2

a.3

8.6

6.1

L2. O

3.a

6.8

8.9

via

6.4

7.0

4.6

3.4

3.3

5.6

6.1

7.a

8.5

12.9

9.1

5.7

5.0

6.9

6.a

6.0

10.9

11. a

10.8

4.2

7.2

2.0

2.6

7.1

6.7

a.3

6.4

5.2

5.6

7.3

9.3

5.0

4.0

1.1

6.4

4.4

5.a

6.5

4.3

4.6

2.6

4.9

6.6

4.7

3.4

5.0

2.4

2.0

7.0

s.a

7.a

6.2

5.6

a.6

3.7

5.5

7.2

12.0

6.8

3.2

3.6

2.9

2.9

01

02

03

04

05

06

07

oa

09

10

11

12

13

14

15

16

17

la

19

20

21

22

23

24

25

26

27

2a

29

30

31

32

33

34

35

36

37

3a

39

40

41

42

43

44

45

46

47

+a

49

50

51

52

53

n

56

5’7

5a

6.4

7.0

b.a 6.1

6.6

7.9

a.a

12.5

9.2

7.0

5.4

7.1

7.a

s.a

12.7

15.1

11.2

5.3

a.s

1.6

3.1

7.a

T .4

9.5

6.2

5.5

6.5

a.7

9.9

6.1

5.1

1.3

a.o

5.1

6.5

7.7

4.7

5.0

3.a

5.1

6.6

5.0

4.0

. . .

.2.5

2.1

a.o

6.9

8.4

7.5

5.5

10.8

3.5

7.2

9.7

14.6

5.a

5.4

5.2

3.2

3.2

34,256

700

2,305

1,a60

210

29o

216

445

1,117

491

333

1.ao7

766

397

1,039

401

104

217

5,563

3*731

75a

33a

1,043

5i5

582

aa9

3,204

426

255

943

477

3,732

295

196

250

304

429

494

2,665

331

256

aa9

343

515

z,oal

475

504

267

139

454

3,225

1,100

252

192

267

2a4

4,222

3,762

25,363

514

1.76a

1,450

168

.231

3.63

31a

799

326

215

1,262

552

25i

772

300

ao

164

4,450

3,043

634

2a5

a72

4La

45a

694

2,459

326

202

732

313

2.aa3

226

157

L92

236

336

382

2,005

275

205

543

204

370

1,579

356

3a7

191

92

3’41

2,375

650

212

146

190

177

2,744

2,413

5,116

129

3oa

224

23

37

25

a4

205

114

aa

312

133

71

143

63

11

29

625

378

63

31

a9

50

70

109

443

56

25

124

120

469

3a

24

28

35

52

54

379

20

21

236

106

93

22a

52

42

38

26

62

476

llT

12

2a

44

75

856

7a3

3,776

5a

229

la6

19

22

28

43

112

52

31

233

al

75

123

3a

13

25

4aa

311

61

21

a3

47

54

a6

302

44

2a

a7

44

379

31

15

30

33

41

5a

zal

37

29

110

34

52

274

66

75

3a

20

51

373

133

29

19

32

32

621

567

1,431.2

29.3

96.3

77.7

a.e

12.1

9.0

la.6

46.7

20.5

13.9

75.5

32.0

16.6

43.4

16.7

4.3

9.1

232.4

155.9

31.7

14.1

43.6

21.5

24.3

37.1

133. a

17. a

10.6

39.4

19.9

155.9

12.3

a.2

10.5

12.7

LT.9

20.6

111.3

13. a

10.7

37.1

14.3

21.5

a7. o

19.a

21.0

11.1

5.a

19.0

134.7

46.0

10.5

a.o

11.1

11.9

17.5.4

157.2

1,249.1

25.3

a7. i

71.5

a.3

11.4

a.1

15.7

39.4

16.1

10.6

62.2

27.2

12.4

3a.1

~4.a

4.0

a.1

219.2

149.9

31.2

14.1

42.9

20.6

22.6

34.2

121.2

16.1

9.9

36.1

L5.4

142.1

11.1

7.7

9.5

11.6

16.6

La.a

9a.a

13.5

10.1

26a

loo

la.2

77.8

17.6

i9.1

9.4

4.5

L6.a

117.0

41.9

10.4

7.2

9.4

a.7

L35.2

lla.9

1,+05.6

35.4

84.6

61.4

6.2

10.L

6.a

23.2

56.4

31.2

24.1

a5.7

36.6

19.6

39.3

17.4

2.9

7.9

17L.a

103.9

17.2

a.6

24.4

L3.a

19.3

29.9

121.6

15.3

6.9

34.0

32.9

128.9

10.4

6.7

7.7

9.6

14.4

14.9

104.1

5.4

5.9

64a

29.1

25.5

62.7

14.3

11.5

10.3

7.2

17.2

130.9

32.1

3.3

7.6

12.2

20.5

235.1

215.1

7.4 6.7

a.4

9.0

12.6

a.5

7.3

8.4

9.1

lz.a

a.8

7.1

9.0

9.4

13.1

8.6

*

5.3 4.9 5.2

7.2

7.6

7.2

7.4

6.9

7.2

5.a 6.0

12.3

5.9

11.9

13.7

10.5

12.7

15.0

11.4

L4.4

10.7

5.6

9.3

1.7

2.9

6.0

10.0

5.6

9.3

1.7

2.9

1.9

2.7

7.5

7.0

a.9

* 6.2

5.3

5.9

a.2

9.7

7.2

6.7

a.5

6.2

5.1

5.2

7.7

9.5

7.4

7.0

a.9

6.2

5.3

s.a

a.3

9.5

6.0

4.7

5.9

4.4

1.3

7.6

4.4

0.2

5.0

1.3

7.a

1.3

7.9

4.a 5-1

6.1

7.1

4.5

4.9

3.0

4.a

6.9

5.2

3.6

5.1

2.5

2.1

7.9

b.6

7.a

6.9

5.5

9.0

3.4

6.4

a.6

5.5

6.6

4.2

4.7

2.9

4.5

7.6

6.0

7.1

4.6

4.a

3.0

4.7

b.9

5.2

3.5

5.7

2.4

2.0

7.5

6.7

7.7

6.a

5.4

a.z

3.2

6.5

a.7

5.5

3.3

5.7

. . .

. . .

7.7

6.3

7.0

6.4

5.5

7.6

3.2

5.a

7.4

14.2

5.6

5.0

12.9

5.3

4.8

14..?

5.2

4.a

4.5 4.2 4.5

3.4

3.3

3.3

3.2

4.3

...

33
TABLE 11. Nuf481i R OF PATIENTS DISCHARGE FROM SHCIRT-STAV HOSPITALS, RATt OF DISCHARGES, AtiU AVkRAGE LENGTHS Of STAY, BY GELIGRAPMIC

dE(, IUN AND CATEGORY OF FIR ST- LISTEO OIAGNOSIS: UN ITEO STATES, 1986

[DISCHARGES FRLIM NON-F EOERAL HOSPITALS. EXCLUOkS NEh&ORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARti BA.SEO ON THE

INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICATIIJN (l CC-9-CH) 1

UN ITk D NORTHCA TEGURY OF FIR ST-L ISTEIJ OIAGNOSIS ANO ICO-9-CM COOE STATES EAST MI O14EST SOUTH ilEST

NUMBER UF PATIENTS OISCHAIWEO IN THOUSA,NOS

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

ALL CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASE S.......,.. . . . . . . . . . . .. . . . . . . . . . . . . ...001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASHS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234

MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM . . . . . . . . ...153-154 ,197.5

MALIGNANT NEOPLASH OF TRACHEA, BRONCHUS, ANO LUNG . . . . . ...162. 197.0, L97.3

MALIGNANT NEOPLASM OF dreamt . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81

BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAV1OR

ANO UN SPECIFIELI NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENDOCRINE, NUTRITIONAL ANO ME7ABOL1C OISEASES,

ANO I14HUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24 O.279

OIABETES FIELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

DISEASES OF THE 8LOO0 ANO BLOOD-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-289

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391 -392. O.393-398.4O2 ,404,410-416,420-429

ACUTE MYOCAROIAL XNFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41 O

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O

OTHER ISCHEHIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l+.9

CAROIAC OYSRHYTHHIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. O

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

OISEASES OF THE RESPIRATGRY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . ..46 O-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474

PNEUMONIA, ,ALL FOR14S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL IN TEST ING . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HE RNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . ...%. . . . . . ...555-556.558

cHoLELITHIAsIs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM.................................58O-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROS TAKE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

COMPLICATIONS UF PREGNANCY, CHILDBIRTH, /lNO THE PUERPERIUM 1/ . . . . . . . 630-6T6

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9

OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..71 O-T39

AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-7L9

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759

CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER IO D. . . . . . . . . . . . . ..7&O-779

SYMPTOMS, SIGNS, ANO IL L-O EFINEO CO ED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . ..7 B0-T99

INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800-829

FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20

SPRAINS ANO STRAINS OF BACK (lNCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . ..846-B47

INTRACRANIAL INJURIES (EXCLUOING THOSE wITH SKULL FRACTURE ) . . . . . . ..85 O-854

LACERATIONS ANO OPEN hounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CLASS IF ICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOl. V8Z

FEt4ALES HITH DEL IV ORI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27

34,256

.700

2,305

1.860

210

29o

216

445

1,A17

491

333

1,807

T66

397

1,039

401

104

217

5,563

3,731

758

338

1,043

515

582

889

3,204

426

255

943

477

3,732

295

196

250

304

429

494

2,665

331

256

889

3+3

515

2,081

475

504

267

139

454

3,225

1,100

252

192

267

284

4,222

3,762

6,955

137

481

379

55

63

41

102

212

94

67

4B9

208

141

240

al

49

49

1,216

834

174

64

236

115

139

191

630

72

48

182

116

765

59

39

45

79

74

95

504

58

49

207

106

121

340

80

68

43

17

71

617

214

52

35

69

49

799

695

. . . . .

8*Y31

167

655

546

54

79

64

109

310

128

78

560

195

151

299

116

23

56

i,437

960

196

102

270

123

149

220

833

112

75

249

123

955

72

45

72

82

119

136

661

90

71

219

63

130

562

150

124

67

35

128

808

276

65

48

69

68

1,02B

908

11, U9d

269

708

556

58

94

67

152

410

191

128

489

215

74

316

129

13

77

1,935

1,285

247

125

358

182

196

315

1,236

180

100

371

164

1,358

107

87

77

108

177

166

1,006

129

78

304

119

176

750

133

214

105

53

164

L,091

353

80

‘d9

82

106

1,393

1,252

6,418

128

461

378

42

54

44

83

185

78

59

269

148

32

183

75

lB

35

975

653

141

47

180

97

98

163

505

62

32

141

14

655

56

25

57

35

59

97

493

55

5a

159

55

89

430

111

97

51

33

91

709

257

56

21

47

61

1*OG2

908

1/ FIR ST-L ISTEO OIAGNOSIS FOR FEMALES uITH OELIVERIES IS CUOEO VZ7, SHO14N UNOER ‘SUPPLEMENTARY CL AS SIFICATIONS. W !

34
TAdLE 11. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTHS OF STAY, BY GEOGRAPHIC

REGION AND CATEGORY OF FIRS T-LISTEO OIAGNOSIS: UNITEO STATES, 1986--CON.

[DISCHARGES FROM NUti-FEOERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE hU148ER INCLUSIONS ARE BASED ON THk

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REV IS1ON, CLINICAL f100IFiCATION (I CO-9-CH) 1

UNITED NORTH- uNITEO NORTHSTATES EAST HIOHEST SOUTH wEST STATES EAST MI OHEST SOUTH UEST

RATE UF PATIENTS OISCHARGEO PER 10.000 POPULATION AvERAGE LENGTH OF STAY IN OAYS

1,431.2

29.3

96.3

7T.7

8.8

1.2.1

9.0

18.6

46.7

.?0.5

13.9

75.5

32.0

L6.6

43.4

16.7

4.3

9.1

232.4

155.9

31.7

L+.1

43.6

21.5

24.3

37.1

133.8

lT.8

10.6

39.4

19.9

155.9

12.3

8.2

10.5

12.7

17.9

20.6

111.3

13.8

10.7

37.1

14.3

21.5

87.0

19.8

21.0

11.1

5.8

19.0

134.7

46.3

10.5

8.0

11.1

11.9

1T6.4

157.2

1,393.6

27.4

96.3

75.9

11.1

12.6

8.3

20.4

42.5

18.8

13.5

98.0

.41.8

28.2

48. L

16.1

9.8

9.8

2+3.7

167.0

34.9

12.8

47.2

22.9

27.8

38.3

126.2

14.5

9:5

36.5

23.2

153.2

11.9

7.7

8.9

15.8

14.8

19.0

101.0

11.7

9.8

.

41.4

21.3

2*.2

bd.1

16.1

13.6

8.6

3.5

14.2

123.6

42.9

10.4

7.0

13. d

9.8

160.1

139..2

1,509.5

28.2

110.6

92.3

9.2

13.4

10.8

18.3

52.3

21.7

13.2

94.6

33.0

25.5

50.6

19.6

4.0

9.4

242.9

162.2

33.1

17.3

45.6

20.7

25.1

37.2

140.7

18.9

12.7

42.1

20.8

161.4

12.1

7.6

12.2

13.9

20.1

23.1

111.8

15.1

12.0

37.1

10.7

22.0

95.0

25.4

21.0

11.4

5.8

21.6

136.5

46.7

10.9

8.L

11.6

11.5

173.7

153.5

1,448.7

32.7

86.3

67.8

7.1

11.5

8.1

18.5

50.0

23.3

15.6

59.6

26.2

9.0

38.5

15.7

1.6

9.4

235.7

156.5

30.1

15.2

43.6

22.1

23.9

38.+

150.6

22.0

12.2

45.2

20.0

165.4

13.1

10.7

9.4

13.2

21.6

20.2

122.6

15.7

9.5

37.1

14.5

21.4

91.4

16.2

26.1

12.8

6.5

19.9

132.9

43.0

9.7

10.8

10.0

13.0

169.7

1,344.1

26.6

95.7

78.4

8.7

11.1

9.0

17.3

38.4

16.1

12.3

55.8

30.6

6.6

38.0

15.6

3.7

7.3

202.2

135.5

29.2

9.7

37.3

20.0

20.3

33.9

104.8

12.8

6.7

29.3

15.4

135.9

11.7

5.1

11.8

7.2

12.3

20.0

102.3

L1.3

11.9

32.9

11.5

18.4

89.2

22.9

20.1

10.7

6.9

19.(J

147.2

53.4

11.6

4.3

9.0

12.6

6.4

7.0

8.4

9.1

12.8

8.8

7.1

5.3

7.2

7.6

5.8

12.3

14.4

10.7

5.6

9.3

1.7

2.9

7.5

7.0

8.9

6.2

5.3

5.9

8.2

9.7

6.0

4.7

1.3

7.8

4.8

6.1

7.1

4.5

4.9

3.0

4.8

6.9

5.2

3.6

5.7

2.5

2.1

7.9

6.6

7.8

6.9

5.5

9.0

3.4

6.4

8.6

14.2

5.6

5.0

4.5

7.4

9.4

9.6

llT.8

15.7

10.2

7.6

5.2

9.2

8.8

6.6

11.3

15.2

7.2

6.0

11.7

1.5

3.1

9.1

8.3

10.5

6.1

5.9

7.8

9.5

12.8

7.1

5.1

1.2

9.5

5.2

6.7

8.4

5.4

5.6

2.8

6.1

7.5

5.6

4.2

6.8

2.4

1.9

9.0

7.7

9.4

T.+

5.9

9.1

3.5

7.6

1(3.9

18.2

6.8

5.3

4.7

3.8

3.7

6.6

6.7

8.4

9.0

11.6

9.3

7.5

5.8

7.2

7.9

6.3

13.9

16.3

12.2

5.5

8.9

2.1

3.0

7.5

1.3

9.2

7.2

5.5

5.6

8.5

9.3

5.9

5.0

1.3

7.9

4.7

6.2

7.5

+.6

+.7

3.0

4.8

6.9

5.+

3.5

6.1

2.6

2.4

7.1

6.9

8.3

6.5

5.3

9.7

4.0

6.3

8.2

13.3

5.3

4.9

4.5

3.5

5.4

6.1

b.1

8.0

8.8

12.7

8.6

6.4

5.3

6.7

7.4

5.1

12.0

13.5

13.6

5.8

8.8

2.0

3.0

7.0

6.7

8.3

5.9

5.5

5.7

7.5

8.8

5.8

4.6

1.4

7.2

4.7

5.8

6.3

4.L

5.2

3.4

4.6

7.0

5.2

3.5

b.o

2.6

2.1

8.0

.5.5

7.5

7.4

5.6

8.9

3.1

6.3

8.3

13.T

5.3

5.5

+.5

3.3

3.2

5.5

0.6

7.4

8.0

10.7

7.0

7.0

4.6

5.7

6.4

5.9

11.0

12.3

12.0

5.1

8.0

1.6

2.1

6.3

5.8

7.2

4.8

3.9

4.4

7.3

8.4

5.5

4.3

1.1

6.9

4.3

5.6

7.0

4.6

4.1

1.9

4.1

6.2

4.6

3.2

4.1

2.4

2.1

7.2

5.8

6.3

5.9

5.3

8.3

2.9

5.8

7.3

12.1

5.0

4.0

4.1

.?.6

2.6

207. fJ 3.3

152.5 la8.4 3.2

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

4+

45

46

47

48

49

50

51

52

53

54

55

56

57

50

35
TAbLE 12. NUM8ER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY BE!J SIZE OF HOSPITAL ANCJ CA TEWRY OF FIRS T-L ISTEO DIAGNOSIS:

