Public Health Service Publication No. 1000-Series 22-No. 2

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NATIONAL CENTER

For HEALTH STATISTICS

VITAL and HEALTH STATISTICS

DATA FROM THE NATiONAL VITAL STATISTICS SYSTEM

\

episodes and duration of

Hospitalization in the

last Year of life

United States -1961

0

Statistics on the number of episodes of care and the

average number of days of care received by decedents

during the lost yecrrof life inshort-stay hospitals and

resident institutions, by age, sex, color, residence,

and cause of death. Based on data collected in a

survey of hospitals and institutions providing care

to a sample of persons dying in 1961.

Washington, D.C. June 1966

U.S. DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

John W. Gardner

Secretary

Public Health Service

William H. Stewart

moPERw OF THE

Surgeon General WBLICATIOh!S[3MNCH

EDITORIALLIBMRY
..-

NATIONAL CENTER FOR HEALTH STATISTICS

FORREST E. LINDER, PH. D., ~iTECtOT

THEODORE D. WOOLSEY, ~e~~ty ~;~2CtOr

OSWALD K. SAGEN, PH. D., A~sistant Director

WALT R. SIMMONS, M.A., statistical Advisor

ALICE M. WATERHOUSE, M.D., Medical Advisor

JAMES E. KELLY, D.D.S., ~entaz ~dvi~or

LOUIS R. STOLCIS, M.A., ~xecutive Oficer

DIVISION OF HEALTH RECORDS STATISTICS

MONROEG. SIRKEN2PE. D., Chiej

E. EARLBRYANT,M.A., Chief, Institutional Population Survey Branch

MILTONC. ROSSOFF,M. S., Chief, Hospital Discharge Survey Branch

GORDONF. SUTTON,PH. D., Chiej, Vital Records Survey Branch

Public Health Service Publication No. 1000-Series 22-No. 2

Lib;ary of Congress Catalog Card Number 66-60080.
CONTENTS

Page

htroduction ----------------------------------------------------------

Selected Findings -----------------------------------------------------

Sources and Qualifications of Data --------------------------------------

Number of Episodes of Hospitalization per 1,000 Decedents ----------------

Sex, Age, and Color------:------------------------------------------

Region and Metropolitan Status ---------------------------------------

Cause of Death -----------------------------------------------------

Distribution of Decedents by Number of Episodes of Care -------------- ----

Sex, Age, and Color -------------------------------------------------

Region and Memopoli@n Stares ---------------------------------------

Cause of Death -----------------------------------------------------

Average Number ofDayso fHospitalization ------------------------------

Sex, Age, and Color -------------------------------------------------

Region and Metropolitan Status---------r-----------=-----------------

Cause of Death -----------------------------------------------------

Detailed Tables -------------------------------------------------------

Appendix I. Technical Note on Methods --------------------------------

Statistical Design of the National Mortality Survey ---------------------

Reliability of Estimates ---------------------------------------------

Appendix II. Definitions ofCertain Terms Used in This Report ------------

Terms Relating to Hospitalization ------------------------------------

Other Terms ------------------------------------------------------

Appendix III. Source Forms --------------------------------------------

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IN THIS REPORT statistics are pyesented on the mmbev of episodes

of caye and the average mmber of days of cave pevsons received in

shov.t-stay hospitals and resident institutions during the last year of life.

Differences in the amount of care aye shown by age, sex, color, vesidence,

and case of death. The data ave based on a probability sample of 5,154

deaths occuyring in 1961.

About 72 peycent of the 1.7 million pevsons who died in 1961 had one OY

more episodes of hospitalization duri~ the last year of life. There were

1,198 episodes per 1,000 decedents, most of which were in shovt-stay

hospitals, and an average of 45 days of cave per decedent. Of those hospitalized duving the last year of life, three- fiflhs had only one episode

of care, about One-fifih had two episodes, and just less than one-fifth had

three OYmoye episodes; these persons avev~ed 63 days of cave in the

last year of life. The episode rate per 1,000 decedents was highev for

white than fov nonwhite decedents, and among thos~ hospitalized, nonwhite pevsons tended to have +mallev wmbevs of episodes of care and

to aver~e fewey days of cave than white pevsons.

The episode rate for persons dying of malignant neoplasms was three

times that of pevsons dying of accidents. Nearly all those dying of cevtain diseases of eavly infancy and about thyee-~artevs of those dying

of accidents had no more than one episode of cave. On the other hand,

only two-fiflhs of those dyi~ of malignant neoplasms had just one episode of care. The average number of days of care Yanged from 1 day fov

hospitaiizeddecedents dying of cevtain diseases of eavly infancy up to 129

days for those dying of avteviosclerosis.

SYMBOLS

Data not available ------------------------ ---

Category not applicable ------------------- .,.

Quantity zero ---------------------------- -

Quantity more than O but less than 0.05 ----- 0.0

Figure does not meet standards of

reliability or precision -------------------

*
-

EPISODES AND DURATION OF

HOSPITALIZATION IN THE LAST YEAR OF LIFE

Gooloo S. Wunderlich and Gordon F. Sutton, Division of Health Recovds Statistics

INTRODUCTION

This is the second report on the use of hospitals and resident institutions by persons during

the last year of life. It is based upon data collected

in the National Mortality Survey for a probability

sample of 5,154 persons who” died in the United

States in 1961. Information about these persons

was obtained from the hospitals and institutions

that provided care and from the death certificates.

Statistics derived from the information reported on the death record alone are not sufficient

to meet the expanding needs for mortality data in

‘public health, medical research, epidemiology,

demography, and other >elated fields. The data

collected in the National Mortality Survey extend

for statistical purposes the range of items which

are normally included on the certificate of death.

The statistics derived from this survey provide

national information about recently deceased persons by characteristics not previously available.

The first report in this series described the

hospitalization experience of persons who died in

196~ in terms of whether they had received any

hospital or institutional care during the last year

of life and described the relationship between

hospitalization and selected characteristics of the

decedent. 1 This report describes the use of hospitals and institutions by persons during the 12-

month period prior to death in terms of (1) the

number of episodes of care and (2) the duration

of care as measured by the average number of

days of hospitalization.

The expressions “hospitalization” and “hospitalization experience” “refer to care received

by deceased persons in the 12-month period before

death in short-stay hospitals (places providing

care which is usually of less than 30 days’ duration) and in resident institutions (chronic disease hospitals, nursing homes, and other places

providing nursing or personal care). The term

“hospitalized decedent” refers to a decedent with

one or more episodes of care in a short-stay

hospital or resident institution during the last year

of life..

SELECTED FINDINGS

About 72 percent of the 1,702,000 persons who

died in 1961 had one or more episodes of hospitalization experience in the last year of life.

There were 1,198 episodes per 1,000 decedents,

1,024 of which were in short-stay hospitals, and

the remaining 174 in resident institutions. The

ratio of episodes per 1,000 decedents was 1,245

for females as compared with 1,161 for males.

Nonwhite persons had a much lower episode

ratio (942) than white persons (1,232). The number

of episodes per 1,000 persons dying of malignant

neoplasms was about three times that of persons

dying of accidents.

Of the decedents hospitalized during the last

year of life, three-fifths had only one e,pisode of

care; about one-fifth had two episodes; and the qe -

mainder had three or more episodes. Males and

females were similarly distributed as to number of

episodes of care.

Infants, who as a group were quite likely to

have received care, were not likely to have had

more than one episode of care. In contrast, 48

I

1
percent of persons aged l-24 years at death had

two or more episodes. This percentage declined

as age increased beyond age 25.

Among hospitalized nonwhite persons, a

smaller proportion had two or more episodes of

care than among white persons.

Ninety-eight percent of the hospitalized decedents dying of certain diseases of early infancy

had only one episode of care. At the other extreme,

40 percent of those hospitalized who died of

malignant neoplasms had only one episode of care.

The average hospitalized decedent spent 63

of his last 365 days in hospitals and institutions.

This average was 45 days when all decedents,

including those with no care, were considered.

Infants dying during the first year of life

who had hospitalization experience averaged only

6 days of care in hospitals and institutions. Persons dying at ages 1-24 were hospitalized an

average of 40 days. For decedents aged 25-64

years, the average number of days of care increased slightly as age increased. This ageassociated increase became marked after age 65.

Hospitaltied nonwhite persons spent on the

average fewer days in hospitals and institutions

during the last year of life than hospitalized white

persons. Decedents in the South Region had fewer

days of care than those in other regions of the

United States.

Marked variation in number of days of care

was observed when hospitalized decedents were

classified according to leading causes of death.

Those dying of certain diseases of early infancy

had an average of 1 day of care; those dying

of influenza and pneumonia (except pneumonia of

the newborn) averaged 104 days; and those dying

of arteriosclerosis had 129 days.

SOURCES AND

QUALIFICATIONS OF DATA

The principal sources of information for

statistics presented in this report were the death

certificates and the hospitals and institutions

which provided medical and personal care for the

decedents during the 12-month period preceding

death. In addition, the death record informant, who

was usually a close relative’ of the decedent and

whose name and address appeared on the death

certificate, was asked to provide information

which would be helpful in locating hospitals and

institutions which provided care.

A description of the sample design of the survey, the estimation techniques, and the general

qualifications of data obtained in the survey is

given in Appendix I. Statistics shown in this report

are estimates based on a sample and are therefore

subject to sampling error. Tables of approximate

standard errors and instructions for use of these

tables are also presented in Appendix I. In addition to being subject to sampling errors, the

reported survey data are affected bynonsampling

errors such as those associated with nonresponse,

possible misunderstanding of questions in the

survey, and undetected problems in the processing

and compiling of the statistics. A discussion of

these nonsampling errors is given in Appendix I,

along with some measures relating to bias in the

survey.

Definitions of certain terms used in this report are presented in Appendix II. Facsimiles of

the questionnaires used in the survey and a o

facsimile of the death certificate are shown in

Appendix III.

NUMBER OF

EPISODES OF HOSPITALIZATION

PER 1,000 DECEDENTS

Of the 1,702,000 persons who died in the

United States in 1961, 1,229,000, or 72 percent,

received some care in hospitals or institutions

during the 12 months preceding death. Among

all decedents 58 percent received care only in

short-stay hospitals, 9 percent in resident

institutions, and the remaining 5 percent in

both short-stay and resident institutions. 1 The

extent of hospitalization among decedents is

measured in this section by means of the ratio

of the number of episodes of care provided by

hospitals and institutions per 1,000 decedents,

Sex, Age, and Color

per

Over all decedents, there were 1,198 episodes

1,000 decedents. The ratio was higher for

2
I

Table A. Percent distribution of decedents, by number of episodes of care in the last

year of life according to sex: Un&ted States, 1961

All decedents Number of episodes

With one or more

Sex Number

in Percent None

thousands Three

Total one Two or

more

;

Percent distribution

Both sexes ---------------- 1,702 100.0 27.8 72.2

Male ------------------------ -- 968 100.0 30.4 69.6

Female ------------------------ 735 100.0 24.4” 75.6mI I i

females (l,245) than formales( 1,161) and higher

for whitepersons (l,232)thanfor nonwhitepersons

(942). Infants dying in”the first year of life had 972

episodes per 1,000 (tables land2). Thisratiorose

with age to a level of about l,300per 1,000 for

decedents aged25 -64, then declined toaboutl,200

among the older decedents.

The ratios for males’and females differed

markedly at ages 1-64 years, where females had

substantially more episodes per 1,000 decedents “

than males. However, among persons dying at

age 85 or over, the direction of sex difference

was reversed. For infants and for persons aged

65-84 years, the ratios among males andfemales

were similar.

The average white person had substantially

more episodes of hospitalization than theaverage

nonwhite person. This difference, although.less

clear for those under age 45, prevailed overall

ages and for both sex groups (table 2). Color

difference in the episode ratio for females was

more pr~nounced than for males.

Variation in the number ofepisodesperl,OOO

decedents by kind of facility occurredas anagerelated phenomenon. That is, for mostagegroups

.nearly all episodes tookplaceinshort-stayhospitals. But as age increased; the proportion of

episodes occurring in resident institutions increased and became of marked importance for

persons aged75 and over.

Region and Metropolitan Status

Decedents from the Northeast and South

Regions, taken together, appeared tohave some.-

what fewerepis odesthanthos eintheNorthCentral

and West (table 3). The slight variations among

regions by age and sex, notedintable3, cannotbe

distinguished from variations due to sampling.

Little variation was noted by metropolitan status.

of residence inthenurnberof episodes per 1,000

decedents (table 4).

Cause of Death

When decedents” are classified according to

the 10 leading causes of death in 1961, large

differences are seen in the ratio ofepisodesto

decedents (table 5). Persons dying of malignant

neoplasms experienced 2,020 episodes per 1,00Q

at. the other extreme, those dying ofaccidentshad

659 episodes per 1,000 decedents. This ratio is

not only a function of the proportion of persons

having care, but also of the number of episodes of

care among those who received it.

For example, arelatively lowratio is found

for certain diseases of early infancy in spite of

the very high proportion of persons in that class

of decedents who had at least one episode of care

(table 10). Similarly, thedifference in the ratios

for cirrhosis of liver (1,560) and malignant

3
I

neoplasms (2,020) cannot be accounted for only

by the difference in the proportion of decedents

with hospitalization in each cause group (table 5).

I

DISTRIBUTION OF DECEDENTS BY

NUMBER OF EPISODES OF CARE

Of the estimated 1,229,000 decedents having

hospitalization experience during the last year of

life, 62 percent had one episode of care, 22 percent

experienced two episodes, and the remaining 16

percent had three or more episodes of care in a

hospital or institution (table 6).

I

Sex, Age, and Color

The proportion of decedents with care during

the last year of life was somewhat’ larger for

females than for males. This difference was

largely accounted for by the sex difference in

the proportion with one episode of care (table A).

Apart from infants, who were highly likely

to have been hospitalized and to have had exactly

one episode of care, the proportion of decedents

with hospitalization experience during the last

year of life increased with advancing age up to

75 years. As shown in table 6, over this age span

and continuing into the older age groups, two

associated patterns are apparent in the distribution of decedents by number of episodes.

There is (1) a gradual increase, marked in the

: older ages, in the. proportion of hospitalized

decedents who had only one episode of care and

(2) a decline in the proportion with three or more

episodes of care.

For both males and females, a larger proportion of those aged 65 years and over had only one

episode than did those under 65 years of age.

Among males, regardless of the number of

episodes, aging appeared to produce a moderate

increase in the likelihood of care. Among females,

however, the proportion with care increased up to

ages 25-44, after which the proportion decreased.

At all ages, nonwhite persons were less likely

than white -to have received care in a hospital or

institution, and among those decedents with one or

more episodes of care, nonwhite persons, on the

whole, were less likely than white to have received

two or more episodes of care (table 7).

Region and Metropolitan Status

A somewhat lower proportion of decedents in

the South received care in a hospital or institution

than those in the Northeast, North Central, and

West. This difference is paralleled by relatively

fewer decedents in the South having one or two epi.

sodes, as shown in table B. No difference was noted

between the South and the remaining regions in the

proportion with three or more episodes. Regional

variations in the distribution of decedents with

hospitalization experience by number of episodes

of care were noticeable at the younger ages but

disappeared as age increased (table 8).

In each region except the West, hospitalized

males wer,e about as likely as females (if not

less likely) to have had only one episode of care. In

the West Region, males under 65 with hospitalization experience were more likely than

females to have had only one episode of care,

However, this sex difference disappeared or was

reversed for decedents aged 65 years and over.

A greater proportion of decedents in the

larger metropolitan areas than those in smaller

metropolitan or in nonmetropolitan areas had

hospitalization in the last year of life (table 9).

However, among hospitalized decedents who

received care, those in metropolitan areas of 1

million or more were somewhat more likely to

have had no more than one episode of care than

decedents in other areas.

Cause of Death

Although about 9 out of 10 persons dying of

certain diseases of early infancy, congenital

malformations, malignant neoplasms, and cirrhosis of liver had hospitalization in the last year

of life, large differences were apparent among

these cause groups when hospitalized decedents

were distributed by number of episodes of care

(table 10). About 98 percent of those dying of certain diseases of early infancy had just one episode

of care, while only 55 percent of those dying of

congenital malformations and of cirrhosis of liver

and 40 percent of those dying of malignant neoplasms had only one episode. Moreover, more than

one-fourth of persons dying of congenital malformations and malignant neoplasms had three or

more episodes of care during the last year of life.

