Vital and health statistics. Series 13, Data from the National Health Survey最新文献

Ambulatory medical care utilization estimates for 2007. 2007年流动医疗服务利用估计数。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2011-04-01

Susan M Schappert, Elizabeth A Rechtsteiner

{"title":"Ambulatory medical care utilization estimates for 2007.","authors":"Susan M Schappert, Elizabeth A Rechtsteiner","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This report presents statistics on ambulatory care visits to physician offices, hospital outpatient departments (OPDs), and hospital emergency departments (EDs) in the United States in 2007. Ambulatory medical care utilization is described in terms of patient, provider, and visit characteristics.Methods: Data from the 2007 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey were combined to produce annual estimates of ambulatory medical care utilization.Results: Patients in the United States made an estimated 1.2 billion visits to physician offices and hospital OPDs and EDs, a rate of 405.0 visits per 100 persons annually. This was not significantly different than the rate of 381.9 visits per 100 persons in 2006, neither were significant differences found in overall visit rates by age, sex, or geographic region. Visit distribution by ambulatory care setting differed by poverty level in the patient's ZIP Code of residence, with higher proportions of visits to hospital OPDs and EDs as poverty levels increased. Between 1997 and 2007, the age-adjusted visit rate increased by 11 percent, fueled mainly by a 29 percent increase in the visit rate to medical specialty offices. Nonillness and noninjury conditions, such as general and prenatal exams, accounted for the largest percentage of ambulatory care diagnoses in 2007, about 19 per 100 visits. Seven of 10 ambulatory care visits had at least one medication provided, prescribed, or continued in 2007, for a total of 2.7 billion drugs overall. These were not significantly different than 2006 figures. Analgesics were the most common therapeutic category, accounting for 13.1 drugs per 100 drugs reported, and were most often utilized at primary care and ED visits. The number of viral vaccines that were ordered or provided increased by 79 percent, from 33.2 million occurrences in 2006 to 59.3 million in 2007; significant increases were also noted for anticonvulsants and antiemetics.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 169","pages":"1-38"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40112306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

National hospital discharge survey: 2006 annual summary. 全国出院调查:2006年年度总结。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2010-12-01

Verita C Buie, Maria F Owings, Carol J DeFrances, Alexander Golosinskiy

{"title":"National hospital discharge survey: 2006 annual summary.","authors":"Verita C Buie, Maria F Owings, Carol J DeFrances, Alexander Golosinskiy","doi":"","DOIUrl":"","url":null,"abstract":"Objectives-This report presents 2006 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, Ninth Revision, Clinical Modification codes. Methods-The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2006, data were collected for approximately 376,000 discharges. Of the 478 eligible nonfederal short-stay hospitals in the sample, 438 (92 percent) responded to the survey. Results-An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2006. These discharges used 166.3 million days of care and had an average length of stay of 4.8 days. In 2006, hospitals with under 100 beds accounted for 77 percent of inpatient discharges in nonmetropolitan areas, but only 13 percent of inpatient discharges in metropolitan areas. Forty-three percent of the total days of care were accounted for by persons age 65 and over, although this age group represented only 12 percent of the population. The rate of discharges with a first-listed diagnosis of stroke among persons age 65-74, 75-84, and 85 and over dropped significantly from 1996 to 2006. The leading diagnostic category was diseases of the circulatory system. Among the 8.7 million inpatient discharges age 45-64, 4.2 million (48 percent) had at least one surgical procedure. ","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 168","pages":"1-79"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32706972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The National Nursing Home Survey: 2004 overview. 全国养老院调查:2004年概况。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2009-06-01

