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{
"added entry": "National Center for Health Statistics (U.S.), issuing body.\nNational Hospital Discharge Survey (U.S.)",
"cgp record link": "https://catalog.gpo.gov:443/F/?func=direct\u0026doc_number=001105250\u0026local_base=GPO01PUB",
"content type": "text",
"continued by": "National hospital discharge survey. Annual summary",
"continues": "Utilization of short-stay hospitals. Annual summary for the United States",
"current frequency": "Annual",
"description": "1 online resource (6 volumes) : illustrations.",
"format": "online resource",
"genre/form": "Statistics.\nAnnual reports.",
"holdings": "All items",
"holdings (2)": "Item (no year)\n",
"internet access": "https://purl.fdlp.gov/GPO/gpo124335",
"issn": "0748-4798 0748-4798",
"item number": "0500-E (online)",
"lc number": "RA407.3 .A349 subser TS981.A2",
"linking field": "Print version: Utilization of short-stay hospitals. United States ... annual summary 0748-4798 (DLC) 84645596 (OCoLC)10931689",
"metadata source": "Description based on 1981; title from PDF cover (Vital and Health Statistics Series 13 home page, viewed on August 15, 2019).\nLatest issue consulted: 1986 (Vital and Health Statistics Series 13 home page, viewed on August 15, 2019).",
"oclc number": "(OCoLC)623502181 (OCoLC)681104469 (OCoLC)835918246",
"publication dates": "Began with: 1981; ceased with: 1986.",
"published": "Hyattsville, Md. : U.S. Department of Health and Human Services, Public Health Service, National Center for Health Statistics, 1983-1988.\n",
"series": "(DHHS publication.)\n(Vital and health statistics. Series 13, Data from the National Health Survey.)",
"subject - lc": "Hospital utilization -- United States -- Statistics -- Periodicals.\nHospital utilization -- Length of stay -- United States -- Statistics -- Periodicals.\nUnited States -- Statistics, Medical -- Periodicals.",
"sudoc number": "HE 20.6209:13/",
"system number": "001105250",
"title": "Utilization of short-stay hospitals. United States ... annual summary.",
"url": "Address at time of PURL creation https://www.cdc.gov/nchs/products/series/series13.htm\n",
"variation of title": "United States ... annual summary"
}
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Utilization of
Short=$tay
Hospitals
United States, 1986
Annual Summary
This report presents statistics on the
utilization of non-Federal short-stay
hospitals based on data collected through
the National Hospital Dkcharga Survey from
a national sample of the hospital records of
discharged inpatients. Estimates are
provided by the demographic characteristics
of patients discharged, condticms
diagnosed, and surgical and nonsurgical
procedures performed, and by geographic
region, bed size, and ownership of hospitals
that provided inpatient care. Measurements
of hospital utilization are given by
frequency, rate, percent, and average length
of stay.
Dsts From the National Heslth Survey
series 13 No. 96
DHHS Publication No. (PHS) 88-1757
U.S. Department of Health and Human
Services
Public Health Service
Centers for Dkx3aee Control
National Center for Health Statistics
Hyattsville, Md.
June 1988
Copyright Infomafh
All material appearing in this report is in the public domain and may be
reproduced or copied without permission; citation as to source, however, IS
appreciated.
suggestedCitatbn
National Center for Health Statistics, E. J. Graves. 1968. Utilization of short-stay
hospitals, United States, 1986, annual summary. Vita/ and Hea/th SWsttis.
Series 13, No. 98. DHHS Pub. No. (PHS) 88-1757. Public Health Sew&.
Washington: U.S. Government Printing tXce.
Utilization of short-stay hospitals. United States . annual summaty.-l g81â
âHyattsville, Md.: U.S. Dept. of Health end Iiuman Services, Public Heaith
service, National Center for Hea~ sta~~=,
v.; 28 cm.-(DHHS publication) (Vital & health stetistce. Series 13, Data
from the national health suwey)
Annual.
Description beeed on: 1981.
r Continues: Unitizationof short-stay hospitals. Annual summary for the United
States.
ISSN 07484793= UWization of short-stay hospitals. United States, annual
summary.
1. Hospital utilization-Unitd Statee-Statiision, Clinical Modification. DHHS Pub. No. (PHS) 80-1260. Public Health
SeMce. Washington: U.S. Government Printing Office.
U.S. National Committee on Vital and Health Statistics, Technical
Consultant Panel. 1978. lJHDDS Classes of Procedures, ICD-9-
CM. Ann Arbor, Mich Commission on Professional and Hospital
Activities.
19
List of detailed tables
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Number, percent distribution, and rate of patients discharged from short-stay hospitals and of days of care,
with average lengths of stay, by sex and age: United
States, 1986 ...... ....... ....... ....... .............. .......... ....
Number, percent distniution, and rate of patients discharged from short-stay hospitals and of days of care,
with average lengths of stay, by sex, race, and age:
United States. 1986 .......... ...................................
Number of patients discharged from short-stay hospitak, days of care, and average lengths of stay, by
principal expected source of payment, geographic region, and age: United States, 1986 ..........................
Number of patients discharged from short-stay hospitals, days of care, and average lengths of stay, by sex,
age, geographic region, and bed size of hospital: United
States, 1986 ............. ....... ....... ....... ....... ..............
Rate of patients discharged from short-stay hospitals
and of days of care, by sex, age, and geographic region:
United States, 1986 .................................... ....... ..
Number of patients discharged from short-stay hospitals, days of care, and average lengths of stay, by sex,
type of ownership of hospital, and age of patient:
United States, 1986 ..... ....... ...................... ...........
Number, percent distniution, and rate of women with
deliveries discharged from short-stay hospitals and of
days of care, with average lengths of stay, by age, race,
geographic region, and bed size of hospital: United
States, 1986 ...... ............................ .....................
Number, of women with deliveries discharged from
short-stay hospitals and numberâ of days of care and
average lengths of stay for women with deliveries, by
bed size of hospital and geographic region: United
States, 1986 .......... ............ ....... ............... ....... .. ..
Number of patients discharged from short-stay hospitals, rate of discharges, and average lengths of stay, by
age and catego~ of first-listed diagnosis United States,
1986 . ....... .. ................... .............. ..... .. ..............
Number of patients discharged from short-stay hospi21
22
23
25
28
28
29
29
30
tals, rate of discharges, and average lengths of stay, by
sex, race, and categoq of first-listed diagnosis: United
States, 1986 .................. .... .............. ................... 32
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Number of patients discharged from short-stay hospitals, rate of discharges, and average lengths of stay, by
geographic region and catego~ of first-listed diagnosis:
United States, 1986 ..... ..................... ............... ....
Number of patients discharged from short-stay hospitals, by bed size of hospital and category of first-listed
diagnosis United States, 1986 .................. ....... .......
Average length of stay for patients discharged from
short-stay hospitals, by bed size of hospital and catego~
of fimt-listed diagnosi~ United States, 1986 ..............
Number of all-listed diagnoses for patients discharged
from short-stay hospitals, by age, sex, race, geographic
region, and bed size of hospital, by diagnostic category
United States, 1986 ..... ....... .................................
Number of all-listed procedures for patients discharg{sd
from short-stay hospitals, by age and procedure category United States, 1986 . .................................... ....
Rate of all-listed procedures for patients discharged
from short-stay hospitals, by age and procedure category United States, 1986 . ..... ...................................
Number of all-listed procedures for patients discharged
from short-stay hospitals, by sex and procedure category: United States, 1986 ...... ..... ....... .............. .........
Rate of all-listed procedures for patients discharged
from short-stay hospitals, by sex and procedure catego-
~ United States, 1986 .... .... .................................
Number of all-listed procedures for patients discharged
from short-stay hospitals, by race and procedure category United States, 1986 ............ ............ ..............
Number of all-listed procedures for patients discharged
from short-stay hospitals, by geographic region and
procedure catego~: United States, 1986 .......... .. .......
Rate of all-listed procedures for patients discharged
from short-stay hospitals, by geographic region and
procedure category: United States, 1986 ...................
Number of all-listed procedures for patients discharged
from short-stay hospitals, by bed size of hospital and
procedure category: United States, 1986 ...................
34
36
37
38
40
41
42
43
44
45
46
47
20
AND RATE OF PATIENTS DISCHARGED FRuH SHORT-STAY rlOSPITALS ANO OF CAYS OF CARE, UITH AVERAGE
STATES, 1986
TABLE 1. NIJM8ER, PERCENT DISTRIBUTION*
LENGTHS dF STAY, bY SEX ANo AGE: uNITED
[DISCHARGES FRO14 NON-FEDERAL HOSPITALS. tXCLUOES NEwBORN INFANTS 1
0 lSCHARGEO PATIENTS OAYS OF CARE
NUMBER RATE PER NUPIB&R
IN
RATE PER
PERCENT
AVERAGE
1,000 IN PERCEtiT 1,000
SEX ANO AbE THOUSANOS
LENGTH OF
DISTRIBUTION POPULATION THOUSANOS O1STR1EIUTION POPULATION STAY IN OAYS
f30TH SEXES
143.1
53.5
196.1
58.6
35.7
118.9
90.6
132.2
133.2
108.4
162.2
138.0
18_l.O
367.3
296.8
44.?.9
559.7
55.2
142.1
419.7
120.5
60.3
228.5
66.7
39.0
73.4
56.2
61.6
72.8
91.3
166.1
136.2
197.6
395.6
323.6
495.9
660.0
59.0
111.7
463.4
164.4
46.5
162.1
50.0
32.2
163.2
125.9
199.7
19.?.1
124.8
158.7
139.7
177.6
348.1
275.4
411.3
520.1
51.2
170.8
392.7
218,496
12.718
4,193
3,L34
5,391
65, L74
7,561
10,750
26,532
20,332
49,563
19,925
29,638
91,041
40,â752
35,691
14,397
15,339
131,392
71,764
94,5s3
7,274
2,303
1,802
3,170
25,180
3,046
3*454
9,660
9,020
23,752
9,340
14,+12
38,386
19,546
14,251
4,589
8,432
57,072
29,089
123.903
5*444
1,890
1,332
2,222
39*994
4,515
7,296
16,8T3
11,312
25e811
lo,5a5
15,225
52,655
21,4C6
21,441
9,80a
6,907
74,320
+2,676
100.0
5.a
1.9
1.4
2.5
29a
3.5
4.9
12.1
9.3
22.7
9.1
13.6
41.7
la.7
16.3
6.6
7.0
60.1
32a
100.0
7.7
2.4
1.9
3.4
26.6
3.2
3.7
10.2
9.5
25.1
9.9
15.2
40.6
20.7
15.1
+.9
8.9
60.3
30.8
100.0
4.4
1.5
1.1
1.8
32.3
3.6
5.9
13.6
9.1
20.8
8.5
12.3
42.5
17.3
lT.3
7.9
5.6
60.0
34.4
ALL AGE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256 6.4
2,783
731
844
l,zoa
13,45a
1,6T2
2,61a
5,613
3*554
7,300
3,143
4,157
10,716
5,141
4,009
1,565
100.0 912.8
244.7
1,124.7
217.6
L59.2
575. T
409.7
542.6
629.5
620.0
1.101. +
a74.9
1,333.4
3,120.7
2,363a
3,943.3
5*149.3
257.+
a19.9
3,67a.2
a16.9
273.3
1,207.1
244.6
182.a
450.7
326.1
356a
463.8
563.0
1,105.2
a46.1
1.37a.8
3,246a
2*556. a
4,20a.7
5,794.6
276.4
T33.2
3,906.6
l,ooz.a
21+.6
1,039.0
189.3
134.5
697.7
495.3
720.8
791.4
674.5
l,097.a
901.9
1,293.1
3*034.b
2,211.1
3,7a4.7
*,a94.2
237.5
8.1
2.1
2.5
3.5
4.6
5.7
3.7
4.5
uNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . . .
UNOER 1 YE AR . . . . . . . . . . . . . . . . . . . . . .
1-4 YE ADS . . . . . . . . . . . . . . . . . . . . . . . . .
5-14 YE ARS . . . . . . . . . . . . . . . . . . . . . . . .
39.3
4.9
7.6
16.4
10.4
4.8
4.5
4.1
+.7
5.7
15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .
A5-L9 YEARS . . . . . . . . . . . . . . . . . . . . . . .
20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . .
25-34 YEARS . . . . . . . . . . . . . . . . . . . . . . .
35-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .
6.a
6.3
7.1
45-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . . . .
45-54 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
55-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
21.3
9.2
12.1
8.5
8.0
8.9
9.2
.55 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .
65-74 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
75-84 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
85 YEARS ANO OVER . . . . . . . . . . . . . . . . .
31.3
15.0
11.7
4.6
4.7
5.a
a.a
~OER 17 YEARS . . . . . . . . . . . . . . . . . . . . . .
17-69 YE AR S. . . . . . . . . . . . . . . . . . . . . . . . .
70 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .
3,291
22,776
8,189
9.6
66.5
23.9
MALE
13,949 100.0
11.5
6.a
4.5
5.3
3.7
4.7
6.1
5.8
5.a
6.4
6.2
6.7
6.2
7.0
a.z
7.9
a.5
a.a
4.7
6.6
a.4
ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YEAR S . . . . . . . . . . . . . . . . . . . . . .
UNOER L YEAR . . . . . . . . . . . . . . . . . . . . . .
1-4 YAW. . . . . . . . . . . . . . . . . . . . . . . . .
5-14 YEAR S. . . . . . . . . . . . . . . . . . . . . . . .
1,603
436
492
676
3.1
3.5
4.a
4*1OO
525
597
29.4
3.a
4.3
10.9
10.5
L5-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .
15-19 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . .
25-34 YEARS . . . . . . . . . . . . . . . . . . . . . . .
35-44 YEARS . . . . . . . . . . . . . . . . . . . . . . .
1,516
1,462
45-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .
45-54 YEARS . . . . . . . . . . . . . . . . . . . . . . .
55-64 YEA RS . . . . . . . . . . . . . . . . . . . . . . .
3,569
1,503
2,066
25.6
lo. a
14.8
65 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .
65-74 YEARS . . . . . . . . . . . . . . . . . . . . . . .
75-84 YE AR S . . . . . . . . . . . . . . . . . . . . . . .
85 YEARS ANO OVER . . . . . . . . . . . . . . . . .
4,677
2,475
1,679
523
33.5
17.7
12.0
3.7
uNOER 17 YEAR S . . . . . . . . . . . . . . . . . . . . . .
17-69 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .
70 YEARS ANO OVER ...................
1,801
8,698
3,451
12.9
62.4
24.7
FEHALE
20,307 100.0
s.a
1.5
1.7
2.6
46.1
5.7
10.0
20.2
10.3
18.4
a.1
10.3
29.7
13.1
11.5
5.1
7.3
69.3
23.3
ALL AGE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1
4.6
6.4
3.&1
4.2
UNOER 15 YEAR S . . . . . . . . . . . . . . . . . . . . . .
UNOER 1 YE AR. . . . . . . . . . . . . . . . . . . . . .
1-4 YE ARS. . . . . . . . . . . . . . . . . . . . . . . . .
5-14 YEARS . . . . . . . . . . . . . . . . . . . . . . . .
1*179
295
352
532
15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .
15-19 YEA RS . . . . . . . . . . . . . . . . . . . . . . .
20-24 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
25-34 YE ADS.- . . . . . . . . . . . . . . . . . . . . .
35-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
9,35a
1,147
2,022
4,097
2,092
3,731
1,6+0
2,091
6.039
2,666
2,330
1,042
1,490
14,0T9
4,73a
4.3
3.9
3.b
4.1
5.4
6.9
6.5
7.3
45-64 YE ARS . . . . . . . . . . . . . . . . . . . . . . . . .
45-54 YE ARS. . . . . . . . . . . . . . . . . . . . . . .
55-64 YE AR S . . . . . . . . . . . . . . . . . . . . . . .
8.T
a.o
9.2
9.+
65 YeARS ANO OVER . . . . . . . . . . . . . . . . . . .
b5-74 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
75-84 YE AR S. . . . . . . . . . . . . . . . . . . . . . .
85 yEARs ANO AvER . . . . . . . . . . . . . . . . .
4.6
5.3
9.0
UNOER 17 YE AR S . . . . . . . . . . . . . . . . . . . . . .
17-69 YE AR S. . . . . . . . . . . . . . . . . . . . . . . . .