4
Table B. Percent distribution of decedents, by number of episodes of care’in the last

year of life according to geographic region: United States, 1961

I

Region

United States--------

South------------------------

Other regions ----------------

Northeast ------------------

North Central --------------

West -----------------------

All decedents

Number

in Percent i

thousands

1,702

498

1,204

470

493

241

100.0

100.0

100.0

100.0

100.0

100.0

None

Number of episodes

With one or more

Percent distribution

27.8

32.9

25.7

26.3

24.8

26.5

72.2

67.1

74.3

73.7

75.2

73.5

44.7

41.3

46.1

46.6

46.4

44.5

15.8

14.3

16.4

16.4

16.4

16.2

11.7

11.4

11.8

10.7

12.5

12.7

Persons surferingacclaentaldeathwere amongme

least likely tohave hadhospitalization experience,

and about three-fourths ofthosewhoreceived hosvitalization had only one episode ofcare.

AVERAGE NUMBER OF

DAYS OF HOSPITALIZATION

During the 12-month period preceding death,

the 1,229,000 decedents hospitalized during the

last year oflife experienced morethan77,000,000

days of care ainhospitals or institutions, averaging 63 days per decedent with some hospitalor

institutional care. The average duration ofcare

for all decedents, including those with nocare,

was 45 days (table C). The detailed tables in this

report provide the average numberofdaysofcare

during the last year of life for all decedentsas

well as for those with hospitalization experience.

However, the discussion which followsdeals only

with decedents who hadone or more episodes of

hospital or institutional care. Table-C briefly

illustrates the similarity in the relationships

between some mbjor corresponding subgroups of

the decedent population.

aDatanot shown in tables.

Sex, Age, and Color

The number ofdays of hospitalization during

the 12-month period prior to death increased

markedly with advancing age. It rose from an

average per decedent of 6 days for those dying

under 1 year of age and 40 days for those 1-24

years of age to ahighof 118days for decedents

85 years or older (table 11). The pattern ofage

differences in the average duration of care for

male and female decedents considered separately

was similar to that observed for both sexescombined, but was more pronounced for females than

for males (fig. 1).

Female decedents spent onthe average more

days in hospitals and institutions than maledecedents. This sex difference was only marginal for

decedents under 65 years of age, but it was pronounced for decedents aged 65 and older.

Most of the difference by age in the amount

of care received during the last year of life was

accounted for by the age differences in the time

spent in resident institutions .Theaveragenumber

of days spent byadecedent inaresident institution

ranged from 11 days for a decedent l-24 years of

age to 97 days for a decedent 85 years or older.

The number of days spent inshort-stay hospitals

increased from an average of 5 days for a decedent under 1 year of age to30days for a decedent

5
1-24 years of age. Theaverage duration of care

was about the same for decedents aged25 to74

years, but it decreased slightly for decedents

aged75 years or older.

As shown in table 12, white decedents spent

more days in hospitals and institutions during the

last year of life than nonwhite decedents. When

these decedents were further classified by age,

this pattern of color differences prevailed for

decedents 45 years and older.

Among females, the average number of days

of hospitalization was greater for white than for

nonwhite decedents. The average per decedent was

75 days of care for white females as compared

with 36 days for nonwhite females. This pattern of

color differences among female decedents was

apparent for all age groups. The color differences

observed among female decedents for all facilities

combined were almost wholly accounted for in

Table C. Number of decedents and average number

care per decedent during the last year of life,

1961

every age group bycolor differences in resident

institutions. Differences by color in the amount

of time spent by female decedents in short-stay

hospitals were marginal. Among males the average number of days of care in hospitals and

institutions was about the same for white and

nonwhitedecedents.

Reaion and Metropolitan Status

The average number of days of hospitalization

during the last year of life was slightly lower for

decedents in the South than for those in the rest of

the country (table 13). The same pattern of regional

variation prevailed when resident institutions

were considered separately, but it did not hold

for short-stay hospitals .-

Males who died in the West and South Regions

spent less time in resident institutions than those

Age, sex, and color

Total ----------------------------

Age

Under ’45 years -------------------------

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

65 years and over -----------------------

Sex

Male -----------------------------------

Female ---------------------------------

Color

White---------------------------------’-

Nonwhite --------------------------------

of

by

days of hospital or institutional

age, sex,and color: United States,

All decedents

~umber

in

lousands

1,702

270

419

1,014

968

735

1,499

203

Average

number of

days of

care per

decedent

hospitalized decedents

Number

..in _..

thousands

L,229,

190

292

746

673

555

1,098

131

Average

number of

days of

care pet

decedent

63

6.
Female

●-------

#

a

.

0

I I I I I I

Under I 1-24 25-44 45-54 55-64 65-74 75-84

year

85 years

years yeOrs years years years years and over

AGE

Figure 1. Average number of days of care during the last year of life per hospitalized decedent, by sex.

in the North Central and Northeast Regions. The

regional differences were more pronounced for

females than for males. The average numberof

days of care in hospitals and.institutions for female

decedents in the South Region was less thanthose

in the rest of the country. Most of this regiona$

variation among female decedents was accounted

for’by the marked regional differences in the

amount of time spent in resident institutions by

females 65 years and older.

In each of the four geographic regions, the

average number of days of hospitalization was

greater for female decedents than formaledecedents; this difference ranged from 13days inthe

South to 39 days in the West. Most of the sex

difference,observed in each of the four regions

was accounted for by sex differences in the

amount of time spent in resident institutions by

decedents aged65 years and older.

As seen in table 14, the average time spent

in hospitals and institutions was slightly greater

for persons dying in larger metropolitan areas

than for-those in the smaller metropolitan and

,nonmetropolitan areas. However, the differences

were marginal.

For decedents aged 45-64 years the average

number of days of’hospitalization during the last

year of life was less fornonmetropolitan areas

than for metropolitan areas. Most of the difference

was accounted for by the relatively few days spent

in resident institutions by persons in this age

group who died in nonmetropolitan areas. This

pattern prevailed, among both male and female

decedents.

Differences by metropolitan status observed

among decedents less than 45 years of age and 65

years and older were marginal. When males” and

females in these age groups were considered sep-
Table D. Average n“wber of days of care during the last year of life per hospitalized

decedent, by selected causes of death,age, and kind of facility which provided care:

United States, 1961

(Averagenotshownwhen baseislessthan10,000)

Selected causes of death and age

All causes

All ages-----------------------------

Under 45 years-----------------------------

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

65 years and over--------------------------

Diseases of heart

All ages -----------------------------

Under 45 years-----------------------------

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

65 years and over--------------------------

Vascular iesions

All ages-----------------------------

Under 45 years-----------------------------

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

65 years and over--------------------------

Accidents

All ages-----------------------------

Under 45 years------------------------------

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

65 years and over--------------------------

arateiy,thepatternformales was similartothat

observedforbothsexescombined.

Female .decedents-lessthan.45yearsofage

hada differentpatternofvariation bymetropolitan

status.The small differencesby metropolitan

statusforfemaledecedentsunder45 yearsofage

inallfacilities combinedmaybe explainedbythe

compensatingdifferencesofshort-stayhospitals

and residentinstitutions. Compared withfemale

8

Ho;:~ldecedents

Number in

thousands

1,229

190

292

746

405

i;

301

146

Days of care

II I

In short- In

Total stay

resident

hospitals institutions

Average per decedent

63

24

50

78

67

34

43

76

80

25 I 38

,

21 72

decedentsinnonmetropolitanareas,thoseinmetropolitanareas spent,on theaverage,slightly ,

more time inshort-stayhospitals.When carein

residentinstitutions was consideredthispattern

was reversed,withnonmetropolitanareashaving

a much higheraveragethanmetropolitanareas.2

Among females65 yearsandolder,decedents

in the largermetropolitanareas spenton

average slightlymore days in hospitals

the

and
institutions than decedents in the other areas.

This difference mainly reflects the difference

in the amount of care received by these decedents

in resident institutions.

Cause of Death

As seen in table 15, the number of days

spent in hospitals and institutions during the

last year of life varied greatly among groups

of decedents classified by the 10 leading causes

of death. Among these causes of death the average

length of stay per decedent varied from 129 days

for those who died of general arteriosclerosis to

a low of 1 day for those who died of certain diseases of early infancy. Deaths caused by certain

diseases of early infancy occur mainly during the

first few hours or days of life, and a large proportion of births in the United’ States occur in

short-stay hospitals; these facts explain both the

average of only 1 day of care received during the

last year of life and the concentration of time in

short -stay hospitals.

Persons dying of each of the 10 leading causes

of death except diseases of early infancy, malignant neoplasms, congenital malformations, cirrhosis of the liver, and accidents spent more

time in resident institutions during the 12 months

prior to death than in short-stay hospitals.

Females who died of diseases of heart,

vascular lesions, influenza and pneumonia, and

diabetes mellitus averaged more days of careper

decedent than males.

The average number of days spent in hospitals and institutions varied noticeably by age

for persons who died of diseases of heart, vascular lesions, and accidents (table D).

REFERENCES

lNational Center for Health Statistics: Hospitalization in

the last year of life, United States, 1961. Vita2 and Health

Stati~tics. PHS Pub. No. 1000-Series 22-No. 1. Public Health

Service. \Vashinghn. “~.S. Government Printing Office, Sept.

1965.

2L~cati~n patterns of residential institutions may play an

artifactual role in tbeee differences; see O. D. Duncan and

A. J. Reiss, Jr., Social CharacteTistios of Urban and RuTal

Communities, 1050, New York, John Wiley & Sons, Inc., 1956,

p. 44.

3A more comprehensive discussion of the procedures used

in tbe National Mortality Survey may be found on pp. 7-11 of

National V~tal Statistics Division, Design of Surveys Linked

to Death Records, Public Health Service, Washington, D. C.,

Sept. 1962. ”

4National Vital Statistics Division: Vital Statistics Of the

United States, 1961, Volume II, Part A. Public Health Service. Washing@n. U.S. Government Printing Office, 1964.

table 5-11.

5National Vital Statistics Division: Vital Statistics of the

United States, 1961, Volume II, Part A. Public Health Service. Washington. U.S. Government Printing Office, 1964. pp.

7-11 through 7-13.

6National Vital Statistic Division: Vital Statistics of the

United Stat es, 1961, Volume II, Part A. public Health S<ervice. Washington. U.S. Government Printing Office, 1964. pp.

7-8 and 7-9.

7u.s, Bureau of the Census: U.S. Census of Population:

1960. Number of Inhabitants, United States Summay. Final

Report PC(l)-lA. Washington. U.S. Government Printing Office, 1961. pp. XXVII and XXVIII.
Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

DETAILED TABLES

Number of episodes of care in hospitals and institutions during the last year of

life per 1,000 decedents, by sex, detailed age , and kind of facility which provided care: United States, 1961-------------------------------------------------

Number of episodes of care in hospitals and institutions during the last year of

life per 1,000 decedents, by color, sex, age,and kind of facility which provided

care: United States, 1961-------------------------------------------------------

Number of episodes of care in hospitals and institutions during the last year of

life per 1,000 decedents, by sex, age, geographic region, and kind of facili,~y

which provided care: United States, 1961----------------------------------------

Number of episodes of care in hospitals and institutions during the last year of

life per 1,000 decedents, by sex, age, metropolitan status, and kind of facility

which provided care: United States, 1961------------------------ ----------------

Number of episodes of care in hospitals and institutions during the last year of

life per 1,000 decedents, by sex, cause of death, age,and kind of facility which

provided care: United States, 1961----------------------------------------------

Number and percent distribution of hospitalized decedents, by number of episodes

of care during the last year of life according to sex and detailed age: United

States, 1961--------------------------- ------------------------------------------

Number and percent distribution of hospitalized decedents, by number of episodes

of care during the last year of life according to color, sex, and age: United

States, 1961---------------------------------------------------------------------

Number and percent distribution of hospitalized decedents, by number of episodes

of care during the last year of life acc-ordingto sex,age,and geographic region;

United States, 1961-------------------------------------------------------------

Number and percent distribution of hospitalized decedents, by number of episodes

of care during the last year of life according to sex, age, and metropolitan

status: United States, 1961-----------------------------------------------------

Number and percent distribution of hospitalized decedents, by number of episodes

of care during the last year of life according

United States, 1961

to sex, cause of death, and age:

-------- -----------------------------------------------------

Number of decedents and average number of days of hospital or institutional care

per decedent during the last year of life, by sex, detailed age, and kind of facility which provided care: United States, 1961---------------------------------

Number of decedents and average number of days of hospital or institutional care

per decedent during the last year of life, by color, sex, age,and kind of facility which provided care: United States, 1961------------------------------------

Number of decedents and average number of days of hospital or institutional care

per decedent during the last year of life, by sex, age, geographic region, and

kind of facility which provided care: United States, 1961-----------------------

Number of decedents and average number of days of hospital or institutional care

per decedent during the last year of life, by sex, age, metropolitan status, and

kind of facility which provided care: United States, 1961-----------------------

Number of decedents and average number of days of hospital or institutional care

per decedent during the last year of life, by sex, cause of death, age, and kind

of facility which provided care: United States, 1961----------------------------

Page

11

12

13

15

17

19

20

21

23

25

27

28

29

32

34

10
Table 1. Number of episodes of care in hospitals

per 1,000 decedents, by sex, detailed age, and

States, 1961

and institutions

kind of facility

during the last year o;n~;if;

which provided care:

(Rationot shofvn \vhere base is less than 10.000. Dataare based uDon a survev of Dlaces \vhich Drovided care in the last vear of life to a sam~le

of persons lvho died in 1961. The survey design, general qualifications, an; information on the reliability of the estimates are given in Appem

dix I. Definitions ofterms aregiven iri Appe;di; II]

Sex and age

Both sexes

All ages------------------------------------

Under 45 years------------------------------------

Under 1 year------------------------------------

1-24 years--------------------------------------

25-44 years-------------------------------------

4.5-64years---------------------------------------

45-54 years-----------------:-------------------

55-64 years -------------------------------------

65 years and over---------------------------------

65-74 years-------------------------------------

75-84 years-------------------------------------

85 years and over-------------------------------

MA

All ages------------------------------------

U;der 45 years------------------------------------

Under 1 year------------------------------------

1-24 years --------------------------------------

25-44 years-------------------------------------

45-64 years-------:-------------------------------

45-54 years--------------------------------------

55-64 years-------------------------------------

65 “years and over---------------------------------

6,5-74years --------------------------------------

75-84 years --------------------------------------

85 years and over----.---------------:----------

Female

All ages------------------------------------

Under 45 years------------------------------------

Under 1 year------------------------------------

1-24 years-r ------------------------------------

25-44 years-------------------------------------

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

45-54 years-------------------------------------

55-64 years-------------------------------------

65 years and over---------------------------------

65-74 years-------------------------------------

75-84 years-------------------------------------

85 years and over---------------------,---------

Number

of

decedents

Number in

thousands

1,702

270

108

1;!