UN IT50 STATES, 1966

[O ISCHAR*ES FKOt+ NLIN-FEOERAL riOSPITALS. EXCLUDES NE UdORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARE BASEO ON THE

lNTERNATIUNAL CL AS SIFICATICJN ❑F OISEASES, 9TH REV ISIUN, CLINICAL 14u01FlCATIGN (l CO-9-CM) 1

ALL 6-99 AOO-199 200-299 300-499 500 BEOS

CATEGORY OF FIRST-LISTED OIAGNOSIS ANO ICO-9-CM COOE SIZES 13EOS i3EOS 8EGS BEOS OR MORE

ALL COED IT ION S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234

MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM -..............153-154+ 197.5

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . . ..162 .19?. O. 197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174-175. 198.81

dENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO uNSPECIFIED NAT URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239

ENLIOCRINE, NUT RI ONAL ANO HE7ABCILIC OISEASES,

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES ❑F THE 13L00LI ANO BLOOO-FORMING Organ s . . . . . . . . . . . . . . . . . . . . . . . . ...280-289

f4ENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEt4 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..320-389

01 S5ASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO &iASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ..391 -392.0,393-398,402,404,410-416,420-429

ACUTE MYOCAROIAL INFARCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0

OTHER lSCHEI+IC HEAR7 DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9

CAROIAC OYSRHYTHMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.438

OISEASES OF THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-+66

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+74

PNEUMONIA, ALL FARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

AS T14MA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

ULCERS OF THE STOMACH ANO SMALL IN TEST I NE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

cHoLELITHI As Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5d0-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPE RPLASIA OF PROST AT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

COHPLICATILINS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM 1/ . . . . . . .. . . . 630-676

ABORTIONS ANO EC TOPIC ANO HOLAR PREGNANCIE S . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639

DISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . ...680-709

CISEASES OF THE HUSCULOSKELETAL SYSTEM ANO CONNECTIVE T IS SUE . . . . . . . . . . . . .710- 739

AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-7L9

INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722

CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

CERTAIN CON DI71ONS OITIGINATING IN THE PER INATAL PER IO D. . . . . . . . . . . . . . . . ...760-779

SYMPTOMS, SIGNS, ANO IL L- OEFINEO COED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . . . . ...780-799

INJURY ANO PO IRON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-329

FRACTURE GF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

spRAINs ANO STRAINS OF 13AcK (I NCLUOING Neck) . . . . . . . . . . . . . . . . . . . . . . . . ...846-8+7

iNTRACRANIAL INJURIES (ExcLu OiNG THOSE WITH SKULL FRACTURE ) . . . . . . . . . . ..85 O-854

LACERATIONS ANO OPEN MOUND S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CL AS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vo1-v82

FEt4ALES klITH OELIVERLE S....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27

NUM8ER OF PATIENTS OISCHARLELl IN THOUSAtvOS

34,256 5,614

700

2,305

1,860

210

290

216

445

1,117

491 ,

333

1,807

766

397

1,039

401

104

217

5,563

3,731

75a

338

1,043

515

582

889

3,204

426

255

943

477

3,732

295

196

250

304

429

494

2,665

331

256

8s9

343

515

2,081

475

504

267

139

454

3,225

L*1OO

252

192

267

2S4

4,222

3,762

127

197

156

26

22

24

41

230

100

54

360

125

110

L43

60

11

32

903

6 L7

144

22

173

92

130

155

73T

112

44

277

77

737

59

5d

64

60

105

98

428

51

34

120

38

94

270

4a

62

19

20

67

520

163

39

52

44

42

587

540

6,243

148

313

250

30

40

36

63

212

91

69

311

130

62

156

59

*8

50

915

589

113

28

166

98

104

165

684

111

60

190

93

712

59

48

50

53

91

94

563

65

53

153

63

96

430

88

89

62

28

76

598

205

45

S6

47

42

7L6

647

6,215

12+

423

337

48

62

35

86

203

84

54

297

124

72

180

71

20

42

1*133

765

164

61

208

105

125

L76

593

74

55

168

98

724

63

:2

63

69

92

463

58

54

109

48

89

414

93

103

31

24

99

628

233

56

30

52

54

626

545

8,803

156

704

5TL

56

87

66

133

248

110

84

483

220

93

279

97

35

55

1,475

995

195

109

287

132

134

230

672

79

55

i79

108

892

70

36

56

74

93

135

654

81

68

252

9T

116

529

L35

136

71

34

114

815

288

68

35

69

72

l,22b

1,092

7,381

146

668

546

50

79

55

122

224

105

72

356

168

59

281

113

30

39

1,136

765

141

L17

209

88

88

162

517

51

41

129

Loz

667

44

20

37

55

70

75

557

76

47

255

97

120

438

110

114

84

32

97

663

212

44

19

55

74

1,067

937

1/ FIRS T-L ISTEO OIAGNOSIS FOR FEMALES wITH OELIVk RIES 1S COOk O v27, SHOHN UNOER ‘SUPPLEMENTARY CL OSSIFICATIONS.-

36
TA8LE 13. AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS* BY BEO SIZE OF HOSPITAL ANO CATEGORY OF FIRSTLISTEO II IAGNOSIS: uNITEO STATES, 1986

[OISCHARGES FROM NON-FEIIERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUUdti R INCLUSIONS ARE BASkO GN THE

ItiTEANATIONAL CLASSIFICATION OF SIISEASES. 9TH REVISION. CLINICAL MODIFICATION (ICO-9-CM) 1

ALL 6-99 100-199 200-299 300-499 500 $Eos

CAT5GOUY OF FIRS T-L ISTEO OIAGNCISIS ANO ICO-9-CM COOE SIZES BEOS BEOS BEOS tJEOS OR MORE

ALL CONDITION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l4O.2O8t23O.234

MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM . . . . . . . . . . . . ...153-154.197.5

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LLJNG. . . . . . . . . . ..1623197 .O.197.3

t4ALIGNANT NEOPLASM OF 8REAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l74.l75.l98.8l

8ENIGN NEUPLASMS ANO NEOPLAS14S OF UNCERTAIN 8EHAVIOR

ANO UNSPECIFIED liATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239

ENDOCRINE, NUT RIONAL ANO t4ETA80LIC OISEASESS

ANO IWIUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Z40-279

OIABETES HELLITuS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . .. Z8O-2B9

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHO SE A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEt4 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..32 O-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . . . . ...320-336.340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF THE EAR ANO llASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389

OISEASES OF THE CIRCULATORY SYSTEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O.459

HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . ..391-392. 0.393-39B.402.4 O4.4lO-4l6.42O-429

ACUTE UYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-...414.0

OTHER ISCHEFIIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.414.1.4 l4.9

CAROIAC OYSRHYTHHI AS........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438

jISEASES OF THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4 bO.5l9

ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-466

CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-474

PNEUHONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48 O.4S6

ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O.579

ULCERS OF THE STOMACH ANO SHALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPEND ICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

cHoLELITHIAs Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO

COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUFl 11 . . . . . . . . . . . 630-676

ABURTIONS ANO ECTOPIC ANO HOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68 O-TO9

OISEASES OF THE MUSCULOSKELETAL SYSTi+M ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 G-T39

AR THROPATHIES ANO RELATEO 01 SOR06RS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7 L0-719

1NTERVERTE8RAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

CERTAIN CONOITIONS ORIGINATING IN THE PER XNATAL PER Ioo . . . . . . . . . . . . . . . . . ..76 O-779

SYMPTOMS, SIGNS, AND lLL-OEFINEO CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799

INJuRY ANO POISON lNG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999

FtiACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-1329

FRACTURE OF NECK OF FEHUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O

SPRAINS ANO STRAINS OF BACK (l NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . . . .. B46-847

INTRACRANIAL INJURIES (EXCLUOING THOSE IJITH SKIJLL FRACTURE ) . . . . . . . . . . ..85 O-854

LACERATIONS ANO OPEN UOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-......-......670-904

SUPPLEMENTARY CLASSIFICAT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOl. V8Z

FEMALES MITH DEL IVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27

6.4

7.0

8.4

9.1

12.8

8.8

7.1

5.3

7.2

7.6

5.8

12.3

14.4

10.7

5.6

9.3

1.7

2.9

7.5

7.0

8.9

6.2

5.3

5.9

8.2

9.7

6.0

4.7

1.3

7.8

4.B

6.1

7.1

4.5

4.9

3.0

4.8

6.9

5.2

3.6

5.7

2.5

.?.1

7.9

6.6

7.8

6.9

5.5

9.0

3.4

6.4

8.6

14.2

5.6

5.0

4.5

3.3

3.2

AVERAGE LENGTH OF STAY IN OAYS

5.3

5.1

7.1

7.9

11.9

7.2

6.1

4.3

5.6

6.2

4.5

10.9

12.5

10.4

4.6

6.7

1.5

3.5

5.6

5.4

6.6

4.3

4.0

4.3

6.6

6.6

5.4

4.4

i.4

6.5

4.2

5.0

5.6

3.9

4.5

3.0

3.8

6.2

+.8

2.5

5.3

2.1

2.1

5.1

5.9

6.2

7.4

3.4

4.7

2.4

4.6

6.4

lZ.3

5.4

2.7

3.4

2.7

2.7

5.T

6.3

7.7

8.4

12.3

8.3

7.4

5.0

6.8

7.4

4.8

11.3

12.9

10.4

5.0

7.1

*1.5

2.7

7.0

6.6

8.3

5.5

5.0

5.6

S.1

a.9

5.5

4.3

1.4

7.4

4.6

5.6

6.9

4.3

4.7

3.0

4.3

6.a

4.’5

3.5

5.6

2.2

1.9

6.9

5.4

6.5

6.1

4.3

5.5

2.9

5.6

7.5

13.4

5.5

3.6

3.6

2.9

2.9

6.5

7.9

8.1

9.0

13. a

8.2

6.a

4.a

7.4

7.a

5.9

10.9

11.7

10.2

5.1

7.a

1.7

2.9

7.5

7.1

9.1

5.6

4.9

6.L

a.z

9.3

6.4

5.5

1.2

a.4

4.9

6.2

7’.6

4.7

4.5

2.9

5.0

6.6

5.3

3.3

5.0

2.3

2.0

8.6

6.6

a.1

6.7

5.2

9.5

3.7

6.7

9.0

15.5

5.2

6.0

4.9

3.2

3.0

6.7

7.1

a.5

9.1

12.7

9.5

6.$3

5.6

7.9

a.4

6.7

lz.3

L4. a

10.7

5.2

9.1

l.a

2.4

7.9

7.5

9.3

6.L

5.7

6.8

9.3

10.1

6.5

4.9

l.i

8.9

5.1

6.5

7.4

5.7

5.5

2.8

5.3

7.5

5.7

3.9

6.4

2.6

2.1

8.3

7.4

a.5

7.5

5.5

10.1

3.2

6.9

9.2

14.A

5.B

4.1

4.a

3.4

3.3

7.3

a.4

9.0

9.7

lz. a

9.3

7.a

s.a

a.1

a.4

6.9

15.6

ld.6

12.1

7.2

lz. a

1.9

3.3

8.8

a.o

10.8

7.1

6.6

6.3

9.1

13.3

6.5

4.9

1.3

a.9

4.9

6.9

a.5

4.6

5.2

3.3

6.4

7.2

5.5

4.2

6.2

3.0

2..2

9.3

7.4

8.4

6.5

6.9

13.1

4.2

T.a

9.8

15.1

6.2

a.3

4.9

3.a

3.7

1/ FIRST-LISTEO OIAWOSIS FOR FEMALES wITH DELIVERIES Is cOOEo v27, SHOhN UNDER -SUPPLEMENTARY CLASS IF ICATIOIMS. -

37
TABLE 14. NUM8ER w= ALL-LISTED DIAGNOSES FOR $ATlk”NTs OISCHARGEO FROM SHORT-STAY Hti SPITALS, BY AGE, SEX+ RACE. GEOGRAPHIC REG1oN,

AND bE9 SIZE OF HOSPITAL, 6Y OIAGNOSTIC CATEGORY: uNITEO STATES, 1986

[DISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLULIES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE Nuf4BER INCLUSIONS ARE BASEO ON THE

ItYTERNATIONAL CLASSIFICATION (IF OISEASES, 9TH REV1S1ON, CLINICAL MOO1F1CATION (LCO-9-CM) 1

AGE

ALL uNOER 15 15-44 45-64

OIAGNOSIIC CATEGORY ANO lCO-9-CM COOE

65 YEARS

DIAGNOSES YEARS YEARS YEARS ANO OVER

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

3a

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

;;

54

55

56

57

58

—

1/

ALL CLINOIT ILINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139

NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

MALIGNANT NEOPLASt+S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-23+

MALIGNANT NEOPLASM OF LARGE INTEsTINE ANO RECTUM . . . . . . . . . .. I 55-154.197.5

MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O.197.3

MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81

t3EN1GN NEOPLASHS” ANO NEOPLASMS OF UNCERTAIN BEHAVIOR

ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239

ENDOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,

ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

131ABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

OISEASES CF THE BLOOO ANO 8LOO0-FORMING ORGAN S . . . . . . . . . . . . . . . . . . . . . ..28 O-289

MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319

PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29 O.299

ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303

OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . ...320-389

OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . ..320 -336s340-349

CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366

OISEASES OF TH6 EAR ANO MASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389

OISEASES OF THE CIRCULATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459

HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.402 .4 O4.4lO-4l6.42O-429

ACUTE tiYOCAROIAL IN FAR CT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410

ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O

OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9

CAROIAC OYSRHYTHHI AS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427

CONGESTIVE HEART FAIL URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+80-486