Adrienne L Jones, Lisa L Dwyer, Anita R Bercovitz, Genevieve W Strahan

{"title":"The National Nursing Home Survey: 2004 overview.","authors":"Adrienne L Jones, Lisa L Dwyer, Anita R Bercovitz, Genevieve W Strahan","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This report presents estimates for U.S. nursing homes, their current residents, and staff, based on results from the 2004 National Nursing Home Survey (NNHS). Facility data are summarized by facility characteristics and include new data items on special care units and programs, formal contracts with agencies and providers, end-of-life care programs, and electronic information systems. Current residents are presented by characteristics such as demographics, health and functional status, and services received, with new data items on advance directives, falls, use of restraints, hospitalizations, pain management, and medications. The discussion highlights key survey findings, including differences in selected national estimates between the 2004 NNHS and the 1999 survey.Methods: The 2004 NNHS consisted of a two-stage design with a probability sample of 1,500 nursing facilities in the first stage and up to 12 current residents from each facility in the second stage. This nationally representative sample survey was conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics from August 2004 through January 2005.Results: In 2004, an estimated 1.5 million current residents received nursing home care in 16,100 facilities, the majority of which were proprietary (61.5%) and were located in the Midwest and in the South. Most full-time equivalent employees of the facilities were nursing staff. Most current residents were aged 65 years and older (88.3%), female (71.2%), and white (85.5%). Nearly one-half (48.2%) of all residents were admitted from a hospital or health care facility other than a nursing home or assisted-living-type facility, and 65.3% of all residents had some kind of advance directive.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 167","pages":"1-155"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40011578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of office-based physicians and their medical practices: United States, 2005-2006. 办公室医生的特点及其医疗实践:美国，2005-2006年。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2008-04-01

Esther Hing, Catharine W Burt

{"title":"Characteristics of office-based physicians and their medical practices: United States, 2005-2006.","authors":"Esther Hing, Catharine W Burt","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This report describes average annual estimates of nonfederal, office-based physicians who saw patients in the United States during 2005-2006. The report also uses a multiplicity estimator from the physician sample to estimate the number and characteristics of medical practices with which physicians are associated. Selected physician estimates of characteristics obtained only in 2006 are also presented, as well as selected trends in physician practice characteristics between 2001-2002 and 2005-2006.Methods: Data presented in this report were collected during the induction interview of physicians during the 2005 and 2006 National Ambulatory Medical Care Surveys (NAMCS). NAMCS is a national probability sample survey of nonfederal physicians who see patients in an office setting in the United States. Radiologists, anesthesiologists, and pathologists--as well as physicians who treat patients solely in hospital, institutional, and occupational settings--are excluded. Sample weights for physician data use information on the number of physicians in the sampled physician's practice to produce national estimates of medical practices.Results: During 2005-2006, an average of 308,900 office-based physicians practiced in an estimated 163,800 medical practices in the United States. In 2005-2006, nearly 1 in 10 medical practices were multispecialty groups (8.9 percent) and accounted for 20.3 percent of all physicians. In 2006, 11.5 percent of medical practices employed at least one mid-level provider and about one-third of medical practices performed electrocardiogram (EKG/ECG) tests (33.5 percent) and lab tests (30.2 percent) onsite. Between 2001-2002 and 2005-2006, the percentage of physicians not accepting new Medicaid patients increased by 16 percent and the percentage not accepting new charity cases increased by 23 percent.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 166","pages":"1-34"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27495792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data. 全国出院调查:2005年年度总结，包含详细的诊断和手术数据。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2007-12-01

Carol J DeFrances, Karen A Cullen, Lola Jean Kozak

{"title":"National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data.","authors":"Carol J DeFrances, Karen A Cullen, Lola Jean Kozak","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This report presents 2005 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, Ninth Revision, Clinical Modification codes.Methods: The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually since 1965. In 2005, data were collected for approximately 375,000 discharges. Of the 473 eligible nonfederal short-stay hospitals in the sample, 444 (94 percent) responded to the survey.Results: An estimated 34.7 million discharges from nonfederal short-stay hospitals occurred in 2005. Discharges used 165.9 million days of care and had an average length of stay of 4.8 days. Persons 65 years and over accounted for 38 percent of the hospital discharges and 44 percent of the days of care. The proportion of discharges whose status was described as routine discharge or discharged to the patient's home declined with age, from 91 percent for inpatients under 45 years of age to 41 percent for those 85 years and over. Hospitalization for malignant neoplasms decreased from 1990-2005. The hospitalization rate for asthma was the highest for children under 15 years of age and those 65 years of age and over. The rate was lowest for those 15-44 years of age. Thirty-eight percent of hospital discharges had no procedures performed, whereas 12 percent had four or more procedures performed. An episiotomy was performed during a majority of vaginal deliveries in 1980 (64 percent), but by 2005, it was performed during less than one of every five vaginal deliveries (19 percent).","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 165","pages":"1-209"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27330202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of office-based physicians and their practices: United States, 2003-04. 2003- 2004年美国办公室医生的特点及其实践。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2007-01-01