419

153

266

1,014

416

408

190

968

163

:;

64

270

98

172

535

248

208

79

735

107

46

;:

149

55

94

479

168

201

111

Episodes

In In

Total short-stay resident

hospitals institutions

Number per 1,000 decedents

1.198

1,147

972

1,216

1,290

1,298

1,285

1,306

1,170

1,215

1,172

1,065

1,161

997

963

1,080

981

1,192

1,146

1,219

1,196

1,215

1,171

1,202

1,245

1,375

984

1,456

1,785

1,491

1,534

1,466

1,140

1,216

1,172

967

1.024

1,097

965

1,162

1,197

1,189

1,185

1,191

936

1,081

911

672

1,020

950

956

1,073

872

1,087

1,061

1,101

1,008

1,090

966

862

1,028

1,321

977

1,319

1,718

1,375

1,408

1,356

856

1,067

855

537

174

50

109

234

135

260

393

141

47

:

109

106

188

125

205

341

217

55

13;

67

116

126

110

284

149

317

430

11
Table 2. Number of episodes of care in hospitals and institutions during the last year of life

;;;ll,OOO decedents, by color,sex, age,and kind of facility which provided care: Un.i.tedStaees,

rRationot-shownherebaseislessthan10,000.Dataarebasedupona surveyofplaceswhichprovidedcareinthelast year of life to a sample

- of personswhodiedin 1961. Thesucvey desi@, geneEal qualifications, and information on the reliability of the estimates are given in App~ndix I. Definitions ofterms aregiven in Appendix II]

Color, sex, and age

White

All ages------------------------------------

Under 45 years------------------------------------

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

65 years and over---------------------------------

,, Male

All ages------------------------------------

Under 45 years ------------------------------------

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

65 years and over ---------------------------------

Female

All ages------------------------------------

Under 45 years ------------------------------------

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

65 years and over ----------------------------------

Nonwhite

All ages ------------------------------------

Under 45 years------------------------------------

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

65 years and over---------------------------------

Male

All ages------------------:-----------------

Under 45 years------------------------------------

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

65 years and over---------------------------------

Female

All ages------------------------------------

Under 45 years------------------------------------

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

65 years and over------------------;--------------

12 ‘

Number

of

decedents

#umber in

thousands

.L,499

207

355

937

855

127

234

493

644

79

120

444

203

63

64

76

112

35

36

41

91

27

28

35

Episodes

In

Total short-stay

hospitals

In

residen~

institutions

Number per 1,000 decedents

1,232

1,201

1,358

1,192

1,192

1,018

1,229

1,220

1,285

1,494

1,610

1,160

942

969

968

899

927

921

952

910

961

1,031

988

885

1,047

1,145

1,239

952

1,044

970

1,1L7

1,028

1,050

1,425

1,476

868

855

938

913

738

841

877

886

770

873

1,018

947

700

.

186

56

119

240

149

47

112

192

235

69

133

292

.

87

31

55

161

86

44

66

140

88

13

41

185
Table 3. Number.of episodes of care in hospitalsand institutions during the last year of life

per 1,000 decedents,by sex, age, geographicregion, and kind of facilitywhich provided care:

United States, 1961 I

[Ratio not .ho\vn \vhere base is less than 10,000. Data are based upon a survey of places which provided care in the last year of life to a sample

of persons !vbo died in 1961. The survey design, general qualifications, and information on the reliability of the estimates are eiven in ADDendi; I, Definitions Dfterms aregiven iri Appe;di; Il]

Sex, age, and region

BOTH SEXES

All ages

All regions ---------------------------------

Northeast........--------........-----------------

North"Central-------------------------------------

South---------------------------------------------

West----------------------------------------------

Under 45 years

All regions---------------------------------

Northeast-----------------------------------------

North Central-------------------------------------

South---------------------------------------------

West------.----------------------------------..---

45-64 years

All regions---------------------------------

Northeast-----------?-----------------------------

North Central--------.--.------..----.----.----.----

South---------------------------------------------

West-------------------------.--------------------

65 years and over

All regions---------------------------------

Northeast-----------------------------------------

North Central-------------------------------------

South---------------------------------------------

west----------------------------------------------

U

All ages

All regions----------------.----------------

Northeast -----------------------------------------

North Central-------------------------------------

South----------------........---------------------

West--------................----------------------

Under 45 years

All regions---------------------------------

Northeast-----------------------------------------

North Central-------------------------------------

South---------------------------------------------

West----------------------------------------------

Number

of

decedents

Number in

thousands

1,702

470

493

498

241

270

58

72

:;

419

120

114

127

58

1,014

293

307

277

137

968

260

281

290

136

163

:;

59

25

Episodes

Total

*

Number per 1,000 decedents

1,198

1,174

1,244

1,146

1,257

1,147

1,187

1,178

1,092

1,157

1,298

1,345

1,336

1,261

1,210

1,170

1,101

1,225

1,111

1,310

1,161

1,176

1,163

1,142

1,172

997

1,127

1,037

991

747

13024

983

1.064

1;014

1,041

1,097

1,081

1,156

1,061

1,097

1,189

1,212’

1,243

1,167

1,081

936

870

975

928

1,005

1.020

1,004

1,041

1,026

996

950

988

1,014

970

735

174

191

180

132

216

50

107

22

31

60

109

234

231

249

183

306

141

171

.122

116

176

47

139

23

21

13

13
~ble 3. Number of episodes of care in hospitals and institutions during the last year of life

per 1,000 decedents, by sex, age, geographic region, and kind of facility which provided care:

United States, 1961—Con.

[Rationotshown where base is less than 10,000. Data are based upon a survey of places which provided care in the last year of Iifo to a sample

of persons who died in 1961. The survey design, general qualifications, and information on the reliability of the estimates are given in Appen.

dix I. Definitions ofterms aregiven iri Appe;di; II]

Sex, age, and region

MALE-Con.

45-64 years

All regions---------------------------------

Northeast -----------------------------------------

North Central---------.........---------..........

South.........------------------------------..----

West -----------------------------------------------

65 years and over

All regions ---------------------------------

Northeast -----------------------------------------

North Central-------------------------------------

South---------------------------------------------

West ----------------------------------------------

FEMA~

, All ages

All regions --------.------------------------

Northeast -----------------------------------------

North Central ........-----------------------------

South---------------------------------------------

West------------------------------------------Y---

Under 45 years

All regions---------------------------------

Northeast -----------------------------------------

North Central -------------------------------------

south---------------------------------------------

West ----------------------------------------------

45-64 years

All regions ---------------------------------

Northeast -----------------------------------------

North Central ------------------------..-..-..-..--

South---------------------------------------------

West ----------------------------------------------

65 vears and over

All regions---------.......------------.----

Northeast -----------------------------------------

North Central -------------------------------------

South---------------------------------------------

West --------------------------------------.-------

14

Number

of

decedents

Number in

thousands

270

69

76

:?

535

155

161

148

70

735

210

211

208

106

107

22

:!

22

149

51

:

479

138

145

129

67

Total

Episodes

In

short-stay

hospitals

In

resident

institutions

Number per 1,000 decedents

1,192

1,174

1,238

1,199

1,125

1,196

1,188

1,162

1,170

1,350

1,245

1,172

1,351

1,151

1,365

1,375

1.,288

1,400

1,261

1,610

1,491

1,577

1,532

1,378

1,426

1,140

1,004

1,295

1,045

1,269

1,087

1,064

1,147

1,096

995

1,008

982

998

1,008

1,089

1,028

957

1,094

998

1,099

1,321

1,235

1,379

1,214

1,499

1,375

1,414

1,435

1,304

1,301

856

744

950

837

917

106

188

206

164

161

261

217

215

257

153

266

55

116

284

26o

344

208

352
Table 4. Number of episodes of care in hospitals and institutions during the last year of life

per 1,000 decedents, by sex, age, metropolitan status,and kind of facility which provided care:

United States, 1961

rRotionot shofvn \vherebaseislessthan10,000.Dataarebasedupona surveyofplaces}vhichprovidedcareintbelastyear of life to a sample

of personstvhodiedin1961. The survey design, general qualifications, and information on the reliability of the estimates are given in Appendix I. Definitions ofterms aregiven in.4ppendix Il]

Sex, age, and metropolitan status

BOTH SEXES

All ages

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

Under 45 years

Total ---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

45-64 years

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

65’years and over

Total-----------------------------------?---

In metropolitan areas of 1 million or more --------

Xn metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

MALE

All ages’

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

Under 45 years

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

Number

of

decedents

Number in

thousands

1,702

597

466

640

270

96

;;

419

153

121

144

1,014

347

270

397

968

326

269

373

163

56

45

62

Episodes

Number per 1,000 decedents

1,198

1,189

1,211

1,196

1,147

1,220

1>147

1,075

1>298

1,307

1,353

1,243

1,170

1,128

1,164

1,21.0

1,161

1,168

1>140

1,171

997

1,064

936

981

1,024

1>011

1,033

1,029

1,097

1,177

1,129

995

1,189

1,178

1,204

1,188

936

890

930

980

1,020

1,031

985

1,036

950

174

178

177

167

50

43

18

80

109

129

149

56

234

238

234

230

141

137

155

136

47

46

7:

I

15
Table 4. Number of episodes of care in hospitals and institutions during the last year of life

per 1,000 decedents, by sex, age, metropolitan status,and kind of facility which provided care:

United States, 1961—Con.

[Rationotshownwherehrtseislessthan10,000.Dataarebasedupona survey of places which provided care in the last veer of life to a srrmule

ofpecsonswhodiedin1961.Thesurveydesign,generalqualifications, andinformation onthereliability ofheestimatesaregiveninAppen.

dixI.DefinitionsftermsaregivenlnAppendixI1]

Sex, age, and metropolitan status

MALE-Con.

45-64 vears

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

65 years and over

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

FEMALE

All a~es

Total---------------------------------------

In met]:opolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas-------------------------

Under 45 years

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

45-64 years

Total---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

65 years and over

Total ---------------------------------------

In metropolitan areas of 1 million or more --------

In metropolitan areas under 1 million -------------

Outside metropolitan areas------------------------

Number

of

decedent;

Number i]

thousand;

27(

;;

9[

53!

17[

14:

21:

735

271

197

267

107

149

479

169

125

184

Total

Episodes

In In

short-stay resident

hospitals institutions

Number per 1,000 decedents

1,19:

1,20(

1,19$

1,17!

1,196

1,18~

1,171

1,22:

1,245

1,214

1,307

1,232

1,375

1,432

1,475

1,234

1,491

1,469

1,643

1,380

1,140

1,070

1,156

1,194

1,08

1,08

1,04’

1,11!

1,00/

1,00:

96[

1,03(

1,02E

98:

1,09$

1,02C

1,321

1,392

1,439

1,147

1,375

1,320

1,496

1,337

856

768

887

916

106

115

150

61

186

176

204

188

217

228

209

211

55

39

36

87

116

284
Table 5. Number of episodes of

per 1,000 decedents, by sex,

United States, 1961

care in hospitals and

cause of death, age,

institutions

and kind of

during the last year of life

facility which provided care:

rRntionot shotvn \vherebaseislessthan10,000. Data are based upon a survey of places which provided care in the last year nf life to a sample .

of persons \vho died in 1961. The survey ”design, general qualifications, and information on the reliability of the estima@s are given in Appendix I. D? finitions ofterms aregiven in Appendix II]

Sex, cause of death, and age .

SEX —

Both sexes

All causes--------........................--

, Diseases of heart ---------------------------------

Mali ant neoplasms, including neoplasms

of ~~phatic and hernatopoietic tissues-----------

Vascular lesions affecting central nervous systemAccidents --------................-----------------

Certain diseases of early infancy-----------------

Influenza and pneumonia, except

pneumonia of newborn --------..-------------------

General arteriosclerosis ........-.--------.-------

Diabetes mellitus ---------------------------------

Congenital malformations ........-.................

Cirrhosis of liver---------................-------

All other causes-....-..........................--

‘ Male

All causes---------.-.....................--

Diseases of heart ---------------------------------

Malignant neoplasms, including neoplasms

of lymphatic and hematopoietic tissues-----------

Vascular lesions affecting central nervous systemAccidents --------.........................--------

Certain diseases of early infancy-----------------

Influenza and pneumonia, except

pneumonia of newborn ...........................-.

General arteriosclerosis --------------------------

Diabetes mellitus ---------------------------------

Congenital malformations ----------,---------------

Cirrhosis of liver...........................-----

All other causes............................------

Female

All causes--------..................------..

Diseases of heart ----------------.----------------

Malignant neoplasms, including neoplasms

of lymphatic and hematopoietic tissues-----------

Vascular lesions affecting central nervous systemAccidents ........................-----------------

Certain diseases of early infancy~----------------

Influenza and pneumonia, except

pneumonia of newborn -----------------------------

General arteriosclerosis --------------------------

Diabetes mellitus .................................

Congenital malformations ..................--------

Cirrhosis of liver--------------------------------

All other causes----------------------------------

Number

of

decedents

Jumber in

:housands

1,702

663

270

55

34

29

21

2;;

968

391

30

17

10

11

13

153

73;

272

123

102

30

27

25

18

19

9

10;

Episodes

Number per 1,000 decedents

1,198

953

2,020

1,147

659

970

1,100

1,101

1,356

1,784

1,560

1,204

1,161

917

2,007

1,197

536

975

1,168

1,189

1,257

1,663

1,701

1,174

1,245

1,005

2,036

1,102

924

963

1,019

1,017

1,408

*

*

1,249

1,024

778

1,868

854

597

964

795

655

1,084

1,701

1,379

1,081

1,020

791

1,856

942

ftt;

968

741

999

1,632

1,495

1,054

1,028

760

1,884

776

872

963

590

574

1,129

*

1,12;

174

175

152

293

62

6.

305

446

272

83

181,

123

141

126

200

448

258 \.

2;;

120

21Z

245

152

326

52

*

429

443

280 1

*

12:

17
Table 5. Number of episodes of care in hospitals and institutions during the last year of life

per 1,000 decedents, by sex, cause of death, age,

United States, 1961—Con.

and kind of facility which provided care:

[Ratio not tiown where base is less than 10,000. Data”are based upon a survey of places which provided care in thelast year oflifeba

sample of persons who died in 1961. The survey design, general qualifications, and information on the reliahiIityof the estimates aregivan

in Appendix I. Definitions of term: aregiven in-Appen;ixjI] -

Sex, cause of death, and age

~

Under 45 years

All causes...........-----------------------

Diseases of heart ---------------------------------

Malignant neoplasms, including neoplasms

of lymphatic and hematopoietic tissues-----------

Vascular lesions affecting central nervous systemAccidents -----------------------------------------

Certain diseases of early infancy-----------------

Influenza and pneumonia, except

pneumonia of newborn -----------------------------

General arteriosclerosis --------------------------

Diabetes"mellitus ---------------------------------

Congenital malformations--------------------------

Cirrhosis of liver--------------------------------

All other causes------------------------..--------

45-64 years .

All causes----------------------------------

Diseases of heart ---------------------------------

Malignant neoplasms, including neoplasms

of lymphatic and hernatopoietic tissues-----------

Vascular lesions affecting central nervous systemAccidents --------.........-------................-

Certain diseases of early infancy-----------------

Influenza and pneumonia, except

pneumonia of newborn -----------------------------

General arteriosclerosis --------------------------

Diabetes mellitus------------:--------------------

Congenital malformations ........-.................

Cirrhosis of liver--------.-------................

All other causes..................................

65 vears and over

All causes----------------------------------

Diseases of heart ---------------------------------

Malignant neoplasms, including neoplasms

of lymphatic and hernatopoietic tissues-----------

Vascular lesions affecting central nervous systemAccidents -----------------------------------------

Certain diseases of early infancy-----------------

Influenza and pneumonia, except

pneumonia of newborn -----------------------------

General arteriosclerosis --------------------------

Diabetes mellitus ---------------------------------

Congenital malformations --------------------------

Cirrhosis of liver---------------------------------

All other causes----------------------------------

Number

of

decedents

Number in

thousands

270

23

26

6

51

68

14

*

1:

5:

419

171

97

32

22

*

9

1

8

1:

67

1,014

469

147

154

23

*

31

33

19

1

12:

Total

Episodes

In

short-stay

hospitals

In

resident

institutions

Number per 1,000 decedents

1,147

1,029

2,782

41:

970

677

*

1,70:

1,21:

1,298

853

2,284

991

762

*

*

*

*

1,58;

1,218

1,170

985

1,711

1,178

1,111

*

1,181

1,085

1,318

*

1,19:

1,097

878

2,710

*

392

964

605

*

*

1,648

i,15;

1,189

783

2,127

889

716

*

*

*

*

*

1,524

1,109

936

771

1,549

838

936

*

807

636

999

*

1,03;

50

151

72

*

5:

6:

109

70

157

103

46

*

234

214

162

340

175

*

374

449

319

*

15;

18
Table 6. Ninnberand percent distribution of hospitalized decedents, by number of episodes of care during the last year of life according to sex and detailed age: United States, 1961

[Pe;centnotsho\vn !vherebase is less than 10,000. Dataare based upon asurvey ofplaces which provided careinthe lastyear oflifetia sampleof

persons \vhodiedin 1961. The survey design, Lenerai qualifications, and information on thereliahilityof the estimaks are given in Appendix I. Definitions ofterms a:egiven in Appendix II] -

All decedents Hospitalized decedents

Number

ho;~ands

Percent with specified number

Sex and age ‘ercent of episodes

with

)spital-

.zation

Number

in

thousands

Both sexes Percent distribution

All ages------------------------ 1,702

270

108

1:;

419

153

266

i,o14

416

408

190

968

163

62

37

64

270

98

172

535

248

208

79

735

72.2 1.229 100.0 61.9 21.8 16.2

Under 45 years------------------------

Under 1 year------------------------

1-24 years--------------------------

25-44 years-------------------------

70.5

83.2

57.9

64.3

69.8

67.5

71.1

73.6

74.3

73.9

7L.5

69.6

64.4

83.8

50.4

53.6

65.6

61.4

68.0

73.2

72.5

72.9

76.3

75.6

190 100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

“1OO.O

100.0

100.0

100.0

100.0

100,0

100.0

100.0

69.0

87.9

52.o

52.2

53.9

51.9

54.9

63.3

60.7

63.9

67.7

61.2

14.6

1;::

21.4

24.5

24.6

24.5

22.6

23.6

22.7

20.2

22.3

16.4

3::!