70 YEARS ANO OVER . . . . . . . . . . . . . . . . . . .
901.9
3,537.2
21
TABLk 2. NLMI.EER, PERCENT O1STR1BUTION, AND RATk OF PATIENTS DISC HARGEC FROM SHOMT-STAV HUSPITALS ANO GF DAYS OF CARE, wITH AVERAGE
LENGTHS OF STAY, 13Y SEX, RACt, ANO AGE: UN ITEO STATES, 1986
[DISCHARGES FRIJM NON-F EIMRAL HOSPITALS. EXCLUOES NEWBORN INFANTS 1
OISCHARGEO PATIENTS OAVS OF CARE
NUMBER RATE PER NUMBER
IN
RATE PER
PERCENT 1,000
AVERAGE
IN PERCENT 1,000
SEX, RACE, ANO AGE THOU SANOS
LENGTH 06
DISTRIBUTION POPULATION THOUSANOS OISTR18b TION POPULATION STAY IN OAYS
BOTH SEXES
ALL RACES, ALL AGE S . . . . . . . . . .. . . . . . . .
Uii OER 15 YE ARS . . . . . . . . . . . . . . . . . . . .
15-W+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .
+5-64 YE AD S. . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
WHITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .
UNDER 15 YE ADS . . . . . . . . . . . . . . . . . . . .
15-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
ALL OTHER, ALL AGE S. . . . . . . . . . . . . . . . .
UNOER 15 YE ARS. . . . . . . . . . . . . . . . . . . .
15-+4 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
+5-64 YE Ads . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
RACE NOT ST ATEO, ALL AGE S. . . . . . . . . . .
uNUER 15 YE ADS . . . . . . . . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
MALE
ALL RACES, ALL AGE S . . . . . . . . . . . . . . . . .
UNOER 15 YEA AS . . . . . . . . . . . . . . . . . . . .
15-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YE AD S. . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
wHITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .
15-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
ALL OTHER, ALL AGE S . . . . . . . . . . . . . . . . .
UNOER 15 YEAR S . . . . . . . . . . . . . . . . . . . .
15-44 YEAD S . . . . . . . . . . . . . . . . . . . . . . .
45-64 VEARS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
RACE NOT STATEO, ALL AGE S . . . . . . . . . . .
UNDER 15 YE ARS. . . . . . . . . . . . . . . . . . . .
L5-44 YE AD S . . . . . . . . . . . . . . . . . . . . . . .
45-64 YEAD S . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
FEMALE
ALL RACES, ALL AGE S . . . . . . . . . . . . . . . . .
UNOER 15 YE ARS . . . . . . . . . . . . . . . . . . . .
15-44 VEALS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YEA AS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
!4HITE, ALL AGE S . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .
15-4+ YE ADS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YE AD S . . . . . . . . . . . . . . . . . . . . . . .
65 VEARS ANO OVER . . . . . . . . . . . . . . . . .
ALL OTHER, ALL AGE S . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . . . . . . . .
15-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
45-64 VEAL S . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
RACE NOT ST ATEO, ALL AGE S. . . . . . . . . . .
UNDER 15 YE ADS . . . . . . . . . . . . . . . . . . . .
15-44 VEALS . . . . . . . . . . . . . . . . . . . . . . .
45-64 VEARS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANL7 OVER . . . . . . . . . . . . . . . . .
34,256
2,783
13,458
7,300
10,716
25,363
1,925
9,128
5,571
8,740
5,116
5+9
2,642
988
937
3,776
309
1*688
741
1,039
13*949
1,603
4â,100
3,569
4,677
10,488
1*101
2,861
.?,732
3,79+
1,982
322
T73
+.57
420
1,479
180
466
370
463
20,307
1,179
9,358
3,731
6,039
14.875
824
6,267
2,839
4,946
3,13+
227
1,869
52o
517
2,297
128
1,222
372
575
100.0
8.1
39.3
21.3
31.3
74.0
5.6
26.6
16.3
25.5
14.9
1.6
7.7
2.9
2.7
11.0
0.9
.4.9
2.2
3.0
100.0
11.5
29.4
25.6
33.5
75.2
7.9
20.5
19.6
27.2
14.2
2.3
5.5
3.4
3.0
10.6
1.3
3.3
2.7
3.3
100.0
5.8
46.1
18.4
29.7
73.3
4.1
30.9
14.0
24.4
15.4
1.1
9.2
2.6
2.5
11.3
0.6
6.0
1.0
2.8
143.1
53.5
118.9
162.2
367.3
125.0
45.8
95.7
141.7
332.4
140.6
55.0
148.1
173.5
325.9
...
...
...
...
...
120.5
60.3
73.4
166.1
395.6
106.4
51.1
60.3
144.4
356.3
115.1
63.6
91.8
181.8
357.3
...
...
...
...
...
164.4
46.5
L63.2
158.7
3+8.1
142.5
40.3
130.8
139.2
316.1
163.4
46.1
i9a.3
166.6
304.2
...
...
...
...
...
218,496
12,718
65,174
49,563
9L,04L
163,628
8,549
44,029
37,096
73,953
33,638
2,702
13,813
7,975
9,148
21,231
1,467
7,332
4,492
7,940
94,593
7,274
25,180
23,752
38,386
70,663
4,81L
17,116
17,730
31,005
L4.760
1.636
5,428
3,752
3,944
9,170
826
2,636
2,270
3,437
123,903
5,444
39,994
25,811
52,655
92,965
3,73a
26,913
19,366
42,947
L8,877
L,065
8,385
4,223
5,2o+
12,061
640
4,696
2.221
4.503
100.0
5.8
29.8
22.7
4L.7
74.9
3.9
20.2
17.0
33.8
15.4
1.2
6.3
3.6
4.2
9.7
0.7
3.4
2.1
3.6
100.0
7.7
26.6
25.1
40.6
74.7
5.1
18.1
18.7
32.8
15.6
1.7
5.7
4.0
4.2
9.7
0.9
2.8
2.4
3.6
100.0
4.4
32.3
20.8
42.5
75.0
3.0
21.7
15.6
34.7
15.2
0.9
6.8
3.4
4.2
9.7
0.5
3.8
1.8
3.6
912.8
244.7
575.7
1,101.4
3,120.7
806.2
203.6
461.7
943.8
2,812.2
924.1
27o.4
774.3
1,400.6
3,182.0
. . .
. ..
. ..
. ..
. . .
816.9
273.3
450.7
1,105.2
3,246.8
716.8
223.3
360.6
937.1
2.911.9
857.1
323.1
645.3
1,459.2
3*359.5
.. .
.. .
. . .
.. .
.. .
1,002.8
214.6
697.7
1,097.8
3,034.8
890.6
182.8
561.9
949.9
2,744.4
9&4.4
216.2
a89.5
1,352.3
3,059.6
. . .
. . .
. ..
. . .
. . .
6.4
4.6
4.8
6.8
,8.5
6.5
4.4
4.8
6.7
8.5
6.6
4.9
5.2
8.1
9.8
5.6
4.8
4.3
6.1
7.6
6.8
4.5
6.1
6.7
8.2
6.7
4.4
6.0
6.5
8.2
7.4
5.1
7.0
8.0
9.4
6.2
4.6
5.7
6.1
7.4
6.1
4.6
4.3
6.9
8.7
6.2
4.5
4.3
6.8
8.7
6.0
4.7
4.5
8.1
10.1
5.3
5.0
3.8
6.0
7.8
22
TABLE 3. NUMBER L7F PATIENTS DISCHARGED FRIIM SHORT-STAY HOSPITALS* DAYS OF CARE* ANO AVERAGE LENGTHS OF STAY. W PRINCIPAL EXPkCTEO
SOURCE OF PAYMENT. GEOGRAPHIC REGION. ANO AGE: UNITED STATE. % 1%36
[OISCHAUL.ES FROM NON-FEOERAL HOSPITALS. EXCLUOES NE HEIORN INFANTS 1
ALL PRINCIPAL HORKHEN-S OTHER OTHER
ExPECTEO SOURCES PRIVATE COHPENREGION ANO AGE
GOVERNMENT PAYt4Et4TS AND
OF PAYMENT INSURANCE HEDICARE MEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE
UNITED STATES
ALL AGE . . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YEARS . . . . . . . . . . . . . . ..-
45-64 WARS . . . . . . . . . . . . . . . . .
65 YEARS AND OVER . . . . . . . . . . .
NORTHEAST
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YEARS . . . . . . . . . . . . . . . . .
45-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
HIOHEST
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . .
15-+4 YE ADS . . . . . . . . . . . . . . . . .
45-64 YE AR S . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
SOUTH
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
UNDER 15 YE ADS . . . . . . . . . . . . . .
15-44 YE AR S . . . . . . . . . . . . . . . . .
+5-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
14EST
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YEARS . . . . . . . . . . . . . . . . .
45-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
uNITEo STATES
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YEARS . . . . . . . . . . . . . . . . .
45-64 YE AR S. . . . . . . . . . . . . . . . .
65 YEARS AND OVER . . . . . . . . . . .
NORTHEAST
ALL AGE S . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . .
45-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
MIoHEST
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YE AD S . . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . .
45-64 YEARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
SOUTH
ALL AGE S. . . . . . . . . . . . . . . . . . . . . .
uNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . .
45-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
HEST
ALL AGE S . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YE AD S. . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . .
45-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
NUMBER OF PAT IEhTS OISCHARGEO IN THOUSANOS
635
395
170
T76
113
821
84
515
198
24
129
11
76
36
*
162
18
100
37
*6
188
19
122
42
*
342
36
2L4
83
10
+,517
397
2,501
1,398
220
T44
4:;
252
*
870
T5
465
27+
056
1,230
118
715
357
*
1,672
lbo
912
515
85
34,256
2,783
13,458
7,300
10,116
6,955
458
2,657
1,500
2,341
8,931
720
3*434
1,967
2,810
11.892
1, L76
4,681
2,520
3,514
6,478
429
2,685
1*313
2,051
21a.496
12,718
65,174
49,563
91,041
51.339
1,893
14,124
11,280
24,042
59,282
3,837
17,848
13,629
23,968
T2,448
5,023
22,056
L6,982
28,387
35,426
1,964
11,147
7,672
14,643
14,910
1,572
8,170
4,864
305
3,013
266
L,636
1,045
65
4,101
432
2,194
1,405
70
5,232
640
2,872
1,619
101
2,564
234
1,468
794
69
77,619
6,492
3T,524
31,176
2,427
16,724
952
7,792
7,374
607
22,9+4
2,112
11,054
9,218
559
26,391
2,44T
12,883
10,204
857
L1,560
981
5,795
4,380
404
11,483 3,304
3s 684
375 1,991
943 530
10,127 99
2,325
292
1,571
404
58
38B
33
273
65
17
478
51
327
90
10
9E12
169
616
176
20
477
39
354
73
10
11,857
1.509
7,058
2,760
530
2,293
136
1,465
486
205
2,735
329
1,586
719
100
+,888
859
2,.575
1,191
163
1,941
184
1,332
363
62
441
191
70 34
2,462 791 93 80
*6 138 *5
62 497 60 50
170 133 30 21
2,224 24 * *
3,014 839 187 149
13 179 26
125 518 86 85
227 124 49 35
2,649 18 53 *
3,86.? 1*140 232 257
12 288 47
1.?5 642 168 135
381 176 57 68
3,344 32 *6 *7
2,145
*7
63
3.65
1,910
534
78
335
97
25
123
81
35
*7
293
35
170
67
21
NUkWER OF OAYS CIF CARE IN THOUSANOS
19,101
3,432
10,560
4,309
800
3,766
2.017
1.044
705
4.090
584
2,126
1,122
258
97,547
30+
3,389
7,753
86,101
25,194
*55
656
1,605
22,817
5*298
69L
3*1 O.?
1,237
268
553
333
196
*
532
*14
367
129
*
25,604
100
1,054
1,946
22,504
4,908
1,037
2,774
941
155
1,262
380
318
56+
960
184
535
212
*
31,206
87
1,061
3,062
26,996
6,080 l,33d
946
328
*64
1,314
208
596
466
*44
1,304
3,1M0
1,373
223
613
359
201
353
1,283
178
628
315
162
15*543
*62
618
1,140
13,724
2,814
400
1,503
75a
154
23
TAEILE 3. NUMBkR OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVEkAGE LENGTHS OF STAY, BY PRItMCIPAL EXPECTED
SOURCE OF PAYMENT, GEOGRAPHIC REGION, ANO AGE: UN ITEO STATES, 1986--CON.
[DISCHARGES FROfi NON-FEOERAL HOSPITALS. EXCLUOES NEwBORN INFANTS]
ALL PRINCIPAL MORKMEN-S OTHER
ExPECTEO SOURCES
OTHER
PRIVATE COMPENREGiON ANO AGE
GOVERNMENT PAYNENTS ANO
OF PA Y14ENT INSURANCE MEOICARE UEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE
UNITEO STATES AVERAGE LENGTH OF STAY IN GAYS
ALL AGE S . . . . . . . . . . . . . . . . . . . . . . 6.4 5.2 8.5 5.8
UNOER 15 YE ADS . . . . . . . . . . . . . .
5.9
+.6
5.3 5.1 5.5
4.1 7.9 5.0
15-44 YEARS . . . . . . . . . . . . . . . . . 4.8
5.2 5.2
+.6
4.7
9.0 5.3
45-64 YE AD S . . . . . . . . . . . . . . . . . 6.8
5.1 4.a
6.4 8.2
4.5 +.9
8.1
65 YEARS ANO OVER . . . . . . . . . . .
6.L
8.5
5.9
8.0
6.8
8.5
7.1
8.1 10.0 T.6 9.2 9.2
NORTHEAST
ALL AGE S . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YE ADS . . . . . . . . . . . . . .
15-44 YEARS . . . . . . . . . . . . . . . . .
45-64 YE ADS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
MIO14EST
ALL AGE S . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YEARS . . . . . . . . . . . . . .
15-44 YE ARs . . . . . . . . . . . . . . . . .
+5-64 YEARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
SOUTH
ALL AGES . . . . . . . . . . . . . . . . . . . . . .
UNO&t 15 YE ADS . . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . .
45-64 YE ARS . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . .
WEST
7.4
4.1
5.3
7.5
10.3
6.6
5.3
5.2
6.9
8.5
6.1
+.3
4.7
6.7
8.1
5.6
3.6
4.8
7.1
9.3
5.6
4.9
5.0
6.6
8.0
5.0
3.8
4.5
6.3
8.5
10.2
*9.4
10.6
9.4
10.3
8.5
7.9
8.4
8.6
8.5
8.1
7.0
8.5
8.0
8.1
6.7
5.0
6.2
9.3
11.3
5.8
5.8
5.4
7.6
8.7
5.3
4.5
5.0
7.8
6.9
5.9
5.6
6.6
*
6.7
4.4
6.5
10.7
5.8
5.6
5.7
*9.)3
6.7
*3.1
7.3
6.2
*
6.4
7.0
6.3
6.1
*
5.1
4.4
4.4
6.8
*6.7
5.9
4.2
5.4
1.5
12.1
5.7
6.4
4.9
8.0
9.6
5.0
5.1
4.3
6.8
8.2
5,.8
4.1
5.2
68.9
*
5.4
4.1
4.6
7.4
*8.9
6.6
6.2
5.9
8.5
*
ALL AGES . . . . . . . . . . . . . . . . . . . . . . 5.5 4.5 7.2
UNOER 15 YE ADS . . . . . . . . . . . . . .
5.3
4.6
5.0 4.4
4.2 *8.3
4.1 4.9
15-44 YEARS . . . . . . . . . . . . . . . . .
5.1
4.2
5.1
3.9 9.8
4.7 4.5
4.5
45-64 YE ADS . . . . . . . . . . . . . . . . . 5.s
4.4 3.7
5.5
3.a
6.9
4.3
65 YEARS ANO OVER . . . . . . . . . . .
7.8
7.1
5.8
5.9
4.7
T.2
5.0 6.2
6.2 *7.2 7.8 6.0 8.8
24
TA13Lc 4. NUiiEER UF PATIENTS DISCti-ARGEO mu SHURT-STAY HOSPITALS, oAYs IJF CAREV Am AvERAGE LENGTHs GF STAY, ay sEx* AGk,
GEIJGKAPHIC REGION, ANLI BEO SIZE OF HOSPITAL: uNITEO STATES, 1986
[DISCHARGES fRilH NON-FEDERAL HOSPITALS. EXCLUOkS NEu80RN INFANTS]
AGE, REGION, ANO BEO SIZt BOTH SEXES MALk FEMALE 80TH SEXES HAL E FEMALE MOTH SEX6S UALt Fk14ALE
NIJfli3ER LIF PATIENTS OISCHARGEO
ALL AGES IN THOUSANOS
UNITEO STATES, ALL SIZE S . . . . . . . . . . . .