AS THMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493

OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579

uLCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534

GASTRITIS AND OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535

APPENDICIT IS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543

IN GUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550

NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558

CHOLELITHIASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574

OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629

CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592

HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600

COMPLICATIONS OF PREGNANCY, CHILOBIRTH, ANO THE PUERPERIU14 il . . . . . . . 630-616

ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639

OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709

OISEASES OF THE tiUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . ...710-739

ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-719

lNTERVERTELIRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722

CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759

CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-779

SYHPTOMS, SIGNS, ANO lLL-OkFINEO COED IT IONS . . . . . . . . . . . . . . . . . . . . . . . ...780-799

INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999

FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829

FRACTURE OF NECK OF FE MUR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O

SPRAINS ANO sTRAINs OF 8ACK (l NCLUOING NEcK) . . . . . . . . . . . . . . . . . . . . . ..846-a47

INTRACRANIAL INJURIES (E XC LUOING THOSE i41TH SKULL FRACTURE ) . . . . . ...850-854

LACERATIONS ANO OPEN Hobnob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904

SUPPLEMENTARY CL OS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vo1-V82

FEMALES wITH LIELIVE RI BE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27

NUMBER OF ALL-L ISTEO OIAGNOSES IN THOU SANOS

102,764

2,512

4,712

3*745

288

510

285

S6T

7,030

2,864

2,3o8

5,070

1,473

910

3,531

1,596

169

624

20,373

12,932

870

1,837

3,214

2,571

1,716

1.893

7,591

826

331

1,469

780

8,213

586

555

297

378

730

786

7,366

426

456

6,766

38A

1,308

5,076

1,723

655

675

344

5,479

6,37o

1,637

279

323

350

710

8,039

3,702

5*543

359

91

66

*

*

25

281

26

152

124

10

*

501

113

*

304

116

79

*

*5

*8

23

11

*Li

1,162

265

219

262

211

464

*

21

62

1::

*5

176

*

o

21

*

105

92

28

*

317

333

468

591

163

*

*5

67

66

190

11

32,019

739

737

361

+6

24

42

376

1*131

389

607

2,530

595

514

747

363

*9

114

1.275

610

44

46

139

127

33

54

1*313

177

107

192

195

2,122

107

175

178

87

242

223

2,728

191

*

6,738

378

371

1,440

292

316

181

*

1,339

2,887

643

13

204

187

453

5,130

3,748

22,361

+25

1,515

1,206

76

195

104

309

1,937

900

454

1,119

313

294

732

309

30

84

5,355

3,324

288

458

1,096

521

286

354

1$580

130

*

237

171

2,127

163

152

34

107

121

221

1,68T

146

98

*6

*

322

1,404

396

236

97

=7

1,350

1,174

26S

26

84

39

102

1,070

*

FIR ST-L ISTEO OIAGNOSIS FOR FEMAL. S wITH OELIVERIES IS COOEO u27, SHOWN UNOkR ‘SUP PLE14ENTARY CL AS SIFICATIONS. W

42,84i

989

2,369

2,113

205

287

139

256

3,681

1,548

1,094

1,297

555

99

1*551

811

L26

123

1.3,627

8,919

536

L,327

1,971

1,900

1,386

1,477

3,537

253

*

77a

203

3,500

313

207

23

142

204

337

2,778

86

3s5

. . .

. . .

510

2,140

1*007

101

80

*

2,321

1.717

564

237

31

56

89

1,649

. . .

.—

38
TAbLE L+. NUMBER OF ALL-LISTED DIAGNOSES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, by AGE, SEX, RACE, GEOGRAPHIC itEGIOtI*

ANO LTEO SIZE GF H12SPITAL$ By Diagnostic cATEGoRy: u~lT’=o STAT=+* 1986--coN”

[DISCHARGES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. OKAGNOSTIC GROUPINGS ANO CODk NUMBER INCLUSIONS ARE BASELI Gi4 THE

INTERNATIONAL CLASSIFICATION OF OISEAStS. 9TH REVISION, CLINICAL 14001 FICATION (ICO-9-Ch) 1

SEX RACE REGION BEO SIZE

ALL NOT NoRTH- 6-99

HALE FEHALE uHITE

100-199

OTHER STATEO EAST

200-299 300-499 500 BEOS

HIoHEST SOUTH h’EST BEDS BEDS 8EOS BEOS OR MORE

NUMBER OF ALL-L ISTEO OIAGNOSES IN THOU SANOS—CON.

4L,759

1,075

2,025

l,7a7

144

301

238

2,715

1,201

693

.?.599

670

6a3

1,641

748

65

318

9,955

6,571

528

985

1,760

1,268

782

8+7

3,867

393

L47

744

318

3,594

291

240

1>6

336

276

253

2,520

271

456

. ..

. . .

589

L,946

589

359

347

19,?

2,563

3,522

858

74

15d

211

507

1*714

...

61,005

1,438

2,687

1,958

144

209

283

729

4,315

1,663

1*415

2,471

795

227

1,889

847

103

306

10,418

6,361

342

852

1*453

1,303

934

1,047

3,724

433

184

724

463

4,620

295

316

142

43

455

533

4*649

154

...

6,76b

381

7L$

3,127

1*134

.?95

328

152

2,91b

2,848

779

205

165

139

&14

6,325

3,762

77,080

1,824

3,675

2,966

231

409

221

709

5,334

2,085

1,60,?

3,603

1,070

560

2,b02

1,229

129

484

16*440

10.673

729

1.564

2,712”

2,142

1,380

1,484

5,970

636

259

1$144

529

6,413

460

435

227

’297

576

606

5,5b4

355

367

4,296

227

960

3,967

1,358

512

491

216

4,189

4*777

1,280

233

231

251

492

5,674

2 .*13

14,956

457

599

434

32

62

30

165

1,107

521

524

843

229

203

492

223

20

80

2,33L

1,267

71

151

258

226

193

235

955

112

35

196

178

1,029

75

75

33

42

84

90

1,089

27

42

1,535

116

227

567

198

56

96

75

765

887

174

16

62

58

137

1*377

783

10,128

23L

438

345

25

39

34

93

589

258

181

624

174

147

356

143

19

61

1,602

992

b9

122

243

204

144

174

665

77

37

128

74

772

51

45

37

40

70

90

T15

43

47

935

37

120

541

167

86

87

52

525

706

184

30

30

41

81

989

567

22,035

517

1,030

810

77

111

55

220

1,535

664

540

1,334

411

314

809

364

65

133

4,878

3,186

199

507

795

594

409

419

1,561

155

58

291

192

1,773

125

117

52

94

128

164

1,464

76

99

1,264

113

318

937

348

90

113

44

1,043

1,279

328

5T

71

89

142

1,597

695

26,994

655

1,323

1,089

74

140

85

235

1,915

756

563

1,476

386

278

1,003

437

46

164

5,230

3,261

225

499

779

640

439

468

2,026

213

95

395

2,087

147

136

83

103

209

212

1,847

114

130

1,695

71

332

1,371

482

160

182

92

1,468

1,628

412

74

80

90

172

2,100

908

34,778

882

1,439

1,105

82

169

85

335

2,415

996

784

1,403

39a

190

1,094

492

30

236

6,819

4,295

283

579

1,079

842

587

659

2,T97

340

133

552

259

2,954

206

229

95

130

284

269

2,739

170

144

2,217

134

427

1,817

568

277

244

134

1,932

2,o98

528

87

134

112

249

2,583

1,252

18,956

457

9L9

741

55

90

60

178

1,165

448

421

857

278

128

625

303

28

91

3.447

2,190

163

252

561

496

282

347

1,207

118

46

231

124

1,399

109

72

6T

51

110

140

1,319

66

82

1,591

63

Z31

951

325

127

135

74

1,035

1,365

369

bl

39

59

147

1,759

90U

17*395

451

479

367

39

50

32

112

1,397

509

364

1,037

275

216

515

243

19

104

3*415

2,2L8

163

234

534

47’7

402

325

1,678

215

55

407

133

1,572

106

142

75

74

180

152

1,183

66

65

957

45

226

u57

305

93

65

36

975

1,041

240

42

81

1:;

l,14b

540

16,024

446

690

527

42

70

47

164

1,.218

475

379

824

235

139

569

248

18

148

3,346

2,079

129

248

498

443

291

331

L,482

195

81

284

145

1,553

114

129

60

67

146

147

1,476

7a

89

1,o82

71

230

1,034

321

118

143

53

1,019

1,138

296

4k3

95

1:;

1,340

647

18,749

452

913

720

65

107

47

193

L,287

540

413

872

256

160

637

307

31

109

4,081

2,659

166

388

638

544

345

376

1,424

148

b8

266

152

1’573

127

101

51

17

118

151

1,311

76

88

907

52

238

981

335

133

85

65

1,032

1,190

338

60

55

67

132

1*fi59

5*5

26,515

598

l*3a6

1,117

77

A52

86

270

1,709

725

589

1,291

39-I

230

912

409

50

L37

5,387

3,442

223

561

890

644

406

499

1,716

15b

75

295

183

l,9b4

137

108

69

90

163

210

1,881

109

125

1,983

107

31b

1,23+

431

lT7

189

94

1.336

l,6b3

430

78

61

91

192

.?,268

1.092

22,080

5b5

1,243

1,014

64

131

72

229

1,418

615

562

1,046

309

165

898

388

51

127

4,144

2,535

169

405

653

4b4

272

362

1,291

112

52

zla

lb7

I,55Z

101

75

43

70

124

126

1,516

97

9G

1,83T

105

298

969

331

134

193

94

1,117

1,336

333

51

30

66

166

1.996

937

01

02

03

04

05

06

07

08

09

Lo

11

12

13

14

15

16

17

la

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

3a

39

40

41

42

43

44

45

46

*7

+8

49

50

51

52

53

54

55

56

57

58

39
TA.9LE 15. NUM8ER OF ALL-LISTED PROCEDURES F(IR PATIENTS DISCHARGED

uNITED STATES, 19.96

FROM SHORT-STAY HOSPITALS, BY AGE ANO PROCEOURE CAT EGCIRV:

[ OISCHARGES FROM NON-FE OERAL HOSPITALS. EXCLUOES NE NBORN INFANTS. GROUPINGS Of PROCEDURES BY ANA TLIMICAL SYSTEMS AND CODE hlUt4iJER

1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASS 1F1CATION OF ILIS EASES, 9TH REV ISJONV CLINICAL MODIFICATION (I CO-9-CM) 1

UNDER 15 15-+4 45-64 65 YEARS

PROCEOURE CATEGORY ANO lCO-9-Cf4 COOE ALL AGES YEARS YEARS YEARS ANO OVER

NUMBER OF ALL-LISTED PROCEDURES IN TIiOUSANDS

ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPEKATIONS ON TH6 NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

oPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-o T

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8

TONSILLECTOMY HITH OR i61Tti OUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OpERATIuNs ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCOP Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

REMOVAL OF CORONARY ARTERY OBSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.0

OIRECT HEART REv ASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. L

CAROIAC CA THETERIZAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 L-37.23

PACEMAKER INSERTION, REPLACE14ENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . . ..37.7 -3T.8

OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEti . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3

PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548..9.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATuRAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . . ..45. Z4

APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEf40RRHUI OECTOt4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1

OIVISION OF PERITONEAL AD LESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55. Z1-55.22. 56.31,5 T.32,58.22

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PROS TATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 O.2-6O. 6

OPERATIONS UN THE FE14ALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PIN GO- DOPHORECTDMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. b5.3-65.6

81 LATERAL OBSTRUCTION OR oCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . . ..66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -68. T

OILATION ANO CURETTAGE OF IJTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5

OBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY liITH OR HITHOUT FORCEPS OR VACUUt4

EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Z. L,7Z.21,72.31,72 .71,73.6

CESAREAN SE CTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0 -74.2, T4.4,74.99

REPAIR OF CURRENT OBSTETRIC LA AERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..75.5 -75. b

OPERATIONS ON THE WSCULOSKELETAL SYSTEM...................................76-84

OPEN REOUCTION OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 76.79, 79.2-79.3,19.5-7 9.6

OTHER REOUCTION GF FRACTUITE, EXCEPT JAM . . . . . . . . . . . . . 76. T0,7b.78,79 .O-79.1,79.4

EXC1S1ON OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FuslON . . . .. O0.5.81. O

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..01.41 -81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8L.6

0P ERA711JNS ON MUSCLES, TENOONS, FASCIA, ANO LIURSA . . . . . . . . . ...82-83.1 ,83.3 -83.9

OPERATIONS ON THE 1NTEGU14ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

MAST ECTOMY....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

EXCISION OR CIESTRUCTIDN OF LESION OR TISSUE OF SKIN

ANO SU8CUTANEUUS T IS SUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-8 6.4

SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6.86.7

MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ..8 T-99

COMPUTER IZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..84 AOd7871.88 d01.88838Ol.88.38

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75

ARTERl OGRAp Hy ANO ANGIOCAROIUGRApHY USING CONTRAST MATERIAL . . . . . . . . . . 80.4 -88.5

OIAGNOSTIC ULTRA SOUND........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89.6

RAOIOISLITLIPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. O.92.l

38,000

933

347

101

561

1Z2

105

208

L,04b

153

281

1,011 ‘

199

2, T8b

133

284

775

2 L4

403

5,728

194

293

448

275

114

502

329

325

1,885

671

718

367

2,999

502

423

644

472

147

+,701

1,741

90b

612

3s521

459

.214

338

185

201

344

L,619

132

565

150

9,78L

1,531

406

1,285

1*411

799

n51

1,887

164

123

*5

37

*

*

102

280

*7

176

57

14

129

*

32

*

20

22L

*7

*5

*5

59

*

*

37

*

61

14

79

...

*9

*

*

15

*7

*

*

220

32

55

*

*

*

30

93

40

L7

392

68

13

L7

52

20

18

L5,192

326

99

41

9b

*tJ

~

60

484

109

100

199

36

332

15

Lb

82

*8

96

1,798

38

41

80

174

54

176

84

175

427

113

80

*

2,186

277

421

397

382

48

4,682

L,732

904

609

1,533

18Ll

73

191

75

38

Lb3

642

19

z25

50

2,209

346

145

159

435

104

149

8,976

214

45

32

132

23

18

31

185

27

*

313

b5

1,108

74

144

386

44

116

1,471

56

80

110

28

40

157

101

67

520

178

147

77

573

173

*

191

66

60

*

*

*

*

862

82

33

115

33

40

98

446

51

134

37

2,825

373

lLO

579

337

184

254

11,946

229

80

23

297

87

83

16

96

10

s

442

85

1,217

44

125

275

158

171

2,238

93

L6L7

254

15

19

166

107

81

877

366

411

287

23o

51

. . .

57

23

39

905

L65

53 .