26.5

21.6

23.6

20.5

14.1

15.7

13.4

12.0

16.5

14.5

22::

22.4’

19.9

21.2

19.3

15.5

17.2

13.5

15.2

15.9

90

34

66

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

45-54 years-------------------------

55-64 years-------------------------

292

103

189

65 years and over---------------------

65-74 years-------------------------

75-84 years-------------------------

85 years and over-------------------

746

309

302

136

Male

All ages------------------------ 673

Under 45 years------------------------

Under 1 year~------------------------

1-24 years--------------------------

25-44 y~ars:------------------------

105

52

19

34

72.2

90.2

49.2

57.2

55.2

53.1

56.3

61.0

57.7

63.5

65.0

62,8,

13.4

22:;

20.4

24.8

25.6

24,4

23.5

25.1

23,1

19.8

21.3

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

45-54 years-------------------------

55-64 years-------------------------

177

60

117

65 years and over---------------------

65-74 years-------------------------

75-84 years-------------------------

85 years and over-------------------

391

180

151

60

Female

All ages------------------------ 555

Under 45 years------------------------

Under 1 year------------------------

1-24 years-----,---------------------

25-44 years-------------------------

107

46

::

149

;2

479

168

201

111

79.8

82.3

71.1

81.5

77.3

78.3

76.8

74.1

77.0

74.9

68.1

85

38

15

32

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

65.2

84.6

55.6

46.8

51.7

50.1

52.7

65.8

65.0

64.4

69.9

16.2

12.9

11.2

22.4

24,1

23.0

24.7

21.6

21.4

22.4

20.6

18.7

3::;

30.8

24.2

26.9

22.6

12.6

13.7

13.2

9.5

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

45-54 years-------------------------

55-64 years -------------------------

115

43

72

65 years and over--------------------- 355

65-74 years-------------------------

75-84 years-------------------------

85 years and over-------------------

129

150

75

19
Table 7. Number and percent distribution of hospitalized decedents, by number of episodes of care

during the last year of life according to color, sex, and age: United States, 1,961

[Percent notshown \vherebase islessthanl 0,000. Data are based upon asumeyof placeswMch provided careinthe lastyearof life ha

sample of persons who died in 1961. The survey design, general qualifications, and information on the reliability of the estimates are given

in Appendix I: Definitions oftemrs aregiven in Appendix II]

All decedents Hospitalized decedents

Percent with specified nmber

Color, sex, and age Percent of episodes

with

hospitalization

Number

in

thousands

Number

in

thousands

Total II One ITwo I

Three

or more

Both sexes Percent distribution

All ages ------------------ 1,499

207

355

937

855

73.2

72.5

70.9

74.3

70.5

1,098

150

251

697

603

100.0

100.0

100.0

100.0

100.0

60.8

67.3

52.4

62.5

60.4

22.4 16.8

17.3

23.4

14.4

Under 45 years------------------

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

65’years and over---------------

Male

All agea------------------

15.4

24.3

23.1

22.3 17.3

Under 45 years------------------

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

65 years and over---------------

127

234

493

644

65.5

66.2

73.8

76.9

83

155

364

495

100.0

100.0

100.0

100.0

72.3

54.8

60.1

61.3

12.6

23.8

23.8

22.5

15.0

21.4

16.0

Female

All ages------------------ 16.3

Under 45 years------------------

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

65 years and over---------------

1;;

444

203

83.6

80.0

74.9

64.3

66

3;!

131

40

41

50

71

;;

27

60

100.0

100.0

100.0

100.0

60.9

48.5

65.0

71.4

75.6

63.0

74.8

68.2

19.0

25.1

22.4

17.5

11.5

26.1

15.2

22.3

16.L

32.3

19.1

11.8

20.1

26.4

12.6

NONWHITF,

Both sexes

All ages------------------

tinder45 y~ars---------’-----”----

45-64 years--’-------------------

65 years and over---------------

Male

63

64

76

112

64.0

63.5

65.3

63.0

60.4

61.4

66.6

66.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

12.9

10.8

10.0

All ages------------------ 9.6

Under 45 years------------------

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

63years and over---------------

71.5

58.5

73.2

75.2

12.4

9.2

7.7

Female

All ages------------------ 13.0

Under 45 years------------------

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

65 years and over---------------

68.6

66.2

63.8

19

19

22

100.0

100.0

100.0

80.2

68.3

76.7

13.5

12,8

12.8

20
Table 8. Number and percent distribu”tion of hospitalized decedents, by number of episodes of

care during the last year of life according to sex

1961

, age, and geographic region: United States,

[percentnotsho~vn~vher~haseislessthanlo,ooo.Data~rebasedUPOnasUcve~of~laces whichProvidedcareinthelastvearoflifeba

enmple of persons \vho diedin 1961. The survey design, general qualifications, andinforraation onthereliahilityof the estimates are given

in Appendix I. Definitions ofterms aregiven in Appendix II~

All decedents Hospitalized decedents

Percent with specified number

Sex, age, and region Percent of episodes

with

hospitalization

Number

in

thousands

Number

in

thousands

Total

II

One Two

I

Three

or more

BOTH S=S

All ages Percent distribution

All regions--------------- 1,702 72.2 1,225 100.0 61.9 21.8 16;2

Northeast -----------------------

North Central--------------------

South---------------------------

West ----------------------------

470

493

498

241

270

58

;;

47

419

120

114

127

58

1,014

293

307

277

137

968

73.7

75.2

67.1

73.5

70.5

73.9

76.9

65.3

66.9

69.8

74.7

73.0

65.1

63.5

73.6

73.3

75.7

68.6

79.9

69.6

347

371

334

177

19C

43

55

61

31

292

89

83

83

37

746

215

232

190

109

673

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

8100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

63.2

61.7

61.7

60.6

22.3

21.8

21.3

22.1

14.6

15.3

12.0

14.7

18.2

24.5

23.9

25.5

23.1

27.1

22.6

23.0

22.7

22.7

21.6

22.3

14.6

16.6

17.0

17:3

Under 45 vears

All regions---------------

Northeast -----------------------

North Central-------------------

South---------------------------

West----------------------------

69.0 16.4

68.2

73.1

68.5

63.9

16.5

14.8

16.9

17.9

45-64 years

All regions--------------- 53.9 21:6

Northeast-----------------------

No;;; Central-------------------

------------.--------------

West--------------y -------------

55.6

52.3

54.7

51.1

20.4

22.2

22.2

21.8

65 years and over

All regions--------------- 63.3 14.1

Northeast---------------:-------

No;;: Central-------------------

---------------------------

West ...........................-

65.3

62.3

62.5

62.8

11.7

15.0

14.8

15.6

MALE

All ages

All regions:-------------- 61.2 16.5

Northeast-----------------------

North Central-------------------

260

281

290

136

72.8

71.0

65.4

69.7

189

200

190

95

105

25

31

35

14

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

61.3

62.0

59.9

62.0

23.6

21.0

22.9

21.1

13.4

15.8

12.0

12.3

14.6

15.1

17.0

17.1 . ,

16.9

south---------------------------

west----------------------------

Under 45 years

All regions--------------- 64.4

70.0

69.8

60.2

56.6

163

2:

59

25

72.2 14.5

Northeast-----------------------

North Central-------------------

South---------------------------

vest ----------------------------

68.7

73.0

71.6

7$.1

15.5

15.0

16.1

7.4

21

1
Table 8. Nmber and percent distribution of hospitalized decedents, by number of episodes of

care during the last year of life according to sex, age, and geographic region:

1961-Con.

United States,

[Percent not sho,vn where base is less than 10,000. Data are based upon asurvey of places which provided care inthelast year oflifetia

sample of persons who diedin 1961. Thesurveyrlesign, ge~eralqualifications, andinformationon thereliability ofheestimates~regivem

in A-ppendix I. Definitions ofterms aregiven in Appendix IIJ

Sex, age, and region

MALE-Con.

45-64 years

All regions---------------

Northeast -----------------------

North Central -------------------

South---------------------------

West ----------------------------

65 vears and over

All regions ---------------

Northeast -----------------------

North Central-------------------

south---------------------------

West ----------------------------

All ages

All regions ---------------

Northeast -----------------------

North Central -------------------

south---------------------------

West ----------------------------

Under 45 Years

All regions---------------

Northeast -----------------------

North Central -------------------

South---------------------------

west ----------------------------

45-64 years

All regions---------------

Northeast -----------------------

North Central-------------------

South---------------------------

west ----------------------------

65 vears and over

All regions---------------

Northeast -----------------------

North Central -------------------

South---------------------------

West ----------------------------

All decedents

Number

in

thousands

270

69

z!

41

535

155

161

148

70

735

210

211

208

106

107

22

$;

22

149

51

38

44

16

479

138

145

129

67

Percent

with

hospitalization

65.6

69.8

68.1

62.4

60.5

73.2

74.8

72.6

69.2

79.7

75.6

74.9

80.9

69.4

78.3

79.8

80.5

87.9

73.8

78.3

77..3

81.2

82.8

70.3

71.3

74.1

71.7

79.1

67.9

80.0

Hospitalized decedents

Number

:ho;;ands

177

48

52

52

25

391

116

117

1;:

555

157

171

344

83

85

17

24

26

17

1.15

41

32

31

12

355

1;;

88

54

Percent with specified number

of episodes

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

55.2

58.6

52.0

54.3

57.4

61.0

60.8

63.6

58.8

60.1

62.8

65.4

61.2

63.9

59.0

65.2

67.5

73.3

64.3

52.6

51.7

52.1

52.8

55.4

37.6

65.8

70.6

60.9

66.8

65.6

24.8

26.7

25.0

24.5

21.5

23.5

24.0

21.5

25.8

22.5

21.3

20.7

22.7

19.2

23.3

16.2

14.5

12.1

17.9

21.1

24.1

20.7

26.2

20.6

39.3

21.6

21.8

24.0

19.1

20.5

19.9

14.7

23.0

21.1

21.1

15.5

15.2

14,8

15.4

17.4

15,9

13.9

16.1

16.8

17.8

18.7

18.0

14.6

17,8

26.3

24.2

27.1

20.9

24.0

23.1

12.6

1;::

14.1

13.8

22
1,

I

I

I

‘[

1,

I

,Table9. Number and percent distributionof hospitalizeddecedents,by number of episodes of care during the

last year of life according to sex, age, and metrop-d~tanstatus: United States, 1961 \

[Porce~tnot shown ,vhere base is less than 10,000. Data are based upon a survey of places which provided cam in tbe last year of life ~ a sample of persons

\vbo died in 1961. Tbe survey design, general qualifications, and information on thereliabllityof tbe estimates are given in Appendix I. Definitions of terms

nre Fivenin Appendix II] – –

Sex, age, and metropolitanstatus

BOTH SEXES

All ages

Total--------------------------------

In metropolitanareas of 1 million or mOreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

Under 45 years

Total--------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

45-64 years

Total--------------------------------

In metropolitanareas of 1 million-ormoreIn metropolitanareas under 1 million------

Outsidemetropolitanareas---------------~-

65 years and over

Total--------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

NALE

All ages

Total---------s----------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

Under 45 years

Total----------------------:-[-------

In metropolitanaieas~of,1 &.ion or mQreIn metropolitanay.ebunder.lti~llion------

Outsidemetropolitanareas-----------------

All decedents

Number

tho;~ands

1,702

270

96

74

99

419

153

121

144

1,014

347

270

397

968

326

269

373

163

56

45

6’2

Percent

with

hospitalization

72.2

74.3

71.9

70.4

70.5

75.9

71.8

64.2

69.8

;;.;

66:4

73.6

74.2

73.2

73.4

69.6

72.5

68.7

67.7

64.4

70.6

64.5

58.8

Number

in

thousands

1,229

443

335

450

190

73

53

64

292

113

;:

746

258

198

291

673

236

185

252

105

“39

:;

Hospitalizeddecedents

Percent with specifiednumber

of episodes

II I I

Total One Two

Three

or more

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100●o

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

61.9

63.8

61.3

60.6

69.o

68.9

70.5

67.9

53.9

55.5

51.1

54.3

63.3

66.0

63.1

61.0

61.2

63.7

61.1

59.0

72.2

72.2

75.7

69.3

21.8

21.8

21.4

22.2

14.6

14.7

13.2

15.8

24.5

24.9

23.6

24.9

22.6

22.5

22.7

22.7

22.3

21.1

23.2

22,6

13.4

13.5

10.3

15.6

16.2

14.3

17.3

17.3

16.4

16.5

16.3

16.3

21.6

19.6

25.3

20.8

14.1

11.4

14.3

16.3

16.5

15.1

15.6

18.4

14.5

14.3

13.9

15.2

23.
Table 9. Number and percent distribution of hospitalized decedents, by rnmrber of episodes of care during the

last year of life according to sex, age, and metropolitan status: United States, 1961—Con.

[Percent”not shown whsrebase islessthanl0,000. Dataare b.sedupon as.meyofplaces which pmvfded careintbe lastyear oflifeh asample of persons

who died in 1961. The survey design, general qualifications, and information on the reliabllityof the estimates aregivmr in Appendix I. Definitions of terms

are given in Appendix II]

Sex, age, and metropolitan status

MALE-Con.

45-64vears

Total--------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 mi’llion------

‘Outsidemetropolitanareas-----------------

65 years and over

Total--------------------------------

In metropolitanareas of 1 million or mor&-

In metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

FEMALE

All ages

Total--------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

Under 45 vears

Total--------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

45-64years

Total--------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidemetropolitanareas-----------------

65 years and over

.-

Total------------------------------

In metropolitanareas of 1 million or moreIn metropolitanareas under 1 million------

Outsidelmetropolitanareas-----------------

24

All decedents

Nwber

in

thousands

270

93

79

98

535

178

145

212

735

271

197

267

107

41

;;

149

61

42

46

479

169

125

184

Percent

with

hospitalization

65.6

69.6

64.4

62.7

73.2

74.7

72.4

72.6

75.6

76.5

76.3

74.1

79.8

83.2

83.1

73.4

77.3

79.5

77.6

74.3

74.1

73.8

74.2

74.3

Nmber

in

thousands

177

61

51

62

391

1*

10!

151

555

207

150

198

85

34

24

27

115

48

33

34

355

125

1?;

Hospitalizeddecedents

Percent with suecifiednumber

of ep~sodes

Three

or more

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

10!I.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

55.2

58.6

55.5

51.:

61.0

“63.7

59.e

59.6

62.8

63.9

61.4

62.6

65.2

65.1

64.2

66.1

.

