Procedures for Inpatients Discharged From Short-Stay Hospitals statistics

[24,494 represents 24,494,000. Excludes newborn infants and discharges from federal hospitals. Comparisons between data for 1980 to 1987 with data for subsequent years should be made with caution as estimates of change may reflect improvements in the design rather than true changes in hospital use. Based on sample data collected from the National Hospital Discharge Survey, a sample survey of hospital records of patients discharged in year shown; subject to sampling variability]


		Number of procedures					Number of procedures					Number of procedures					Rate per 1,000					Rate per 1,000					Rate per 1,000
		(1,000)					(1,000)					(1,000)					population ¹					population ¹					population ¹
Sex and type of procedure
	1980	1985	1986	1987	1988	1989	1990	1991	1992	1993	1994	1995	1996	1997	1998	1980	1985	1986	1987	1988	1989	1990	1991	1992	1993	1994	1995	1996	1997	1998

Surgical procedures, total ² ³	24,494	24,799	25,041	25,655	25,625	23,370	23,051	23,403	23,253	22,767	22,629	22,530	22,980	22,927	23,780	108.6	104.6	104.6	106.2	105.0	94.8	92.4	93.4	91.7	88.8	87.4	86.2	87.0	84.8	87.1
Cardiac catheterization	348	681	775	866	930	958	995	1,000	1,028	1,010	1,048	1,068	1,161	1,112	1,202	1.5	2.9	3.2	3.6	3.8	3.9	4.0	4.0	4.1	3.9	4.0	4.1	4.4	4.1	4.4
Repair of current obstetric laceration	355	548	612	660	690	762	795	795	790	860	910	964	1,061	1,082	1,093	1.6	2.3	2.6	2.7	2.8	3.1	3.2	3.2	3.1	3.4	3.5	3.7	4.0	4.0	4.0
Removal of coronary artery obstruction ⁴	(S)	82	133	184	227	259	285	331	399	398	428	434	666	686	926	(S)	0.3	0.6	0.8	0.9	1.1	1.2	1.3	1.6	1.6	1.7	1.7	2.5	2.5	3.4
Cesarean section	619	877	906	953	933	938	945	933	921	917	858	785	835	820	900	2.7	3.7	3.8	3.9	3.8	3.8	3.8	3.7	3.6	3.6	3.3	3.0	3.2	3.0	3.3
Hysterectomy	649	670	644	655	578	541	591	546	580	562	556	583	591	603	645	2.9	2.8	2.7	2.7	2.4	2.2	2.4	2.2	2.3	2.2	2.1	2.2	2.2	2.2	2.4
Reduction of fracture ⁵	605	681	673	685	639	671	609	665	633	656	568	577	604	642	610	2.7	2.9	2.8	2.8	2.6	2.7	2.4	2.7	2.5	2.6	2.2	2.2	2.3	2.4	2.2
Coronary artery bypass graft	137	230	284	332	353	368	392	407	468	485	501	573	598	607	553	0.6	1.0	1.2	1.4	1.5	1.5	1.6	1.6	1.8	1.9	1.9	2.2	2.3	2.2	2.0
Oophorectomy and salpingo-oophorectomy	483	525	502	490	451	421	476	458	464	443	445	447	475	481	491	2.1	2.2	2.1	2.0	1.9	1.7	1.9	1.8	1.8	1.7	1.7	1.7	1.8	1.8	1.8
Cholecystectomy	458	475	502	536	497	504	522	571	525	502	463	470	448	442	439	2.0	2.0	2.1	2.2	2.0	2.1	2.1	2.3	2.1	2.0	1.8	1.8	1.7	1.6	1.6