29

74

152

54

43a

b3

166

46

4*355

743

138

529

5a7

492

429

NOTE: SEE 18ME01 CAL COOING ANO tnIT,81 APPENOIX I, FOR COOING HIJOIF ICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

40
TABLE 16. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS* tiY AGE ANO PROCEOURE CATEGORY: UNITEO

STATES, 198a

[DISCHARGES FROM NON-FEDERAL HOSPITALS. EXCLUOES NE HtiORN INFANTS. GROUPINGS OF PKOCEOURES BY ANARCHICAL SYSTEMS ANO COOE NUMBER

INCLUSIONS AR6 BASEO LIN THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MUOIFICATION (ICO-9-Cii) 1

uNOER 15 15-4+ 45-64 65 YEARS

PROCEOURE CATEGORY ANO lCO-9-CM COOE ALL AGES YEARS YEARS YEARS AND OVER

RATE GF ALL-L ISTEO PRCICEOLRES PER 100,000 POPULATION

ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..01-G5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3l

OPERATIONS ON THG ENOOCRINE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. A-13.6

INSERTIUN OF prOSthetiC LEN.3 (pSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L3.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..............18-20

OPERATIONS ON THE NOSE, HOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NO SE . . . . . . . . . . . . . . . . . . . . . . . .....................21.8

TONSILLECTOMY liITH OR hITHOUT AOEhOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..28..? -28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21 -33.23

OPERATIONS LIN THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

REMOVAL OF CORONARY ARTERY OBSTRUCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o

OIRECT HEART REVASCULARIZATI ON....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 L-37.23

PACEMAKER INSERTION, REPLACE14ENT, R [MOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HEHIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-+1

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

ES0PHAG05c0py ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3

PARTIAL GASTRECTOMY ANO RESECTION OF IN TESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENooscapy OF LARGE INTESTINE (NATURAL oRIFIcE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING IhCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEMORRHOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43.49 .46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS UN THE URINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32S58.22

OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROS TATECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 O.2.6O.6

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PH0RECT0H% ANO SALPINGO.OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6

BILATERAL OESTRUCTION OR OCCLUS1ON OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

OILATION ANO CUR ETT.AGti OF UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPISIOTOMY !41TH OR WITHOUT FORCEPS OR VACUUll

EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2 l.72.3l.72.7l.73.6

CESAREAN SE CT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. 0.74.2. T4. +.74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

oPERATIONS UN THE FIUSCULOSKELETAL SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE, EXCEPT JAU . . . . . . . . . . . . ...76.79. 79.2 -79.3 ~79.5-T9.6

OTHER REOUCTION OF FRACTURC, EXCEPT JAH . . . . . . . . . . . ..76.7 O.76. 78,79 .0-79.1,79.+

ExCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

ARTHROPLASTY ANO REPLACEMENT LTF KNEE. . . . . . . . . . . . . ..- . . . . . . . . . . . . . ..81.41 -81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8I.6

OPERATIONS ON MUSCLt S, TENOONS, FASCIA, ANO BURSA . . . . . . . . . . ..32 -M3.1.83.3-83.9

OPERATIONS ON THE 1NTEGUHENTAR% SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B5-86

MASTECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.+

EXCISION OR OBSTRUCTION OF LES1ON OR TISSUE OF SKIN

ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B6.2-86.4

SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86.7

MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PRO CEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

COMPUTERIZE AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .8 b80L.8Lib.0L .8 Li.3ll

PYELoGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 .87.75

ART ER1OGRAPHY ANO AN GIOCAROIOGRAPHY USING CONTRAST MATERXAL . . . . . . . ...88.4-88.5

DIAGNQSTIC ULTRA SO UND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88. 7

CIRCULATORY MONITOR ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.• .92.l

15,876.0

389.8

144.9

42.2

234.5

51.0

43.7

87.1

436.9

64.1

1L7.4

422.4

83.3

1,164.0

55.8

118.8

323.8

89.5

168.3

2,393.2

B1.1

122.5

187.3

115.0

47.7

209.8

137.5

135.9

787.5

280.3

299.8

153.2

1,252. B

209.8

176.8

269.1

197.0

61.3

1,963.8

727.5

378.4

255.8

1,470.9

191.7

89.5

141.1

77.4

83.9

143.8

676.5

55.3

235.9

62.6

4,086.2

639.6

169.8

536.7

569.7

334.0

355.3

3,629.2

316.0

235.7

*10.5

71.6

*

a

196.5

539.1

*13.9

339.2

109.9

26.6

248.8

*

62.1

a

38.3

424.7

*13.1

*8.8

*8.8

112. T

*

*

72.1

*

117.2

26.9

15. ?.5

. . .

*16.9

*

*

29.7

*14. O

*

*

424.2

61.9

105.2

*

*

*

57.3

179.1

7T.2

32.2

T54.3

131.6

25.8

33.3

10u.8

38.0

35. U

13,420.4

2B7.9

07.8

36.3

84.4

*7.1

*

52.7

+213. O

96.2

88.5

176.1

31.6

293.4

13.2

13.9

72.5

*6.9

85.2

L,588.5

33.9

36. L

70.3

153.5

48.0

155.6

74.0

154.7

376.8

99.6

70.7

*

1*931.4

2+4.3

372.0

350.3

337.2

42.5

4,136.2

1.530.3

798.4

537.8

1,354.3

15a.7

6+. T

i68.7

65.9

*7.1

143.8

567.5

16.4

198.6

44.3

1 ,951.1

305.5

12T.7

140.3

384.2

91.7

131.5

19,946.6

474.8

99.6

70.1

292.6

51.8

40. L

68.6

410.1

60.5

*

694.8

143.6

2,462.1

L64.6

319.1

657.8

97.5

25T.4

3,268.8

124.4

177.4

244.7

62.3

89.8

348.5

225.0

147.9

1,156.3

396.6

327.1

171.3

1.274.0

385.4

*

424.5

146.3

133.2

*

*

*

*

L*914.9

182.3

73.7

255.2

72.7

89.7

217.4

991.7

L12.9

297.4

83.0

6,276.9

629.7

244.3

1,287.2

748.8

409.6

564.8

40,947.9

7u6. O

274.3

78.8

1,017. B

298.1

285.8

54.3

330.7

34.4

*

1,514.8

29L.9

4*i70.0

150.4

429.0

941.4

542.9

584.7

7,672.5

3L8. L

576.0

870.6

50.7

64.7

569.5

365.7

276.0

3,006.7

1,253.9

1,409.1

985.2

789.3

L73.6

. . .

194.0

79.3

132.7

. . .

. . .

. . .

. . .

3,103.4

5b5.7

182.3

98.6

252.8

521..?

184.6

1,500. o

216.2

568.9

156.6

1*,928.9

2,548.1

4T4.6

1,814.2

2,012.5

1,685.0

1,471.4

NOTE: SEE ‘1f4E91CAL COOING ANO EOIT,ll APPENOIX I, FOR COOING 140L11F1CATIONS FOR THE NATIONAL HOSPITAL OISChARGE SURVEY.

41

.
TABLE 17. NUMBER OF ALL-L1 STEO PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY SEX ANO PROCEOURE CA TEGORV:

STATES, L9d6 . .

UNITED

lDISCHARGES FROM NON- FkLZERAL HOSPITALS. EXCLUDES NE16BORN INFANTS. GROUPINGS OF PROCEOURk S BY ANATGtii CAL SYSTEMS AND CODE NIJHBER

1NCLUS1ONS ARE EIASEO UN THE 1NTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CLINICAL MOOIE1CATION (I CO-9-CM) 1

PRDCEOUlt E CATEGORY ANO ICO-9-CM COOE 80TH SEXES HALE - FE14AI. E

NUt48Ek OF ALL-L ISTEO PROCEOUT4ES Iti THOU SANOS

ALL PROCEDURES......2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,000

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.3A

OPERATIONS ON THE ENUOCRINk SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-o T

OPERATIONS ON TtiE EYE . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACT ICIN OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20

OPERATIONS ON THE NOSE, MOUTH. ANo PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2i-z9

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2 L.&

TONSILLECTOMY i.lITH OR i.lITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..z13. z-2E.3

OPERATIONS ON THE RESPIRATORY SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 L-33.23

OPERATIONS ON THE CARO1OVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

REMOVAL OF CORONARY ARTERY OBSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o

OIRECT HEART REv ASCULAR12A TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. I

CAROIAC CA ThETER12AT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, RtMOVAL, ANO REP AI R. . . . . . . . . . . . . . ..37. T-37. a

OPERATIONS ON THE HEMIC ANO LY14PHAT1C SYSTEM . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~2.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOHY ANO RESECTION OF IN TEST IN E. . . . . . . . . . ...46.4548.8.45.6-45.8

ENooscOPY OF LARGE INTESTINE (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+

APPENOECTCM4Y, EXCLUOING INCIDENT AL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~7. o

HEMORRHOIOECTOM Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -+9.46

CHOLECYSTEC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.• .S3. I

OIVIS1ON OF PERITONEAL ADLESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...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

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROSTATECTO MY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

OPERATIONS ON THE FEMALE GENITAL ORGANs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7l

00 PHORECTOMY AND SAL PIN GO- OOPHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OESTRUCTII.IN OR OCCLUSION OF FALLOPIAN TU8ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

OILATION ANO CURETTAGE OF UT EC US . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69. o

REPAIR OF CYSTOCELE ANCI RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75

EPIS1OTOMY wITH OR HITHOUT FORCEPS OR VACUUM

EXTRA CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.1,72 .21,72 .31,72 .71, i’3.6

CESAREAN SECT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0 -74.2 .74.4 .74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75. 5-75.6

OPERATIONS UN THE MUSC ULOSKELETAL SYSTEN...................................76-84

OPEN REOUCTION OF FRACTURE, EXCEPT JAU . . . . . . . . . . . . . .. T6.79. 79.2 -79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE, EXCEPT JAH . . . . . . . . . . . ..76.00796 .78.74 .O-79.1.79.4

EXCIS1ON OR LIESTFWCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

ART HUOPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8L.6

OPEILATIONS ON MUSCLES, TENDONS, FASCIA, ANO BuRSA . . . . . . . . . ...32-83.1.83.3-83.9

OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-66

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0 . . . . . . . . . . . . . . ..~5.4

EXCISION OR 0ES7RUCTION OF LESION OR TISSUE OF SKIN

ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-86.4

SKIN GRAFT (EXCEPT LIP OR MouTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86.6 -a6.7

15*318 22,602

4!53

167

933

347

480

L80

101 26 75

561

122

105

252

48

40

3)10

iI4

65

208 120

1,046

153

281

535

79

121

5111

if 4

160

1,011

199

585

119

42!6

80

1,102

39

i~o

200

1(11

2,786

133

284

1 *6a4

94

214

495

113

775

214

403

5.72a

194

293

44a

275

1L4

502

329

325

l,a85

671

718

367

2,999

502

423

644

472

147

4,701

1*741

906

612

3,521

459

214

33a

la5

201

344

203 200

3,294

1C12

165

256

132

5,5

2,434

92

128

192

143

60

144

293

54

35ta

36

271

1,159

493

726

178

71a

367

. . .

. . .

2,999

502

423

644

472

147

. ..

. ..

. . .

. . .

. . .

. . .

. . . 4,701

1,741

906

612

. . .

. . .

1,767

220

104

127

94

138

149

1,T54

239

110

211

91

63

196

1,619

132

565

150

9.7al

1,531

651

*

283

87

969

130

282

63

HISCELI, ANEOUS OIAGNOSTKC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99

COMpUTERIZEO AXIAL TOMOGRAPHY (CAT scAN) . . . . . . . ..a41.3*a7.4l. 87.71,.sa. ol, aa.38

PYELOGRAi+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75

ARTERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST nA7ERIAL . . . . . . . . ..88.4 -aa.5

DIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8d OT

CIRCULATORY MONIT ORIN G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a9.6

RAOILIISOTOPE scAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o.9~. ~

5, ,062

7a4

183

514

a65

3a5

462

4,T18

747

223

771

547

414

3a9

406

1,285

1,41L

799

851

NOIE: SEE ‘lMEOICAL COOING ANLI EOIT,,I APPENOIX 1, FOR COOING MOOIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

42
TA13LE 18. RATE W ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHOUT-STAY HOSPITALS, 8Y SEX AND PROCkOURE CAT EbORY:

sTATES, 1986

uNITto

[DISCHARGES FRL3M NON-FEDERAL HOSPITALS. EXLLUOES NEHBORtA INFANTS. GROUPINGS OF PROCEDURES bY ANATOMICAL SYSTEMS ANO COGE NUt4BER

INCLUS1ONS ARE FzASEO ON THt INTERNATIONAL CLASSIFICATION OF OISEASES. 9TH 8EVIS1ON, CLINICAL MO!J1F1CATION (ICC-9-CM) 1

PROCEOURk CATEGORY ANO lCO-9-CM COOE dOTH SEXES MALE FEMALE

RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION

ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31

OPERATIONS ON THE ENOOCRINE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6

EXTRACTION GF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6

INsERTION OF PROSTHETIC LENS (PsEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. T

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O

OPERATIONS ON THE NOSE, 140UTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2L-29

RHINoPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21.8

TONSILLECTOMY !41TH OR ldITHOUT AOENOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS UN THE RESPIRATORY .3ysTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHDSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l-33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM....................................35-39

REMOVAL OF CORONARY ARTERY OBSTRUCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. O

DIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.3T.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HE141C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41

Operations ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATuRAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..4 Z.23.44.13

PARTIAL GAS TRECTO14Y ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATuRAL OR IF ICE) . . . . . ..- . . . . . . . . . . . . . . . . ...45.24

APPENOECTOHY, EXCLUOING IN CIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0

HEMuRRHIJIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43-+9 .46

CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2

REPAIR OF It+ GUItAAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. O.53.l

OIV:SION OF PERITONEAL AIzLESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-....54.5

OPERATIONS ON THE URINAR’f SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . ...55-59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . . . 55., ?1-55.22,56.31,57 .32,58.22

CIPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PROSTATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 0.2-b G.6

OPERATIONS ON THE FEHALE GSNITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7 I

00 PHOREC70HY ANO SALPINGO-OO PHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL 0E3TRuCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7

OILATION ANO CURETTAGE OF UT ECUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0

REPAIR OF CYSTOCFLE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEOURk S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Tz-T5

EPISIOTOHY IAITH LTR WITHOUT FORCEPS OR VACUUH

EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2 l.72.31.72. Tl.73.6

CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.0 -74.2,74 .4,74.4’9

REPAIR OF CURRENT OBSTETRIC LACE RAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE INJSCULOSKELETAL SYSTEf4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T6-u+

OPEN REOUCTIUN OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 70.79,79 .2- T9.3,79.5-T9. h

OTHER REOUCTION OF FRACTURE, EXCEPT JAB . . . . . . . . . . . . . 76.70, T6.78,79. O-79.1,79.4

EXCISION OR OESTRUCTILIN OF INTERVERTEBRAL OISC AND SPINAL FUSION . . . ..8 G.5081. O

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..til.4l-8l.47

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 I.5.81.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, AND L!uRSA . . . . . . . . . . ..ti3-83.9 .Li3.3-83.9

OPERATIONS UN THE IN TEGUMENTARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..u5-66

HAs TECTO!IY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L15.4

EXCISIIiN OR OBSTRUCTION OF LESION OR TISSUE OF SKIN

ANO SUBCUTANEOUS> TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. Z.O6.4

SKiN GRAFT (EXCEPT LIP OR HOUTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86.6 .S6.7

NISCELLANEWS DIAGNOSTIC ANIl THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. U7-99

COMPUTER IZt D AXIAL TcNIOGRAPHY [CAT SCAN) . . . . . . . ..841 .8787141 .87.71 ,88-01,88.38

PYELOGRAH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87. T3-n7. T5

AR TERIOGRAPHY ANG ANGIOCARO1OGRAPHY uSING CONTRAST tiATERIAL . . . . . . . . ..58. +-8tl.5

OIAbNOSTIC ULTRA SOuNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..aa.7

CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6

RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-9z. 1

15, a76.o

3a9. n

L44.9

42.2

234.5

5L. O

43.7

a7.1

436.9

64.1

117.4

422.4

a3.3

1,164. O

55a

lia.a

323a

a9.5

168.3

2,393.2

ail

122.5

ia7.3

115.0

47.7

209.8

137.5

135.9

787.5

280.3

299.8

153.2

1,252. a

209. a

176. a

269.1

197.0

61.3

l,9b3.8

727.5

37a.4

255.8

1,4 T0.9

191.7

89.5

1+1.1

77.4

83.9

1+3. a

676.5

55.3

235.9

02.6

4,0a6.2

639.6

1o9.13

536.1

5u9. T

334.0

355.3

13,228.2

4L4.9

155.2

22.1

217.4

4L.4

34.5

103.0

462.0

6a.4

104.1

505.0

L02.7

1,454.1

81.5

la5.1

427.6

97a

175.2

2,102.1

79.3

110.5

165.9

123.3

51.5

124.1

253.3

46.6

l.OOO. a

425.6

619. T

316.7

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

1.514.5

Z06.4

95.4

181.8

?b. i

54. T

169.0

561.9

*

Z44. U

75.4

+,074.7

645.5

192.6

6b5.7

4T2. L

35T.9

335.8

la,357.7

366.3

135.2

61.0

250.5

60.0

52.4

71.6

413.4

60.1

129.8

345.0

65.1

a92.1

31.7

5.5. a

226.4

B1. a

161. T

2,666.0

a2.7

133. a

207.3

107.1

44.2

290.1

29.0

219. T

5a7.6

144.2

. . .