6-99 BED S.- . . . . . . . . . . . . . . . . . . . . . . .
100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .
200-299 8EOS . . . . . . . . . . . . . . . . . . . . . .
3(30-499 BE Do . . . . . . . . . . . . . . . . . . . . . .
500 dEOS OR MORE. . . . . . . . . . . . . . . . . .
NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .
6-99 BED S . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BE Do . . . . . . . . . . . . . . . . . . . . . .
200-299 EIEUS . . . . . . . . . . . . . . . . . . . ..-
300-499 L3EOS. . . . . . .. . . . . . . . . . . . . . . .
500 BEOS OR fore . . . . . . . . . . . . . . . . . .
1410wEST, ALL SIZE S . . . . . . . . . . . . . . . . . .
b-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .
200-299 EIEOS . . . . . . . . . . . . . . . . . . . . . .
300-+99 BE DS . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE. . . . . . . . . . . . . . . . . .
SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .
6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BEDO. . . . . . . . . . . . . . . . . . . . . .
200-299 8EOS . . . . . . . . . . . . . . . . . . . . . .
300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .
500 !3EOS OR MORE . . . . . . . . . . . . . . . . . .
HEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .
6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BE Ds . . . . . . . . . . . . . . . . . . . . . .
200-299 BED S . . . . . . . . . . . . . . . . . . . . . .
300-499 BED S. . . . . . . . . . . . . . . . . . . . . .
500 aEDS OR tore . . . . . . . . . . . . . . . . . .
UNOER 15 YEARS
uNITEO STATES, ALL SIZE S . . . . . . . . . . . .
6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BED S . . . . . . . . . . . . . . . . . . . . . .
200-299 BED S . . . . . . . . . . . . . . . . . . . . . .
300-499 BED S. . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE . . . . . . . . . . . . . . . . . .
NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .
b-99 BED S. . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BEDS......................
200-.299 BEDS ............. .........
300-499 BEDS......................
500 dEOS OR MORE . . . . . . . . . . . . . . . . . .
MIDwEST, ALL SIZES. . . . . . . . . . . . . . . . . .
6-99 8EOS . . . . . . . . . . ..-. . . . . . . . . . . .
100-199 8EOS . . . . . . . . . . . . . . . . . . . . . .
200-.?99 !3EOS . . . . . . . . . . . . . . . . . . . . . .
300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .
500 BEOS GR MORE . . . . . . . . . . . . . . . . . .
SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .
6-99 BEDS.........................
100-199 BED S . . . . . . . . . . . . . . . . . . . . . .
200-299 8EOS . . . . . . . . . . . . . . . . . . . . . .
300-499 BED S. . . . . . . . . . . . . . . . . . . . . .
500 BEoS OR MORE . . . . . . . . . . . . . . . . . .
II EST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .
6-99 &EOS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 8Eo S . . . . . . . . . . . . . . . . . . . . . .
200-299 beds . . . . . . . . . . . . . . . . . . . . . .
300-499 BEDS......................
500 i3EOSOR MORE..................
34*256
5,614
6,243
6,215
8,803
7,381
6,955
788
761
1,637
2,1+6
1,623
8,931
1,164
1,234
1,415
2,577
2,541
11,892
2 ,.2B9
3,248
1,641
2,104
2,611
b,478
1,372
1,000
1,523
1,977
607
2,TB3
475
678
440
59T
593
458
49
46
86
162
115
720
86
115
156
169
L94
1,176
256
465
91
130
235
429
85
52
107
136
49
13,949
2,260
2,444
2,670
3,512
3,063
2,925
373
300
713
846
693
3,712
453
487
611
1*1OO
L,062
4,758
920
1,211
740
826
1,062
2,555
515
447
607
740
246
1,603
264
388
262
339
350
270
27
24
51
97
70
410
48
62
96
93
112
681
142
273
50
79
138
242
48
28
65
70
30
20,307
3,354
3,799
3*544
5,29L
4,318
4,031
416
461
924
1,299
931
5*.219
712
747
803
L,478
1,479
7*1341
1,370
2,037
901
1,277
1,5+8
3,923
857
553
916
1,.?37
360
1,179
211
290
178
258
.?43
18B
22
22
35
65
45
310
39
53
60
76
82
495
114
192
41
51
96
187
36
23
42
66
19
NIJHBER OF OAYS OF CARE
IN THOUSANOS
218,496
29,604
35,673
40,257
59,039
53,924
51*339
5,509
5,201
11,900
15,918
12,809
59,282
5,974
7,518
9,230
17,624
18,935
72,448
12,217
17,179
10,526
14,447
18,078
35,426
5,903
5,773
8,600
11,049
4,101
12,718
1,683
2.728
2,058
2,764
3,485
1,893
159
143
330
641
621
3,837
292
457
88.?
894
1,312
5,023
952
1,938
336
559
1,237
1,964
280
190
510
670
315
94,5s3
L2,280
14.450
18,LS3
25,110
24,560
22,598
2,606
2, COB
5,292
6,647
6,045
26.146
2,335
3,070
4,262
7,967
8,511
30*5C4
5,022
6,503
4.753
6,036
8,150
15,345
2,318
2,869
3,845
4,459
1,854
7,274
881
1,536
1,282
1,528
2,049
1,087
aa
68
196
337
398
2,214
141
271
593
489
721
2,864
502
1,080
187
354
742
1,168
150
116
306
348
188
123,903
17,324
21,223
22,065
33,929
29,363
28,741
2,904
3* 194
6.608
9,27L
6,765
33,137
3,639
4,448
4,968
9,657
10,424
41,944
7,195
10,676
5,733
8,412
9,928
20,081
3,586
2,905
4*755
6, 5B9
2,246
5,444
803
1,192
776
1,236
1,437
806
71
74
134
304
223
l,b23
151
186
289
405
592
2,L58
450
858
150
205
*95
856
L30
74
204
322
127
AVERAGE LENGTH OF STAY
IN OAYS
6.4
5.3
5.7
6.5
6.7
7.3
7.4
7.0
6.8
7.3
7.4
7.9
6.6
5.1
6.1
6.5
6.8
7.5
6.1
5.3
5.3
6.4
6.9
6.9
5.5
4.3
5..9
5.6
5.6
6.8
4.6
3.5
4.0
4.7
4.6
5.9
4.1
3.3
3.1
3.8
4.0
5.4
5.3
3.4
4.0
5.7
5.3
6.6
4.3
3.T
4.2
3.7
+ 3
5.3
4.6
3.3
3.7
4.7
+.9
6.5
6.8
5.4
5.9
6.8
7.2
8.0
7.7
7.0
6.7
7.4
7.9
8.T
7.0
5.2
6.3
7.0
7.2
8.0
6.4
5.5
5.4
6.5
7.3
7.7
6.0
4.5
6.4
6.3
6.0
7.5
4.5
3.3
4.0
4.9
4.5
5.9
4.0
3.3
2.8
3.8
3.5
5.7
5.4
3.0
4.4
6.2
5.3
6.5
4.2
3.5
4.0
3.7
4.5
5.4
4.6
3.1
4.1
4.7
4.9
6.3
6.1
5.2
5.6
6.2
6.4
6.8
7.1
7.0
6.9
T.2
7.1
7.3
6.3
5.1
6.0
6.2
6.5
7.0
5.9
5.3
5.2
6.4
6.6
6.4
5.1
4.2
5.3
5.2
5.3
6.2
4.6
3.8
4.1
4.4
4.8
5.9
4.3
3.2
3.4
3.9
4.7
4.9
5.2
3.9
3.5
4.8
5.3
7.2
4.4
3.9
4.5
3.7
4.0
5.1
4.6
3.6
3.1
4.8
4.9
6.8
25
TA8LE 4. NUMBER OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, OAYS OF CAk E, ANO AVERAGE LENGTHS OF STAY, BY %X, AGE,
GEOGRAPHIC REGION, ANO L!EU SIZE OF HOSPITAL: UN ITEO STATES, 1986--CON.
[O IS Charges FRIJM NON-FEDERAL HOSPITALS. EXCLUUES NE HBOKN INFANTS 1
AGE, REG1ON, AN: 8k0 SIZE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEMALk BOTH SEXES MALE FEMALE
ruJMLiER OF PATIENTS OISCHARGEO
15-+4 YEARS IN THOU SANOS
UN ITEO STATES, ALL SIZE S. . . . . . . . . . . .
6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BED S . . . . . . . . . . . . . . . . . . . . . .
LOO-299 8EOS . . . . . . . . . . . . . . . . . . . . . .
300-499 13EOS . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE. . . . . . . . . . . . . . . . . .
NORTHEAST, ALL SIZE S . . . . . . . . . . . . . . . .
6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 13 EOS . . . . . . . . . . . . . . . . . . . . .
200-299 EIEOS . . . . . . . . . . . . . . . . . . . . . .
300-499 BED S . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE . . . . . . . . . . . . . . . . . .
MI OIIEST, ALL SIZE S . . . . . . . . . . . . . . . . . .
6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .
1OO-A99 BEDS . . . . . . . . . . . . . . . . . . . . . .
ZOO-299 E!EOS . . . . . . . . . . . . . . . . . . . . . .
300-499 tJEos . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE . . . . . . . . . . . . . . . . . .
SOUTH, ALL SIZE S . . . . . . . . . . . . . . . . . . . .
6-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 demos . . . . . . . . . . . . . . . . . . . . .
200-299 BED S. . . . . . . . . . . . . . . . . . . . . .
300-499 BE DS . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR tore . . . . . . . . . . . . . . . . . .
uEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .
6-99 EIEOS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BED S. . . . . . . . . . . . . . . . . . . . . .
200-299 BED S. . . . . . . . . . . . . . . . . . . . . .
300-499 BEDO . . . . . . . . . . . . . . . . . . . . . .
500 OEOS OR MORE . . . . . . . . . . . . . . . . . .
45-6+ YEARS
UN ITEO STATES, ALL SIZE S. . . . . . . . . . . .
6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .
1OO-L99 EIEOS . . . . . . . . . . . . . . . . . . . . . .
200-299 BED S. . . . . . . . . . . . . . . . . . . . . .
300-499 BEDS. . . . . . . . . . . . . . . . . . . . . .
500 BEoS OR MORE . . . . . . . . . . . . . . . . . .
NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .
6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BEDS . . . . . . . . . . . . . . . . . . . . . .
200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .
300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE . . . . . . . . . . . . . . . . . .
MI OHEST, ALL SIZE S . . . . . . . . . . . . . . . . . .
6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BEDs . . . . . . . . . . . . . . . . . . . . . .
200-299 BEDS . . . . . . . . . . . . . . . . . . . . . .
300-499 BEDS . . . . . . . . . . . . . . . . . . . . . .
500 EIEOS OR MORE . . . . . . . . . . . . . . . . . .
SOUTH, ALL SIZES . . . . . . . . . . . . . . . . . . . .
6-99 BEDO . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 Boos . . . . . . . . . . . . . . . . . . . . . .
200-299 BED S. . . . . . . . . . . . . . . . . . . . . .
300-499 13Eos . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE. . . . . . . . . . . . . . . . . .
hEs T, ALL SIZE S. . . . . . . . . . . . . . . . . . . . .
6-99 demos . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BED S. . . . . . . . . . . . . . . . . . . . . .
200-299 BED S . . . . . . . . . . . . . . . . . . . . . .
300-499 BE DO . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR MORE . . . . . . . . . . . . . . . . . .
13,458
2,085
2,458
2,2o7
3,515
3,193
2,657
313
253
582
8L9
689
3,434
391
480
540
994
1,028
4,681
7T8
1,379
522
834
1*168
2,685
6D3
346
563
867
307
1,300
1,106
1,215
1,324
1,953
1,703
1,500
164
152
359
+63
360
1,967
225
236
267
605
634
2,52o
441
599
428
457
595
1,313
276
227
26?
428
113
4*1OO
â554
689
761
1,019
976
877
143
84
208
210
233
,086
108
148
190
346
294
â379
243
343
215
233
345
758
160
115
149
230
104
3,569
518
550
658
967
877
772
87
69
189
238
la9
988
96
107
139
309
336
1,194
2D2
2b3
214
2i6
299
616
133
110
116
203
53
9,35a
1,+31
1,769
1,446
2,496
2,216
1,780
170
169
374
610
456
2,348
283
332
350
668
734
3,302
535
1,036
308
601
823
1,928
443
231
4L3
637
203
3,731
58a
665
665
986
826
728
77
83
170
225
172
979
129
129
128
296
.?98
1,327
.238
337
215
241
296
697
144
117
153
224
bO
NUM8ER OF OAYS OF CARE
IN THUUSANOS
65,17+
8,672
10,505
10,281
17,501
18,216
14,124
L,746
1,331
2,746
4,056
4,244
17,848
1,535
2,289
2,7i3
5,351
5,959
22,056
3,382
5,393
2,492
4,347
6*442
11,147
2,009
1*491
2,330
3,747
1*571
49,563
5,982
7,530
8,753
13*873
13,424
11,280
1,148
9d6
2,534
3,668
2,944
13,6,!9
1,165
1,472
1,709
4,311
4,973
16,982
2,47B
3,749
2,d O0
3,329
4,626
7,672
1,191
1,323
1,710
2,56b
881
25,180
3,410
3,541
4,207
6,560
7,462
5,925
96.?
521
1,099
1,303
2,041
7,058
452
850
1,181
2,306
2,269
8,022
1,318
1,544
1,097
1,633
2,431
4,175
679
626
831
l,31a
722
23,752
2,700
3,21LI
4,398
6,652
6,785
5,662
561
432
1,324
1,860
1,485
6,685
499
634
904
2,163
2,485
7,755
1,094
1,472
1*357
1,436
2,396
3,651
545
680
813
1,153
419
39,994
5,262
6,964
6,074
to*94L
10*754
8,198
784
810
1,647
2,754
2,203
0,790
1,084
1,440
1,532
3,045
3,690
4 â 034
2,064
3,849
1,395
2,714
4,012
6,972
1.330
865
1,499
2,429
849
25,811
3,283
4,312
4,355
7,222
6,639
5,618
587
554
1,209
1,008
1*459
6,945
665
B3E3
805
2,1+8
2,4138
9,227
1,384
2,276
1,443
1,893
2s230
4,021
646
643
897
1,373
462
AvERAGE LENGTH OF STAâf
IN OAVS
4.8
4.2
4.3
4.7
5.0
5.7
5.3
5.6
5.3
4.7
5.0
6.2
5.2
3.9
4.8
5.0
5.4
5.8
4.7
4.3
3.9
4.8
5.2
5.5
4.2
3.3
4.3
4.1
4.3
5.1
6.8
5.4
6.2
6.6
7.1
7.9
7.5
7.0
6.5
7.1
7.9
8.2
6.9
5.2
6.2
6.4
7.1
7.8
6.7
5.6
b.3
6.5
7.3
7.8
5.8
4.3
5.8
6.4
6.0
7.8
6.1
5.2
5.1
5.5
6.4
7.6
6.8
b.T
6.2
5.3
6.2
8.8
6.5
4.2
5.7
6.2
6.7
7.7
5.8
5.4
4.5
5.1
7.0
7.0
5.5
4.2
5.5
5.6
5.7
6.9
6.7
5.2
5.9
6.7
6.9
7.7
7.3
6.4
6.2
7.0
7.8
7.9
b.8
5.2
5.9
6.5
7.0
T.4
6.5
5.4
5.6
6.3
6.6
8.0
5.9
4.1
6.2
7.0
5.9
7.9
4.3
3.7
3.9
4.2
4.4
4.9
4.6
4.6
4.8
4.4
4.5
4.8
4.6
3.6â
4.3
4.4
4.7
5.0
4.2
3.9
3.7
4.5
4.5
4.9
3.6
3.0
3.7
3.6
3.8
4.2
6.9
5.6
6.5
6.5
7.3
8.0
7.7
7.6
6.7
7.1
8.0
8.5
7.1
5.2
6.5
6.3
T.3
8.3
7.0
5.8
6.8
6.7
7.9
7.5
5.8
4.5
5.5
5.9
6.1
7.8
26
TABLE 4. NUMBER Of PATIENTS DISCHMRLEO FRL7M SHORT-STAY HOSPITALS, OAYS OF CARk, ANO AVkRAGk LENGTHS IJF STAY, cIY SEX* AGE,
GEOMAPHIL REGION, ANO tIEO SIZE OF HOSPITAL: LJNITEO STATkS* 19a6--CoN.