51.7

51.3

44.3

59.4

65.8

68,5

66.7

62.6

24.”[

23.7

24.3

26.5

23.:

22.1

26.:

22.E

21.2

22.6

19.2

21.6

16.2

16.0

16.7

16.0

24.1

26,6

22,6

22.0

21.6

22.9

18.6

22.5

19.9

1,7.6

20.3

22.1

15.5

:;.;

17;6

15.9

13.4

19.4

15.9

18.7

18.9

19.1

17.9

24.2

22.1

33.1

18.6

12.6

1::9

14.8
Table 10. Nmber and percent distribution of hospitalized decedents, by number of episodea of care during the last year of life according to sex, cause of death, and age: United States, 1961

[P.rcentnotshownwherebaseislesstharr10,000.Dataarebased.ponas.rveyofplaceswhichprovidedcareinthelastyearoflife@asampleof

personswhodiedin1961.Thesurveydesign,generalqualifications, andinfOmation onthereliability oftheestima@saregiveninAppendixI.Definitions oftermsnregiven in Appendix II]

All decedents Hospitalized decedents

Percent with specified number

of episodes

Total One

Three

Two

or more

Sex, cause of death, and age Percent

with

hospitalization

Number

in

thousands

Number

in

thousands

-

SEX

Both sexes Percent distribution

All causes---------------------- 1,702 72.2 1,225 100.0 61.9 21.8

21.0

29.6

20.2

18.9

1.7

20.3

23.2

24.6

19.1

24.0

22:2

22.3

16.2

Diseases of heart--------------------- 13.0

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues----------------

Vascular lesions affecting central

nervous system-----------------------

Accidentg-----------------------------

Certain diseases of early infancy-----

Influenza and pneunlonia,except

pneumonia of newborn-----------------

General .arterioaclerosia--------------

Dtabetes mellitus-----------=---------

Congenital tilformations--------------

Cirrhosis.of liver--------------------

All other causes----------------------

663

270

192

95

68

55

34

29

21

20

255

968

391

147

::

41

30

:;

;:

153

735

61.2

93.2

76.0

48.4

95.4

73.4

77.0

78.4

95.0

88.7

73.6

69.6

57.4

94.9

76;4

38.2

95.6

.73.7

84.1

69.5

93.6

89.9

72.9

75.6

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

66.0

40.2

67.8

74.6

98.3

67.9

68.2

57.8

55.3

55.8

6’1.7

61.2

-

64.1

41.3

64.3

71.7

98.0

64.9

72.5

64.;

48.7

63.3

62.8

30.2

12.0

6.5

*

11.8

1;::

25.6

20.1

16.1

Male

All causes---------------------- 16.5

Diseases of heart---------------------

Malignant neoplasma, including

neoplasms of lpphatic and

hematopoietic tissues----------------

Vascular lesions affecting central

nervous system-----------------------

Accidents-----------------------------

Certain diseases of early infancy--T--

Influenza and pneumonia, except

pneumonia of newborn-----------------

General arteriosclerosis--------------

Diabetea mellitus---------------------

Congenital malformationa--------------

Cirrhosis of liver--------------------

All other causes----------------------

224

140

69

25

39

22

14

7

:;

111

555

100.0

100.0

100.0

10.0.0

10’0.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

22.7

29.1

21.9

21.7

2.0

21.1

18.2

*

2::;

21.2

21.3

13.3

29.6

1;.:

.

*

14.1

9.4

*

29.0

23.1

15.5

Female

All causes---------------------- 15.9

Diseases of heart---------------------

Malignant neoplasms, including

~eoplaams of lymphatic and

fihematopoietictissues----------------

Vascular lesions affecting central

nervous system-----------------------

Accidents-----------------------------

Certain diseases of early infancy-----

Influenza and pneumonia, except

pneumonia of newborn-----------------

General arteriosclerosis--------------

Diabetes mellitus---------------------

Congenital malformations--------------

Cirrhosis of liver--------------------

All other causes----------------------

272

123

102

30

27

25

::

9

10;

66.6

91.2

75.6

70.2

95.2

;;.;

83:0

*

74.:

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.O

68.4

38.8

70.9

77.9

98.8

71.6

63.2

62.3

*

59.:

18.9“

30.1

18.7

15..7

1.2

19.3

28.9

20.7

*

23.;

12.8

31.1

1:.;

“*

9.1

1::;

*

*

17.1

25
Table 10. Number and percent distribution of hospitalized decedents, by number of episodea of care during the last year.of life according to sex, cauae of death, and age: United States, 1961—con.

[PercentIIOtshown where base is less than 10,000. Data are based upon a survey of places wliieb provided care in the last year of life to a sample of

persons wbodiedin 1961. Thesumey desi~, general qualifications, andinfomation ontbereliability of theestimaks aregiven in Appendix I. Definition? of terns are, given in Appendix II]

Sex, cause of death, and age

Under 45 years

All causes----------------------

Diseasea of heart---------------------

Malignant neoplasms, including

neoplasms of l~p_+atic and

hernatopoietict~ssues----------------

Vascular lesions affecting central

nervous system-----------------------

Accidents-----------------------------

Certain diseases of early infancy-----

Influenza and pneumonia, except

pneumonia of newborn-----------------

General arteriosclerosis--------------

Diabetes mellitus---------------------

Congenital malformationa--------------

Cirrhosis of liver--------------------

All other causes----------------------

45-64 yeara

All causea----------------------

Diseases of heart---------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopgietic tissues----------------

Vascular lesions affecting central

nervous system-----------------------

Accidents-----------------------------

Certain diseases of early infancy-----

Influenza and pneumonia, except

pneumonia.of newborn-----------------

General arteriosclerosis--------------

Diabetes mellitus---------------------

Congenital malformations--------------

Cirrhosis of liver--------------------

All other causes----------------------

65 yeara and over

‘Allcauses----------------------

Diseases of heart---------------------

Malignant neoplaama, including

neoplasms of lymphatic and

hematopoietic tissues----------------

Vaacular leaions affecting central

nervous system-----------------------

Accidents-----------------------------

Certain diseases of early infancy-----

Influenza and pneumonia, except

pneumonia of newborn-----------------

General arteriosclerosis--------------

Diabetes mellitus---------------------

‘Congenital malformations--------------

Cirrhosis of liver--------------------

All other causes----------------------

All decedents

I

Number

Percent

in with

thousanda hospitalization

I

+

97.4

31.;

95.4

42.1

*

94.;

65.;

+

97 95.9

32 69.6

22 50.0

9< *

+

147 90.7

154 76.8

23 83.7

* *

84.4

:; 76.4

19 79.3

*.

:

129 78.;

I

Hospitalized decedents

Number

in

thousands

92

93

22

11

*

8

1

6

1

::

746

301

133

118

19

*

27

25

15

;

101

‘ercentwith specified nmber

of episodes

Tota1 One Two Three

or more

II I 1

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

1oo.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

ioo.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

69.0

62.4

26.5

83.;

98.3

*

*

57.:

53.:

53.9

66.8

30.7

70.7

65.7

*

*

*

*

*

60.2

63.3

65.9

49.4

66.6

72.5

*

72.6

69.5

57.3

*

65.;

14.6

20.C

25.E

10.;

1.7

*

*

17.:

22.;

24,5

20.5

32.4

19.1

22.2

*

*

*

*

*

21.:

22.6

21.2

28.3

21,1

24.0

*

17.3

;;.;

‘*

22.:

.

16.4

17.6

47.7

6.;

*

*

25.;

24.;

21.6

12.6

36,9

10.2

12.1

*

*

*

*

*

17.;

14,1

13.0

22.3

12.3

3.5

*

1;.;

15:0

*

12.;

26
Table 11. Number of decedents and average number of days of hosp”italor

decedent during

institutional care per

the last year of life, by sex, detailed age,

vialed care: United States, 1961

and kind of facility which pro-

[Average not shown ‘where base is less than 10,000. Data arebaseduponasurveyofplaceswhicbprovided careinthelastyearoflifetoa

snmpleofpersonswhodiedin 1961. The survey design, general qualifications, and information on the reliability of the estimatas are given

in Appendix I. Definitions ofterms aregiven in Appendix II]

All decedents Hospitalized decedents

Days of care Days of care

m

Sex and age Number

in

thousands

Number

in

thousands

In In

In all short- resifacil- stay dent

ities hos- instipitals tutions

Average per

hospitalized decedent Both sexes Average per decedent

All ages---- 1,702 1,229

190

90

34

66

292

103

189

746

309

302

136

673

63 25 38

Under 45 years----

Under 1 year----

1-24 years------

25-44 years-----

45-64 years-------

45-54 years-----

55-64 years-----”

65 years and over65-74 years-----

75-84 years-----

85 years and

over-----------

270

108

1;:

419

153

266

1,014

416

408

190

968

24

4:

42

50

52

49

78

2:

118

53

7

1;

15

20

21

g

58

97

Male

All ages---- 28

Under 45 years----

Under 1 year----

1-24 years------

25-44 years-----

45-64 years-------

45-54 years-----

55-64 years-----

65 years and over65-74 years-----

75.-84years-----

85 years and

over-----------

163

!?

2!;

98

172

535

248

208

79

735

11

1:

14

20

21

;:

20

16

17

19

105

52

;:

177

60

117’

391

180

151

60

555

22

6

36

41

50

::

63

50

67

90

75

18

3:

27

:$

24

27

22

22

25

5

*

2

68

Female

All ages---, 50

Under 45 years----

Under 1 year----

1-24 years------

25-44 years-----

45-64 years-------

.45-54 years-----

55-64 years-----

65 years and over65-74 years-----

75-84 years-----

85 years and

over-----------

107

46

::

149

:;

479

168

201

111

14

4

17

22

23

22

24

18

22

18

13

8

1;

12

16

19

::

30

53

82

85

38

15

1:;

43

3;:

129

150

75

17

22

28

30

;:

25

28

24

19

10

9<

21

15

71

120

27

●
Table 12. Number of decedents;nd

decedent during the last year of

care: United States, 1961

hospital or institutional care per

and kind of facility which provided

average number of days of

life, by color, sex, age,

[Average not shown where base is less than 10,000. Data are based upon asurvey of places which provided care in the last year of life to a

sample of persons who diedin 1961. The sumey design, general qualifications, aad information on the reliability of the estimates are given

in Appendix I. Definitions ofterms are given in Appendix II]

All decedents Hospitalizeddecedents

Days of care Days of care

Color, sex,

and age Number

in

thousands

Number

in

thousands

In In

In all short- resifacil- dent

ities ::: instipitals tutions

In In

In all ‘s”hort- resifacil- stay dent

ities - hos-.. instipitals tutions

WHI~

Both sexes

All ages----

Average per

hospitalizeddecedent Average per decedent

1,499

207

355

937

855

48 18 1,098 40

150

25L

697

603

65

25

52

78

53

Under 45 years----

45-64 years-------

65 years and overMale

All ages----

Under 45 years----

45-64 years-------

65 yeara and overFemale

All ages----

Under 45 years----

45-64 yeara-------

65 years and overNONWHITE

Both sexes

All ages--~-

127

234

493

644

79

120

444

203

2:

76

112

35

:?

91

27

28

35

11

20

18

19

1!:

364

495

17

30

24

25

15

25

19

16

::

16

18

13

19

21

13

;2

333

131

40

41

50

71

Under 45 years----

45-64 years-------

65 years and overMale

All ages----

Under 45 years----

45-64 years-------

65 years and overFemale

All ages----

Under 45 years----

45-64 years-------

“65yeara and over11

18

10

19

19

22

*

4;

*

*

29

28
I

Table 13. Number of decedents and average number of days of hospital or institutional care

decedent during the last year of life, by sex, age, geographic region, and kind of facil~~

which provided care: United States, 1961

[Averagenot,.sho,,n ,vherehasei:less than 10,000.Data are based upon a survey of places which provided care in the last year of life to a sample

of persons \vho died in 1961. The survey design, general qualifications, and information on the reliability of the estimates are given in AppendixI. Definitions of terms are given in Appendix II]

Sex, age,

and region

BOTH SEXES

All ages

All regionsNortheast ---------

North Central-----

South-------------

West--------Y-----

Under 45 years

All regionsNortheast ---------

North Central -----

South-------------

West --.-----------

45-64 years

All regionsNortheast ---------

North Central-----

South-------------

West ........--..--

65 years and over

All regionsNo~;heast ---------

Ntrth Cen~ral-----

South-------------

West --------------

Number

in

thousands

1,702

470

493

498

241

270

58

72

94

47

419

120

114

127

58

1,014

293

307

277

137

All decedents

Days of care

w

Average per decedent

45

51

5C

35

45

17

21

15

15

20

35

43

39

30

24

57

61

62

’45

63

18

1$

1:

12

1:

12

15

10

11

13

21

25

25

18

13

18

18

19

15

22

2e

32

31

20

27

5

6

5

3

7

14

18

14

12

10

39

43

44

29

41

Hospitalized decedents

Number

in

thousands

—

1,229

347

371

334

177

190

43

55

61

31

292

89

83

83

37

746

215

232

190

109

Days of care

Y g:: %

Average per

hospitalized decedent

“63

70

66

52

62

24

29

20

22

30

~50

58

53

46

37

78

83

82

65

79

25

26

25

23

25

.17

20

13

18

20

30

34

34

27

21

- 24

24

25

22

27

38

43 I

41

30 I

37

7

9

7

5

10

20

24

19

18

16

53

58

58

43

52

29
Table 13. Number of decedents and average number of days of hospital or institutional care per

decedent during the last year of life, by sex,

which provided care: United States, 1961_Con,

age, geographic region, and kind of facility

[Average notshown where base is IesstbanlO,OOO. Data are based upon as.~eyof places whicbprotided careinthe lastyearoflife@a

sample of persons who diedin 1961. Tbe survey design, general qualifications, and informationon the reliability of the estimates ace given

in Appendix I. Definitiorrs oftems aregiven in Appendix II]

Sex, age,

and region

All ages

All regionsNortheast ---------

North Central -----

South-------------

West --------------

Under 45 vears

All regionsNortheast ---------

North Central -----

South-------------

West --------------

45-64 years

All regionsNortheast ---------

North”Central-- ---

South-------------

West --------------

65 years and over

All regionsNortheast ---------

North Central -----

South-------------

West --------------

Number

in

thousands

968

260

281

290

136

163

36

44

59

25

270

69

76

83

41

535

155

161

148

70

All decedents

Days of care

w

Average per decedent

37

46

39

31

30

14

24

13

12

9

33

41

38

28

21

46

53

46

39

44

19

18

16

16

11

15

10

11

9

20

25

22

18

12

18

18

18

16

20

20

26

21

15

15

3

8

4

1

*

13

16

15

10

8

28

35

28

23

24

Hospitalized decedents

Number

in

thousands

673

189

20C

190

95

105

25

31

35

14

177

48

52

52

25

391

116

117

102

56

Days of care

II pitals I

tutions

Average per

hospitalized decedent

53

63

55

47

44

22

34

19

20

16

50

59

55

45

34

63

70

64

57

55

25

27

26

24

22

18

22

14

19

15

31

36

33

29

21

24

24

25

24

25

28

36

29

23

21

5

12

5

1

1

20

23

23

17

13

38

47

38

34

30

30
I

Table 13. Number of decedents and average number of days of hospital or institutional care

decedent during the last year of life, by sex, age, geographic region,

per

which provided care:

and kind of facility

United S~ates, 1961-Con.

[Average not shown where base is less t,hrm 10,000. Data are based upon a survey of places which provided care in the last, year of life ~ a

sample of persons who died in 1961. The survey design, general qualifications, and information on the reliability of the estimates are given

in Appendix I. Definitions of terms are given in Appendix 111

All decedents Hospitalized decedents

Days .of care -Days of care

Sex, age,

and region w

Number

in

thousand:

Number

in

thousand:

In In

In all short- resifacil- stay dent

ities hos- instipitals tutions

FEMALE

All a~es Average per decedent Average per

hospitalized decedent

All regions- 735 57 55: 75 25 50

Northeast ---------

North Central -----

south-------------

Weat --------------

210

211

208

106

107

22

28

35

22

149

51

38

44

16

479

138

145

129

67

59

65

41

65

21

18

18

19

32

39

46

41

33

31

70

70

81

50

84

2C

20

15

22

14

15

’10

12

19

23

25

30

18

16

18

18

19

14

24

3!

4!

2;

4:

t

q

[

i

14

16

21

11

15

15

52

52

61

36

60

15;

171

14L

8:

8!