. . .

2,427.0

406.4

342.6

521.4

381.6

ila. e

3,804.4

1,409.3

733.0

495.6

1,430.0

177.9

84.0

102.9

76.5

111.3

120.2

Ta+. o

io>.4

Zzu. +

50.1

+,09T.1

634.2

14a.4

415.8

099.8

311.6

373.6

NOTE: SEk ‘*ME OICAL COOING ANO EOXT, - APPENOIX 1, FOR COOING UOOIFICATIONS FOR THE NAT IOhAL HIJSPI IAL UISCkiARbk bbRVk Y.

43
TABLE 19. NUHdEk OF ALL-L LSTEU PRIJc EOURk S Ftiu PATIENTS DISC HARGEO FROM SHORT-STAY HOSPITALS, BY RACE ANO PROCEOURE CATEGORY:

uNITEO STATES, 19ab

[DISCHARGES FROM NCIN-FEOERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. GRGUPINGS OF PRQCEGURES BY ANA TGHICAL SYSTEMS AND COOE NUMBEIT

1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASS IF ICATICIN OF OISEASES, 9TH REV1S1ON, CLINICAL MOOIF1CATION (I CO-9-CM) 1

PROCEOURE CATEGORY ANO ICO-9-CM COOE

ALL NOT

ALL RACES klHITE OTHER STATEO

NUMEIER OF ALL-L ISTEO PROCEDURES IN THOLJSANOS

ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.3 L

OPERATIONS ON THE ENOUCRINE SYSTEM.........................................• 6.O7

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

ExTRACTIUN GF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS (P SE UOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.7

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-zo

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO flEPAi R OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21. a

TONSILLECTOMY WITH OR WITHOUT AOENOIOEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . ..zf3. z-z5.3

OPERATIONS ON THE RESPI(CAT’7RY SYSTEti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

dRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

REMOVAL OF CORONARY ARTERY OIKSTRUCTI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o

OIRECT HEART REV As CULARIZATI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l

CA ROIAC CA THETERIZAT 10N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37. ZI.37. Z3

PACEMAKER INSERTION, REPLACE 14ENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . ..37. T-37.8

OPERATIONS ON THE HEf41C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OiGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-5+

ESOPHAGOSCaPY ANO GAS TROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . . . 43.5 -43.8,45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+

APPENDECTOMY, EXCLUi)ING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o

HEMORRHOIOEC TIJMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+9. +3-49.+6

CHOLECYSTEC T014Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1

OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22

OPERATIONS UN THt HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PRO STAT EC TOHY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60.2-60.6

OPERATIONS UN THE FEllALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7L

00 PHORECTOMY ANO SAL PIN GO- OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUJ3ES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -6a.7

OIL AT ION ANO CURETTAGE OF UT ECUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69. o

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7Z. T5

EPISIOTOMY !41TH OR 161THOUT FORCEPS OR VACUUM

EXTRACl I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T2.1 ,72.21,72.31,72.71,73.6

CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-7+.2,74.4,74.99

REPAIR OF CURRENT OBSTETRIC LA AERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE i+uSCULOSKELErAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . ...76-8+

OPEN REOUCTION OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 76.79,7’9.2- T9.3,79.5-79.6

OTHER REOUCTION OF FRACTURE, kXCEPT JAM . . . . . . . . . . . . . 76.70,76 .78,79.0-79.1,19.4

EXCISION OR OBSTRUCTION OF lNTERVERTEt3RAL OISC ANO SPINAL FuSION . . . ..8 0.5.81. O

AR THROPLASTY ANU REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -8 L.47

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6

OPERATIONS ON MuSCLES, TEN OLTNS, FASCIA, ANO tlURSA . . . . . . . . . ...82-83. 1,83.3 -83.9

OPERATIONS ON THE lNTEtiu MENTARY System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..85-tI6

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4

tXCISION JR OESIRUCTION OF LESION OR TISSUE OF SKIN

ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..136 .z-E6.4

SKIN GRAFT (EXCEPT LIP OR MOUT H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86. 7

MISCELLANEOUS OIAGNti STIC ANO THE RAp Eu71c PrOCed Urea . . . . . . . . . . . . . . . . . . . . . ...87-99

C(IMPUTERILEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .8787 .41.87 .71,88 .01,88.38

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -8 T.75

ART ERIOGRAPHY ANO ANG1OCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . ..88. +88.5

Diagnostic ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7

CIRCULATORY UIJNITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6

RAO1OISOTGPE SC AN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-92. 1

38,000

933

34T

101

561

122

105

208

1,0+6

153

281

1,011

199

2,786

133

284

TT5

214

403

5,728

194

293

448

275

114

502

329

325

1,885

671

718

367

2,999

502

423

644

472

147

4,701

1,741

906

612

3,521

459

214

338

185

201

344

1,619

132

565

150

9,781

1,531

406

1,285

1,411

799

851

28,518

686

234

70

399

93

82

L62

817

L26

222

767

154

2,216

114

246

636

173

315

4,425

L49

231

359

Zio

88

386

258

240

1*483

545

561

292

2,132

375

271

476

317

120

3,024

1,193

608

384

2,626

347

167

261

133

L64

252

1.198

103

415

110

7,635

1,200

332

1,037

1,047

6i0

5,6+6

154

84

16

67

13

+9

19

103

=%9

27

160

26

358

12

19

84

22

54

757

29

30

56

31

14

55

35

54

228

74

90

33

533

67

90

90

111

10

959

290

173

136

433

51

21

30

15

10

47

254

14

93

26

1,463

231

46

143

2T9

133

3,836

93

29

15

95

16

13

27

126

19

32

84

19

212

=8

19

56

20

34

546

16

32

34

34

12

61

37

32

174

52

67

41

333

59

55

78

43

17

717

259

124

92

461

61

27

47

37

27

45

167

16

57

15

683

100

28

105

86

56

678 129 43

NOTE: SEE **ME 01 CAL Cti OINti ANO ED IT,,, APtIENUIX 1, FUR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
TAbL6 20. NUMBER OF ALL-L ISTEO PROCEDURES FOR PATIENTS OISCFIARGEO FROH SHORT-STAY HOSPITALS, BY GECIbRAPtl IC REGIGN ANO PROCEOURE

CATEGORY: uNITEO STATES, 1986

iOISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLUti ES NE14k10RN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEHS ANu COOt NUMBkR

inclusions ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REV ISIdN, CLINICAL HOOIFICATIOb (ICC-9-CM) 1

uNITED NORTHPROCEOURE CATEGCIRY ANO ICO-9-CM COOE STATES kAST MI OHEST SOUTH dEST

ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERVOUS SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...93.31

OPERATIONS ON THE liNOOCRINE SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6

EXTRACTION GF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7

OPERATIONS UN THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O

OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21.8

TONSILLECTOMY xITH OR liITHOUT AOENOIDECTOHY . . . . . . . . . . . . . . . . . . . . . . . . ..2 I3.2-2a.3

OPERATIONS ON THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23

OPERATIONS ON THE cAR010vA5CuLAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

REMOVAL OF CORONARY ARTERY OBSTRUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.0

OIRECT HEART REV ASCULARIZAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1

CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23

PACEt4AKER INSERTION, REPLACEMENT, REHOVAL, ANO REPAIR . . . . . . . . . . . . . . ..3 V.7-37.8

OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54

ESOPHAGOSCOPY ANO GASTROSCOPY (NATuRAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13

PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . ..46.4548 .8 S45.6-45.8

ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENOECTOHYS EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47.•

HE140RRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5l.2

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.• .53.l

OIVISION OF PERITONEAL AD HE SIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.5T.32.58.22

OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64

PROSTATE CTD14Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . ...65-71

00 PHORECTOHY ANO SAL PINGO.OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6

BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3.68.7

OILATION ANO CUR ET7AGE OF LTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49.0

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TO.5

OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75

EPISIOTOMY wITH OR liITHOUT FoRCEPS OR VACUUM

EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 72.1,72 =2 L,72.31,72.7~, T3.6

CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7+. 0.74.2. T4.4.74.99

REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..76-Ll4

OPEN REOUCTION OF FRACTURE, EXCEPT JAU...............3,79957792-79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE, EXCEPT .( Au . . . . . . . . . . . ..76.00 .76.78 .74. O-79. I. T9.4

EXCIS1ON OR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O

ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ARTHROPLASTY ANo REPLACEMENT OF liIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8l.5.8l.6

OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...32-83.1.83.3-83.9

OPERATIONS ON THE INTEGUHENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

HASTECT014Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-4

tXCISION OR OBSTRUCTION OF LESION OR TISSUE OF SKIN

ANO SUBCUTANEINJS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2.86.4

SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86.7

MISCELLANEOUS DIAGNOSTIC ANG THERAPEUTIC PROCEOLIRES . . . . . . . . . . . . . . . . . . . . . ...87-99

CO14PUTERIZE0 AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..i341.ti 77.41. ti01.8883&ll.88 .3&l

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75

ARTER1OGRAPHY ANO ANGIOCAROIGGRAPHY USING CONTRAST HATER IAL . . . . . . . . ..58.4 -8.s.5

DIAGNOSTIC ULTRA SLTUNO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.7

CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..&9. O

RACIIOISOTIJPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..9 Z. 0.92. I

NUH8ER OF ALL-L ISTEO PROCEDURES IN THOUSANOS

38.000

933

347

101

561

122

105

208

1,046

153

281

1,011

199

2,786

133

284

775

214

403

5,T28

194

293

448

275

114

502

329

325

1,885

671

718

367

2,999

502

423

644

4T2

147

4.701

1*741

906

612

3,521

459

214

338

185

201

344

1,619

132

565

150

9,781

1,53L

406

1,285

1*411

199

851

8,3&la

165

75

16

159

51

46

46

213

27

47

2L9

41

494

18

39

122

47

93

1,261

53

65

120

47

21

92

84

64

399

160

150

74

622

79

76

93

160

23

869

314

177

111

618

87

45

38

26

36

6a

345

23

131

2s

2,717

471

109

230

465

293

289

10,064

251

81

31

188

32

24

55

346

64

81

260

52

836

46

96

231

56

117

1,473

39

80

103

T9

30

136

90

79

519

188

203

102

683

137

83

164

86

31

1,229

437

211

154

928

106

57

83

67

61

92

449

36

154

43

2,495

357

119

406

355

133

197

12,137

335

120

35

117

19

14

74

338

41

112

341

75

948

49

103

305

73

127

1,967

79

84

164

B5

48

167

115

122

652

244

228

113

1,145

185

191

254

168

60

L,462

598

310

191

1,141

141

65

143

43

52

114

546

47

199

50

2,681

427

127

424

336

136

Zod

7*412

la3

64

20

9a

21

21

33

i49

21

41

191

31

5oa

21

46

117

3a

65

1,027

23

65

61

64

16

107

4a

60

315

79

137

78

548

101

73

133

57

32

1,141

392

208

157

a34

125

47

73

49

52

7i

276

26

az

32

l*a87

275

51

225

255

237

157

NOTE: SEE *,HEOICAL COOING ANLI EOIT,,, APPENOIX 1, FOR COO INIJ MOOIF1CATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

45
TAu LC 21. RATE OF AL L-L ISTk D PROCEDLMES F(IR PA TJ EN IS. DISCHARGECI FROM SHOKT-STAY

CATEGORY: UN ITEO STATES. 1986

HUSPITALS+ BY GEOGRAPHIC REGION ANO PROCEOURE

( DISCHARGES FROM NOti-FEOERAL HOSPITALS. EXCLUOES NEuEiORN INFANTS. GROUPINGS OF PROCEDURES dV ANATOMICAL SYSTEMS ANO COOk NUMbkR

1NCLUS1ONS ARE uASEO ON THE INTERNATIONAL CL ASS IF1CATION OF OISEASES, 9TH RkVISION, CLINICAL HOOIFICAi ION lCO-9-CM) 1

UN ITEO t+ORTHPRO CEOURE CAT El, ORY ANO lCO-9-CPl COOE STATES EAST MI OHEST SLWTH HEST

RATE OF ALL-L ISTEO PRO CEOLRES PER 100,000 POPULATION

ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OPERATIONS ON THE NERvOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..03.3L

OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07

OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.l-i3.6

INSERTION OF PRUSTHETIC LENS (PSEUDOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L3.7

OPERATIONS ON THE EAR . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..18-zo

OPERATIONS ON THE NOSE, fiOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29

RHINtiPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Zl.8

TCINSILLtCTOHY HITH (JR blITHOUT AOENOLOECTOilY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3

OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34

BRONCHOSCO PA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23

OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39

REMOVAL OF CORONARY ARTERY OBSTRUCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.0

OIRECT HEART REV ASCULARIZAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. L

CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23

PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8

OPERATIONS ON THE HEt41C ANO LYMPHATIC SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41

OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54

EsOpHAGOscOp Y ANO GASTRCISCOPY (NATURAL Orifice ) . . . . . . . . . . . . . . . . . . ..4 L.23.44. L3

PARTIAL GAS TRECTOti Y ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8

ENOOSCOPY OF LARGE INTEsTINE (NATURAL oRIF1cE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24

APPENDECTOMY, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..’. ..47. o

HEMORRHOILJEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46

CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z

REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1

OIVIS1ON OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5

OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59

ENOQSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.3Z.58.22

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64

PRO ST4TECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60. 6

OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71

00 PHORECTOMY ANO SAL PIN GO- OOPHORECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6

BILATERAL 0ESTRUC710N OR OCCLUS1ON OF FALLOPIAN TUBE S. . . . . . . . . . . . . ...66.2-66.3

HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3 -6 LT.7

OILATION ANO CURETTAGE OF IJTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0

REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7o.5

OBSTETRICAL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75

kPISIOTOMY 141TH OR tAITHOUT FORCEPS OR VACUUM

EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2L .72.3 l.72.7l.73.6

CESAREAN SEC TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T4. O-7+.2 .74.4 .74.99

REPAIR OF CURRENT oN, TETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15.5 -75.6

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84

OPEN REOUCTION OF FRACTURE, EXCEPT JAu . . . . . . . . . . . . ...76.79. 19.2 -79.3,79.5-79.6

OTHER REOUCTION OF FRACTURE, EXCEP7 .AAH. . . . . . . . . . . . . 76.70,76 .78, T9. O-79.1,79.4

EXCISION OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5..81. O

AR THROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47

ART HRCIPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B1.5.81. o

OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BuRSA. . . . . . . . . ...82-83. 1 ,83.3-83.9

OPERATIONS ON THE IhTEGUHENTARY SYSTEU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86

MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a5. +

EXCISION OR OBSTRUCTION OF LESION OR TISSUE OF SKIN

ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. +86-4

SKIN GRAFT (EXCEPT LIp OR t40uTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06.6-86.7

MiSCEL~ANEOUS OIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...81-99

CClllPUTERIZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .8 LT7.71.8L3 EI1.88.3EI

PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a7.73-a7.75

AR TERIOGRAPHY ANO AN GIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . ..5i8.4-88.5

OIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..aa.7

CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a9.6

RALIIOISOTOPt SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.• .92. I

15,876.0

389.8

144.9

42a

234.5

51.0

43.7

87.1

436.9

64.1

117.4

422.4

a3.3

1,164.0

55a

Lla. a

323.8

a9.5

168.3

2,393.2

all

122.5

la7.3

115.0

47.7

209.8

137.5

135.9

7a7.5

2ao.3

299a

153.2

1,252. a

209. a

176.8

269.1

197. o

61.3

1,963.8

7Z7.5

37a.4

255.8

1,470.9

191.7

a9.5

14L.1

77.4

83.9

143. a

676.5

55.3

235.9

62.6

4,080.2

639.6

L69.8

536.7

589.7

33+.0

355.3

16,908.1

331.6

149.9

31.1

317.7

101.9

9i.6

92.3

426.3

54.5

94.8

438.2

82.1

990.1

35.8

79.1

244.9

95.0

186.6

2,527.6

106.6

129.3

240. a

93.3

41.6

184.4

16a.2

127.4

799.6

320.0

299.6

147.5

1,246.3

15a.3

153.0

186.2

321.5

47.0

1,740.3

630.2

353.7

222.9

l,23a. o

173.6

89.9

76.2

52.8

72.1

136.0

69a.5

45.9

261.9

50.3

5,444.2

944.4

2ia.4

461.6

931.0

5a7.1

578.1

17,009.4

423.5

147.5

51.6

31?.3

53.4

41.4

93.6

5a5.6

108.4

136.8

440.2

8a.6

L,413.6

78.0

163.0

389.9

93a

19a.5

2,489.6

65a

134.8

174.2

133.3

50.0

230.6

152.7

134.2

877.3

317.4

343. &

172.4

1,154.4

231.5

140.6

277.0

146. O

53.2

2,077.2

73a.6

356.0

259.7

1 ,567.9

179.7

,96.0

140.a

113.8

102.6

154. a

75a.5

61.3

259.9

72.3

4,2 L6.9

603.6

20i.7

686.3

.600.7

225.5

332.1

14,784.6

407.5

146.4

4Z.7

142. a

Z2.8

17.0

89.9

411.7

50.4

136.7

415.2

91.5

1,15+.6

59.7

125.3

371.6

88.9

155.0

2,395. b

96.5

102.6

199.7

103.9

57.9

203.2

139.5

1+9.2

793.9

297.7

277.2

137.3

1*395.3

225.2

232. L

309. a

204.6

72.6

1,780.9

72a.2

377.8

232.5

1,390.5

17L.3

79.5

174.2

51.9

63.2

138.9

665.2

57.6

242.1

61.5

3,266.5

5Z0.5

154.8

516.0

409.5

L65.7

253.’3

15,378.8

37EI.7

133.7

41.4

203.0

43.4

42.6

69.0

3oa.3

42.8

a4.1

396.4

64.1

1,053.7

42.6

94a

242a

79.6

134.7

2,131.2

47.1

134.4

L26.7

133.8

34.0

221.9

a3.6

124.4

653.9

164.2

284.6

,162.8

1,137. a

210.3

151.9

276.1

117.7

67.0

2,367.6

a13.6

432.1

324.9

1.729. a

259.9

9a.2

152.3

101.5

108.4

146. a

572.0

53.9

169.2

65.6

3,916.0

571.2

105.6

466.0

529.6

491.9

325.9

NOTE: SEE ‘6MEOICAL CLIOING ANO EOIT, W APPENOIX I, FOR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.

46
TAtiLE 22. NUMBER LIF ALL-LISTED PRUCEIMJRES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPIIALS? MY EEO SIZt OF HOSPITAL ANO PWCEOURk

CATEGURY: uNITEO STATES. 1986

[DISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLUOES NEwdORN INFANTS. GROUPINGS OF PROCEDURES BY AhAIGHICAL SYSTEHS ANO COOE NME. ER

INCLUSPJNS ARE L!AStO LIN THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL f100IFICATIGN ( lCO-9-CM) 1

ALL 6-99 100-199 200-29q

PR13Ct OURE CATEGORY ANO ICO-9-CM COOE

300-499 500 BEOS

sIz&s Blms BEOS BEOS BEOS OR hORE

NuMBER UF ALL-L ISTEO P17GCEGURES IN THOUSANDS

ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...38.000

OPERATIONS ON THE NE KVOU.i SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05 933

SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- . . . . . . . . . . . . . . . ...03.31 347

OPERATIONS ON THE ENOLICRINE SYSTEM . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . ...06-07 101

OPERATIONS ON THE EYE......................................................08-16 561

EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6 122

INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7 105

OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-20 208

OPERATIONS ON THE NOSE, FIOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 1,046

RHINOPLASTY ANO REPAIR OF NO SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8 153

ToNSILLECTOMY HITH OR HITHOUT AOENOIOECT014Y . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3 281

OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34 1,011

BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23 199

OPERAT1ilNS ON THE CARO1OVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 2,786

REMOVAL OF CORONARY ARTERy oBs TRucT1oN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o 133

OIRECT HEART REV ASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1 2b4

CAROIAC CA THE Tti RI CA TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7.21 -37.23 775

PACEHAKER INSERTION, REPLACEMENT, REMOVAL. ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8 214

OPERATIONS ON THE HEF41C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 403

OPERATIONS ON THE OIG&STIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54 5.728

ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .+4.13 194

PARTIAL GASTRECTOHY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8 293

ENOOSCOPY OF LARGE INTESTINE (NATIJRAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 4+8

APPENOkCTOMY, EXCLUOi NG lNCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . ...-...........47.0 275

HE MORRHOIOECTOHY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49 .46 114

CHOLECYSTECT 014Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 502

REPAIR clf IflGUINAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53.0 -53.1 329

OIVISION OF PERITONEAL ADHESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5+.5 325

OPERATIONS ON THE URINARY SYSTW1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 1,885

ENOOSCOPIES THROUGH NATURAL OR IF IC6 . . . . . . . . . . . ..-55 .21-55.22.56 .3l.57.32.58.22 671

OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . ..6O-64 718

PROS TAT EC TOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6 367

OPERATIONS UN THE FEHALE GENITAL i3RGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7l 2,999

00 PHORECTOHY ANO SAL PINGO-GOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 502

BILATERAL OESTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3 +23

HYSTERECTOFIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. b8.3-68. 7 6+4

OILATION ANO CURETTAGE OF UT ECU S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b’i. O +72

REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 147

OBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72-75 4,T01

EPISIOTO&lY ltITH OR HITHOUT FORCEPS OR VACUUM

EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.1,72 .21,72 .31,72 .TI, T3.6 1,741

CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T4. O. T4.2.74. +.74.99 906

REPAIR OF CURRENT OtISTETRIC LACERAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75-6 612

OPERATIONS ON THE HUSCULOSKELk TAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-8+ 3,521

OPEN REOUCTION OF FRACTURE, EXCEPT JAH . . . . . . . . . . . . ...3.79951792-79.3.79.5-79.6 +59

OTHER REOUCIILIN OF FRACTURE, EXCEPT JAIF . . . . . . . . . . . ..76.00796 .78.74 .0-79.1. T9.4 214

EXCISION OR LIESTRUCTION UF ltwTERVERTEliRAL OISC ANO SPINAL FIJSION . . . ..8 0.5081. O 338

ARTHROPLASTY ANO REP LALEHENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 I .41-81.+7 185

AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6 201

OPERATIONS ON HUhCLES, TENOONS, FASCIA, ANO MURSA. . . . . . . . . ...32-83.1*83.3-83.9 344

OPERATIONS ON THE IN TEW.MIENTARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 1,619

MAST EC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .d5.4 132

EXCISIUN OR OCSTRUCTICiN UF LESILIN Ott TISSUE OF SKIN

ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-86.4 565

SKIN GRAFT (EXCEPT LIP OK MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. b.86.7 150

MISCELLANEOUS DIAGNOSTIC ANO THt KAPEu IIC PROCEDUFCES . . . . . . . . . . . . . . . . . . . . . . .. S7-99 9,781

CO14PUTERIZEC AXIAL IOt4GbRAPHY (CAT SCAN) . . . . . . . ..87. 03. ET71.88801 .88838 O1.88.38 1,531

PYELOGRA14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87. 73-87.75 406

ARTERIOGltAPHY ANO ANGIOCAROIObRAPHY USING CON THAb T MAT ERIAL . . . . . . . ...88.4-88.5 1,285

DIAGNOSTIC ULTRA SOUNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ti8.7 1.411

CIRCULATORY 140NITORIN6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..89. b 799

RAOIOISOTOPt SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92.0-92. 1 851

3,886

5b

22

36

83

12

12

14

139

30

+7

76

14

56

*

*

15

25

758

15

34

45

68

16

89

63

39

169

62

83

*3

401

70

85

88

53

17

5a*

.252

112

86

+16

53

34

29

15

15

++

231

lT

72

13

787

81

49

*U

99

98

54

6,233

157

65

10

43

10

*8

45

191

23

71

15.?

31

250

*5

10

53

34

55

1,042

42

44

81

57

22

99

58

69

353

138

133

7+

612

98

99

127

98

34

76b

340

146

1Ob

111

82

41

51

33

27

69

265

25

105

18

1,+43

242

TT

105

22a

89

15+

7,150

167

49

19

63

23

20

41

185

26

59

187

40

488

20

+2

130

46

63

1, 168

35

60

109

49

26

93

66

55

335

120

144

7+

486

81

59

10T

80

30

603

,?31

128

78

T20

101

+9

72

+1

+9

68

Z131

20

101

23

2*1J3Z

353

79

197

315

291

195

10,584

L45

84

28

168

39

33

59

266

41

61

287

50

930

52

9a

2bT

63

1Z5

1,444

56

87

111

62

26

140

al

a7

530

180

19a

104

794

145

91

1L15

131

39

1,491

513

282

la4

921

130

53

89

57

65

89

+3+

39

152

4T

.?,666

397

120

479

358

175

219

10,148

308

12T

39

184

38

31

50

L6+

34

44

309

65

1,061

58

135

323

56

135

1,316

46

69

101

39

Z4

al

60

76

499

lT2

160

7Z

70T

108

89

13T

110

27

1,256

406

238

159

748

92

3T

96

40

45

T5

410

32

135

4a

2,T04

45a

a2

49b

411

1*6

230

NOTE: SEt ‘14 EOICAL COOING ANO E01T,8! APPENOIX I, FOR LODIN& HoOIFICATIOhS FOR THE NATIONAL HuSPITAL 01 SC HAR6E SURVEY.

47
Appendixes

Contents

I. Technical notes on methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Statistical design of the National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Data collection and processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Presentation of estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . 52

Reliability of estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,<, 53

Tests of significance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

II. Definitions of terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Hospitals and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Diagnoses.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, 58

Surgical and nonsurgical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Demographic terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

List of appendix figures

I. Medical abstract for the National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

II. Approximate relative standard errors ofestimated numbers ofpatients discharged or first-listed dia~oses ad of

all-listed diagnoses, by selected patient and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

III. Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital

characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

IV. Approximate relative standtid errors ofestimated numbers ofprocedures forpatients dischmged, byselwted

patient and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

List of appendix tables

I. Number of hospitals in the National Hospital Discharge Survey (NHDS) universe, number of hospitals added to

the NHDS sample, and year of addition, by year of Master Facility Invento~ (MFI) used: United States,

1963-83 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ,. 4... . . . . . . . . . . . . . . . . . . . . . . . . . . 49

IL Number of short-stay hospitals in the National Hospital Discharge Survey universe and survey sample, by

geographic region and bed size of hospital: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

III. Civilian population, by selected characteristics: United States, July 1, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

48
Appendix I

‘Yechnical notes on

methods

Statistical design of the National

Hospital Discharge Survey

Scope of the survey

The National Hospital Discharge Survey (NHDS) covers 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 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

1%5 (National Center for Health Statistics, 1965).

The original universe for the survey consisted of 6,965

short-stay hospitals contained in the 1963 MFI. This univeke is updated periodically (table I). Data on the universe

of short-stay non-Federal hospitals is now obtained from

the American Hospital Association. The distrl%ution of the

hospitals currently in the American Hospital Association

universe (American Hospital Association, 1986) and

NHDS sample of in-scope hospitals for 1986 is given by bed

size and geographic region in table II.

NOTE: A listof rcfcrkcs follows the text.

Table L Number of hospftals In the Natfonal Hospital Discharge

Survey (NHDS) universe, number of hospitala added to the NHDS

sample, and year of addition, by year of Master Facility Inventory

(MFI) used: United States, 1963-63

NHDS unlwse and ssmple

Number addsd Number edded

h4Fl data v :Z to unhkwse to Sampla

1963 . . . . . . . . . . . . . . . .

le63 . . . . . . . . . . . . . . . .

196!3 . . . . . . . . . . . . . . . .

1972 . . . . . . . . . . . . . . . .

1975 . . . . . . . . . . . . . . . .

1977 . . . . . . . . . . . . . . . .

1979 . . . . . . . . . . . . . . . .

1961 . . . . . . . . . . . . . . . .

1263 . . . . . . . . . . . . . . . .

1266

1969

1972

1975

1977

1979

1961

1963

196s

6,965

. . .

442

223

273

114

63

50

45

315

150

32

14

24

9

6

3

5

Table IL Number of short-stay hospitals In the National Hospftal

Discharge Survey universe and survey sample, by geographic

region ●nd bad size of hospital: United Statea, 1986

&dsL?eot All

hospual tqfkms Non’hsastMk7w8sf South West

All S&tS

Universe. . . . . . . . . . . 6,007

In-scope sample . . . . . . 493

6-49 beds

Universe. . . . . . . . . . . 1,351

In-scope sample . . . . . 35

50-99 beds

Untierse . . . . . . . . . . . 1,464

in-scopessmp4e . . . . . . 65

100-199 beds

Universe. . . . . . . . . . . 1,410

In-soopessmpkr . . . . . . 92

200-299 beds

Universe . . . . . . . . . . . 747

In-scope sample . . . . . . 78

300-499 bds

Unlveme . . . . . . . . . . . 706

In-scope sample . . . . . . 115

500-9S9 beds

Untversa . . . . . . . . . . . 302

In-scope sampla . . . . . . 96

I,rxlobadsor

more

Universe. . . . . . . . . . . 27

In-scqesampia . . . . . . 12

Number of hospitals

902 1,667 2,301

115 139 164

73 420 527

6 10 10

163 414 623

11 15 31

m 374 574

15 21 43

199 179 247

19 20 23

177 196 214

35 37 24

77 86 107

24 33 30

9 8 9

5 3 3

1,117

75

331

9

264

8

256

13

122

16

119

19

22

9

1

1

The sample for 1986 consisted of 558 hospitals. Of

these, 75 refused to participate and 65 were out of scope

either because the hospital had gone out of business or

because it failed to meet the definition of a short-stay

hospital. Thus, 418 hospitals participated in the survey

during 1986 and provided approximately 193,000 abstracts

of medical records.

Sample desig~

AU hospitals with 1,000 beds or more in the universe of

short-stay hospitals were selected with certainty in the

sample. AU hospitals with fewer than 1,000 beds were

stratified, the prima~ strata being the 24 size-by-re~.on

cfasses shown in table II. Within each prima~ stratum, the

allocation of the hospitals was made through a controlled

49
selection technique so that hospitals in the sample would be

distributed properly with regard to ownership and geographic division. Sample hospitals were drawn with probabilities ranging from certainty for the largest hospitals to 1

in 40 for the smallest hospitals.

The within-hospital sampling ratio for selecting sample

discharges varied inversely with the probability of hospital

selection. The smallest sampling fraction of discharged

patients was taken in the largest hospitals, and the largest

fraction was taken in the smallest hospitals. This sampling

was done to compensate for hospitals that were selected

with probabilities proportionate to their size class and to

ensure that the overall probability of selecting a discharge

would be approximately the same in each size class.