[O13CHARGES FROH NUN-F E13ERAL HOSPITALS. EXCLU13ES NEwBORN INFANTS 1
AGE, REGION, AND i3kD SIZE BOTH SEXES MALE FEHALE SGTH SEXES MALE FEMALt BCTH SEXES MALE FkMALt
65 YEARS AND OVER
uNITED STATES, ALL SIZE S. . . . . . . . . . . .
b-99 BE DO . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 EtOS . . . . . . . . . . . . . . . . . . . . . .
200-299 tiers . . . . . . . . . . . . . . . . . . . . . .
300-499 BED S . . . . . . . . . . . . . . . . . . . . . .
500 13EOS OR HARE. . . . . . . . . . . . . . . . . .
NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . .
6-99 060s. . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BE DS . . . . . . . . . . . . . . . . . . . . . .
200-299 dads . . . . . . . . . . . . . . . . . . . . . .
300-499 BED S . . . . . . . . . . . . . . . . . . . . . .
500 BEDS 13R MORE . . . . . . . . . . . . . . . . . .
HIOUEST, ALL SIZES ..................
6-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . .
100-199 ados . . . . . . . . . . . . . . . . . . . . . .
200-299 BE DO. . . . . . . . . . . . . . . . . . . . . .
300-ât99 beds ......................
500 dEOS OR 140RE . . . . . . . . . . . . . . . . . .
SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . .
6-99 BE DO. . . . . . . . . . . . . . . . . . . . . . . . .
100-199 3EOS . . . . . . . . . . . . . . . . . . . . . .
.?00-299 ii EOS . . . . . . . . . . . . . . . . . . . . . .
300-+99 BE DO. . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR 140Rk . . . . . . . . . . . . . . . . . .
NEST, ALL SIZE S . . . . . . . . . . . . . . . . . . . . .
b-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 IsEOS......................
LOO-299 8EOS ......................
300-499 BEDS......................
501JtIEOS OR MORE . . . . . . . . . . . . . . . . . .
NuMBER OF PATIENTS DISCHARGED
IN THOUSANOS
LO, T16
1,947
1,892
2,245
2,73a
1,893
2,341
262
309
&lo
701
45a
z,alo
462
402
45Z
809
6a5
3*514
a15
aos
599
683
6L3
Z*051
408
375
584
546
L3a
4,677
823
a17
9a9
1.La7
a60
1,005
116
122
265
301
201
1,228
201
169
lab
352
320
1,505
333
332
26Z
29a
zao
939
174
194
276
236
59
6,039
1,124
1,075
1,256
1,551
1,033
1,335
146
laa
345
399
257
1,582
Z62
233
266
*5T
364
â?*O1O
48Z
473
338
3a4
333
1*112
234
182
308
310
79
NUM8ER OF OAYS LIE CARE
IN THOUSANOS
91,041
13,267
14,911
19,165
24,900
la.798
24,0ztZ
2,456
Z,742
6,290
7,554
5,001
23.968
2,9I32
3,300
3,926
7*06a
6,692
2a,387
5,405
6,100
4,898
6,212
5,772
14,643
2,423
2,770
4,051
4,066
1*333
3a,3a6
5,290
6,156
8,306
10,371
8,264
9,924
995
9a7
2,673
3,14a
2,121
lo,la9
i,244
1,315
1,583
3,010
3,037
11,a63
z,loa
2,4C7
2,153
2,613
2,581
6,411
943
L,447
l,a96
1,600
526
52,655
7*977
a.754
lo,a60
14*530
10*534
14,11a
1,461
1,755
3,617
4,405
z.aao
13.779
1,738
l,9a4
2,342
4,059
3,655
16,525
3,297
3,692
2,745
3,600
3,191
a..233
1,481
1,323
2,155
2,466
&o&
AVERAGE LENGTH UF STAY
IN OAYS
a.5 a.2 a.7
6.a 6.4 7.1
7.9 7.5 8.1
a. 5
9.1
9.9
10.3
9.4
L!.9
10.3
lo-a
10.9
a.5
6.4
a.z
a.7
a.7
9.a
8.1
6.6
7.6
a.z
9.1
9.4
-I.1
5.9
7.4
6.9
7.4
9.7
a.+
a.7
9.6
9.9
a.6
&.1
10.1
10.4
10.6
a.3
6.2
7.8
8.5
L3.6
9.5
7.9
6.3
7.2
8.2
8.a
9.2
6.a
5.4
7.5
6.9
6.8
a.9
6.6
9.4
10. Z
10.6
10.0
9.4
10.5
11.0
11.2
6.7
6.6
a.5
a.a
8.9
10.0
8.2
6.a
7.a
8.1
9.4
9.6
7.4
6.3
7.3
7.0
a.o
10.3
27
TABLE 5. RATE OF PATIENTS DISCHARGED FROM SHORTâSTAY HOSPITALS AND OF oAYS OF CARE, Biâ SEX, AGE, AND GEOGRAPHIC REG1ON:
UNITED STATES, 1986
[DISCHARGES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEtiBORN INFANTSJ
AGE ANO REG1ON BOTH SEXES HALE FENALE BOTH SEXES HAL E FEMALE
RATE OF PATIENTS OISCHARGEO
PER I.00LI POPULATION
RATE OF DAYS âF cARE
PER 1.000 Population
912.8 L116.9 1,002.8
1,028.7 948.1 1,102.4
1,002.0 910.3 lvoaa.s
882.5 771.6 985.6
135.1 647.2 820.2
ALL AGES
UNITED STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MI OIAEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
wEsT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YEARS
UNITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
141DHEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SOUTH . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .
MAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15-44 YEARS
UNITEO STATES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MIDWELT...................................
SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HEAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45-64 YEARS
Ufi ITEO STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MIoIIEsT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SOUTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS A140 OVER
UNITED STAT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MI OUEST . . . . . . . . . . . . ..s . . . . . . . . . . . . . . . . . . . .
S(3UTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
143.1 120.5 164.4
139.4 122.7 154.6
150.9 129.2 171.4
14+.9 120.4 Lb_I.6
134.4 107.7 160.3
53.5 60.3 46.5
+6.9 54.0 39.5
55.7 61.9 +9.2
64.3 72.8 55.4
38.9 43.0 34.7
244.7 .?73.3 214.6
194.1 217.7 169.3
297.0 334.4 257.7
276.6 306.1 241.6
178.4 196.7 159.3
118.9 73.4 163.2
114.0 76.9 149.7
123.5 78.6 .167-9
121.3 72.9 167.7
114.3 64.5 164.a
575.7 450.7 697.7
606.2 519.6 689.4
642.1 511.0 771.5
571.3 424.1 712.7
474.4 355.6 593.0
162.2 166.1 158.7
147.6 160.8 135.8
178.0 185.7 171.0
164.8 165.0 164.6
154.5 148.8 159.8
1,101.4 1,105.2 1v09T.8
1,110.5 1,179.3 1, 04s.9
1.233.3 1.256.5 1!,212.2
1*11O.2 1.072.2 1,144.4
90.3.9 882.3 922.2
367.3 395.6 348.1
349.5 381.4 328.7
380. o 414.2 357.1
355.2 373.6 342.4
395.5 427.7 371.9
3,120.7 3,246.8 3,034.8
3.589.5 3,764.9 3,475. T
3.241.5 3,436.4 3$,111.1
2,868.9 2,94$.8 2*915.6
2,824.1 2,920.5 2,T53.4
TABLE 6. NUIWER EIF PATIENTS OISCHARGEO FR(IH SHORT-STAY HOSP lTALS, OAYS OF C4RE. ANO AVERAGE LENGTHS OF STAY, 8V SEX. TYPE OF
OUNERSHIP OF HOSPITAL, AhD AGE OF PATIENT: UNITED STATES, 1986
co IscnAaGEs man NON-FE⢠ERAL MOSp ITALS. EXCLLN)ES NEH8CIRN INFANTS J
TYPE OF OifNERSHIP ANLI AGE ELITH SEXES HALE FEMALE 813TH SEXES MALE FEMALE dOTH SEXES HALE FEMALE
NUMBER OF PATIENTS OXSCHARGEO
ALL TYPES IN THOUSANOS
MSMBER OF OAVS OF CARI? AVERAGE LENGTH OF S7AV
IN THOUSANOS IN OAVS
ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 VEALS . . . . . . . . . . . . . . . . . . . .
13-44 VEAL S . . . . . . . . . . . . . . . . . . . . . . .
45-64 VEAL S . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
VOLUNTARY NONPROFIT
ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YEAR S . . . . . . . . . . . . . . . . . . . .
15-44 VEAL S . . . . . . . . . . . . . . . . . . . . . . .
45-64 VEAL S . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
GOVERNMENT
ALL AGE S . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YEA RS . . . . . . . . . . . . . . . . . . . .
15-44 YE ADS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YEARS . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO LIVER . . . . . . . . . . . . . . . . .
PROPRIETARY
ALL AGEs . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YEA AS . . . . . . . . . . . . . . . . . . . .
15-44 YE ARS . . . . . . . . . . . . . . . . . . . . . . .
45-64 YEAR S. . . . . . . . . . . . . . . . . . . . . . .
65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
34,256
2.783
13,458
7.300
10,716
13,949
1,603
4.100
3,569
4*677
20,307
1.179
9,358
3,731
6,039
13,928
811
6,298
2,566
4,253
4,229
275
2,153
735
1,066
2,150
93
907
430
720
218,496
12.71e
65,174
49.563
91,041
94,593
7,27+
25.180
23,752
38,386
66,847
5,065
16,216
17,120
28,446
18,528
1,809
6,223
4,298
6, 1s1
9,21E
400
2,741
2,334
3,743
123,903
5,444
39,99*
25,811
52.655
6.+
4.6
4.8
6.8
a.5
6.8
4.5
6.1
6.7
8.2
6.1
4.6
4.3
6.9
8.7
23,506
1*939
8,918
5,094
T,555
9*578
1,1.?8
2,621
2,529
3.301
154,810
8,767
+3,384
35,165
67,494
87,963
3,102
27.167
18,045
39,048
6.6
4.5
4.9
6.9
8.9
T.o
4.5
6.2
6.8
8.6
b.3
4.6
4.3
7.0
9.2
7*131
647
3.139
1,392
1*953
41,906
3,196
15,144
9,344
14,222
2,903
3T3
986
657
887
23,378
1,387
8,921
5.9
4.9
4.8
6.7
7.3
6.4
4.9
6.3
6.5
7.0
5.5
5.0
4.1
6.9
7.5
5,045
8.025
3,618
196
1,400
81+
1,208
1,460
la3
493
21.780
754
6,647
5,D55
9,325
12,562
354
3,906
2,721
5,502
6.0
3.B
4.7
6.2
7.7
6.3
3.9
5.6
6.1
7.7
5.s
3.8
4.3
6.3
7.8
384
488
28
TA8LE 7. NWBER, PERcENT DISTRIBUTIONS AND RATE OF wOMEN WITH DELIVERIES OISCHAMEO FROM SHORT-STAY HOSP ITAI-S ANO OF OAYS OF CARE,
tiITH AVERAGE LENGTHS OF STAY* BY AGE, RACE, GEOGRAPHIC REG1ON* AND BEO SIZE .OF HOSPITAL: UNITED STATES? 1986
[DISCHARGES FROM NON-FEOERAL H13SPITALS1
OISCHARGEO PATIENTS OAYS OF CARE
NUMBER RATE PER
IN PERCEtiT 1.000
THOUSANOS DISTRIBUTION POPULATION
NUHBER RATE PER AVERAGE
IN PERCENT l.oao LENGTH OF
AbE, RACE. REGION, AND BEO SIZE THOUSANDS DISTRIBUTION POPULATION STAY IN OAYS
XD-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .
ACE
la-14 YEARs . . . . . . . . . . . . . . . . . . . . . . . . .
15-44 YEAAS . . . . . . . . . . . . . . . . . . . . . . . . .
15-19 YEARS . . . . . . . . . . . . . . . . . . . . . . .
20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . .
25-29 YEARS . . . . . . . . . . . . . . . . . . . . . . .
30-34 YEARS . . . . . . . . . . . . . . . . . . . . . . .
35-4+ YE ARS . . . . . . . . . . . . . . . . . . . . . . .
45-54 YE ARS.. . . . . . . . . . . . . . . . . . . . . . . .
10-17 YEARS . . . . . . . . . . . . . . . . . . . . . . . . .
16-5+ YEARS . . . . . . . . . . . . . . . . . . . . . . . . .
RACE
!4HITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ALL OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . .
RACE NOT STATE . . . . . . . . . . . . . . . . . . . . .
REGION
NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . .
HIouEST . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.762 100.0 +a.a 12,094 100.0 156.8 3.2
11
3,748
475
0.3 1.4
99.6 6S.4
12.6 52.1
2a.7 106.T
32.3 111.1
39 0.3
1.?,0+2 99.6
1.436 11.9
4.B
210.1
157.6
3.5
3.2
3.CJ
3.1
3.2
3.4
3.6
*
1,080
1s215
72a
251
*
3.296 27.3 325.6
3*913 3Z.+ 3s7.7
Z*499 20.7 240.7
898 7.4 53.6
* * *
19.4 70.1
6.7 15.0
* â
186
3,576
4.9 13.7
95.1 56.3
581 4.8 4Z.8
11*513 95.Z 181.1
3.1
3.,Z
2,413
783
561
64.1 37.4
20.8 61.6
15.1 ..-
7*B54 64.9 121.9
Z,611 21.6 205.4
I,6Z9 13.5 -..
3.3
3.3
2.9
695
90s
L.252
906
18.5
24.1
33.3
24.1
43.4
4a .1
47.0
58.0
2,s74 ZI.3 16a.8
3,072 25.+ 162.9
4.066 33.6 152..5
2.382 19.7 152.Z
3.7
3.4
3.2
2.0
BEO SIZE
6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . . . .
100-199 BEDS ........................
20cI-ZS195EOS........................
300-499 BEDS . . . . . . . . . . . . . . . . . . . . . . . .
500 BEOS OR HARE . . . . . . . . . . . . . . . . . . . .
1,456 lZ.O . . .
1,902 15.7 . . .
1,63s 13.5 . . .
3,648 30.2 . . .
3,450 28.5 . . .
540
647
545
1,092
937
14.3 . . .
17.2 . . .
14.5 ..-
29.0 . . .
Z4.9 ---
2.7
2.9
3.0
3.3
3.7
TABLE d. NUMER OF kOMEN UITH OELXVERIES OISCHARGEO FROM SHORT-STAY HGSPITALS ANO NUHBER OF OAYS CF CARE ANO AVERAGE LENGTHS Oi=
STAY FOR NOMEN uITH DELIVERIES. BY BED sIZE OF HOSPITAL ANO GEOGRAPHIC i7EGION: UNITEO STATES. 19s6
[ DISCHARGES FROH NON_FEOERAL Hospitals
REGION ALL SIZES 6-99 BEDS la-199 BEOS ZO-299 BEDS 300-499 BEDS 500 BEDS OR t40RE
NUHBER OF PATIENTS OISCHARGEO IN THOUSANGS
UNITEO STAT ES . . . . . . . . . . . . 647 545
NORTHEAST . . . . . . . . . . . . . . . .
HIoUEST . . . . . . . . . . . . . . . . . .
SOUTH . . . . . . . . . . . . . . . . . . . .
lest . . . . . . . . . . . . . . . . . . . . .
3,762 540 1.092 937
695
908
1,252
908
59
95
184
205
59
1Z8
387
75
126
136
75
208
277
247
25+
315
174
305
35Z
107
NUNBER OF OAKS aF CARE IN THOUSAtiDS
UNITEO STAT ES . . . . . . . . . . . .
NORTH EAST . . . . . . . . . . . . . . . .
MODEST . . . . . . . . . . . . . . . . . .
SOUTH . . . . . . . . . . . . . . . . . . . .
HEAT. . . . . . . . . . . . . . . . . . . . .
12.094 1.456 1.902 1,638 3.648 3,450
Z,574
3, 07Z
4,066
.2,38Z
180
301
505
469
196 468
396 419
1*135 Z34
175 517
1,078
824
844
901
653
1.131
1,347
320
AvERAGE LENGTH DF STAV IN OAYS
UN ITEO STAT ES . . . . . . . . . . . . Z.9 3.0
NORTHEAST . . . . . . . . . . . . . . . .
H112biEST . . . . . . . . . . . . . . . . . .
SOUTH . . . . . . . . . . . . . . . . . . . .
BEST . . . . . . . . . . . . . . . . . . . . .
3.2 2.7 3.3 3.7
3.7
3.4
3.2
2.6
3.1
3.3
Z.7
2.3
3.3 3.7
3.1 3.1
2.9 3.1
2.4 2.5
3.9
3.3
3.3
2.9
3.7
3.7
3.8
3.0
29
TA8LE 9.