Esther Hing, Catharine W Burt

{"title":"Characteristics of office-based physicians and their practices: United States, 2003-04.","authors":"Esther Hing, Catharine W Burt","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This report presents demographic and practice characteristics of nonfederal physicians who were primarily engaged in office-based patient care in the United States during 2003-04.Methods: The data in this report were collected during the physician induction interview for the 2003 and 2004 National Ambulatory Medical Care Surveys (NAMCS). NAMCS includes a national probability sample of nonfederal office-based physicians who saw patients in an office setting. It excludes physicians in the specialties of anesthesiology, radiology, and pathology, as well as physicians practicing in hospitals, institutions, and occupational settings. Sample data were weighted to produce national estimates of the number of physicians and characteristics of their practices.Results: During 2003-04, an average annual of 311,200 office-based physicians provided patient care in the United States, an overall rate of 108.4 physicians per 100,000 persons. Approximately three-fourths of office-based physicians owned or were part owner of their practice, two-thirds of physicians worked in group practices with two or more physicians, and one-half of office-based physicians were primary care specialists. Physicians with 10 or more managed care contracts spent less time per patient visit, but had more weekly visits compared with physicians with fewer than three managed care contracts. The average total weekly number of encounters (consults or visits) and the average number of office visits per physician were greater among primary care specialists compared with other specialty types. About one-fourth of physicians (25.5 percent), reported that they did not accept new Medicaid patients and 13.9 percent did not accept new Medicare patients-similar to previous years.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 164","pages":"1-34"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26569139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medication therapy in ambulatory medical care: United States, 2003-04. 门诊医疗中的药物治疗:美国，2003- 2004年。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2006-12-01

Saeid Raofi, Susan M Schappert

{"title":"Medication therapy in ambulatory medical care: United States, 2003-04.","authors":"Saeid Raofi, Susan M Schappert","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This report describes medication therapy at visits to physician offices, hospital outpatient departments, and emergency departments in the United States during 2003 and 2004. Office-based care is further subdivided into three categories-primary care, surgical specialties, and medical specialties.Methods: Data from the 2003 and 2004 National Ambulatory Medical Care Surveys (NAMCS) and National Hospital Ambulatory Medical Care Surveys (NHAMCS) were combined to produce averaged annual estimates of ambulatory medical care utilization.Results: An estimated 1.9 billion drugs per year were provided, prescribed, or continued at ambulatory care visits in the United States during 2003 and 2004. Two-thirds of the 1.1 billion ambulatory care visits per year included medication therapy. The rate was highest at visits to medical specialists (2.3 drugs per visit). The rate of drugs per visit increased with patient age in each ambulatory care setting. Cardiovascular-renal was the class of drugs most frequently cited at visits to primary care physicians and medical specialists. Pain relievers were the drugs reported most often at hospital emergency and outpatient department visits. Of the 50 drugs most frequently reported overall, three-quarters of them were accounted for by six therapeutic classes-pain relievers, cardiovascular-renal agents, respiratory tract drugs, central nervous system drugs (antianxiety agents and antidepressants), hormonal agents, and antimicrobials. Ibuprofen, aspirin, atorvastatin calcium, acetaminophen, and albuterol were the five most frequently reported medications. From 1993 to 2004, the number of drugs provided, prescribed, or continued per visit increased for all settings.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 163","pages":"1-40"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26480663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data. 全国出院调查:2004年年度总结，详细诊断和手术数据。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2006-10-01