In nearly all hospitals 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. 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, which was assigned when the patient was

ad”mitted 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, two data collection procedures were 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. In 1986 this

automated method was used in approximately 19 percent of

the sample hospitals. It involved the purchase of data tapes

from commercial abstracting services.

In the manual 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 1986,

about 50 percent of the hospitals that participated in the

manual NHDS system had the work performed by their

medical records department. 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 horn commercial abstracting services. Upon receipt,

these tapes were subject to NCHS sampling, editing, and

weighting procedures. A detailed description of the automated process will be published.

NOTE A listof referencesfollowsthe text.

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 addres~ administrative information, including admission and discharge dates,

discharge status, and medical record number; 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 syste]mwas

coded centrally by NCHS staff. A maximum of seven

diagnostic codes were assigned for each sample abstract; in

addition, if the medical information included surgical or

nonsurgical procedures, a maximum of four codes for these

procedures were assigned. Following conversion of the data

on the medical abstract to computer tape, a final medical

edit was accomplished by computer inspection runs and a

review of rejected abstracts. If the sex or age of the platient

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 is not the lead entg 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. In the new

procedure, based on accepted medical coding practice,

whenever an acute myocardial infarction is encountered

with other circulatory diagnoses and is other than thle first

entry, it is reordered to first position.

The system currently used for coding the diagnoses and

procedures on the medical abstract forms and the data that

appear on the commercial abstracting services data tape is

the International Classification of Disemes, 9th Revision,

Clinical Modification, or ICD-9-CM (Public Health Service

and Health Care Financing Administration, 1980). Data for

1970-78 were coded according to the Eighth Revision International Classification of Diseases, Adapted for Use in the

United States, or ICDA (NCHS, 1967a), with some modifications. These modifications, which were necessary because

of incomplete or ill-defined terminology in the abstracts,

are presented elsewhere (NCHS, 1980a). It has not been

necessary, however, to modiiJ the ICD-9-CM for use in

NHDS.

50
Farm Aonroved:

-r- - -—: O.M.— ---- R.—--------No. OW.7.0C04 ----

CONFIDENTIAL - All information which would permit identification of an individual or of an establishment will be held confidendsl, will be used only

by persons engaged in end for the purposes of the survey. end will not be disclosed or released to other parsons or used for any other purpose.

>RM HDS-1 DEPARTMENTOFHEALTHAND HuMAN SERVICES

!-s-821 U.S. PUBLICHEALTHSERVICE

NATIONALCENTERFORHEALTHSTATISTICS

MEDICAL ABSTRACT - NATIONAL HOSPITAL DISCHARGE SURVEY

i. PATlENT IDENTIFICATION Month Day Year

l. Hospital number . . . . . . . . . . ..l I I 4. Dateofadmission. . m-m-m

2. HDSnumber . . . . . . . . . . . . . ..[ 5. Dateofdischarge . . m-m-m

3. Medical record number 6. Residence ZIPcode ] I

I. PATlENT CHARACTERISTICS

B. Age (Com~/ete only if date of “

1❑ Years

=( {:8 ::;:’s

Month Day Yrrar

7. Date of birth m–rn– DrErl binhnotg’van)”””””””””

9. Sex {Mark (X) one)

i

1 1❑ Male 2~ Female 3 ~ Not stated

1

10. Race I 1❑ White 3 ❑ American hsdian/Ala$kan Netive 5 ~ Other (SDeclfy)

‘ 2D Black 4 ❑ Asian/Pacific Islander G❑ Not stated

I

11. Ethnicity (Mark (X) one) I I ❑ Hispanio origin 2❑Non-Hispanic 3 n Not slated

12, Marital status I I @ Married 3 ❑ Widowed 5‘~ Separated

(Mark (X) one) I

I

20 Single 4 L Divorced a ~ Not stated

13. Expected source(s) of payment Principal Other additional

(Mark oneonly]

14. Status/Disposition of patient

sources

[Mark accordingly) (Mark (X) appropriate box{es))

{

1. Workmen’s Compensation . . . . . . . ❑ ❑

Status Disposition

2. Medicare . . . . . . . . . . . . . . . . . . . . . . . ❑ •1

1❑ Alive ● 8. ❑ Routine discharge/

Government 3. Medicaid . . . . . . . . . . . . . . . . . . . . . . . ❑ •1

discharged home

aourcos

4. Title V . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ •1

b. (1 Left against medical advice

5. Other government payments . . . . . . n ❑

c-n Discharged, transferred to

{

6. Blue Cross . . . . . . . . . . . . . . . . . . . . .

another short-term hospital

Private •1 ❑

sources 7. Other private or commercial

d. ❑ Discharged, transferred to

insurance . . . . . . . . . . . . . . . . . . . . . . ❑ ❑

long-term care institution

{

8.Self pay . . . . . . . . . . . . . . . . . . . . . . .

Other

•1 a. Q Disposition not stated

sources

9.No charge . . . . . . . . . . . . . . . . . . . . . .

: •1

10. Other (SpecifyJ n ❑

2nDiod

❑ No sour.. of paymwst indicated 3 IJ Status not statad

:. FINAL DIAGNOSES

Principal:

Other/additional:

❑ Seereversaside

), SURGICAL AND DIAGNOSTIC PROCEDURES 0;:;:

MOM) Yam

Principal: m-m-m

Other/additional: m-m-m

m-m-m

m-m-m

❑ NONE ~ Sea reversas)de

:ompleted by Date

51
Both the ICDA and the ICD-9-CM are divided into

two main section~ diseases and injuries, and surgical and

nonsurgical procedures. However, many differences exist

between the two classifications. These differences are discussed in a previous report (NCHS, 1981).

Some ICD-9-CM diagnostic codes cannot appear

alone. Specifically, the following codes cannot be firstIisted 320.7, 321.1-321.8, 323.0-323.4, 323.6-323.7, 330.2-

330.3,331 .7,334.4, 336.2-336.3, 337.1, 357.1-357.4, 358.1,

359.5-359.6, 362.01-362.02, 362.71-362.72,364.11, 365.41-

365.44, 366.41-366.44, 370.44, 372.15, 372.31-372.33,

373.4-373 .6,374.51,376.13-376.22, 380.13,380.15,382.02,

420.0, 421.1, 422.0, 424.91, 425.7-425.8, 443.81, 456.20-

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.O-676.9with a fifth digit of 1 or 2 or with code 650

(indicating delivery) must have a code V27.O-V27.9 as a

first-listed diagnosis. Conversely, every discharge with a

first-listed diagnosis of V27.O-V27.9 also must have one of

these delivery codes.

Prior to 1979, data on radiotherapy and physical medicine and rehabilitation (ICDA codes R1-R4) and some

obstetrical procedures were not collected by means of

NHDS. The obstetrical procedures not coded were artificial

rupture of membranev 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 guidelines of the Uniform Hospital Discharge Data

Set (UHDDS). (See U.S. National Committee on Vital and

Health Statistics, 1978, and NCHS, 1980b.) The UHDDS is

a minimum data set of items uniformly defined and abstracted from hospitaJ 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

NHDS were circumcision (ICD-9-CM code 64.0), episiotomy (code 73.6), and removal of intrauterine contraceptive

device (code 97.71). The coding of additiomd Class 4

procedures, listed in appendix II, that are used in the

assignment of diagnosis-related groups (DRG’s) was begun

NOTE A list of references follows the text.

in mid-1983. DRG’s, developed at the Yale School of

Organization and Management, are being used by the

Health Care Financing Administration, some States, and

some third-party payers to reimburse hospitals for inpatient

care. A report on the conversion of NHDS data to DRGs

has been published (NCHS, 1987c).

Presentation of estimates

Grouping of diagnoses and procedures

In this report the diagnostic chapters, the broadest

groupings of diseases and injuries shown, correspcmd to

ICD-9-CM chapters 1-17 and the supplementary classification of factors 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 NHDS follow

the format of the ICD-9-CM tabular list as closely as

possible.

The procedure groupings used in this report are the

groups numbered 1-16 in the ICD-9-CM section entitled

“Procedure Classification.” Specific categories of operations or procedures, the most detailed of these groupings

shown, are subsets of the major groups and are based on

the 4-digit codes provided by the ICD-9-CM.

In developing the tables of diagnoses and of procedures, an effort was made to maximize specificity of the

conditions or procedures consistent with clarity of characterization, the frequency of their occurrence, ancl their

interest.

Patient characteristics not stated

The age and sex of the patient were not stated on the

hospital record (the face sheet of the patient’s medical

record) for about 0.6 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 o~fother

patients with the same diagnostic code. During 1986, 11.0

percent of the hospital records had no race identified.

If the dates of admission or discharge were not given

and could not be obtained from the monthly sample listing

sheet transmitted by the sample hospital, a length of stay

was imputed by assigning the patient a length of stay

characteristic of the stays of other patients of the same age.

During 1985, only 0.01 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 all-listed procedures have been rounded to the nearest

thousand for tabular presentation. Therefore, detained 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.

52
Table Ill. Civilian population, by selected characteristic= United

States, July 1, 1986

[Population estimates consistent wtth Series P-25, Current F’op@rfbn Repofts,

U.S. Bureau of the Census]

Age, gaogrephk regbn,

and mea Boih .Sf3XeS Male Female

All ages

Toil. . . . . . . . . . . . . . . .

Region

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

Mldwast . . . . . . . . . . . . .

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

west. . . . . . . . . . . . . . .

Reea

white . . . . . . . . . . . . . .

Allofher . . . . . . . . . . . . .

Under 15 yeare

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

Underlyear . . . . . . . . . . .

l-4years . . . . . . . . . . . . .

5-14years . . . . . . . . . . . . .

Re@n:

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

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

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

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

Racec

white . . . . . . . . . . . . . .

Ailolher . . . . . . . . . . . . .

15-44 years

-rotaI . . . . . . . . . . . . . . . .

16-24years . . . . . . . . . . . .

25-34yeare . . . . . . . . . . . .

35-44ye.9re . . . . . . . . . . . .

Reqbm

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

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

%.rth. . . . . . . . . . . . . .

west . . . . . . . . . . . . . .

Race:

Wolfe . . . . . . . . . . . . . .

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

46-64 year5

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

45-54years . . . . . . . . . . . .

55-64yeers . . . . . . . . . . . .

Rsqbn

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

Mktwest . . . . . . . . . . . . .

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

west. . . . . . . . . . . . . . .

Raw

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

Allofher . . . . . . . . . . . . .

65 years end over

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

65-74yea~ . . . . . . . . . . . .

75-64years . . . . . . . . . . . .

85yearsendover . . . . . . . .

Region:

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

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

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

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

Race:

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

All Other. . . . . . . . . . . . .

239,357

49,907

59,165

82,091

48,193

202,956

36,3ee

51,963

3,726

14,400

33,856

9,756

IZ922

16,293

11,012

41,992

9,991

113,200

36,259

42,146

32,793

23,297

27,796

36,606

23,496

95,362

17,836

45,001

22,774 “

22,?27

10,157

11,051

15,296

8,497

39,307

5,694

29,173

17,325

9,051

2,796

6,698

7,394

9,695

5,185

26,297

2,875

115,600

23,635

28,721

39,534

23,711

26,576

17,222

26,612

1,906

7,366

17,336

4,994

6,622

9,356

5,636

21,546

5,065

55,874

19,024

20,828

16,022

11,404

13,813

18,915

11,742

47,463

8,412

21,491

11,036

10,453

4,601

5,320

7,233

4,136

16,920

2,571

11,823

7,645

3,366

792

2,636

2,965

4,027

2,195

10,646

1,174

123,556

26,072

30,444

42,556

24,462

104,360

19,176

25,371

1,819

7,035

16,517

4,762

6,300

8,934

5,375

20,444

4,927

57,326

19,235

21,320

16,770

11,692

13,285

19,691

11,757

47,899

9,426

23,511

11,737

11,774

5,356

5,729

6,063

4,360

20,366

3,123

17,350

9,661

5,E%5

2,004

4,062

4,429

5,669

2,990

15,649

1,701

Population estimates

The population estimates used in computing rates are

from published and unpublished estimates for the U.S.

eivilian population on July 1 of the data year providedby

the U.S. Bureauof the Census. The estimates byage, se~

race, and geographic region are presented intable IIIand

are consistent with the population estimates published in

Current Population Repom, Series P-25.

Although the civilian noninstitutionalized population

was used prior to 1981, it has been determined that the

eivilianpopulation ismoreappropriate touseforNHDS, as

persons ininstitutions usually are hospitalized in short-stay

hospitals. This is true especially for elderly residents of

nursing homes. Aeumparison ofNHDSrates basedonthe

eivilian population withratesbased onthecivilian noninstitutionalized population is available in another publication

(NCHS, 1984).

Reliability of estimates

Estimation

Statistics produced by NHDS are derived by a complex

estimating procedure. The basic unit of estimation is the

sample inpatient discharge abstract. The estimating procedure used to produce essentially unbiased national estimates in NHDS has three principal components: inflation

by reciprocals of the probabilities of sample selection,

adjustment for nonresponse, and ratio adjustment to f~ed

totals. These components of estimation are described in

appendix I of two earlier publications (NCHS, 196%,

1967c).

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 stat-

~.,,

The Institute of Medieine (IOM) has conducted three

studies on the reliability of hospital abstract data collection;

the most recent study was on NHDS. The IOM NHDS

study was performed by using data coded according to 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 firstIisted diagnosis in NHDS was not the principal diagnosis as

determined by IOM after a study of the entire medical

record. For example, when diagnoses at the ICDA class

level were examined, the principal diagnosis from IOM

matched the first-listed diagnosis from the NHDS in approximately 86 percent of the cases. Detailed accounts of this

NOTE: A list of references follows the text.

53
and other IOM findings have been published (IOM, 1977a,

1977b, 19s0).

Sampling errors

The standard error is primarily a measure of the

variability attributed to a value obtained from a sample as

an estimate of a population value. In this report it also

reflects part of the measurement error. The value that

would have been obtained if a complete enumeration of the

population had been made will be contained in an interval

repn$sented by the sample estimate plus or minus 1 standard error about 68 out of 100 times and by the estimate

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, so the standard error is expressed as a

percent of the estimate.

The standard error of one statistic generally is different

flom that of another, even when the two come from the

same survey. To derive standard errors that are applicable

to a wide variety of statistics and can be prepared at a

moderate cost, a number of approximations are required.

As a result, figures II-IV provide general relative standard

errors for a wide variety of estimates rather than the

specific error for a particular statistic.

Approximate relative standard errors and standard

errors have been prepared for measuring the variances

applicable to (1) estimates of 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 cross-t abulated by hospitzd characteristics;

and (2) estimates of” all procedures performed by the

specific procedure for the patient characteristics age, sex,

and race and the hospital characteristics geographic region

and bed size.

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 by

region, a second curve is concerned with discharges from

hospitals by bed size, and a third curve pertains to estimates

of days of care for white patients.

NOTE A list of references follows the text.

The selection of the appropriate relative standard error

curve is made as follows

1.

2.

3.

Discharges for jirst-li.sted diagnoses and al-listed diagnoses for patient and hospital characteristics: Relative

standard errors of the estimated number of discharges

and of all-listed diagnoses are obtained tlom the curves

in figure IL

Dqys of cme for dischcnges or jirst-listed diagnoses for

pd”ent and hospikd charactetitics: Relative standard

errors 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 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 probabili~ distribution of the sampling error is possible. The Central ILimit

Theorem is used to determine the distribution of the

sampling errors. The Central Limit Theorem states that,

given a sut%ciently large sample size, the sample estimate is

approximately normally distributed and approximates the

population estimate.