. .
NUMdER OF PATIENTS OISCHARGEO FRUM SHORT- SIAY HOSPITALS, RATt OF UISCHARGk S, ANO AVt RAGE LENGTHS lilF STAY, EIV AGE AND
CATEGORY OF FIRS T-L ISTEO OIAGNOSIS: UN ITEO STATES, 1985
[D ISCHARGti S FROM NON- FEOERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. DIAGNosTIC 6ROUPIN6S ANO CLIOE tiUMd ER INCLUSIONS ARE BASEO ON THE
INTERNATIONAL CL AS SIFICATIIJN OF OISt ASES, 9TH KEV1S1ON, CLINICAL MOOIFICATIUN (l CO-9-CH) 1
UNOER 15 15-44 65 YEARS -
CATkGORY OF FIRS T-L ISTEO OIAbNOSIS ANO ICO-9-CH COOE
45-64
ALL AGES YEARS YEARS YEARS ANO OVER
NUIIBER OF PATIENTS OISLHARGEO IN JhOUSAf40S
ALL COED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256
700
2,305
2,783
184
60
42
*
L7
80
20
.50
53
..6 ..
$
196
60
*
94
30
25
*
*
*
*8
*
*
772
169
166
194
158
308
*
12.
56
34
115
*
91
=s
*
*5
*
50
53
14
*
163
138
83
395
134
~
*
60
35
55
11
13,458
223
423
222
35
15
35
201
268
133
92
1,111
7,300
95
T 74
631
59
120
84
143
285
159
55
392
180
114
225
79
20
41
1,717
1,219
263
156
412
12s
104
178
585
00
*
148
99
977
80
54
28
94
65
150
613
L14
60
*
*
132
639
125
178
31
*
A09
561
173
23
55
29
36
110
*
10,716
198
1,049
964
146
155
96
85
484
L79
126
251
158
24
34a
1.?7
76
35
3,341
2,240
452
164
561
338
461
614
1,189
118
*
466
9.9
L,288
i46
54
13
98
90
170
751
51
194
. . .
. . .
L56
552
193
52
14
66
816
413
21.9
16
38
26
84
. . .
02 INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139
03
04
05
06
NE OPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239
MALIGNANT NEOPLASKIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1+0-208.230-234
MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTU14 . . . . . . . . ...153-154. 197.5
t4AL1GNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O. 197.3
MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198.81
BENIGN NEOPLAS14S ANO NEOPLASMS OF UNCti RTAIN BEHAV1OR
ANO UNSPECIFIED NAT URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239
1,860
210
29o
216
445
07
08
09 ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,
ANO IMMuNITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..240-279
OIAb ETES MEL LITu S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250
1,117
10 491
11 OISEASES OF 7i=lE f3LOO0 ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-289 333
12
13
14
MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCH OSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299
ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303
1,807
766
397
422
258
270
134
*5
4a
468
247
42
16
67
41
13
34
657
80
86
134
122
,158
67
77
153
78
159
171
,210
164
*
883
341
177
838
142
273
59
*
196
A5
16
17
18
OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389
OISEASES OF THE CENTRAL NERVOUS SYSTEFI . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349
CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366
OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 S0-389
1,039
401
104
217
19
20
OISEAStS OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459
HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-S98.402 .4 O4.4iO-4l6.42O-429
ACUTE UYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410
ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0
OTHER IS CHEtiIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9
CAROIAC OYSRHYTHMI AS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427
CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0
CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+30-438
5,563
3,731
758
338
21
22
23 1,043
515
582
24
25
26
27
2a
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
889
3,204
426
255
943
477
3,732
295
196
25o
304
429
494
OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46 O-5I9
ACUTE RESPIRATORY INFECTIONS, EXCEPT influenza . . . . . . . . . . . . . . . . . . . ..46 O-466
CHRONfC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474
PNEUMONIA, ALL FORMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4!30-4LT6
As THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493
OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O-579
ULCERS OF THE STOMACH ANO WALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534
GASTRITIS ANO OUOOENITiS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535
APPEND IC IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543
INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O
NONINFECTIOUS ENTERITIS ANO COL IBIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558
CHOLEL17HIAS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574
OISEASES OF THE GENITCIURINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629
CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592
HYPE RPLASIA OF PROS TAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600
2,665
331
256
CWIPLICATIONS OF PREGNANCY, CHILOBIRTH, AND THE PUERPERIUM 1/....... 630-676
ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639
.
OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709
889
343
515
OISEASES OF THE NuSCULOSKELETAL SVSTEM ANO CONNECTIVE TISSUk . . . . . . . ..7lO-739
AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719
INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722
2,081
475
504
CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759 267
CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-7T9 139
SYMPTOMS, SIGNS, ANO ILL-OEFINEO CIJNOITIONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799 454
51
52
53
54
55
56
INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999
FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.829
FRACTURE UF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O
SPRA1N5 ANO STRAINS IJF BACK (lNcLuOiNG NEcK) . . . . . . . . . . . . . . . . . . . . . ..846-84T
INTRACRANIAL INJURIES (ExCLUOING THOS6 WITH SKULL FRACTIJRE) . . . . . . ..85 O-854
LACERATIONS ANO OPEN kOUNUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87 O.9O4
3,225
1*1OO
1,453
381
=6
118
140
187
252
192
267
284
5T
>8
SUPPLEMENTARY CLASSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82 3,973
FEMALES uITH DE LIVE RI BE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27 3,748
4,222
3,762
1/ FIR ST- LtSTEO OIAGNOSIS FUR bEMALES HITH OtLIVERIEs Is COOEO v27, SHOWN UNOER WSUPp LEUENTARy CL ASs IFlcA710Ns. *V
30
TA6LE 9. NU14BER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS? RATE OF DISCHARGES, ANO AVERAGE LENGTHS GF STAY, 8Y AGE ANO
CATEGORY OF FIRST-L ISTtd DIAGNOSIS: UN ITEO STATES, 1986--CON.
[DISCHARGES FROM NLN4-FEOERAL HUSPITALS. EXCLUDES NEHLIORN INFANTS. LIIAGNOSTIC GROUPINGS ANO COOk NUMBER INCLUSIONS ARE BASEO ON THE
INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CL Iti ICAL A40DIFICATION (ICO-9-CM) 1
UNOER 15 15+4 45-64 65 YEARS UNOER 15 15-44 45-64
ALL AGES YEARS YEARS
65 YEARS
YEARS ANO OVER ALL AGES YEARS YEARS YtARS AtiD OVER
RATE OF PATIENTS DISCHARGED PER 10.000 POPULATION AVERAGE LENGTH OF STAY IN OAYS
1,431.2
29.3
96.3
77.7
8.8
12.1
9.0
18.6
46.7
20.5
13.9
T5.5
32.0
lb.6
43.4
16.7
4.3
9.1
232.4
155.9
31.7
14.1
43.6
21.5
24.3
37.1
133.8
17.8
10.6
39.4
19.9
155.9
12.3
8.2
10.5
12.7
L7.9
20.6
111.3
13.8
10.7
37.1
14.3
21.5
8?.0
19.8
21.0
11.1
5.8
19.0
134.7
46.0
10.5
8.0
11.1
11.9
176.4
157..2
535.3
35.4
11.5
8.2
.v
3.3
15.5
3.8
11.5
10.2
*1.1
*
37.6
11.6
*
18.0
7.3
4.&
*
*
*
*1.5
*
*
148.6
32.4
3L.9
37.4
30.3
59.3
*
2.2
10.8
6.5
22.1
*
LT.4
*
*
*0.9
*
9.6
10.2
2.7
*
51.4
26.5
16.0
76.0
z5. T
*
*
11.6
6.7
10.6
2.A
1,188.8
19.7
37.3
19.6
*0.4
1.3
3.1
17.7
23.6
11.7
8.2
98.1
37.3
22.8
23.8
11.9
*0.5
4.2
41.3
21.8
3.7
1.5
5.9
3.6
1.2
3.0
58.1
7.1
7.6
11.9
10.8
102.3
5.9
6.8
13.5
6.9
14.1
15.1
106.9
14.5
*
78.0
30.1
15.6
74.0
12.6
2+.1
5.2
~
17.3
128.3
33.6
30.7
10.4
12.3
16.5
350.9
331.1
1,622.2
21.1
171.9
140.2
13.0
26.7
18.8
31.7
63.3
35.4
12.2
87.1
40.1
25.4
50.0
17.5
4.4
9.0
381.5
270.9
58.4
34.7
91.5
28.5
23.1
39.5
130.0
13.3
*
32.9
22.0
21T.1
17.8
12.1
6.2
2G.8
14.5
33.4
136.2
25.3
13.3
*
*
29.4
142.0
27.9
39.5
6.8
*
24.3
124.6
38.4
5.1
12.3
6.4
a. I
24.5
*
3,673. L
68.0
359.6
330.6
50.1
53.3
32.9
29.0
105.9
61.5
43.3
86.L
54.2
a.1
119.4
43.7
26.0
12.0
1,145.3
767.7
155.0
56.4
192.3
116.0
158.2
231.0
407.6
40.3
*
159.9
33.7
441.7
50.2
18.4
4.6
33.7
30.a
5a.3
257.4
17.5
66.5
...
...
53.5
la9.1
66.0
lT.8
4.8
22.T
279.8
141.5
74.8
5.6
13.0
8.9
2a.7
...
6.4
7.0
8.4
9.1
lz.a
a.a
7.1
5.3
7.2
7.6
5.a
12.3
14.4
10.7
5.6
9.3
1.7
2.9
7.5
7.0
a.9
6.2
5.3
5.9
a.z
9.7
6.0
4.T
1.3
7.a
4.a
6.1
7.1
4.5
4.9
3.0
4.8
6.9
5.2
3.6
5.7
2.5
2.1
7.9
6.6
7.6
6.9
5.5
9.0
3.4
6.4
a.6
14.2
5.6
5.0
4.5
3.3
3.2
4.6
3.9
5.4
6.6
*
2.5
5.6
4.1
4.0
24.2
*41.6
*
4.0
6.a
*
2.3
6.8
7.T
*
*
*
%9.9
*
*
3.2
3.2
1.3
4.6
3.2
3.4
*
2.9
+.1
1.7
3.0
*
4.0
*
*
*2.O
*
4.4
6.3
7.2
*
5.1
9.0
3.0
4.2
5.2
*
*
z.a
3.1
4.0
4.a
6.3
5.9
6.8
*1O.9
8.0
6.2
4.9
5.4
5.4
5.4
12.0
14.5
10.4
5.a
a.1
*2.3
2.5
5.7
5.7
7.2
5.0
4.2
4.2
7.3
10.9
4.0
3.6
1.3
6.3
4.1
4.a
5.2
3.a
4.2
2.3
5.0
5.7
4.2
2.9
*
2.5
2.1
5.9
5.1
4.4
6.4
4.4
*
3.2
5.2
6.4
=15.1
5.4
5.3
4.1
3.2
3.5 3.2
6.a
8.7
8.2
a.a
11.3
a.7
fi.a
5.4
7.0
a.o
5.9
11.5
14.2
10.7
5.4
9.a
1.7
2.9
6.7
6.4
a.z
5.5
4.9
5.5
U.o
9.7
6.7
5.9
*
a.o
6.1
6.2
T.2
4.6
0.8
3.0
5.4
6.5
5.0
3.7
5.0
*
*
a.1
6.4
7.0
T.o
8.1
*
3..?
6.4
7.ti
13.0
5.8
4.9
5.8
*.2
*
8.5
9.a
9.6
9.9
13.5
9.0
7.7
6.6
a.5
9.4
7.0
12.2
13.5
13.1
6.5
11.3
1.7
4.9
a.1
7.5
9.4
7.0
5.a
6.1
8.3
9.6
a.6
7.0
*
9.5
6.a
7.a
8.0
5.a
11.3
3.9
6.6
a.a
7.2
5.2
6.0
10.9
9.3
10.9
a.9
6.7
4.7
9.a
11.9
14).2
6.5
7.4
7.3
6.8
...
01
02
03
04
05
06
07
oa
09
10
11
12
13
14
15
16
17
la
19
20
21
22
23
24
25
26
27
2a
29
30
31
32
33
34
35
36
37
3a
39
40
41
42
43
44
45
46
47
4a
49
50
51
52
53
54
55
56
2:
â
31
FRIJM SHORT-STAY HOSPITALS, RATE OF IJISCliARGES, ANO AVERAGE LENGTHS OF STAY, BY SEX, RACE,
UN ITE(I STATES, 1986
EXCLUOES NEu80RN INFANTS. OIAGNIJSTIC GROUPINGS ANO COOE NuMLIER INCLUS1ONS ARE 6ASE0 ON THE
INTERNATIONAL CLASSIFICATION OF DiSEASES, 9TH REVISION, CLINICAL MOOIF1CATION (I C17-9-Ct4)l
TABLti 10. NUMbER (IF PATIENTS OISCHARGEO
ANil CATEGORY OF FIRS T-L ISTEO OIAGNOSIS:
[DISCHARGES FROM NON- FE OERAL HOSPITALS.
SEX
BOTH
CATEGORY OF FIR ST-L ISTEO JIAGNCISIS ANO lCO-9-Cii COOE
80TH
SEXES MALE FEMALE SEXES MALE FEMALE
NUMBER (JF PATIENTS RATE OF PATIENTS OISCHARGEO
OISCHARGEO IN THOU SANOS PER 10,000 POPULATION
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
lT
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
+2
43
44
+5
+6
47
48
49
50
Si
52
53
54
55
56
5T
58
ALL COED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256 13,949 20,307 1,+31.2 1,204.6
INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..00 I-L39
NEIJPLASMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i+o-239
MALIGNANT NEOPLASUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l+o-2013. ~30-23+
MALIGNANT NEOPLASti OF LARGE INTESTINE ANO RECTUH . . . . . . . . ...153-154. 197.5
MALI GtiANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10. L977. O. L97.3
MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175. 198.8L
BENIGN NEOPLASMS ANO NEOPLASt4S OF uNCERTAIN BEHAVIOR
ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239
ENOOCRINE, NuTRITIONAL ANO METABOLIC OISEASES.
ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2+o-279
01 A13ETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o
OISEASES OF 7HE aLOOO ANO dLOOO-FORn ING ORGAN S . . . . . . . . . . . . . . . . . . . . . .. ZdO-Z89
MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299
ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3
OISEASES OF THE NERVOUS SYSTE14 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389
OISEASES OF THE CENTRAL NE RVLIUS SYSTEM . . . . . . . . . . . . . . . . . . . ..320 -336,340-349
CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366
OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389
OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459
HEART oIsEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398. +o2. 40+, +lo-+16,420-+29
ACUTE MYOCAROIAL IN FAR CT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41o
ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. o
OTHER 1SCHEt41C HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . 411-413,414 .1-414.9
CAROIAC OYSRHYTHMI AS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+27
CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . ..428. o
CERELIROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-4313
OISEASES OF THE RESPIRATORY SYSl Et4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+60-519
ACUTE RESPIRATORY 1NFECTIONS, EXCEPT IN FLuENZA . . . . . . . . . . . . . . . . . . ...460-466
CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474
PNEUMONIA, ALL FOR MS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480-+6~
AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493
OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579
ULCERS OF THE STOt4ACH ANo SHALL INTEs TINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534
GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535
APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543
INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o
NONINFECTIOUS ENTERITIS ANO cOLi TIS . . . . . . . . . . . . . . . . . . . . . . . . . . ..555 -556.55e
CHOLELITHI AS I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5T4
OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629
CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592
HYPE RPLASIA OF PRO STAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600
COMPLICATIONS OF PREGNANCY, CHILOa IRTH, ANO THE PUERPERIUM 1/ . . . . . . . 630-676
Ad ORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639
OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE .........................6aO-7o9
OISEASES OF THE MUSCULOSKELCTAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..7 LO-T39
AR THROPATHIES ANO RELATEO 01 SORC7ERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIO-719
INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T22
CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..740-759
C6RTAI!4 CONO IT IONS ORIGINATING IN THE PER INATAL PERIOO . . . . . . . . . . . . . ..760-T79
SYMPTOM. SIGNS. ANO xLL-OEFINEO COND IT IONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799
IN.Iu RY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999
FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800 -cLz9
FRACTURE OF NECK OF FEMUR............................................⢠ZO
SPRAINS ANO STRAINS OF 8ACK (I NCLUOING NE OK) . . . . . . . . . . . . . . . . . . . . ...846-8+7
INTRACRANIAL INJURIES (EXCLUOINL, THOSE HITH SKULL FRACTURE ) . . . . . . ..85 O-a54
LACERATIONS ANO OPEN !4GUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-So+
SUPPLEMENTARY CLASS IF I CA TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..âo1-â82
FEMALES HITH DE LIv ERI Es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..âz7
700
2,305
1,860
210
29o
216
445
1,117
491
333
1,807
766
397
1,039
401
104
217
5,563
3,731
758
338
1,043
515
582
889
3,204
426
255
943
477
3,732
255
196
250
304
429
494
2,665
331
256
889
343
515
2,081
475
504
267
139
454
3,225
1,100
252
192
267
284
4,222
3,762
343
959
a66
105
175
*
T
93
422
205
147
962
356
303
480
194
41
107
2,a46
2,002
467
219
565
240
274
398
1,560
213
107
471
206
1,696
149
T9
13a
273
169
142
949
2L9
256
...