17

24

26

17

115

41

32

31

12

355

99

115

88

54

78

80

60

83

27

22

20

26

41

51

57

50

47

44

94

97

102

74

104

26

25

21

28

17

19

11

16

24

30

31

37

25

22

25

25

24

21

30

52

56

39

55

10

4

9

9

17

Under 45 years

All regionsNortheast ---------

North Central -----

S,outh-------------

West --------------

45-64 years

All regions- 21

26

13

22

21

70

72

78

53

75

Northeast ---------

North Central-----

.south-------------

West --------------

65 years and over

All regionsNortheast ---------

North Central-----

So~th-............

West --------------

31

I
Table 14. Number of decedents and average number of days of hospital or institutional care per decedent during

the last year of life, by sex, age, metropolitan status,and kind off acility which provided care: United States,

i961

[Averagenotshownwherebaseislessthan10,000.Dataam hssedupona suweyofpIa.ss which provided care i“ the last year of Iife b a sample of persons who disd

in 1961.The surveydesign,generalqualifications, md information on thereliability oftheestimatesaregiveninAppendixI.Definitionsfternsaregivenin

AppendixII]

All decedents Hospitalized decedents

Days of care Days of care

Sex, age, and metropolitan statis Number

in

thousands

In In

[n all short- resiFacil- stay dent

Lties hos- instipitals tutions

Number

hou;~nds

In

shortstay

hospitals

In

resident

institutions

[n all

EacilitiBOTH SBXBS

All ages

Total ----------------------------

Average per

hospitalized decedent Average per decedent

1;229—

443

335

450

190

73

53

64

292

113

84

96

746

25S

198

291

673

63

—

66

62

61

24

26

21

25

50

58

56

37

78

81

;:

53

25

—

26

24

24

17

:;

15

30

33

29

29

24

24

25

24

25

38

40

;;

7

i

11

20

25

27

8

53

57

50

52

28

27

32

26

5

2

6

20

::

8

38

j~

1.702 45 18

In metropolitan areas of 1 million -----

In metropolitan areas under 1 million--

Outside metropolitan areas -------------

597

466

640

270

96

74

99

419

153

121

144

1,014

347

27C

397

968

326

265

37?

162

::

62

27(

9:

7g

9[

53:

17[

14!

21:

49

44

43

17

20

15

16

35

42

39

25

57

60

55

56

37

39

39

34

14

18

11

14

33

38

36

26

46

46

49

4?

19

18

17

12

16

11

9

21

24

20

19

18

18

18

18

17

19

17

16

11

14

9

10

20

23

16

20

18

19

20

16

ffnder45 vears

Total ----------------------------

In metropolitan areas of 1 million -----

In metropolitan areas under 1 million--

Ou,tsidemetropolitan areas -------------

45-64 years

Total ----------------------------

In metropolitan areas of 1 million -----

In metropolitan areas under 1 million--

Outside metropolitan areas -------------

65 years and”over

Total ----------------------------

In metropolitan areas of 1 milliOnJ----

In metropolitan areas under 1 million--

Outside metropolitan areas -------------

Nab

All ages

Total ----------------------------

in metropo iitan areas of 1 million -----

In metropolitan areas under 1 million--

Outside metropolitan areas -------------

236

185

252

105

39

29

37

177

64

51

62

391

133

105

154

54

57

50

22

25

18

24

50

55

;:

63

62

68

60

26

25

24

18

20

14

18

31

33

:2

24

25

28

22

Under 45 vears

Total ----------------------------

In metropolitan areas of 1 million---JIn m,:tropolitan areas under 1 million--

Outs~de metropolitan areas -------------

45-64 years

Total ----------------------------

In metropolitan areas of 1 milliOn -----

In metropolitan areas under 1 million-.

Outside metropolitan areas -------------

65 years and over

Total ----------------------------

In metropolitan areas of 1 million -----

In metropolitan areas under 1 million--

Outside metropolitan areas -------------

32

/
Table 14. Number of decedents and average n~ber of days of .h:spital e o: institutional care per decederit during

the last year of life, by sex,

1961-Con.

ag% metrOPOl~tan status,and kind of facll~ty which provided care: f.fnitedStates,

‘[Avomgonot shownwhere haseis less than 10,000. DatrIam based upon a survey of places which pmvid.d care in the last year of Iife h a smnpIe of persons who died

in 10LI1. The suwey design, general qualifications, and informationon the reliability of the estimates are given in AppendixI. Definitions of termsare given in

AppendixII]

.

All decedents Hospitalized decedents

Days of care Days of care

Sex, age, and metropolitan status II

In

resident

institutions

Number

ho;;ands

Number

in

thousands

In

[n all shortfacilities ;:::

pitals

PSMAU

All ages

II

Average per

hospitalized decedent Average per decedent

Total---------------------------- 735 57 19 38 555 75 25 50

In metropolitan areas of 1 milliOn -----

In metropolitan areas under 1 million--

Outside metropolitan areas-------------

271

197

267

107

~

37

149

:;

46

479

169

125

184

::

55

21

23

20

20

39

49

43

23

70

75

62

70

20

1s

18

14

18

15

8

23

26

27

17

1s

18

1’6

20

:;

37

8

5

1:

16

23

17

6

52

2:

50

207

150

198

85

34

:$

115

48

33

34

~55

125

1;;

80

68

74

27

27

24

28

51

;2

31

94

102

83

94

26

24

24

17

::

10

30

32

34

23

25

24

22

26

:;

51

10

6

1;

21

29

22

8

70

78

61

68

Under 45 years

I

Total ----------------------------

In metropolitan areas of 1 milliOn -----

In metropolitan areas under 1 million--

Outside metropolitan areas-------------

I I

45-64 years

Total ----------------------------

In metropolitan areas of 1 million -----

In metropolitan areas under 1 million--

Outside metropolitan areas -------------

65 years and over

Total ----------------------------

In metropolitan areas of 1 million -----

In metropolitan areas under 1 million--

Outside metropolitan areas-------------

I
Table 15.

the laat

1961

Ntier of decedents and average number of daya of hospital or instituticma 1 care per decedent dozing

year of life, by sex, sause of death, age, and kind of facility which provided care: United Statea,

[Averagenotshown where base is less than 10,000. Data are based upon a survey of places which provided care in the last year of life tn a sample of persons who died

in 1961. Tbe aumey design, general qualifications, and information on the reliability of the estimates are given in Appendix 1. Definitions of terms are given in

Appendix fI]

All decedents

Daya of care

II I

Hospitalized decedents

Daya of care

Sex, cause of death, and age II I

Number

in

thousand:

In In

In all short- resifacil- dent

ities iz~ instipita 1s tutions

In In

In all ehort reeifacil- denC

ities i:! instipita1s tutions

in

thousands

ax

Both sexes

All causes -----------------------

Average per

hospitalized decedent

Average per,decedent

45

41

.54

61

17

1

;;

67

::

43

37

1,702 18

fj6:

27C

192

::

55

34

29

;;

255

968

63

67

58

80

35

1

104

129

85

$

53

25 38

4a

17

6iI

20

.,

1::

61

::

28

28

31

17

40

21

*

47

98

*

*

3:

50

Diseaees of heart ----------------------

Malignant neoplasms, including neoplasms

of lymphatic and hematopoietic tissuesVascular lesions affecting centra 1

nervous system-------------------------

Accidents ------------------------------

Certain diseases of early infancy ------

Influenza and pneumonia, except

pneumonia of newborn ------------------

General arteriosclerosis ---------------

Diabetes mellitus ----------------------

Congenital malformations ----------------

Cirrhosis of liver---------------------

All other causes-----------------------

12

38

15

7

1

17

13

19

;:

22

17

20

40

20

15

1

23

17

24

:;

, 30

’25

Male

All causes -----------------------

Diseasea of heart-----’---=--------”:----

Malignant neoplasms, including neoplasms

of lymphatic and hematopoietic tissuesVascular lesions affecting central

nervous system------------------------

Accidents------------: -----------------

Certain diseases of early infancy------

Influenza and pneumonia, except

pneumonia of newborn ------------------

General arterioaclerosis~ --------------

Diabetes mellitus ----------------------

Congenital malformations ---------------

Cirrhosis of liver---------------------

All other causes-----------------------

391

147

:;

41

30

17

10

11

1;:

735

29

53

43

15

1

55

95

*

:2

46

57

59

54

77

22

1

102

103

.72

*

3;

11

37

13

7

1

20

13

*

::

24

19

13

39

17

8

1

13

:;

*

1;

18

16

31

8

*

35

82

*

*

2:

38

46

16

59

13

*

89

::

*

1:

50

56

57

38

1

1::

*

::

64

75

Female

All causea -----------------------

Diseaees of heart--------- l------------

Mali ant neoplasms, includzn$ neoplasms

of Fymphatic and hemstopoiet~c tissuesVascular lesions affecting central

nervous system------------------------

Accidents ------------------------------

Certain diaeaaes of early infancy------

Influenza and pneumonia, except

pneumonia of newborn ------------------

General arteriosclerosis ---------------

Diabetes mellitus ----------------------

Congenital malformations ---------------

Cirrhosis of liver---------------------

All other causes-----------------------

272

123

102

30

27

25

18

19

9

10;

87

60

102

3:

139

ljj

*

5:

20

42

23

12

1

17

;!

*

2;

68

17

79

19

*

122

1;:

*

2:

34
Table 15. Nmber of decedents and average number of daya of hospital

the laat year of life,

or institutiona1 care per’decedent during

by sex, cause of death, age,

1961-Con.

and kind of facility which provided care: United ~tatea,

[,ivoragenot sho,vn !vhere base is less than 10,000. Dataara based upona s.rveyof places which providedcarei.Lhelastyearoflifeh a sampleofpersonswhodied

ini9f11.The survey design, generaI qualifications, and information on the reliability of the estimates are given in Appendix 1. Definitions of terms are given in

/\ppendix II]

All decedents Hoapita lized decedents

Days of care Days of care

In all

facilities

Sex, cause of death, and age I Number

in

thousands

Number

in

thousands

In

In all ahortfacil- atay

ities hospitals

In

resident

inatitutionz

In

ehorti:!

pitals

In

resident

institutions

I

&

Under 45 vears Average per

hospitalized decedent Average per decedent

17

19

55

7’<

4

1

20

*

2?

2:

35

12

8

45

*

.:

10

*

2:

1:

21

11

41

11

13

9<

*

9<

7’<

4;

24

18

All causes----------------------- 270

23

26

‘6

51

68

14

*

1:

5:

419

171

97

32

22

*

9

:

1

:;

1,014

469

147

154

23

*

31

33

19

1

12:

190 24 17

14

47

*

9

1

*

*

*

21

2;

30

20

43

16

26

*

*

*

*,

*

3:

24

7

Diaeaaea of heart ----------------------

Malignant neoplaspa, including neopla>ma

of lymphatic md hematopoietic tissuesVaacular lesions affecting central

nervous system------------------------

Accidents ------------------------------

Certain diseaaes of early infancy------

Influenka and pneumonia, except

pneumonia of newborn ------------------

General arterioacleroais ---------------

Diabetes mellitus ----------------------

Congenital malformations ----------------

Cirrhosis of liver---------------------

All other cauaea-----------------------

11

lC

*

1

*

lC

*

*

7

+

8

14

12

14

10

6

*

*

*

*

1:

13

39

13 34

57

1;

1

*

*

2;

““*

39

50

43

57

31

38

*

*

*

*

*

5;

78

20

10

*

4

*

*

*

*

8

1;

20

23

14

i;

*

*

*

*’

*

1:

53

25

6

*

2

17

3

38

45-64 years

All causes----------------------- 292

Diseasea of heart----------------------

Malignant neoplasms, including neoplasms

of lymphatic and hematp~oi:tic tiaaueaVascular lesions affect~ng centra 1

nervous system------------------------

Accidenta ------------------------------

Certain diaeaaes of early infancy------

Influenza and pnemonia, except

pneumonia of newborn ------------------

General arterioscleroaia ---------------

Diabetea mellitua------= ---------------

Congenital malformations ---------------

Cirrhosis o~ liver---------------------

AII other ,cauaea-----------------------

23

54

f;

*

*

*

*

5:

37

57

92

93

22

11

*

65 yeara and over

All causea----------------------- 746

Diaeaaea of heart ----------------------

Malignant neoplaams, including neop lasms

of lymphatic and hematopoietic tiaaueaVaacular lesions affecting centra1

nervous system------------------------

Accidents ------------------------------

Certain diseaaes of early infancy------

Influenza and pneumonia, except

pnemonia of newborn ------------------

General arterioaclerosia ---------------

Diabetea mellitua ----------------------

Congenital malformations ---------------

Cirrhosis of liver---------------------

All other causes-----------------------

49

53

::

x

103

99

73

*

5;

36

19

55

32

I*

84

86

52

*

3:

301

133

1+:

*

27

25

15

1

10:

76

58

z?

*

122

129

92

*

6;

20

38

21

13

*

22

17

26

*

2;

35
APPENDIX

TECHNICAL NOTE ON

.

Statistical Design of the

National Mortality Survey

Survey procedures.~Thep roceduresf orc onducting the National Mortali~ Survey assumed the existence

of and took advantage of a national system for the registration of deaths. The death record served as the

sampling unit, and samples of these units were selected

from the frame of records representing registered

deaths. The survey was conducted principally witi

sources of information identified on the death record

and, occasionally, with referral or secondary sources

reported by a primary source. Since the mailing addresses of the primary sources were usually reported

on the death record or codd readily be obtained from

directories or from the funeral director, the mail survey was the principal method of data collection. There

was provision, however, for collecting information by

other means which included telephone reminders and

personal kterviews,

The survey sample was subselected each month

from a 10-percent systematic sample taken montiy

horn death certificates received in State vital statistics offices from local registrars and forwarded

to the Division of Vital Statistics, National Center for

Health Statistics. Since the subsampling of deaths was

systematic at a rate of 1 out of 33, the monthly sample

of deaths cumdated over the year to a selection of 1

out of 330. This procedure produced a sample of 5,154

deaths in 1961 for the survey.

After copies of the selected death certificates were

received in the Division of Health Records Statistics,

they were grouped according to whether or not the

place of death was a hospital or an institution. For any

death occurring in a hospital or an institution, a questionnaire was fiailed to the establishment to obtain information about periods of care during the last year of

life and to inquire about names and addresses of o@er

hospitals and institutions in which care may have been

provided. For deaths occurring outside hospitals and

institutions, questionnaires were sent to death-record

informants (usually relatives of the, deceased persons)

to ask for names and addresses of hospitals and institutions in which care was received. (Informants in 10

percent of deaths occurring in hospitals and institutions

were surveyed for methodological reasons as explained

later

METHODS

in this appendix. ) The returns from informants

were used, then, to initiate mailings to hospitals and

institutions.

Followup mailings were routinely sent to persons

and establishments not responding, and other mailings

were made to obtain complete and consistent information

on the forms rejected as inadequate in a concurrent

editing procedure. Special efforts were made in each

sample case to, assure that complete and consistent

information was obtained.

Estimati~ methods .—The statistics shown in ttis

report are estimates prepared by use of a poststratified ratio estimation procedure. This prwedure

was used for each of the following 40 groups.

GYOUP Sex, CO1OV,ami age

Male, white:

.1---------------- Under 1 year

2 ---------------- 1-14 years

3 ---------------- 15-24 years

4 ---------------- 25-34 years

5 ---------------- 35-44 years

6---------------- 45-54 years

7 -------- -------- 55-64 years

8 ---------------- 65-74 years

9---------------- 75-84 years

10 --------------- 85 years and over

Male, nonwhite:

11 through 20---- Same groups as for male, white

Female, white:

21. through 30---- Same groups as for male, white

Female, nonwhite:

31 tirough 40---- Same groups as for male, white

For each of the 40 groups, the national count of

deaths was obtained4 and the ratio of the sample count

of deaths to the complete count was determined, Each

death in the group was then assigned a constant Value

such that the sum of the values equaled the national

total for the group. This post-stratified ratio estimation
procedure tends to reduce the sampling error by making the sample more closely representative of the population of all decedents than would be expected by random methods alone.