Based on consideration of the complex sample design

of NHDS, the following guidelines are used for presenting

NHDS estimate~

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 more than 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

h 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” and “no difference” mean that no statistically significant difference exists

between the estimates being compared. A lack of comment

on the difference between any two estimates does not :mean

that the difference was tested and found to be, not

significant.,

54
54

40

10

0

50

40

30

20

10

0

A 2 3 456789

A

2 3 4s 6789

A

2 3 4 56789

A

2 3 4 56789

A

2 3 456789

1

A

10 100 1,000 10,000 1Oo,ooa

3ize of eethete (in thousands)

Fwre IL Appminat, tddw ztmchrd ●momofdnutod nimhnm of p4ent$didwged or fht-ktddagnoses and of all-listed dlagnos~ by selected patient andhcwpitdchamctorbtics

mCn
50 50

40

30

10

0

40

30

20

10

0

A 2 3 456789

A

2 3 456789

A

2 3 4 56789

A

2 3 4 56789

A

2 3 456789

A

10 100 1,WJo 10,000 lfx),wo 1,000,000

Size of estimate (in thousands)

EXAMPLE: As sfwwn in tatie 2, an estimated 7,274,WJ0 dSYa of QIre ware provtied dudng 19SS to mab @ank under 15 years 01 aga discharged km ahert-siay lmspitafs. The dative standard enor of this estiiate as read from CUIVS 8 (a

~proximatefy 4.o percent Thus, tha skmdard error is approximately 290,W (4.0 wcent of 7,274,000).

Figure Ill, Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital characteriatice
50

40

30

20

10

0

50

40

30

20

10

0

A 2 3 456789

A

2 3 456789

A

2 3 4 56789

A

2 3 4 56789

A

2 3 458789

1 10 100

A

1,000 Io,ooo 100,000

Size of eslimate(inthousmds)

FkfuI’sIV. AgproxfmatrIMath standard awora of estknated msnbera of prwedwes fw patients diachwg~ by aelwtad patient and hosfhrl characteristics

w

-4
Appendix II

Definitions of terms

Hospitals and hospital

characteristics

Hospitak–Short-stay special and general hospitals

have six beds or more for inpatient use and an average

length of stay of less than 30 days. Federal hospitals and

hospital units of institutions are not included.

Bed size of hospitcd-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 of ownership is

determined by the organization that controls and operates

the hospital. Hospitals are grouped as follow~

● Voluntcuynonproj7t-Hospitals operated by a church or

another nonprofit organization.

. Government-Hospitals operated by State or local governments.

. Propn”etay-Hospitals operated by individuals, partnerships, or corporations for profit..

Patient-A person who is formally admitted to the

inpatient service of a short-stay hospital for observation,

care, diagnosis, or treatment is considered a patient. In this

report the number of patients refers to the number of

discharges during the year, including any multiple discharges of the same individual from one short-stay hospital

or more. Infants admitted on the day of birth, directly or by

transfer froni another medical facility, with or without

mention of a disease, disorder, or immaturity, are included.

In this report newborn infants, defined as those admitted by

birth to the hospital, are excluded from all tables except

those in the newborn section. The terms “patient” and

“inpatient” are used synonymously.

Newborn infmt-A newborn infant is defined as a

patient admitted by birth to a hospital.

Dischcnge-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.

Dischcnge 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 from (and including) the date of ~admission to (but not including) the date of discharge.

Rate of days of care-The rate of days of care is the

ratio of the number of patient days accumulated at time of

discharge by patients discharged from short-stay hospitals

during a year to the number of persons in the civilian

population on July 1 of that year.

Average length of stqy-The average length of stay is the

total number of patient days accumulated at time (of discharge by patients discharged during the year divided by the

number of patients discharged.

Diagnoses

Dischcuge diagnoses-A discharge diagnosis is a disease or injury (or some factor that influences health status

and contact with health services that is not itself a current

illness or injury) listed by the attending physician on the

medical record of patients. In NHDS all discharge (or final)

diagnoses listed on the fact 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 the International Ckmsification of Diseases, 9th Revision, Cliniccd Modification, or

ICD-9-CM (Public Health Service and Health Care Financing Administration, 1980). The number of principal or

first-listed diagnoses is equivalent to the number of discharges.

Principal diagnosis-The condition established after

study to be chiefly responsible for occasioning the admission of the patient to the hospital for care is called the

principal diagnosis.

NOTE A list of references follows the text.

E@
First-hkted diagnosis-The coded diagnosis identified

as the principal diagnosis or listed first on the face sheet of

the medical record is the first-listed diagnosis. The number

of first-listed diagnoses is equivalent to the number of

discharges.

All-listed diagrzoses-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 horn non-Federal

short-stay hospitals during the year.

Obstebz”caldiagrzosis-A diagnosis relating to conditions arising from or affecting the management of pregnancy, childbirth, and the puerperium (the period following

childbirth) is a obstetrical diagnosis. These are code numbers 640-676 of the ICD-9-CM.

Nowcd delivay-A normal deliveq is a delivery without abnormality or complication of pregnancy, childbirth,

or the puerperium and with spontaneous cephalic delivery

(that is, presentation of the child headfirst and delivery of

the child without external aid). If no mention of fetal

manipulation or instrumentation is made, ICD-9-CM code

650 is assigned.

Complicated deliveiy-All deliveries not considered

normal, including deliveries of multiple gestation, are included. ICD-9-CM code numbers 640-648 and 651-676 are

assigned.

Surgical and nonsurgical

procedures

Dfichcuges with procedures—The estimated number of

patients discharged from non-Federal short-stay hospitals

during the year who underwent at least one procedure

during their hospitalization are termed “discharges with

procedures.”

Procedure-A procedure is one or more surgical or

nonsurgical operations, diagnostic procedures, or special

treatments assigned by the physician to the medical record

of patients discharged from the inpatient service of shortstay hospitals. In NHDS all terms listed on the face sheet of

the medical record under captions such as “operation;

“operative procedures? and “operations and/or special

treatments” are transcribed in the order listed. A maximum

of four 4-digit codes are assigned per sample discharge

according to ICD-9-CM and NHDS directives. (See “Medical coding and edit” in the “Data collection and processing” section of appendix I for further details.)

A1l-hkted procedures— All coded procedures that are

listed on the face sheet of the medical record, exclusive of

most Class 4 procedures, are included.

Un~orm Hospital Discharge Data Set (UHDDS) classes

ofprocedures—Procedures are categorized into four classes

according to UHDDS guidelines. Classes 1-3 consist of

significant procedures—that is, procedures that carry an

operative or anesthetic risk or require highly trained personnel, special facilities, or special equipment. Class 4

procedures do not meet these criteria.

VHDDS Class 1 procedures-All procedures not categorized as Class 2, 3, or 4 procedures are included.

.?.?HDDSClass 2procedures–The following ICD-9-CM

procedure codes identify Class 2 procedures as categorized

by the UHDDS:

03.31,03 .91-03.92,04.80-04.89, 21.01,24.7,31.41-31.42,

34.91-34.92, 37.92-37.93, 42.22-42.23, 44.12-44.13,

45.12-45.13, 45.22-45.24, 48.22, 50.92, 54.91,

54.97-54.98, 57.31, 58.22, 59.95, 62.91, 66.8, 69.6-69.7,

69.93, 70.0, 73.01-73.1, 73.3, 73.51-73.59, 76.96, 81.91-

81.92, 82.92-82.96, 83.94-83.98, 85.91-85.92, 86.01,

87.03-87.08, 87.13-87.15, 87.31-87.35, 87.38,

87.41-87.42, 87.51-87.52, 87.54-87.66, 87.71-87.73,

87.75, 87.77-87.78, 87.81-87.84, 87.91, 87.93-87.94,

88.01-88.03, 88.12-88.15, 8838, 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 3procedures-The following ICD-9-CM

procedure codes identifj 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.

.W?DDS CLZYS4 procedures–From 1979 through the

middle of 1983 only three Class 4 procedures were coded

for NHDS: circumcision (ICD-9-CM code 64.0), episiotomy (code 73.6), and removal of intrauterine contraceptive

device (code 97.71). 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 identi&

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, 87.36-8737, 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, 8839, 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,

59
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.

SuW”caloperations-All procedures except those listed

under’’nonsurgical procedures’’ are listed assurgicaloperations.

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, 52.11-52.12, 54.22-54.23, 55.23-55.24,

56.32-56.33, 57.33-57.34, 58.23-58.24, 59.21, 60.11-

60.15, 61.11, 62.11-62.12, 63.01, 64.11, 65.11-65.12,

66.11, 67.11-67.12, 68.13-68.14, 70.23-70.24, 71.11,

76.11, 77.40-77.49, 80.30-80.39, 83.21, 85.11-85.12,

86.11.

Nonsuq”calprocedures -Procedures generally not considered to be surgery are listed as nonsurgical procedures.

These include diagnostic endoscopy and radiography, radiotherapy and related therapies, physical medicine and

rehabilitation, and other nonsurgical procedures—lnternationa.1 Classific&”on of Diseases, Adapted for Use in the

United States (ICDA) codes A4-A9 and R1-R9. The following ICD-9-CM codes are for diagnostic and nonsurgical

procedures:

03,31, 11.21, 12.21, 14.11, 16.22, 20.31, 29.11, 31.41-

31.42, 33.21-33.23, 34.21-34.22, 39.95, 42.21-42.23,

44.11-44.13, 45.11-45.13, 45.21-45.24, 48.21-48.22,

51.11, 54.21, 55.21-55.22, 56.31, 57.31-57.32,

58.21-58.22, 60.19, 68.11-68.12, 70.22, 80.20-80.29,

87.01-99.99.

Rate of procedures—The ratio of the number of alllisted procedures during a year to the number of persons in

the civilian population on July 1 of that year determines the

rate of procedures.

Demographic terms

Population —The civilian population is the resident

population excluding members of the Armed Forces. The

civilian noninstitutionalized population is the civilian population not residing in institutions.

Age—Patient’s age refers to age at birthday prior to

admission to the hospital inpatient service.

Race-Patients are classified into two groups: “white”

and “all other.” The all other classification includes all

cat egories other than white. In addition, 11.0 percent of the

patients had no race stated on the face sheet of the record.

Geographic regz”on—Hospitals are classified by location

in one of the four geographic regions of the United States

that correspond to those used by the U.S. Bureau of the

Census.

Region

Northeast

Midwest

South

West

States included

Maine, New Hampshire, Vermont,

Massachusetts, Rhode Island,

Connecticut, New York New Jersey,

and Pennsylvania

Michigan, Ohio, Illinois, Indiana,

Wisconsin, Minnesota, Iowa,

Missouri, North Dakota,

South Dakota, Nebraska,

and Kansas

Delaware, Maryland, District of

Columbia, Virginia, West Virginia, North

Carolina, South Carolina, Georgia,

Florid% Kentucky, Tennessee, Alabama,

Mississippi, Arkansas, Louisiana,

Oklahoma, and Texas

Montanq Idaho, Wyoming,

Colorado, New Mexico, Arizona,

Utah, Nevada, Washington, Oregon,

California, Hawaii, and Alaska

60
Vital and Health Statistics

series descriptions

SERIES 1.

SERIES 2.

SERIES 3.

SERIES 4.

SERIES 5.

SERIES 10.

SERIES 11.

SERIES 12.

SERIES 13.

Programs and Collection Procecfures-+kptirfs descnb!ng lhs!

general program~ of the National Center for Health Sta!Mics

and its offices and divisions and the data co!kcmm methods

used. They also mclucfe definitions and othw material neccssmy

for understanding the data,

Data Evaluation and Methods ResearckStucltes of new stat~stlcal methodology irmkrdmg experimental tests of new survey

methods, studies of vital s!atis!ics collection methods, new analytical techniques., objective evakdkms of relmbMy of coi!ected

da!a, and contributions to statistical theo~~. Stud[es also include

comparison of U.S. methodology wth those of other countnes,

Analytkal and Epidemiological Studie*Reports presenting

analytical or interpretive stud~es based on vital and health sia!istics, carrying the analysis further than the expository F;pes of

reports in the other series.

Documents and Committee Reports-Final reports of major

commtfees concerned ~ith ~itd and health stattstcs and documents such as recommended model v!tal regustrat[on laws and

revised birth and death certificates.

Comparative International Vial and Health Statistics Reports-Analytical and descriptive reports comparmg U.S. vital

and health stat~s!!cs with those of other countnss

Date From the National Heafth Interview Survey-Statistics

on Mess, accidental inpxies, dmbilty, use of hospital, medmal,

dental, and other services, and other health-related top:cs, all

based on data co!lected in the continu~ng national househo!d

interview survey.

Date From the National Health Examination Survey and the

Nathral Health and Nutrition Examination Survey-Data from

direct exammation, tes!mg, and measurement of natronal samp!es

of the civdian noninstitutlonalized population provide the bask

for (1) estimates of the medically defined prevalence of specific

diseases in the United States and the distributions of the poptkt[on

with respect to physical, physiological, and psychological characteristics and (2) analysis of relationships among the various measurements without reference to an explicit finite umverse of persons.

Data From the Instiiutionatiied Population Surveye-D/scontinued in 1975. Reports from these suweys are included m Series

13.

Data on Health Resources f.ftikzatio~tatistics on the utilization of health manpower and facihties providing long-term care,

ambulatory care, hospital care, and family planning servfces.

SERIES 14.

SERIES 15.

SERIES 20.

SERIES 21.

SERIES 22.

SERIES 23.

Date on Health Resources: Manpower and Facihtiea-Statlst[cs an the numbers. geograpfvc d,s!r,bu![on. and characterls!fcs

of hea:tln resources mclud ng physmans. den!tsts, nurses, other

health occupa!,ons, hospJals, nursing homes, and outpakm! facJlt[es.

Data From Special Sr.rrveys-Sta.! shcs on health and heallhrek!ecl tcpzs colkted m spwal surveys tha! are no! a part

of tine conlnumg data systems of the fdatonal Center for Health

S!akfics.

Data on Mortafii-varmus stat,shcs on mortahty other than

as mchnkd in regular annual or monthly reports Special analyses

by cause of deafh, age, and o!her demographic variables: geographic and t,me stwes analyses: and slatstlcs on characteristics

of deaths not a.vatkk from the vi!al records based on sample

surveys of thoss recmds.

Data on Natafii, Marriage, and Divorc+Vanous s!a!rstlcs

on natarity, marriage, and divorce other than as mduded m re9ular

annual or mon~nly repofls. Specml analyses by demographic

vanab!es: gecxyaph c and tfme series analyses: stud[es of ferlMy;

and statis!cs on characterMcs of births not available from the

vital records based on sample surveys of those records.

Data From the Nationat Mortefity and Natelity Surveya-Dmcontinued m 1975. Reports from these sample suweys based

on vdal records are included m Serfes 20 and 21, respectwely.

Date From the National Survey of Famify Growth-Stat@cs

on ferti!ly, famly fmrnatmn and dmsoluton, fam)iy planning, and

related maternal arcl mfan! hea[lh topics derived from a per~odm

survey of a natonw,de probabdity sample of women 15-44 years

of age.

For answers to questions about this report or for a list of titles of reports

pub!ished in these series, contact:

Scientific and Tecfmcal Information Branch

Nalional Center for Health Sta!Wcs

Centers for Disease Cm.!rcd

Public Health Serwce

Hyaftsvil!e, Md. 20782

301-436-8500
.

U.S. DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Public Health Service

Centera for Disease Control

National Center for Health Statistics

3700 East-West Highway

Hyattsville, Maryland 20782

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE, .$300

BULK RATE

POSTAGE & FEES PAID

PHSINCHS

PERMIT NO. ~

DHHS Publication No. (PHS) 86-1757, Series 13, No. 96