...
249
940
194
zaa
149
79
225
1,T76
540
62
98
163
219
169
...
35T
1,346
994
105
115
214
353
695
286
L86
$345
410
93
558
206
62
110
2,717
1,729
290
119
479
275
308
491
L,644
213
L48
472
271
2,036
146
llT
112
2:;
352
1,715
112
...
089
343
266
1,142
zao
216
118
60
229
1,449
560
190
95
104
65
4,052
3,762
29.3
9b.3
77.7
8.a
12.1
9.0
ia.b
46.7
20.5
13.9
T5.5
32.0
lb.6
43.4
16.7
4.3
9.1
232.4
155.9
31.7
14.1
+3.6
21.5
24.3
37.1
133.8
17.L7
10.6
39.4
19.9
155.9
12.3
8.2
10.5
L2.7
17.9
20.6
111.3
13.8
10.7
37.1
14.3
21.5
87.0
19.8
21.0
11.1
5.a
19.0
134.7
46.0
10.5
a.o
11.1
11.9
176.4
i57.2
29.6
a2.a
74a
9.1
15.1
*
a.o
36.4
17.7
12.7
83.1
30.a
26.2
41.5
16.a
3.6
9.3
245a
172.9
40.4
la.9
48.8
20.7
23.7
34.4
134.7
la.4
9.2
+0.6
17.a
146.4
12.9
6.a
11.9
23.6
14.6
12.2
a2.o
18.9
22.1
...
...
21.5
81.2
16.a
24.8
Lz.a
6.8
19.4
i53.4
46.6
5.4
U.4
14.1
la.9
14.6
...
L,643.5
2a.9
109.0
ao.4
a.5
9.3
17.3
28.6
56.3
23.1
15.0
6a.4
33.2
7.6
45.2
16.7
5.0
8.9
219.9
139.9
23.5
9.6
38a
22.3
24.9
39.7
133.0
17.2
12.0
3a.2
21.9
L64. a
11..9
9.5
9.1
2.5
21.1
2a.5
138.8
9.1
. . .
72.0
27.8
21.5
92.4
22. T
17.5
9.6
4.9
ia.5
117.3
45.4
15.4
7.7
a.4
5.3
32a. o
304.5 ââ
1/ FIR ST-L ISTk O OIAGti OSIS FOR Fti MALEs WITH OELIVk RIES IS COOEO v27, SHOUN UNOER WUPPLEMkNTARY CLASS IF I CA TIONS.,,
32
TAdLE 10. NUMBER OF PATIENTS DISCHARGEO FROH SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVk RAGE LENGTHS OF STAY. dY SEX, RACE,
ANO CATEGORY OF FIRST-L ISTEO OIAGNOSIS: UN ITEO STATES, 1986 --CCN.
.
[DISCHARGES FROfl NON-FEOERAL HOSPITALS. EXCLUOES NEwuORN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NUMBER INCLUSIONS ARE 8ASE0 ON THE
IN TkRNATIONAL CLASSIFICATION OF OISEASESV 9TH REV IS1ON* CLINICAL HoolFIcATIoN (lco-9-cn) J
SEX--CON. RACE
abTH ALL ALL NOT ALL ALL NOT ALL ALL
SEXES
NOT
HAL E FEMALE RACES HHITE OTHER STATEO RACES hHITE OTHER STATkO RACES HHITE OTHER STATEO
AVERAGE LENGTH
OF STAY IN OAYS
NUMtIER OF PATIENTS
OISCHARGEO IN THOUSANOS
RATE OF PATIENTS OISCHARGkO
PER 10,000 POPULATION
AVERAGE LENGTH OF STAY
IN OAYS
-.
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. ..
. ..
. ..
. ..
. . .
. ..
. . .
. . .
. ..
. ..
. . .
. ..
. . .
. . .
. ..
. . .
. . .
. ..
. . .
. . .
. . .
. . .
. . .
. . .
. ..
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. ..
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. ..
. . .
. ..
. . .
. . .
. . .
. . .
. . .
. . .
6.4
7.0
a.4
9.1
lz. a
a.a
l.1
5.3
7.2
7.6
s.a
12.3
14.4
10.7
5.6
9.3
1.7
2.%
T.5
7.0
a.9
6.2
5.3
5.9
a.z
9.7
6.0
4.7
1.3
7.8
4.8
6.L
7.1
4.5
4.9
3.0
4.a
6.9
5.2
3.6
5.7
2.5
2.1
7.9
6.6
7.a
6.9
5.5
9.0
3.4
6.4
13.6
14.2
5.6
5.0
4.5
3.3
3.2
6.5 6.6
a.5
a.T
9.9
14.2
11.0
7.1
5.6
a.3
9.3
5.4
11.4
13.7
8.0
6.7
10.5
1.7
2.9
8.5
7.8
a.9
5.9
s.a
7.1
a.7
11.2
5.a
4.0
1.4
a.z
4.0
6.5
a.2
4.4
5.T
3.3
5.7
7.2
5.6
5.0
7.1
z.a
2.2
9.7
T.2
a.3
8.6
6.1
L2. O
3.a
6.8
8.9
via
6.4
7.0
4.6
3.4
3.3
5.6
6.1
7.a
8.5
12.9
9.1
5.7
5.0
6.9
6.a
6.0
10.9
11. a
10.8
4.2
7.2
2.0
2.6
7.1
6.7
a.3
6.4
5.2
5.6
7.3
9.3
5.0
4.0
1.1
6.4
4.4
5.a
6.5
4.3
4.6
2.6
4.9
6.6
4.7
3.4
5.0
2.4
2.0
7.0
s.a
7.a
6.2
5.6
a.6
3.7
5.5
7.2
12.0
6.8
3.2
3.6
2.9
2.9
01
02
03
04
05
06
07
oa
09
10
11
12
13
14
15
16
17
la
19
20
21
22
23
24
25
26
27
2a
29
30
31
32
33
34
35
36
37
3a
39
40
41
42
43
44
45
46
47
+a
49
50
51
52
53
n
56
5â7
5a
6.4
7.0
b.a 6.1
6.6
7.9
a.a
12.5
9.2
7.0
5.4
7.1
7.a
s.a
12.7
15.1
11.2
5.3
a.s
1.6
3.1
7.a
T .4
9.5
6.2
5.5
6.5
a.7
9.9
6.1
5.1
1.3
a.o
5.1
6.5
7.7
4.7
5.0
3.a
5.1
6.6
5.0
4.0
. . .
.2.5
2.1
a.o
6.9
8.4
7.5
5.5
10.8
3.5
7.2
9.7
14.6
5.a
5.4
5.2
3.2
3.2
34,256
700
2,305
1,a60
210
29o
216
445
1,117
491
333
1.ao7
766
397
1,039
401
104
217
5,563
3*731
75a
33a
1,043
5i5
582
aa9
3,204
426
255
943
477
3,732
295
196
250
304
429
494
2,665
331
256
aa9
343
515
z,oal
475
504
267
139
454
3,225
1,100
252
192
267
2a4
4,222
3,762
25,363
514
1.76a
1,450
168
.231
3.63
31a
799
326
215
1,262
552
25i
772
300
ao
164
4,450
3,043
634
2a5
a72
4La
45a
694
2,459
326
202
732
313
2.aa3
226
157
L92
236
336
382
2,005
275
205
543
204
370
1,579
356
3a7
191
92
3â41
2,375
650
212
146
190
177
2,744
2,413
5,116
129
3oa
224
23
37
25
a4
205
114
aa
312
133
71
143
63
11
29
625
378
63
31
a9
50
70
109
443
56
25
124
120
469
3a
24
28
35
52
54
379
20
21
236
106
93
22a
52
42
38
26
62
476
llT
12
2a
44
75
856
7a3
3,776
5a
229
la6
19
22
28
43
112
52
31
233
al
75
123
3a
13
25
4aa
311
61
21
a3
47
54
a6
302
44
2a
a7
44
379
31
15
30
33
41
5a
zal
37
29
110
34
52
274
66
75
3a
20
51
373
133
29
19
32
32
621
567
1,431.2
29.3
96.3
77.7
a.e
12.1
9.0
la.6
46.7
20.5
13.9
75.5
32.0
16.6
43.4
16.7
4.3
9.1
232.4
155.9
31.7
14.1
43.6
21.5
24.3
37.1
133. a
17. a
10.6
39.4
19.9
155.9
12.3
a.2
10.5
12.7
LT.9
20.6
111.3
13. a
10.7
37.1
14.3
21.5
a7. o
19.a
21.0
11.1
5.a
19.0
134.7
46.0
10.5
a.o
11.1
11.9
17.5.4
157.2
1,249.1
25.3
a7. i
71.5
a.3
11.4
a.1
15.7
39.4
16.1
10.6
62.2
27.2
12.4
3a.1
~4.a
4.0
a.1
219.2
149.9
31.2
14.1
42.9
20.6
22.6
34.2
121.2
16.1
9.9
36.1
L5.4
142.1
11.1
7.7
9.5
11.6
16.6
La.a
9a.a
13.5
10.1
26a
loo
la.2
77.8
17.6
i9.1
9.4
4.5
L6.a
117.0
41.9
10.4
7.2
9.4
a.7
L35.2
lla.9
1,+05.6
35.4
84.6
61.4
6.2
10.L
6.a
23.2
56.4
31.2
24.1
a5.7
36.6
19.6
39.3
17.4
2.9
7.9
17L.a
103.9
17.2
a.6
24.4
L3.a
19.3
29.9
121.6
15.3
6.9
34.0
32.9
128.9
10.4
6.7
7.7
9.6
14.4
14.9
104.1
5.4
5.9
64a
29.1
25.5
62.7
14.3
11.5
10.3
7.2
17.2
130.9
32.1
3.3
7.6
12.2
20.5
235.1
215.1
7.4 6.7
a.4
9.0
12.6
a.5
7.3
8.4
9.1
lz.a
a.8
7.1
9.0
9.4
13.1
8.6
*
5.3 4.9 5.2
7.2
7.6
7.2
7.4
6.9
7.2
5.a 6.0
12.3
5.9
11.9
13.7
10.5
12.7
15.0
11.4
L4.4
10.7
5.6
9.3
1.7
2.9
6.0
10.0
5.6
9.3
1.7
2.9
1.9
2.7
7.5
7.0
a.9
* 6.2
5.3
5.9
a.2
9.7
7.2
6.7
a.5
6.2
5.1
5.2
7.7
9.5
7.4
7.0
a.9
6.2
5.3
s.a
a.3
9.5
6.0
4.7
5.9
4.4
1.3
7.6
4.4
0.2
5.0
1.3
7.a
1.3
7.9
4.a 5-1
6.1
7.1
4.5
4.9
3.0
4.a
6.9
5.2
3.6
5.1
2.5
2.1
7.9
b.6
7.a
6.9
5.5
9.0
3.4
6.4
a.6
5.5
6.6
4.2
4.7
2.9
4.5
7.6
6.0
7.1
4.6
4.a
3.0
4.7
b.9
5.2
3.5
5.7
2.4
2.0
7.5
6.7
7.7
6.a
5.4
a.z
3.2
6.5
a.7
5.5
3.3
5.7
. . .
. . .
7.7
6.3
7.0
6.4
5.5
7.6
3.2
5.a
7.4
14.2
5.6
5.0
12.9
5.3
4.8
14..?
5.2
4.a
4.5 4.2 4.5
3.4
3.3
3.3
3.2
4.3
...
33
TABLE 11. Nuf481i R OF PATIENTS DISCHARGE FROM SHCIRT-STAV HOSPITALS, RATt OF DISCHARGES, AtiU AVkRAGE LENGTHS Of STAY, BY GELIGRAPMIC
dE(, IUN AND CATEGORY OF FIR ST- LISTEO OIAGNOSIS: UN ITEO STATES, 1986
[DISCHARGES FRLIM NON-F EOERAL HOSPITALS. EXCLUOkS NEh&ORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARti BA.SEO ON THE
INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICATIIJN (l CC-9-CH) 1
UN ITk D NORTHCA TEGURY OF FIR ST-L ISTEIJ OIAGNOSIS ANO ICO-9-CM COOE STATES EAST MI O14EST SOUTH ilEST
NUMBER UF PATIENTS OISCHAIWEO IN THOUSA,NOS
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
ALL CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INFECTIOUS ANO PARASITIC DISEASE S.......,.. . . . . . . . . . . .. . . . . . . . . . . . . ...001-139
NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239
MALIGNANT NEOPLASHS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234
MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM . . . . . . . . ...153-154 ,197.5
MALIGNANT NEOPLASH OF TRACHEA, BRONCHUS, ANO LUNG . . . . . ...162. 197.0, L97.3
MALIGNANT NEOPLASM OF dreamt . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81
BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAV1OR
ANO UN SPECIFIELI NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239
ENDOCRINE, NUTRITIONAL ANO ME7ABOL1C OISEASES,
ANO I14HUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24 O.279
OIABETES FIELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250
DISEASES OF THE 8LOO0 ANO BLOOD-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-289
MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299
ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303
OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389
OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349
CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366
OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..380-389
OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459
HEART OISEASE . . . . . . . . . . . . . . . . . . ..391 -392. O.393-398.4O2 ,404,410-416,420-429
ACUTE MYOCAROIAL XNFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41 O
ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O
OTHER ISCHEHIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l+.9
CAROIAC OYSRHYTHHIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427
CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. O
CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438
OISEASES OF THE RESPIRATGRY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519
ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . ..46 O-466
CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474
PNEUMONIA, ,ALL FOR14S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486
AS THMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493
OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579
ULCERS OF THE STOMACH ANO SMALL IN TEST ING . . . . . . . . . . . . . . . . . . . . . . . ...531-534
GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535
APPEND ICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543
INGUINAL HE RNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o
NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . ...%. . . . . . ...555-556.558
cHoLELITHIAsIs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574
OISEASES OF THE GENITOURINARY SYSTEM.................................58O-629
CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592
HYPE RPLASIA OF PROS TAKE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600
COMPLICATIONS UF PREGNANCY, CHILDBIRTH, /lNO THE PUERPERIUM 1/ . . . . . . . 630-6T6
ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . ...630-639
OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9
OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..71 O-T39
AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-7L9
INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722
CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759
CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER IO D. . . . . . . . . . . . . ..7&O-779
SYMPTOMS, SIGNS, ANO IL L-O EFINEO CO ED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . ..7 B0-T99
INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999
FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800-829
FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20
SPRAINS ANO STRAINS OF BACK (lNCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . ..846-B47
INTRACRANIAL INJURIES (EXCLUOING THOSE wITH SKULL FRACTURE ) . . . . . . ..85 O-854
LACERATIONS ANO OPEN hounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904
SUPPLEMENTARY CLASS IF ICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOl. V8Z
FEt4ALES HITH DEL IV ORI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27
34,256
.700
2,305
1.860
210
29o
216
445
1,A17
491
333
1,807
T66
397
1,039
401
104
217
5,563
3,731
758
338
1,043
515
582
889
3,204
426
255
943
477
3,732
295
196
250
304
429
494
2,665
331
256
889
3+3
515
2,081
475
504
267
139
454
3,225
1,100
252
192
267
284
4,222
3,762
6,955
137
481
379
55
63
41
102
212
94
67
4B9
208
141
240
al
49
49
1,216
834
174
64
236
115
139
191
630
72
48
182
116
765
59
39
45
79
74
95
504
58
49
207
106
121
340
80
68
43
17
71
617
214
52
35
69
49
799
695
. . . . .