Lola Jean Kozak, Carol Jean DeFrances, Margaret Jean Hall

{"title":"National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data.","authors":"Lola Jean Kozak, Carol Jean DeFrances, Margaret Jean Hall","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This report presents 2004 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.Methods: The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2004, data were collected for approximately 371,000 discharges. Of the 476 eligible nonfederal short-stay hospitals in the sample, 439 (92 percent) responded to the survey.Results: An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2004. They used 167.9 million days of care and had an average length of stay of 4.8 days. Hospital use by age ranged from 4.3 million days of care for patients 5-14 years of age to 31.8 million days of care for 75-84 year olds. Almost a third of patients 85 years and over were discharged from hospitals to long-term care institutions. Diseases of the circulatory system was the leading diagnostic category for males. Childbirth was the leading category for females, followed by circulatory diseases. The proportion of HIV discharges who were 40 years of age and over increased from 40 percent in 1995 to 67 percent in 2004. The rate of cardiac catheterizations was higher for males than for females and higher for patients 65-74 and 75-84 years of age than for older or younger groups. The average length of stay for both vaginal and cesarean deliveries decreased from 1980 through 1995 but stays for vaginal deliveries increased 24 percent during the period from 1995 to 2004.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 162","pages":"1-209"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26353188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of computerized medical records in home health and hospice agencies: United States, 2000. 家庭保健和临终关怀机构使用计算机化医疗记录:美国，2000年。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2006-06-01

William S Pearson, Anita R Bercovitz

{"title":"Use of computerized medical records in home health and hospice agencies: United States, 2000.","authors":"William S Pearson, Anita R Bercovitz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The use of information technology (IT), such as computerized medical records (CMR), has been proposed as a method for increasing the efficiency of delivered services, raising the level of the quality of care provided, and decreasing the number of medical errors. Research on IT and CMRs in health care has focused primarily on hospitals and physicians' offices, and there currently exists no nationally representative information for home health and hospice agencies. This report provides the first nationally representative estimates of the prevalence of CMR use in home health and hospice agencies in the United States in 2000.Methods: Data are from the 2000 National Home and Hospice Care Survey. Data presented include estimates of home health and hospice agencies that are currently using or planning to use a CMR in the next year. CMR use is also presented by agency characteristics.Results and conclusions: Approximately 32% of all agencies were using a CMR. Nearly one-third of home health agencies (32.1%), one-fifth of hospice agencies (18.6%), and two-fifths of mixed-type agencies (offering both services) (40.3%) reported using a CMR. Number of current active patients and provision of \"high technology\" services (e.g., respiratory, intravenous, or enterostomal therapy) were significantly associated with use of CMRs. While 23.0% of agencies with 50 or fewer patients reported use of a CMR, the proportion almost doubled to 44.8%, among agencies with 100 or more patients. Over one-third (34.8%) of agencies that provided high technology services reported using a CMR, compared with one-fifth (20.8%) of agencies that did not provide high technology services. No other agency characteristics were found to have a significant relationship with CMR use.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 161","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26132552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data. 全国出院调查:2003年年度总结，包含详细的诊断和手术数据。

Vital and health statistics. Series 13, Data from the National Health Survey Pub Date : 2006-05-01

Lola Jean Kozak, Karen A Lees, Carol J DeFrances

{"title":"National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data.","authors":"Lola Jean Kozak, Karen A Lees, Carol J DeFrances","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This report presents 2003 national estimates and trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.Methods: The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2003, data were collected for approximately 320,000 discharges. Of the 479 eligible non-Federal short-stay hospitals in the sample, 426 (89 percent) responded to the survey.Results: An estimated 34.7 million inpatients were discharged from non-Federal short-stay hospitals in 2003. They used 167.3 million days of care and had an average length of stay of 4.8 days. Females used almost one-third more days of hospital care than males. Patients with five or more diagnoses rose from 29 percent of discharges in 1990 to 57 percent in 2003. The leading diagnostic category was respiratory diseases for children under 15 years, childbirth for 15-44 year olds, and circulatory diseases for patients 45 years of age and over. Only surgical procedures were performed for 27 percent of discharges, 18 percent had surgical and nonsurgical procedures, and 16 percent had only nonsurgical procedures. A total of 664,000 coronary angioplasties were performed, and stents were inserted during 86 percent of these procedures with drug-eluting stents used in 28 percent. The number and rate of total and primary cesarean deliveries rose from 1995 to 2003. The rate of vaginal birth after cesarean delivery dropped 58 percent, from 35.5 in 1995 to 14.8 in 2003.","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 160","pages":"1-206"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26084606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0