Male, total ² ³	8,505	8,805	8,960	9,073	9,069	8,886	8,538	8,692	8,646	8,355	8,369	8,388	8,648	8,505	8,757	78.1	76.8	77.4	77.6	76.7	74.4	70.6	71.5	70.2	67.1	66.5	65.9	67.2	64.3	65.7
Cardiac catheterization	228	439	495	533	598	601	620	603	636	613	633	660	704	664	716	2.1	3.8	4.3	4.6	5.1	5.0	5.1	5.0	5.2	4.9	5.0	5.2	5.5	5.0	5.4
Removal of coronary artery obstruction ⁴	(S)	58	94	123	160	177	200	223	262	268	280	285	452	459	594	(S)	0.5	0.8	1.0	1.4	1.5	1.7	1.8	2.1	2.2	2.2	2.2	3.5	3.5	4.4
Coronary artery bypass graft	108	172	214	244	270	271	286	296	347	353	363	423	424	420	396	1.0	1.5	1.9	2.1	2.3	2.3	2.4	2.4	2.8	2.8	2.9	3.3	3.3	3.2	3.0
Reduction of fracture ⁵	325	339	350	367	337	342	300	337	311	294	261	251	256	298	282	3.0	3.0	3.0	3.1	2.8	2.9	2.5	2.8	2.5	2.4	2.1	2.0	2.0	2.3	2.1
Prostatectomy	335	367	367	410	358	376	364	363	353	317	263	239	203	223	203	3.1	3.2	3.2	3.5	3.0	3.1	3.0	3.0	2.9	2.5	2.1	1.9	1.6	1.7	1.5
Cholecystectomy	122	147	144	148	132	144	147	166	165	148	148	142	142	135	128	1.1	1.3	1.2	1.3	1.1	1.2	1.2	1.4	1.3	1.2	1.2	1.1	1.1	1.0	1.0
Repair of inguinal hernia	483	370	293	290	261	220	181	155	121	96	82	71	63	63	52	4.4	3.2	2.5	2.5	2.2	1.8	1.5	1.3	1.0	0.8	0.7	0.6	0.5	0.5	0.4

Female total ² ³	15,989	15,994	16,081	16,583	16,555	14,484	14,513	14,711	14,607	14,411	14,260	14,142	14,333	14,423	15,022	137.1	130.6	130.2	133.0	131.5	114.0	113.0	114.0	112.0	109.3	107.1	105.3	105.9	104.4	107.5
Repair of current obstetric laceration	355	548	612	660	690	762	795	795	790	860	910	964	1,061	1,082	1,093	3.0	4.5	5.0	5.3	5.5	6.0	6.2	6.2	6.1	6.5	6.8	7.2	7.8	7.8	7.8
Cesarean section	619	877	906	953	933	938	945	933	921	917	858	785	835	820	900	5.3	7.2	7.3	7.6	7.4	7.4	7.4	7.2	7.1	7.0	6.5	5.8	6.2	5.9	6.4
Hysterectomy	649	670	644	655	578	541	591	546	580	562	556	583	591	603	645	5.6	5.5	5.2	5.3	4.6	4.3	4.6	4.2	4.4	4.3	4.2	4.3	4.4	4.4	4.6
Oophorectomy and salpingo-oophorectomy	483	525	502	490	451	421	476	458	464	443	445	447	475	481	491	4.1	4.3	4.1	3.9	3.6	3.3	3.7	3.5	3.6	3.4	3.3	3.3	3.5	3.5	3.5
Removal of coronary artery obstruction ⁴	(S)	24	39	62	67	82	85	107	136	130	148	149	214	227	332	(S)	0.2	0.3	0.5	0.5	0.6	0.7	0.8	1.0	1.0	1.1	1.1	1.6	1.7	2.4
Cholecystectomy	336	327	358	388	365	359	375	404	360	354	315	328	306	307	311	2.9	2.7	2.9	3.1	2.9	2.8	2.9	3.1	2.8	2.7	2.4	2.4	2.3	2.2	2.2
Coronary artery bypass graft	29	58	70	88	83	97	106	111	122	133	139	150	175	187	158	0.3	0.5	0.6	0.7	0.7	0.8	0.8	0.9	0.9	1.0	1.0	1.1	1.3	1.4	1.1