ROU&iW of mmbeys. —The tabulations upon which

the tables in this report were based show figures to

the nearest unit. The published tables were prepared

with corresponding figures rounded to the nearest

thousand. Percentages, rates, and averages were com~

puted, however, using unrounded data. Neither numbers nor derived figures are necessarily zccurate

in the detail shown.

Reliability of Estimates

Since the estimates were based on a sample,

they may differ somewhat from the resdrs that would

have been obtained had a survey covering all decedents

been undertaken using the same questionnaires and

procedures. As is true of all surveys, the results are

also subject to nonsampling errors such as those of

response and recording.

Nonsampling error, general. —Failure to secure

complete questionnaire returns in the survey, errors

made by respondents in interpreting survey questions,

and errors in processing the returned questionnaires

and their associated records represent a few of the

main sources of non sampling error. Although there are

many cases in which adequate measures of such errors

which may tend to affect the data are not available,

in some cases compensating factors play a role in

randomizing and thus minimizing the effect of errors

on the estimates. In other instances, measures of error

are available.

EYYOY associated with nonresponse. —About 2 percent of the forms mailed out to hospitals and institutions

in the survey were either not returned or were returned without information about care of the deceased

person in the last year of life. The corresponding nonresponse rate for informants who played a role in pro- -

viding names of hospitals and institutions caring for

persons in, the year before death is 7 percent. The

effect of nonresponse in this survey was to limit information about hospital and institutional care of deceased persons.

A general review of the file of materials relating

to each decedent was made at the close of the survey

to determine whether any episodes of hospital or institutional care might have been missing. This review

procedure showed that an estimated 55,000 decedents

who were reported as having no hospital or institutional

care in the last year of life may in fact have received

such care (table 1). This estimated number of deceased

Table I. Nwber and percent of decedents classified as having no hospita Lization experience in

the last year of life who may have been misclassified: United Statea, 1961

Sex and age

Both sexes

All agea -----------------------------------------------

Under 45 years -----------------------------------------------

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

65 years and over --------------------------------------------

All ages -----------------------------------------------

Under 45 years-----------------------------------------------

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

65 years and over --------------------------------------------

Female

All ages -----------------------------------------------

Under 45 years-----------------------------------------------

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

65 years and over --------------------------------------------

All

decedents

in

thousands

1,702

270

419

1,014

968

163

270

535

735

107

149

479

Decedents possibly

misclassified as

~ithout hospitalization

?xperience in the laat

year of life

Number

in

thousands

55

32

24

6

6

12

Percent

3.3

3.3

6.3

4.0

2.0

3.2

::;

2.4

37
uersons who mav have bad hospimlization in” the last .

year of life but who were not so classified is comprised

of those decedents for whom no satisfactory information

was obtained concerning hospitalization because of the

inability to locate establishments or informants who

codd provide information, as well as because of nonresponse and inadequate response to the survey ques -

tionnaires.

ErYoY associated m-th a problem in identifying

places providing care.— The procedures designed to

identify all places providing care to the survey decedents were deficient in certain respects, resulting

in a minor bias in the distribution of decedents by type

of service. Specifically, an assumption was made that

it was not necessary to uniformly survey death record

informants to gather information about hospital and

institutional care of deceased persons when it was

established that the decedent had died in a hospital

or an institution. However, the informant for 10 percent

of all such deaths was surveyed in order to estimate

the effect of the procedures based upon this assumption.

The results of the test of the assumption are available

only in terms of the amount af care and not in terms of

number of decedents.

Since the informant was routinely approackdwhere

no information about hospital or institutional care for

a decedent was shown on the death record, the planned

omission of informants in the survey had no effect in

determining whether or not the decedent had hospital

or institutional care. The only effect this omission

had on the statistics in this report was a slight overestimate of the numbers of decedents who had received

care only in short-stay hospitals or only in resident

institutions, countered by a corresponding underestimate of decedents who had both short-stay and resident

care.

Table II. Approximate standard errors for

estimated number of decedents

Size of estimate

10,000----------------------

25,000 ----------” ------------

50,000----------------------

100,000---------------------

250,000---------------------

500,000---------------------

750,000---------------------

1,000,000-------------------

Standard error

1,700

2,700

3,800

5,250

7,850

9,950

10,600

10,100

Example: An estimated 260,000 male decedents were from the Northeast Region (table

8). Linear interpolation between the valuea

shown in table II will yield an approximate

standard error of 7,934.

sam$li~ e;ror.—~e standarderror isprimarily

a measure of the sampling variationsthatoccur by

chance because only a sample rather than an entire

population is surveyed. The chances are about 680ut

of 100 that an estimate from the sample differs from

the value obtained from a survey of the entire population by less than the standard error. The chances

are about 95 out of 100 that the difference is less than

twice the standard error.

The relative standard error of an estimate isobtained by dividing the standard error of tbe estimate

by the estimate itselfi it is expressed as a percentage

of the estimate.

In order to derive standard errors which would

be applicable to a wide variety ofstatistics and which

could be prepared at a moderate cost, a numberof

approximations were required. Therefore, the tables

shown in this appendix provide estimates of approximate standard errors rather than the precise error

for any specific statistic,

Rules todetermine theapproximate standarderrors

for estimates presented in this report are as follows:

1.

2.

Table

Estimates of aggregates.–Approtimate standard errors of estimates of aggregates, suchas

the number of decedents with a given characteristic, are given in table I1.

Estimates of percentages in a “pevcent distribution. —Approximate standard errors for

percentages are determined in one of the two

111. Approximate standard errors for

estimated percentages of decedents

Base of

percentage

10,000--------------

50,000--------------

100,000-------------

250,000-------------

500,000-------------

1,000,000-----------

Estimated percent

w

Standard error

L

2.4 3.7 5.1 7.4

1.1 1.7 2,3 3.3

0.8 1.2 1.6 “2.3

0.5 0.7 1.0 1.5

0.3 0.5 0.7 1.0

0.2 0.4 0.5 0.7

50

8.6

3.8

2,7

1.7

;:;

An estimated 63.9 percent of the

14?mkpitalized fe.ale decedents inthe

South Region had one epiaode of care (table

8). Linear interpolation between the values

shown in table III will yield an approximate

standard error of 2.2 percent.

38
Table IV. Approximate standard errors for estimated number of episodes of care per 1,000 decedents, where both numerator and denominator are estimated from sample data

Base (number of decedents]

50,000-----------------------------------------

100,000----------------------------------------

150,000----------------------------------------

200,000----------------------------------------

300,000----------------------------------------

500,000----------------------------------------

700,000----------------------------------------

1,000,000--------------------------------------

Estimates of number of episodes per

1,000 decedents

800 900 1,000 1,200 1,400

Standard error

116.4

82.3

67.5

58.7

48.3

37.7

32.1

27.4

124.8

88.9

72.9

63.2

52.0

40.6

34.9

29.6

1;;.:

78:0

151.8 169.2

108.0 120.2

88.3 98.7

68.1 77.1 85.9

55.9 63.4 70.6

43.6 49.8 55.5

37.4 42.8 47.7

31.8 - -

1,600

186.0

132.3

108.7

94.4

77.4

61.3

.-

1,800

202.8

144.0

118.3

103.1

84.8

66.9

Example: The estimated episode ratio for 58,000 decedents under 45 years of age in the Northeast Region is 1,X87 (table 3). Linear interpolation between the values shown in table IV will

yield an approximate standard error of 143.6 per 1,000.

following ways, depending upon the source of pling error, the’relative standard error of I

the base ofthe percentage: the percent is equivalent to the relative

a.

b.

Table V.

Where both numerator and denominator are standard error ofthe numerator, which can

.,

est~ates from thesample data,such asthe.

percentageof male decedentsintheNortheastRegion who hadthree or more episodes

ofcare,theapproximatestandarderrorsare

givenintable111.

Where the-denominatoris a valuefoundin

one ofthe40 ratioestimatecellsshown on

page 36 andisthereforenotsubjectto sambe obtained directly from table II. Forexample, 65.3 percent of the76,000 nonwhite

persons aged 65 years had hospitalization

experience in the last year of life (table 7).

The’base of this percentage, nonwhite persons aged 65 years and over, is found to

correspond with one of the cells in the ratio

estimation table shown on page 36. ThereApproximate standard errors for estimated number o-fepisodes of care per 1,000 decedents,

where denominator is from one of the 40 ratio estimate cells

Estimates of number of episodes per

1,000 decedents

Base (number of decedents,)

800 900 1,000 1,200 1,400 1,600 1,800

50.000----------------------------------------- 99.6

100,000----------------------------------------

150,000=---------------------------------------

200,000----------------------------------------

300,000----------------------------------------

500,000----------------------------------------

700.000----------------------------------------

70.6

58.5

51.2

42.7

;;.;

.

i,jdo,ooo -------------------------------------- 26.2

104.4

75.3

62.3

54.4

45.4

36.4

32.1

28.2

Standard error

109.6

79.9

65.7

57.9

48.4

38.7

34.2

30.2

121.8

87.7

72.5

64.1

53.7

43.6

38.7

132.0

95.2

79.2

69.7

58.6

47.9

42.7

141.2

102.2

85.4

75.0

63.0

52.3

150.6

10).;

80:5

68.1

56.3

F

The estimated short-stay hospital episode ratio for 416,000 decedents aged 65-74 is

1,0 1 per 1,000 (table 1). Linear interpolation between the values shown in table V will yield an

approximate standard error of 44.8 per,1,000.

39
Table VI. Approximatestandarderrors for estimatedaverage number of days of care in hospitals

and institutions,where both numerator and denominatorare estimatedfrom sample data

Ba.se”ofaverage

(numberof decedents)

10,000---------------------------------------

20,000---------------------------------------

30,000---------------------------------------

50,000---------------------------------------

100,000--:-----------------------------------

150,000--------------------------------------

300,000--------------------------------------

600,000--------------------------------------

900,000--------------------------------------

Estimated average number of days of care

I I i I 1

511OI15’I3OI5OI7OI 100[150] 200

4.1

2.9

2.4

1.9

1.3

;::

0.6

0.5

5.9

4.2

3.5

2.7

2.0

1.6

1.2

1.0

0.9

7.4

2:;

3.4

2.5

2.0

1.6

::;

Standard

1

11.1 15.6

8.0 11.2

6.4 9.3

7,5

2:; 5.7

3.4

2.7 ;:;

2.3 3.7

2.2 3.5

,rror

19.6

14.2

11.9

.::!

5:6

5.ci

25.5

18.6

15.6

L2.7

10.0

;:;

35.0

25.6

21.6

17.7

14.1

12.7

11.2

.

::.;

27:5

22.7

18.3

16.6

.

Example: The average number of days of care in short-stayhospitals for 292,000hospitalized

decedents45-64 years of age waa 30 days (table 13).From table VI it is seen that the approximate

standarderror is 2.7 days:

fore,thestandarderrorofthenumeratorof

the percentage,50,000,is determinedby

referencetotableIltobe3,800.Dividingthis

figureby the numerator,the quotientis

0.076(relativestandarderroy=7.6percent),

whichwhen multipliedby theestimateitself,65.3,yields5.0as thestandarderror.

Thus thechancesare 68 outof 100 thata

completesurveywouldproducea figurebetween60.3percentand70.3percent.

3. Estimates of Yates wheye mmevator is not a

Sabclass of denominatoy.-This rd.e applies

where a unitof the numeratoroftenoccurs

more thanonceforanyoneunitinthedenominator.For example,in thecomputationof the

number of episodesduringthelastyearoflife

per 1,000decedents,a decedentinthedenominatorcouldaccountformore thanone of the

episodesincludedin thenumerator.Approximate standarderrorsof rateswhere thedenominatoris thetotalU.S.populationof decedentsor includesalldecedentsin one or

more subgroupsofthetotaldecedentpopulation

as explainedin 2(b)aboveare givenin table

Table VII.. Approximat&standarderrors for esttiatedaverage number of days of care i,nhospitals

and institutions,where denominatoris from one of the 40 ratio estimate cells

Base of average (numberof decedents)

10,000---------------------------------------

20,000---------------------------------------

30,000---------------------------------------

50,000---------------------------------------

100,000--------------------------------------

150,000--------------------------------------

300,000--------------------------------------

600,000--------------------------------------

900,000----------$----------------------------

Estimatedaverage number of days of care

5 10 15 30 50 70 100 150 200

Standard error

4.0

2.8

2.3

1.8

1.3

:::

0.6

0.5

7.0

:::

3.2

2.4

1.9

1.6

1.3

1.2

10.0

7.2

:::

3.6

3.2

2.6

2.3

2.2

13.0

9.5

7.9

;::

:.;

3:6

3.4

15.6

11.5

9.7

8.0

!:2

::;

18.9

14.1

12.1

10.2

8.5

;:!

23.8

18.2

15.8

13.6

11.8

11.1

10.3

28.2

21.9

19.3

17,0

15,0

14,3

.

Example: The average number of daya of care in hospitalsand institutionsfor 76,OOO nonwhite

decedents65 years and over was 44 days (table 12). Linear interpolationbetween the values shown

in table VII will yield an approxtite standarderror of 5.3 days.

40
IV. Approximate standard errors ofrateswhere

both numerator. and denominator are estimates

from the sample data are given in table V.

4. Estimates of aveYages.-Approximate standard

errors of tie average number of daya of care

are obtained from table VI if the denominator

of the average is the total U.S. population of

decedents or includes one or more subgroups

of the total decedent population as explained

in 2(b) above. In all other cases they are obtained from table VII.

5. Difference between two sample estimates.—~e

standard error of a difference is approximately

the square root of the sum of the squares of

each standard error considered separately.

This formula will represent the actual standard

error quite accurately for the difference between separate and uncorrelated characteristics

although it is only a rough approximation in

most cases.

000

.

41
APPENDIX II

D~FINITIONS

Terms Relating to Hospitalization

...

OF CERTAIN TERMS USED

patient or an

Hospitals and institutions. —In this report hospitals

and institutions is a phrase used to refer to facilities

providing medical or personal care (such as hospitals

listed in the Guide Issue of Hospitats, Journal of the

Am&rican Hospital Association) and includes homes

for the mentally retarded, nursing homes, other homes

for the aged, and other places providing medical, nursing, personal, or d~miciliary c~e. Questionnaires

returned by establi=tie~ts claiming to have provided

care to decedents as inpatients or inmates were accepted as reports of hospitals and institutions regardless of whether the establishments could be located in

the several listings of such places which were used in

connection with the processing of the survey data.

Short-stay hospital.—A short-stay ho~pital is one

which is classi~ed as a general hospital; matemi~ hospital; eye, ear, nose, and throat hospital; children’s

hospital; or osteopathic hospital. Hospitals are classified by type of service according to the predominant

types of cases for which khey provide care. The typeof- service category to which an individual hospital is

assigned and the definition of these categories follow

tie usage of the American Hospital Association.

Resident institution. —A resident institution is a

facility which provides psychiatric or orthopedic treatment or treatment of tuberculosis, contagious diseases,

or chronic diseases. Also included are hospital departments of institutions, homes for the mentally retarded,

nursing or convalescent homes, other homes for the

aged, and other places which provide medical, nursing,

personal, or domiciliary care.

Hospitalization and hospitalization experience. —

“Hospitalization” and “hospitalization experience” are

terms used in this report to refer to care provided

to deceased persons in the last year of life by hospitals

or institutions. Such care was determined to have been

provided if any continuous period of inpatient care or

inmate experience was completed in a hospital or an

institution within 364 days preceding death as well as

on the day of death itself. Any such period of care

may or may not have begun within the 12-month period

preceding death.

Episode of care. -An episode of care is any continous period of hospitalization experience as an inIN ,THIS REPORT

inmate in a short-stay hospital or res.

ident institution.

Day of caye. —A day of care is a period of time

in which a person is confined to a short-stay hospital or a resident institution. The day is counted as

a day of care only if the patient stays overnight, fius

a patient who enters the hospital or institution on

Monday afternoon and leaves Wednesday nnon is considered to have had 2 days of care in the hospital or

institution.

Hos@.talized decedent.— “Hc)spitalized decedentfr

is a term used in this report to refer to a decedent

. with one or more episodes of care in a short-stay

hospital or resident institution during the last year

of life.