8*Y31
167
655
546
54
79
64
109
310
128
78
560
195
151
299
116
23
56
i,437
960
196
102
270
123
149
220
833
112
75
249
123
955
72
45
72
82
119
136
661
90
71
219
63
130
562
150
124
67
35
128
808
276
65
48
69
68
1,02B
908
11, U9d
269
708
556
58
94
67
152
410
191
128
489
215
74
316
129
13
77
1,935
1,285
247
125
358
182
196
315
1,236
180
100
371
164
1,358
107
87
77
108
177
166
1,006
129
78
304
119
176
750
133
214
105
53
164
L,091
353
80
âd9
82
106
1,393
1,252
6,418
128
461
378
42
54
44
83
185
78
59
269
148
32
183
75
lB
35
975
653
141
47
180
97
98
163
505
62
32
141
14
655
56
25
57
35
59
97
493
55
5a
159
55
89
430
111
97
51
33
91
709
257
56
21
47
61
1*OG2
908
1/ FIR ST-L ISTEO OIAGNOSIS FOR FEMALES uITH OELIVERIES IS CUOEO VZ7, SHO14N UNOER âSUPPLEMENTARY CL AS SIFICATIONS. W !
34
TAdLE 11. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTHS OF STAY, BY GEOGRAPHIC
REGION AND CATEGORY OF FIRS T-LISTEO OIAGNOSIS: UNITEO STATES, 1986--CON.
[DISCHARGES FROM NUti-FEOERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE hU148ER INCLUSIONS ARE BASED ON THk
INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REV IS1ON, CLINICAL f100IFiCATION (I CO-9-CH) 1
UNITED NORTH- uNITEO NORTHSTATES EAST HIOHEST SOUTH wEST STATES EAST MI OHEST SOUTH UEST
RATE UF PATIENTS OISCHARGEO PER 10.000 POPULATION AvERAGE LENGTH OF STAY IN OAYS
1,431.2
29.3
96.3
7T.7
8.8
1.2.1
9.0
18.6
46.7
.?0.5
13.9
75.5
32.0
L6.6
43.4
16.7
4.3
9.1
232.4
155.9
31.7
L+.1
43.6
21.5
24.3
37.1
133.8
lT.8
10.6
39.4
19.9
155.9
12.3
8.2
10.5
12.7
17.9
20.6
111.3
13.8
10.7
37.1
14.3
21.5
87.0
19.8
21.0
11.1
5.8
19.0
134.7
46.3
10.5
8.0
11.1
11.9
1T6.4
157.2
1,393.6
27.4
96.3
75.9
11.1
12.6
8.3
20.4
42.5
18.8
13.5
98.0
.41.8
28.2
48. L
16.1
9.8
9.8
2+3.7
167.0
34.9
12.8
47.2
22.9
27.8
38.3
126.2
14.5
9:5
36.5
23.2
153.2
11.9
7.7
8.9
15.8
14.8
19.0
101.0
11.7
9.8
.
41.4
21.3
2*.2
bd.1
16.1
13.6
8.6
3.5
14.2
123.6
42.9
10.4
7.0
13. d
9.8
160.1
139..2
1,509.5
28.2
110.6
92.3
9.2
13.4
10.8
18.3
52.3
21.7
13.2
94.6
33.0
25.5
50.6
19.6
4.0
9.4
242.9
162.2
33.1
17.3
45.6
20.7
25.1
37.2
140.7
18.9
12.7
42.1
20.8
161.4
12.1
7.6
12.2
13.9
20.1
23.1
111.8
15.1
12.0
37.1
10.7
22.0
95.0
25.4
21.0
11.4
5.8
21.6
136.5
46.7
10.9
8.L
11.6
11.5
173.7
153.5
1,448.7
32.7
86.3
67.8
7.1
11.5
8.1
18.5
50.0
23.3
15.6
59.6
26.2
9.0
38.5
15.7
1.6
9.4
235.7
156.5
30.1
15.2
43.6
22.1
23.9
38.+
150.6
22.0
12.2
45.2
20.0
165.4
13.1
10.7
9.4
13.2
21.6
20.2
122.6
15.7
9.5
37.1
14.5
21.4
91.4
16.2
26.1
12.8
6.5
19.9
132.9
43.0
9.7
10.8
10.0
13.0
169.7
1,344.1
26.6
95.7
78.4
8.7
11.1
9.0
17.3
38.4
16.1
12.3
55.8
30.6
6.6
38.0
15.6
3.7
7.3
202.2
135.5
29.2
9.7
37.3
20.0
20.3
33.9
104.8
12.8
6.7
29.3
15.4
135.9
11.7
5.1
11.8
7.2
12.3
20.0
102.3
L1.3
11.9
32.9
11.5
18.4
89.2
22.9
20.1
10.7
6.9
19.(J
147.2
53.4
11.6
4.3
9.0
12.6
6.4
7.0
8.4
9.1
12.8
8.8
7.1
5.3
7.2
7.6
5.8
12.3
14.4
10.7
5.6
9.3
1.7
2.9
7.5
7.0
8.9
6.2
5.3
5.9
8.2
9.7
6.0
4.7
1.3
7.8
4.8
6.1
7.1
4.5
4.9
3.0
4.8
6.9
5.2
3.6
5.7
2.5
2.1
7.9
6.6
7.8
6.9
5.5
9.0
3.4
6.4
8.6
14.2
5.6
5.0
4.5
7.4
9.4
9.6
llT.8
15.7
10.2
7.6
5.2
9.2
8.8
6.6
11.3
15.2
7.2
6.0
11.7
1.5
3.1
9.1
8.3
10.5
6.1
5.9
7.8
9.5
12.8
7.1
5.1
1.2
9.5
5.2
6.7
8.4
5.4
5.6
2.8
6.1
7.5
5.6
4.2
6.8
2.4
1.9
9.0
7.7
9.4
T.+
5.9
9.1
3.5
7.6
1(3.9
18.2
6.8
5.3
4.7
3.8
3.7
6.6
6.7
8.4
9.0
11.6
9.3
7.5
5.8
7.2
7.9
6.3
13.9
16.3
12.2
5.5
8.9
2.1
3.0
7.5
1.3
9.2
7.2
5.5
5.6
8.5
9.3
5.9
5.0
1.3
7.9
4.7
6.2
7.5
+.6
+.7
3.0
4.8
6.9
5.+
3.5
6.1
2.6
2.4
7.1
6.9
8.3
6.5
5.3
9.7
4.0
6.3
8.2
13.3
5.3
4.9
4.5
3.5
5.4
6.1
b.1
8.0
8.8
12.7
8.6
6.4
5.3
6.7
7.4
5.1
12.0
13.5
13.6
5.8
8.8
2.0
3.0
7.0
6.7
8.3
5.9
5.5
5.7
7.5
8.8
5.8
4.6
1.4
7.2
4.7
5.8
6.3
4.L
5.2
3.4
4.6
7.0
5.2
3.5
b.o
2.6
2.1
8.0
.5.5
7.5
7.4
5.6
8.9
3.1
6.3
8.3
13.T
5.3
5.5
+.5
3.3
3.2
5.5
0.6
7.4
8.0
10.7
7.0
7.0
4.6
5.7
6.4
5.9
11.0
12.3
12.0
5.1
8.0
1.6
2.1
6.3
5.8
7.2
4.8
3.9
4.4
7.3
8.4
5.5
4.3
1.1
6.9
4.3
5.6
7.0
4.6
4.1
1.9
4.1
6.2
4.6
3.2
4.1
2.4
2.1
7.2
5.8
6.3
5.9
5.3
8.3
2.9
5.8
7.3
12.1
5.0
4.0
4.1
.?.6
2.6
207. fJ 3.3
152.5 la8.4 3.2
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
4+
45
46
47
48
49
50
51
52
53
54
55
56
57
50
35
TAbLE 12. NUM8ER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY BE!J SIZE OF HOSPITAL ANCJ CA TEWRY OF FIRS T-L ISTEO DIAGNOSIS:
UN IT50 STATES, 1966
[O ISCHAR*ES FKOt+ NLIN-FEOERAL riOSPITALS. EXCLUDES NE UdORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARE BASEO ON THE
lNTERNATIUNAL CL AS SIFICATICJN âF OISEASES, 9TH REV ISIUN, CLINICAL 14u01FlCATIGN (l CO-9-CM) 1
ALL 6-99 AOO-199 200-299 300-499 500 BEOS
CATEGORY OF FIRST-LISTED OIAGNOSIS ANO ICO-9-CM COOE SIZES 13EOS i3EOS 8EGS BEOS OR MORE
ALL COED IT ION S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INFECTIOUS ANO PARASITIC DISEASE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139
NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239
MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234
MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM -..............153-154+ 197.5
MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . . ..162 .19?. O. 197.3
MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174-175. 198.81
dENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR
ANO uNSPECIFIED NAT URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239
ENLIOCRINE, NUT RI ONAL ANO HE7ABCILIC OISEASES,
ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279
OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250
OISEASES âF THE 13L00LI ANO BLOOO-FORMING Organ s . . . . . . . . . . . . . . . . . . . . . . . . ...280-289
f4ENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299
ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303
OISEASES OF THE NERVOUS SYSTEt4 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..320-389
01 S5ASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349
CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366
OISEASES OF THE EAR ANO &iASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389
OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459
HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ..391 -392.0,393-398,402,404,410-416,420-429
ACUTE MYOCAROIAL INFARCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410
ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0
OTHER lSCHEI+IC HEAR7 DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9
CAROIAC OYSRHYTHMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427
CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0
CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.438
OISEASES OF THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519
ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-+66
CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+74
PNEUMONIA, ALL FARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486
AS T14MA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493
OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579
ULCERS OF THE STOMACH ANO SMALL IN TEST I NE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534
GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535
APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543
INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550
NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558
cHoLELITHI As Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574
OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5d0-629
CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592
HYPE RPLASIA OF PROST AT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600
COHPLICATILINS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM 1/ . . . . . . .. . . . 630-676
ABORTIONS ANO EC TOPIC ANO HOLAR PREGNANCIE S . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639
DISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . ...680-709
CISEASES OF THE HUSCULOSKELETAL SYSTEM ANO CONNECTIVE T IS SUE . . . . . . . . . . . . .710- 739
AR THROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-7L9
INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722
CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759
CERTAIN CON DI71ONS OITIGINATING IN THE PER INATAL PER IO D. . . . . . . . . . . . . . . . ...760-779
SYMPTOMS, SIGNS, ANO IL L- OEFINEO COED IT IO NO . . . . . . . . . . . . . . . . . . . . . . . . . . . ...780-799
INJURY ANO PO IRON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999
FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-329
FRACTURE GF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820
spRAINs ANO STRAINS OF 13AcK (I NCLUOING Neck) . . . . . . . . . . . . . . . . . . . . . . . . ...846-8+7
iNTRACRANIAL INJURIES (ExcLu OiNG THOSE WITH SKULL FRACTURE ) . . . . . . . . . . ..85 O-854
LACERATIONS ANO OPEN MOUND S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904
SUPPLEMENTARY CL AS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vo1-v82
FEt4ALES klITH OELIVERLE S....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27
NUM8ER OF PATIENTS OISCHARLELl IN THOUSAtvOS
34,256 5,614
700
2,305
1,860
210
290
216
445
1,117
491 ,
333
1,807
766
397
1,039
401
104
217
5,563
3,731
75a
338
1,043
515
582
889
3,204
426
255
943
477
3,732
295
196
250
304
429
494
2,665
331
256
8s9
343
515
2,081
475
504
267
139
454
3,225
L*1OO
252
192
267
2S4
4,222
3,762
127
197
156
26
22
24
41
230
100
54
360
125
110
L43
60
11
32
903
6 L7
144
22
173
92
130
155
73T
112
44
277
77
737
59
5d
64
60
105
98
428
51
34
120
38
94
270
4a
62
19
20
67
520
163
39
52
44
42
587
540
6,243
148
313
250
30
40
36
63
212
91
69
311
130
62
156
59
*8
50
915
589
113
28
166
98
104
165
684
111
60
190
93
712
59
48
50
53
91
94
563
65
53
153
63
96
430
88
89
62
28
76
598
205
45
S6
47
42
7L6
647
6,215
12+
423
337
48
62
35
86
203
84
54
297
124
72
180
71
20
42
1*133
765
164
61
208
105
125
L76
593
74
55
168
98
724
63
:2
63
69
92
463
58
54
109
48
89
414
93
103
31
24
99
628
233
56
30
52
54
626
545
8,803
156
704
5TL
56
87
66
133
248
110
84
483
220
93
279
97
35
55
1,475
995
195
109
287
132
134
230
672
79
55
i79
108
892
70
36
56
74
93
135
654
81
68
252
9T
116
529
L35
136
71
34
114
815
288
68
35
69
72
l,22b
1,092
7,381
146
668
546
50
79
55
122
224
105
72
356
168
59
281
113
30
39
1,136
765
141
L17
209
88
88
162
517
51
41
129
Loz
667
44
20
37
55
70
75
557
76
47
255
97
120
438
110
114
84
32
97
663
212
44
19
55
74
1,067
937
1/ FIRS T-L ISTEO OIAGNOSIS FOR FEMALES wITH OELIVk RIES 1S COOk O v27, SHOHN UNOER âSUPPLEMENTARY CL OSSIFICATIONS.-
36
TA8LE 13. AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS* BY BEO SIZE OF HOSPITAL ANO CATEGORY OF FIRSTLISTEO II IAGNOSIS: uNITEO STATES, 1986
[OISCHARGES FROM NON-FEIIERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUUdti R INCLUSIONS ARE BASkO GN THE
ItiTEANATIONAL CLASSIFICATION OF SIISEASES. 9TH REVISION. CLINICAL MODIFICATION (ICO-9-CM) 1
ALL 6-99 100-199 200-299 300-499 500 $Eos
CAT5GOUY OF FIRS T-L ISTEO OIAGNCISIS ANO ICO-9-CM COOE SIZES BEOS BEOS BEOS tJEOS OR MORE
ALL CONDITION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139
NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239
MALIGNANT NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l4O.2O8t23O.234
MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM . . . . . . . . . . . . ...153-154.197.5
MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LLJNG. . . . . . . . . . ..1623197 .O.197.3
t4ALIGNANT NEOPLASM OF 8REAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l74.l75.l98.8l
8ENIGN NEUPLASMS ANO NEOPLAS14S OF UNCERTAIN 8EHAVIOR
ANO UNSPECIFIED liATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239
ENDOCRINE, NUT RIONAL ANO t4ETA80LIC OISEASESS
ANO IWIUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Z40-279
OIABETES HELLITuS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250
OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . .. Z8O-2B9
MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCHO SE A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299
ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303
OISEASES OF THE NERVOUS SYSTEt4 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..32 O-389
OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . . . . ...320-336.340-349
CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366
OISEASES OF THE EAR ANO llASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389
OISEASES OF THE CIRCULATORY SYSTEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O.459
HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . ..391-392. 0.393-39B.402.4 O4.4lO-4l6.42O-429
ACUTE UYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410
ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-...414.0
OTHER ISCHEFIIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.414.1.4 l4.9
CAROIAC OYSRHYTHHI AS........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427
CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0
CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438
jISEASES OF THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4 bO.5l9
ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-466
CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-474
PNEUHONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48 O.4S6
ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493
OISEASES OF THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O.579
ULCERS OF THE STOMACH ANO SHALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534
GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535
APPEND ICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543
INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550
NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558
cHoLELITHIAs Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574
OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629
CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592
HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO
COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUFl 11 . . . . . . . . . . . 630-676
ABURTIONS ANO ECTOPIC ANO HOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639
OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68 O-TO9
OISEASES OF THE MUSCULOSKELETAL SYSTi+M ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 G-T39
AR THROPATHIES ANO RELATEO 01 SOR06RS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7 L0-719
1NTERVERTE8RAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722
CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759