Diagnostic and other nonsurgical
procedures ³ ⁶	6,918	11,961	12,959	13,463	13,567	16,672	17,455	20,519	19,381	18,842	18,081	17,278	17,417	17,582	17,720	30.7	50.5	54.1	55.7	55.6	67.6	70.0	81.9	76.5	73.5	69.8	66.1	66.0	65.0	64.9
Angiocardiography and arteriography ⁷	569	1,117	1,285	1,448	1,624	1,620	1,735	1,718	1,771	1,731	1,804	1,834	1,964	1,900	1,961	2.5	4.7	5.4	6.0	6.7	6.6	7.0	6.9	7.0	6.7	7.0	7.0	7.4	7.0	7.2
Diagnostic ultrasound	318	1,234	1,411	1,596	1,562	1,558	1,608	1,592	1,458	1,420	1,310	1,181	1,177	1,111	1,123	1.4	5.2	5.9	6.6	6.4	6.3	6.4	6.4	5.8	5.5	5.1	4.5	4.5	4.1	4.1
Respiratory therapy	(S)	62	96	120	272	927	1,164	1,214	1,195	876	1,174	1,127	1,085	1,088	1,109	(S)	0.3	0.4	0.5	1.1	3.8	4.7	4.8	4.7	3.4	4.5	4.3	4.1	4.0	4.1
CAT scan ⁸	306	1,378	1,531	1,646	1,613	1,519	1,506	1,459	1,266	1,158	1,028	967	995	963	986	1.4	5.8	6.4	6.8	6.6	6.2	6.0	5.8	5.0	4.5	4.0	3.7	3.8	3.6	3.6
Manual assisted delivery	70	193	287	404	628	638	750	792	806	946	974	866	1,030	1,224	975	0.3	0.8	1.2	1.7	2.6	2.6	3.0	3.2	3.2	3.7	3.8	3.3	3.9	4.5	3.6
Fetal EKG and fetal monitoring	124	275	432	647	1,143	1,206	1,377	1,327	1,241	1,142	1,099	935	896	834	835	0.6	1.2	1.8	2.7	4.7	4.9	5.6	5.3	4.9	4.5	4.2	3.6	3.4	3.1	3.1
Endoscopy of small intestine without biopsy	281	525	569	655	510	547	549	536	564	495	488	450	383	390	401	1.2	2.2	2.4	2.7	2.1	2.2	2.2	2.1	2.2	1.9	1.9	1.7	1.5	1.4	1.5
Endoscopy of large intestine without biopsy	535	590	589	549	408	413	398	396	391	347	363	335	323	319	352	2.4	2.5	2.5	2.3	1.7	1.7	1.6	1.6	1.5	1.4	1.4	1.3	1.2	1.2	1.3
Radioisotope scan	525	838	851	759	704	635	603	539	464	412	355	306	298	259	267	2.3	3.5	3.6	3.1	2.9	2.6	2.4	2.2	1.8	1.6	1.4	1.2	1.1	1.0	1.0
Circulatory monitoring	76	635	799	821	846	779	724	703	596	505	427	375	337	265	240	0.3	2.7	3.3	3.4	3.5	3.2	2.9	2.8	2.3	2	1.6	1.4	1.3	1.0	0.9
Cystoscopy	867	645	622	593	542	487	485	427	379	300	276	213	190	179	177	3.8	2.7	2.6	2.5	2.2	2.0	1.9	1.7	1.5	1.2	1.1	0.8	0.7	0.7	0.6

Male, total ³ ⁶	3,386	5,889	6,359	6,643	6,665	7,202	7,378	8,572	8,149	7,787	7,501	7,261	7,350	7,313	7,431	31.1	51.4	54.9	56.8	56.4	60.3	61.0	70.5	66.2	62.5	59.6	57.1	57.1	55.3	55.7
Angiocardiography and arteriography ⁷	355	693	771	868	995	1,000	1,051	989	1,060	1,024	1,058	1,076	1,165	1,077	1,115	3.3	6.0	6.7	7.4	8.4	8.4	8.7	8.1	8.6	8.2	8.4	8.5	9.1	8.1	8.4
Respiratory therapy	(S)	34	51	64	148	472	586	596	579	427	577	572	554	561	564	(S)	0.3	0.4	0.5	1.3	4.0	4.9	4.9	4.7	3.4	4.6	4.5	4.3	4.2	4.2
CAT scan ⁸	152	671	747	814	775	721	736	702	608	565	500	473	493	473	462	1.4	5.9	6.5	7.0	6.6	6.0	6.1	5.8	4.9	4.5	4.0	3.7	3.8	3.6	3.5
Endoscopy of small intestine without biopsy	117	243	261	314	231	256	255	266	273	223	239	213	188	179	189	1.1	2.1	2.3	2.7	2.0	2.2	2.1	2.2	2.2	1.8	1.9	1.7	1.5	1.3	1.4
Endoscopy of large intestine without biopsy	228	259	246	245	170	158	148	153	163	146	149	140	135	129	145	2.1	2.3	2.1	2.1	1.4	1.3	1.2	1.3	1.3	1.2	1.2	1.1	1.0	1.0	1.1
Circulatory monitoring	39	332	414	430	430	388	344	339	287	239	208	192	168	134	121	0.4	2.9	3.6	3.7	3.7	3.3	2.9	2.8	2.3	1.9	1.7	1.5	1.3	1.0	0.9