Other Terms

Cause of death. —Data are shown in this report for

the 10 leading causes of death in 1961, These are the

10 most frequent causes as a result of ranking the

causes included in the List of 59 Selected Causes of

Death (Seventh Revision of International Lists of ~seases and Causes of Death, 1955) in accordance with

the rules of ranking recommended by the Public Health

Conference on Records and Statistics,5

Death vecord informant.—The informant is usually

the person whose name is recorded on the death certificate as having provided the information about personal

characteristics of the decedent (such as name and age)

which are shown on the death certificate. The informant

is commonly a close relative of the decedent.

Age.–Age is recorded or derived from entries

on the death certificate for age or date of birth, Reported or calculated age is age at last birthday,

COZOY. —Color is recorded or derived from entries

on the death certificate for color or race as white or

nonwhite. The nonwhite population includes Negro,

American Indian, Chinese, Japanese, Aleut, Eskimo,

Hawaiian, and part-Hawaiian. Mexican and Puerto Rican

are included with white.6

Metropolitan status.— Usual residence of decedent

was classified by location inside or outside counties

falling in standard metropolitan statistical areas

(metropolitan State economic areas in New England)

as delineated by the Office of Statistical Standards,

42
U.S. Bureau of the Budget, for the 1960 census? Standard metropolitan statistical areas were divided into two

groups for use in the tables shown in this report-those

with a population in the 1960 census of 1,000,000 or

more and those with less than 1,000,000.

Re&on. -State of usual residence of decedents is

classified according to four regions which correspond

to the regions used by the U.S. Bureau of the Census.

These are comprised as follows:

Re@”on States Incl&ed “

Northeast -------- Connecticut. Maine,. Massachusetts, New Hampshire,

New Jersey, New York,

Pennsylvania, Rhode Island,

Vermont

North Central -----

south ------------

West -------------

Illinois, Indiana, Iowa, Kansas,

Michigan, Minnesota, Missouri,

Nebraska; North Dakota, Ohio,

South Dakota, Wisconsin

Alabama, Arkansas, Delaware,

District of Columbia, Florida,

Georgia, Kentucky, Louisiana,

Maryland, Mississippi, North

Carolina, Oklahoma, South

Carolina, Tennessee, Texas,

Virginia, West Virginia

Alaska, Arizona, California,

Colorado, Hawaii, Idaho,

Montana, Nevada, New Mexico,

Oregon, Utah, Washington,

Wyoming

.,

43
APPENDIX Ill

SOURCE FORMS

CERTIFICATE OF DEATH Form SO.roved ,

BIRTH No. STATE OF

Bud#eLBu,,,u WO.CU-R876,2

STATE FILE No. .

!. PLACE OF DEATH

I

I

b. CITY. TOWN. OR LOCATION C. LENGTH OF STAY IN lb C. CITY. TOWN. OR LOCATION

:

5

I

d. NAME oF (If no{ in hospifnf, LTWe80ett addrea8) ;

d. STREET ADDRESS

NOSPITAL OR

INSTITUTION

?

~ C. IS PLACE OF DEATH INSIDE CITY LIMITS? C. IS RESIDENCE INSIDE CITY LIMITS? If. IS RESIDENCE ONA FARM?

YES ❑ NO ❑ I

YESD mu I

YEs o NO ❑

3. NAME OF Fir*t M{ddIe Laat 4. DATE Mmth Dau Year DECSASEO

(Tnpcorprinl) . D~ATH

5. SEX 6. CCILOR OR RACE 7 MARRIED ❑ NEVER MARRIED ❑ s. DATE OF BIRTH 9 AGE (In UCO?8 IF UNDCRI Y~R [IF UNDER24 IWS,

[ml birthday) “~m,*, Do”’ Mm,, M{”,

Wl~WED ❑ ‘DIVORCED C

Ioa. uSU~L oCCUPATION (.Gioc.kind of work done Im. KIND DF BUSINESS OR INDUSTRY II. BIRTHPLACE (safe 0, fo,ci~n Counov)

dur:nv mo81 of work:ng I:Jc, coen :f rctzredl

12, CIIIZSN W WHATCCUNTRY7

a

EC

T g 13.. FATHER,s NAME

gm

14. MOTNER.S MAIDEN NAME

k

,.

~

z < 15. WAS DECEASED EvER IN U. S. ARMED FORCES? 16, SDCIAL SECURITY NO. 17. INFORWAW

z $ 1E’-. Iw.m .tilwm, (1/ w., vi.. m, m &* of -k) Address

u

La: .

~

18. CAUSE OF OEATSS [Enter od# one cawe Wr lins /or (4), (b). and (c).]

Y

INTERVAL SCTWEEN

T

PARTL DEATH WAS CAUSED BY, 0N3ET ANO DEATH

s l.MMEDIATE CAUSE (a)

E

—————

z~

In

<$ Conditima, if an9.

1

DUE TO (b)- which gane ria to

;$ (

..—

abo?c cauae a).

-c 8t+8na Ihc under-

~- Iytng Ceuae [alt. DUETO (c)

& g ~ PART Il. OTH=SIGNlnu~ @Dl~-!~NG TO~~mw RmWDTO~E~MIWL

M

— CONDl~N GIVEN [N PhNT l(n) 19. WAS AUTOFSY

cc

~ ~ PERFORMED

“ ~

53 k

YESD NOD

0 * 20a. ACCIDENT SUICIDE ‘.,HoMIcIK ~. 0E3CRIEE NOYNUURYWCURRED. (Entmndu,e ojinjur# in Parl Ior ParllIoJl[em 18.)

.

u a

=- 8 •1 •1 •1

i-

< ~ ~. ::~:R;F Hour Month, Dar, Year

g u a. m.

E p. m.

~ ~ ~. IN.SURYOCCURRED ‘20c. PuCEOFIWURY (c. g., rnordotihw, ~f, CITY. TDWN. OR LDCATION

1-

COUNTY

~

~~~AT ❑ NO~~~.E a

farm, /acEorv, ;Oect, ofice bldg., etc.)

STATE

z

.“

g

21. Iattemdedtheda~ea*e~f,Om . to ‘e’ alive on

~ Death occurred at

‘nd]asts”w him

m on thedate st.tedabove; and to the beat of myknowledte, from :hecause# etated.

0 a. stawrunc (Depree or tifle) ~. ADDRESS 22c, DATE SIGNEO

‘z I

~ 23a. BURIAL. aEM4Ti0fi. ~ DATE &. NAME Of CEMETERY OR CREMATORY Z3d. LDCATION (City, twn. or coun!#)

REMOVAL(SpciJ#)

(S&de)

G

; 24. FUNERAL ENRECTOR

A

A“DDRESS =. DATE RECD. BY LDCAL REG. 26. R6GISTRAR.S SIGNATURE

x

IL, I I
Survey Questionnaire for Hospitals

.PMS. 3699

.0.,,.S.,,”’,,, ha, Q.. ” .ss”,.. the 1“48”84”.1

(3-61)

a, P“bl ished [“ ,,, Federal ,egl, ter “ay 2,, ,9,, Budget 8 . . . . . h.. 68-6102

APP.OV.I ExPi.=s: 12-31-62

DEPARTMEIIT OF HEALTH, EDUCATION, AND IIELFARE

publicHealth Service - KOVS

Hashlngton 25, D.C.

HOSPITAL UTILIZATION IN THE’ LAST YEAR OF LIFE

N= of Bcemed FileNuuber

Aidrea8 of mcea~ed Date of Birth

Hospital’In whichxceasea was a Patient

Approximaterate of IEstDi6cWge

PASTI - HOSPIW (TASS~ WS INSTI~ON

A. HOW q ttis waE the wrsm whose= aPw=s abO= ~6c~&a fiOm ~S hOePi~l s~ce J.~ 1, 19a7

—nuuber of Bepmate dischargessticeJ~ 1, 19@ (Plessecompletia sectionbelow for esch of these

treesbeginningwith the ieceased’slast stiyin thishospital. If thereweremore than four sewa~

dischargessinceJ~ 1, 19@, pkase attsch sewate sheet. )

PEHtoDs m~ DIS~

OF SASE ON ON FINALDIAGNOSES

omTIoNs

mm

~-

mT Month— Mmth—

FEFUOD

mY ~Y Secmiary

Ye2r Year

meek If none❑

~

WT Month— Mon~ ,.

ST Day m~ ~ecm~

PESIOD

Ye— Yea

Checkif none ❑

~w

mm Wth_ Mont~

DEmm .

m Day -Y SecOniary

Year Ye—

Sheckif none ❑

~-

-OD Montbb Mon~

BEmm

mT Day Dsy Seconiary

Year_ Ye—

Sheckif none ❑

=ti

H

.

45
A. Accorwg to your recordsor to your@rsoml howle~e, was the deceaseda patientin sny otherho6pitslor

medicslinstitutionsinceJ~ 1, 19@7

1.0 Yes 2.0 No

(IfYes: please~st beloweach hospitaland mdical institutionin whichthe .iecemedwas”a patient

sinceJ~ 1, 19@)

1.Nmlle of Inatitutiorl

StreetAd&ess City or Place

Colm* state

Approximate MBchmgeDate

2. N8me of ~stitntim

StreetAddress , cityorPlace

3. Naue of Institution

StreetAddress City or Plsce

county sate

Apprtite DischargeDaw

4. !fm of Instituticl.

StreetAddress City or Place

Cmmty Sta+

Amoxlmate Mscharge M*

****** ***

Signatureof ~rson completingthis form

N- of this institution

Your positionin this institution

PHS-3699

(3-61 )b. ck

BACK

.,. ,0,,,,

I

46
Survey Questionnaire for Informants

Pris:s;;o CO”,,B.”,,AG,,, has been assured !,. l“dlvld”.1

.s pub, l,t,.d 1“ th. Federal ,esl,t.r “?,y ,0, ,,59

DEPARTMENT OF HEALTH, EDUCATIOII, AND WELFARE

Public Health Seivice - IIOYS

Ilashlng ton 25, D.C.

HOSPITAL UTILIZATION IN THE LAST YEAR OF

Budget Buree~ No.

Approval Exp. r.s:

LIFE

68-6102

12-31-62

Plea3eanswerthe followlng ~estions aboutthe personp3med above. If You do not knw the exactanzwera,SIYZyour

beBt estimates.Feel freeto ask the”assist=ce of otherswho w be able to help you b ane.weringthe questlonz.

PAST I - EOSPI~ -

A. SinceJ~ 1, 19~, w the peased a patientin a hospitalor medic@J.Wtitution?

l.HYes 2.U No (If No, S~ to ~ II on the rewrse side)

B. How q ttis w he dischargedfromthesehoqitals sinceJ~ 1, 19@?

—-.-number of times (Plez.secmplete a sectionbelw for each of thesedischargesbe~ with Mt hospital

stw. For exmple, if & died in a hospital,t~s disc~ge shouldbe entiredaz his last

hospital8tiy.)

1.IAST HosPIl!AT, Sm

A. When w he disctiged fromthe hospital? B. what is the = md -ss of the hospital?

-w ~onth ~e2r N&

C. HOW many ni&t6 w he in the hospital? City or Pla2e

—umber of,nights county state

2. mT ti w HosPm Sw

A. When w he UscWged fromthe hospital? B. What is the - ~d 2ddresBof the hospitti?

.m ~nth ~e- Name

C. How m tightsw he in the hospitti? City or Pla2e

_n*r of nishts Couuty state

3. mm Sm BS20SE w

A. When was he +achwged from=e hospital? B. What is the n= znd 3.ddre6sof the hospita17

42y Month~ezr Ne$ne

C. How w nightswas he In the hospital? City or Place

_n*r of nights county State

k. HOSPITALSTAYBE~~ ~T

A. When w he dlschzxgedfromthe hospital? B. What is the name md addreesof the hospital.?

-w Month Year N@me

C. How q nightswas he in the hospital? City or Place

_nmber of nitits Cmulti sta~

m

FROm

>

47
48

.

FAST II - ~~lIICS OF T2E DE~ -OW

A. Where Md the dece86ed Prson Me?

I.n At hme

2.D m a hospital N=

City or Place

county ,- State

3.D Otherplace (specify )

B. king 19~, what =s the totalincm of the deceasedand thoseof his ftily livingwithhim? (IUC1* inccmw

fran all smces such as wages,sties, rentsfrm Trqrt.y, wnsims, help fim relatims, etc.)

1.0 under*,m 3.0 W,wo - $6,9w ‘

2.I-J$2,CC0- $3,9B 4.D&,W or more

If the dece66edm under 16 years of ase, = h m III belcr.r.

C. What W he doti most of the 12 months before deathz

1.0 Worw 3.0 some- e16e (%clfy )

2.0 P.etirea

D. Whst m the higheetgradethe decemed attendedfi school? (Circlethe highestgade )

None 12345678 1234 1234>

Elementary mti School College

PART m - -Wow AEom m -Ow Cwmm ms m

A. Wter Wlaw the m ma 6ddressof the pram actuallycmleting this form,even If different tiom the prson

to *m the form WS6 tiled.

nstreet Address city

county stab

B. m p bou of fianeoneehe who mishtbe able to W to the informationthat YOU SUPPlied?

1.0 Yes 2.U No

If Yes: what is the n= and Wess of this prsm?

Nenle

Address

***** **

Use the spscebelow to p.rti~ w &tionsl MormstAon aboutthe &ce-ed Persontshospitslcsre.

PHS.37 00

(3-61 )b. ck

BACK

*u. S. GOVERNMENT PRINTING OFFICE :1966 0,-217-874
SeYzes 1.

SeVies 2.

Series 3.

SeYies 4.

bc}-ies 10.

SeVies 11.

SeVies 12.

Sevies 20.

SeVies 21.

Se)ies 22.

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH

Public Health Service Publication No. 1000

PYog~ams and collection procedures. —Reports which describe the

STATISTICS

general programs of the National

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, and

other material necessary for understanding the data.

Reports number 1-4

Rata e~’aluation ad methods reseaych. —Studies of new statistic~l methodology including: experiment.~1

tests of new survey methods, studies of vital statistics collection methods, new analytic~l techniques,

objective evaluations of reliability of collected data, contributions to statistical theory.

Reports number 1-18

Analytical studies. —Reports presenting analytical or interpretive studies based on vital and health statistics, carrying the analysis further than the expository types of reports in tbe other series.

Reports number 1-4

Documents and committee vepovts.— Final reports of major committees concerned with vital and health

statistics, and documents such as recommended model vital registration laws and revised birth and

death certificates.

Reports number 1 and 2

Data Fvom the Health InteYuiew Suvvey .—Statistics on illness, accidental injuries, disability, use of

hospital, medical, dental, and other services, and other health-related topics, based on data collected in

a continuing national household interview survey.

Reports number 1-29

Data Fvom the Health Exammation Suvvey.— Statistics based on the direct examination, testing, and

measurement of national samples of the population, including the medically defined prevalence of specific diseases, and distributions of the population with respect to various physical, physiological,

and psychological measurements.

Reports number 1-16

Data From the Healtlz Recovds Sur~’ey. — Statistics from records of hospital discharges and statistics

relating to the health characteristics of persons in institutions, and on hospital, medical, nursing, and

personal care received, based on national samples of establishments providing these services and

samples of the residents or patients.

Reports number 1-4

Data on movtaLity.-Various statistics on mortality other than as included in annual or monthly reports—

special analyses by cause of death, age, and other demographic variables, also geographic and time

series analyses.

Reports number 1 and 2

Data on mtality, marviage, and divorce. —Various statistics on natality, marriage, and divorce other

than as included in annual or monthly reports —special analyses by demographic variables, also geographic and time series analyses, studies of fertility.

Reports number 1-9

Data Fvom the Natioml Natality ad Mortality Su~veys. - Statistics on characteristics of births and

deaths not available from the vital records, based on sample surveys stemming from these records,

including such topics as mortality by swiceconomic class, medical experience in the last year of life,

characteristics of pregnancy, etc.

Reports number 1 and 2

I’or a list of titles of reports published in these series, write to: National Center for Health Statistics

U.S. Public Health Service

Washington, L).C. 20201