Female, total ³ ⁶	3,532	6,072	6,601	6,820	6,902	9,471	10,077	11,947	11,231	11,055	10,580	10,016	10,067	10,269	10,290	30.3	49.6	53.4	54.7	54.8	74.5	78.5	92.6	86.1	83.8	79.5	74.6	74.4	74.4	73.6
Manual assisted delivery	70	193	287	404	628	638	750	792	806	946	974	866	1,030	1,224	975	0.6	1.6	2.3	3.2	5.0	5.0	5.9	6.1	6.2	7.2	7.3	6.5	7.6	8.9	7.0
Fetal EKG and fetal monitoring	124	275	432	647	1,143	1,206	1,377	1,327	1,241	1,142	1,099	935	896	834	835	1.1	2.2	3.5	5.2	9.1	9.5	10.8	10.3	9.5	8.7	8.3	7.0	6.6	6.0	6.0
Diagnostic ultrasound	204	756	865	981	963	930	941	940	871	848	771	682	676	628	635	1.7	6.2	7.0	7.9	7.6	7.3	7.3	7.3	6.7	6.4	5.8	5.1	5.0	4.6	4.5
Respiratory therapy	(S)	27	45	56	124	455	578	618	616	449	597	555	532	527	545	(S)	0.2	0.4	0.4	1.0	3.6	4.5	4.8	4.7	3.4	4.5	4.1	3.9	3.8	3.9
CAT scan ⁸	154	707	784	833	838	798	770	757	658	594	528	494	502	489	524	1.3	5.8	6.3	6.7	6.7	6.3	6.0	5.9	5.0	4.5	4.0	3.7	3.7	3.5	3.8
Endoscopy of small intestine without biopsy	164	281	309	341	279	291	294	270	292	272	249	236	195	212	212	1.4	2.3	2.5	2.7	2.2	2.3	2.3	2.1	2.2	2.1	1.9	1.8	1.4	1.5	1.5
Endoscopy of large intestine without biopsy	307	331	343	304	238	255	250	243	229	201	214	195	188	190	207	2.6	2.7	2.8	2.4	1.9	2.0	2.0	1.9	1.8	1.5	1.6	1.5	1.4	1.4	1.5
Circulatory monitoring	37	303	385	391	415	391	380	364	309	266	219	183	170	130	119	0.3	2.5	3.1	3.1	3.3	3.1	3.0	2.8	2.4	2.0	1.6	1.4	1.3	0.9	0.8

S Figure does not meet standard of reliability or precision.
1 Based on Census Bureau estimated civilian population as of July 1. Population estimates for the 1980's do not reflect revised estimates based on the 1990 Census of Population. Beginning 1997 population figures are adjusted for net underenumeration using the 1990 National Population Adjustment Matrix from the Census Bureau.
2 Includes other types of surgical procedures not shown separately.
3 Beginning in 1989, the definition of some surgical and diagnostic and other non-surgical procedures was revised, causing a discontinuity in the trends for some totals.
4 Beginning 1996 includes separately coded "insertion of stent".
5 Excluding skull, nose, and jaw.
6 Includes other non-surgical procedures not shown separately.
7 Using contrast material.
8 Computerized axial tomography.

Source: U.S. National Center for Health Statistics, Vital and Health Statistics, series 13; and unpublished data.

http://www.cdc.gov/nchs/ Terms relating to procedures

Discharges with procedures--The estimated number of patients discharged from non-Federal short-stay hospitals dur-ing the year who underwent at least one procedure during their hospitalization.

Procedure--A surgical or nonsurgical operation, diagnos-tic procedure, or special treatment reported on the medical record of a patient. (See the Medical coding and edit section of appendix I for further details.)

Procedures have been categorized into four classes according to UHDDS guidelines (47). Classes 13 consist of proce-dures that carry an operative or anesthetic risk or require highly trained personnel, special facilities, or special equip-ment. Class 4 procedures do not meet these criteria, and reporting class 4 procedures was optional in 1979. Only three class 4 procedures were coded for the NHDS from 1979 until 1983. The decision was made to code additional class 4 procedures in 1983, and the number coded was further expanded in 1989. Beginning with the 1991 data, all ICD9CM procedure codes have been used for the NHDS. Table XIII shows the code numbers for class 4 procedures and the year each code was first used in the NHDS.

All-listed procedures--All occurrences of a procedure on medical record, regardless of the order. In the NHDS a maximum of four procedures are coded for each discharge. Surgical proceduresAll procedures except those shown in table XIV are considered surgical procedures.

Nonsurgical procedures--Procedures generally not regarded as surgical, including diagnostic endoscopy and radiotherapy, physical medicine and rehabilitation, and other diagnostic and therapeutic procedures. The ICD9CM codes classified as nonsurgical procedures for the NHDS are shown in table XIV. The classification of procedures as surgical or nonsurgical was revised beginning with the 1989 data. Many of the procedures added to the nonsurgical category were class 4 procedures that had not been coded until 1983 or 1989. All obstetrical procedures were classified as surgical until 1989.

http://www.allcountries.org/uscensus/202_procedures_for_inpatients_discharged_from_short.html

These tables are based on figures supplied by the United States Census Bureau, U.S. Department of Commerce and are subject to revision by the Census Bureau.

Copyright © 2006 Photius Coutsoukis and Information Technology Associates, all rights reserved.