CERTAIN CONOITIONS ORIGINATING IN THE PER XNATAL PER Ioo . . . . . . . . . . . . . . . . . ..76 O-779
SYMPTOMS, SIGNS, AND lLL-OEFINEO CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799
INJuRY ANO POISON lNG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999
FtiACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-1329
FRACTURE OF NECK OF FEHUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O
SPRAINS ANO STRAINS OF BACK (l NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . . . .. B46-847
INTRACRANIAL INJURIES (EXCLUOING THOSE IJITH SKIJLL FRACTURE ) . . . . . . . . . . ..85 O-854
LACERATIONS ANO OPEN UOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-......-......670-904
SUPPLEMENTARY CLASSIFICAT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOl. V8Z
FEMALES MITH DEL IVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27
6.4
7.0
8.4
9.1
12.8
8.8
7.1
5.3
7.2
7.6
5.8
12.3
14.4
10.7
5.6
9.3
1.7
2.9
7.5
7.0
8.9
6.2
5.3
5.9
8.2
9.7
6.0
4.7
1.3
7.8
4.B
6.1
7.1
4.5
4.9
3.0
4.8
6.9
5.2
3.6
5.7
2.5
.?.1
7.9
6.6
7.8
6.9
5.5
9.0
3.4
6.4
8.6
14.2
5.6
5.0
4.5
3.3
3.2
AVERAGE LENGTH OF STAY IN OAYS
5.3
5.1
7.1
7.9
11.9
7.2
6.1
4.3
5.6
6.2
4.5
10.9
12.5
10.4
4.6
6.7
1.5
3.5
5.6
5.4
6.6
4.3
4.0
4.3
6.6
6.6
5.4
4.4
i.4
6.5
4.2
5.0
5.6
3.9
4.5
3.0
3.8
6.2
+.8
2.5
5.3
2.1
2.1
5.1
5.9
6.2
7.4
3.4
4.7
2.4
4.6
6.4
lZ.3
5.4
2.7
3.4
2.7
2.7
5.T
6.3
7.7
8.4
12.3
8.3
7.4
5.0
6.8
7.4
4.8
11.3
12.9
10.4
5.0
7.1
*1.5
2.7
7.0
6.6
8.3
5.5
5.0
5.6
S.1
a.9
5.5
4.3
1.4
7.4
4.6
5.6
6.9
4.3
4.7
3.0
4.3
6.a
4.â5
3.5
5.6
2.2
1.9
6.9
5.4
6.5
6.1
4.3
5.5
2.9
5.6
7.5
13.4
5.5
3.6
3.6
2.9
2.9
6.5
7.9
8.1
9.0
13. a
8.2
6.a
4.a
7.4
7.a
5.9
10.9
11.7
10.2
5.1
7.a
1.7
2.9
7.5
7.1
9.1
5.6
4.9
6.L
a.z
9.3
6.4
5.5
1.2
a.4
4.9
6.2
7â.6
4.7
4.5
2.9
5.0
6.6
5.3
3.3
5.0
2.3
2.0
8.6
6.6
a.1
6.7
5.2
9.5
3.7
6.7
9.0
15.5
5.2
6.0
4.9
3.2
3.0
6.7
7.1
a.5
9.1
12.7
9.5
6.$3
5.6
7.9
a.4
6.7
lz.3
L4. a
10.7
5.2
9.1
l.a
2.4
7.9
7.5
9.3
6.L
5.7
6.8
9.3
10.1
6.5
4.9
l.i
8.9
5.1
6.5
7.4
5.7
5.5
2.8
5.3
7.5
5.7
3.9
6.4
2.6
2.1
8.3
7.4
a.5
7.5
5.5
10.1
3.2
6.9
9.2
14.A
5.B
4.1
4.a
3.4
3.3
7.3
a.4
9.0
9.7
lz. a
9.3
7.a
s.a
a.1
a.4
6.9
15.6
ld.6
12.1
7.2
lz. a
1.9
3.3
8.8
a.o
10.8
7.1
6.6
6.3
9.1
13.3
6.5
4.9
1.3
a.9
4.9
6.9
a.5
4.6
5.2
3.3
6.4
7.2
5.5
4.2
6.2
3.0
2..2
9.3
7.4
8.4
6.5
6.9
13.1
4.2
T.a
9.8
15.1
6.2
a.3
4.9
3.a
3.7
1/ FIRST-LISTEO OIAWOSIS FOR FEMALES wITH DELIVERIES Is cOOEo v27, SHOhN UNDER -SUPPLEMENTARY CLASS IF ICATIOIMS. -
37
TABLE 14. NUM8ER w= ALL-LISTED DIAGNOSES FOR $ATlkâNTs OISCHARGEO FROM SHORT-STAY Hti SPITALS, BY AGE, SEX+ RACE. GEOGRAPHIC REG1oN,
AND bE9 SIZE OF HOSPITAL, 6Y OIAGNOSTIC CATEGORY: uNITEO STATES, 1986
[DISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLULIES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE Nuf4BER INCLUSIONS ARE BASEO ON THE
ItYTERNATIONAL CLASSIFICATION (IF OISEASES, 9TH REV1S1ON, CLINICAL MOO1F1CATION (LCO-9-CM) 1
AGE
ALL uNOER 15 15-44 45-64
OIAGNOSIIC CATEGORY ANO lCO-9-CM COOE
65 YEARS
DIAGNOSES YEARS YEARS YEARS ANO OVER
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
3a
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
;;
54
55
56
57
58
â
1/
ALL CLINOIT ILINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139
NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239
MALIGNANT NEOPLASt+S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-23+
MALIGNANT NEOPLASM OF LARGE INTEsTINE ANO RECTUM . . . . . . . . . .. I 55-154.197.5
MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O.197.3
MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81
t3EN1GN NEOPLASHSâ ANO NEOPLASMS OF UNCERTAIN BEHAVIOR
ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239
ENDOCRINE, NUTRITIONAL ANO METABOLIC OISEASES,
ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279
131ABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250
OISEASES CF THE BLOOO ANO 8LOO0-FORMING ORGAN S . . . . . . . . . . . . . . . . . . . . . ..28 O-289
MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCHOS ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29 O.299
ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303
OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . ...320-389
OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . ..320 -336s340-349
CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366
OISEASES OF TH6 EAR ANO MASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389
OISEASES OF THE CIRCULATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459
HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.402 .4 O4.4lO-4l6.42O-429
ACUTE tiYOCAROIAL IN FAR CT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410
ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O
OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9
CAROIAC OYSRHYTHHI AS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427
CONGESTIVE HEART FAIL URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428. O
CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438
âOISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519
ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . ...460-466
CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474
PNEUMONIA, ALL FORMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+80-486
AS THMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493
OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579
uLCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534
GASTRITIS AND OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535
APPENDICIT IS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543
IN GUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550
NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558
CHOLELITHIASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574
OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629
CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592
HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600
COMPLICATIONS OF PREGNANCY, CHILOBIRTH, ANO THE PUERPERIU14 il . . . . . . . 630-616
ABORTIONS ANO EC TOPIC ANO MOLAR PREGNANCY ES . . . . . . . . . . . . . . . . . . . . . ...630-639
OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709
OISEASES OF THE tiUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . ...710-739
ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-719
lNTERVERTELIRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722
CONGENITAL ANOMALI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759
CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-779
SYHPTOMS, SIGNS, ANO lLL-OkFINEO COED IT IONS . . . . . . . . . . . . . . . . . . . . . . . ...780-799
INJURY ANO PO ISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999
FRACTURES, ALL SIT ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829
FRACTURE OF NECK OF FE MUR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O
SPRAINS ANO sTRAINs OF 8ACK (l NCLUOING NEcK) . . . . . . . . . . . . . . . . . . . . . ..846-a47
INTRACRANIAL INJURIES (E XC LUOING THOSE i41TH SKULL FRACTURE ) . . . . . ...850-854
LACERATIONS ANO OPEN Hobnob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904
SUPPLEMENTARY CL OS SIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vo1-V82
FEMALES wITH LIELIVE RI BE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27
NUMBER OF ALL-L ISTEO OIAGNOSES IN THOU SANOS
102,764
2,512
4,712
3*745
288
510
285
S6T
7,030
2,864
2,3o8
5,070
1,473
910
3,531
1,596
169
624
20,373
12,932
870
1,837
3,214
2,571
1,716
1.893
7,591
826
331
1,469
780
8,213
586
555
297
378
730
786
7,366
426
456
6,766
38A
1,308
5,076
1,723
655
675
344
5,479
6,37o
1,637
279
323
350
710
8,039
3,702
5*543
359
91
66
*
*
25
281
26
152
124
10
*
501
113
*
304
116
79
*
*5
*8
23
11
*Li
1,162
265
219
262
211
464
*
21
62
1::
*5
176
*
o
21
*
105
92
28
*
317
333
468
591
163
*
*5
67
66
190
11
32,019
739
737
361
+6
24
42
376
1*131
389
607
2,530
595
514
747
363
*9
114
1.275
610
44
46
139
127
33
54
1*313
177
107
192
195
2,122
107
175
178
87
242
223
2,728
191
*
6,738
378
371
1,440
292
316
181
*
1,339
2,887
643
13
204
187
453
5,130
3,748
22,361
+25
1,515
1,206
76
195
104
309
1,937
900
454
1,119
313
294
732
309
30
84
5,355
3,324
288
458
1,096
521
286
354
1$580
130
*
237
171
2,127
163
152
34
107
121
221
1,68T
146
98
*6
*
322
1,404
396
236
97
=7
1,350
1,174
26S
26
84
39
102
1,070
*
FIR ST-L ISTEO OIAGNOSIS FOR FEMAL. S wITH OELIVERIES IS COOEO u27, SHOWN UNOkR âSUP PLE14ENTARY CL AS SIFICATIONS. W
42,84i
989
2,369
2,113
205
287
139
256
3,681
1,548
1,094
1,297
555
99
1*551
811
L26
123
1.3,627
8,919
536
L,327
1,971
1,900
1,386
1,477
3,537
253
*
77a
203
3,500
313
207
23
142
204
337
2,778
86
3s5
. . .
. . .
510
2,140
1*007
101
80
*
2,321
1.717
564
237
31
56
89
1,649
. . .
.â
38
TAbLE L+. NUMBER OF ALL-LISTED DIAGNOSES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, by AGE, SEX, RACE, GEOGRAPHIC itEGIOtI*
ANO LTEO SIZE GF H12SPITAL$ By Diagnostic cATEGoRy: u~lTâ=o STAT=+* 1986--coNâ
[DISCHARGES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. OKAGNOSTIC GROUPINGS ANO CODk NUMBER INCLUSIONS ARE BASELI Gi4 THE
INTERNATIONAL CLASSIFICATION OF OISEAStS. 9TH REVISION, CLINICAL 14001 FICATION (ICO-9-Ch) 1
SEX RACE REGION BEO SIZE
ALL NOT NoRTH- 6-99
HALE FEHALE uHITE
100-199
OTHER STATEO EAST
200-299 300-499 500 BEOS
HIoHEST SOUTH hâEST BEDS BEDS 8EOS BEOS OR MORE
NUMBER OF ALL-L ISTEO OIAGNOSES IN THOU SANOSâCON.
4L,759
1,075
2,025
l,7a7
144
301
238
2,715
1,201
693
.?.599
670
6a3
1,641
748
65
318
9,955
6,571
528
985
1,760
1,268
782
8+7
3,867
393
L47
744
318
3,594
291
240
1>6
336
276
253
2,520
271
456
. ..
. . .
589
L,946
589
359
347
19,?
2,563
3,522
858
74
15d
211
507
1*714
...
61,005
1,438
2,687
1,958
144
209
283
729
4,315
1,663
1*415
2,471
795
227
1,889
847
103
306
10,418
6,361
342
852
1*453
1,303
934
1,047
3,724
433
184
724
463
4,620
295
316
142
43
455
533
4*649
154
...
6,76b
381
7L$
3,127
1*134
.?95
328
152
2,91b
2,848
779
205
165
139
&14
6,325
3,762
77,080
1,824
3,675
2,966
231
409
221
709
5,334
2,085
1,60,?
3,603
1,070
560
2,b02
1,229
129
484
16*440
10.673
729
1.564
2,712â
2,142
1,380
1,484
5,970
636
259
1$144
529
6,413
460
435
227
â297
576
606
5,5b4
355
367
4,296
227
960
3,967
1,358
512
491
216
4,189
4*777
1,280
233
231
251
492
5,674
2 .*13
14,956
457
599
434
32
62
30
165
1,107
521
524
843
229
203
492
223
20
80
2,33L
1,267
71
151
258
226
193
235
955
112
35
196
178
1,029
75
75
33
42
84
90
1,089
27
42
1,535
116
227
567
198
56
96
75
765
887
174
16
62
58
137
1*377
783
10,128
23L
438
345
25
39
34
93
589
258
181
624
174
147
356
143
19
61
1,602
992
b9
122
243
204
144
174
665
77
37
128
74
772
51
45
37
40
70
90
T15
43
47
935
37
120
541
167
86
87
52
525
706
184
30
30
41
81
989
567
22,035
517
1,030
810
77
111
55
220
1,535
664
540
1,334
411
314
809
364
65
133
4,878
3,186
199
507
795
594
409
419
1,561
155
58
291
192
1,773
125
117
52
94
128
164
1,464
76
99
1,264
113
318
937
348
90
113
44
1,043
1,279
328
5T
71
89
142
1,597
695
26,994
655
1,323
1,089
74
140
85
235
1,915
756
563
1,476
386
278
1,003
437
46
164
5,230
3,261
225
499
779
640
439
468
2,026
213
95
395
2,087
147
136
83
103
209
212
1,847
114
130
1,695
71
332
1,371
482
160
182
92
1,468
1,628
412
74
80
90
172
2,100
908
34,778
882
1,439
1,105
82
169
85
335
2,415
996
784
1,403
39a
190
1,094
492
30
236
6,819
4,295
283
579
1,079
842
587
659
2,T97
340
133
552
259
2,954
206
229
95
130
284
269
2,739
170
144
2,217
134
427
1,817
568
277
244
134
1,932
2,o98
528
87
134
112
249
2,583
1,252
18,956
457
9L9
741
55
90
60
178
1,165
448
421
857
278
128
625
303
28
91
3.447
2,190
163
252
561
496
282
347
1,207
118
46
231
124
1,399
109
72
6T
51
110
140
1,319
66
82
1,591
63
Z31
951
325
127
135
74
1,035
1,365
369
bl
39
59
147
1,759
90U
17*395
451
479
367
39
50
32
112
1,397
509
364
1,037
275
216
515
243
19
104
3*415
2,2L8
163
234
534
47â7
402
325
1,678
215
55
407
133
1,572
106
142
75
74
180
152
1,183
66
65
957
45
226
u57
305
93
65
36
975
1,041
240
42
81
1:;
l,14b
540
16,024
446
690
527
42
70
47
164
1,.218
475
379
824
235
139
569
248
18
148
3,346
2,079
129
248
498
443
291
331
L,482
195
81
284
145
1,553
114
129
60
67
146
147
1,476
7a
89
1,o82
71
230
1,034
321
118
143
53
1,019
1,138
296
4k3
95
1:;
1,340
647
18,749
452
913
720
65
107
47
193
L,287
540
413
872
256
160
637
307
31
109
4,081
2,659
166
388
638
544
345
376
1,424
148
b8
266
152
1â573
127
101
51
17
118
151
1,311
76
88
907
52
238
981
335
133
85
65
1,032
1,190
338
60
55
67
132
1*fi59
5*5
26,515
598
l*3a6
1,117
77
A52
86
270
1,709
725
589
1,291
39-I
230
912
409
50
L37
5,387
3,442
223
561
890
644
406
499
1,716
15b
75
295
183
l,9b4
137
108
69
90
163
210
1,881
109
125
1,983
107
31b
1,23+
431
lT7
189
94
1.336
l,6b3
430
78
61
91
192
.?,268
1.092
22,080
5b5
1,243
1,014
64
131
72
229
1,418
615
562
1,046
309
165
898
388
51
127
4,144
2,535
169
405
653
4b4
272
362
1,291
112
52
zla
lb7
I,55Z
101
75
43
70
124
126
1,516
97
9G
1,83T
105
298
969
331
134
193
94
1,117
1,336
333
51
30
66
166
1.996
937
01
02
03
04
05
06
07
08
09
Lo
11
12
13
14
15
16
17
la
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
3a
39
40
41
42
43
44
45
46
*7
+8
49
50
51
52
53
54
55
56
57
58
39
TA.9LE 15. NUM8ER OF ALL-LISTED PROCEDURES F(IR PATIENTS DISCHARGED
uNITED STATES, 19.96
FROM SHORT-STAY HOSPITALS, BY AGE ANO PROCEOURE CAT EGCIRV:
[ OISCHARGES FROM NON-FE OERAL HOSPITALS. EXCLUOES NE NBORN INFANTS. GROUPINGS Of PROCEDURES BY ANA TLIMICAL SYSTEMS AND CODE hlUt4iJER
1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASS 1F1CATION OF ILIS EASES, 9TH REV ISJONV CLINICAL MODIFICATION (I CO-9-CM) 1
UNDER 15 15-+4 45-64 65 YEARS
PROCEOURE CATEGORY ANO lCO-9-Cf4 COOE ALL AGES YEARS YEARS YEARS ANO OVER
NUMBER OF ALL-LISTED PROCEDURES IN TIiOUSANDS
ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPEKATIONS ON TH6 NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01-05
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31
oPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-o T
OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16
EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6
INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7
OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20
OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29
RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8
TONSILLECTOMY HITH OR i61Tti OUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3
OpERATIuNs ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34
BRONCHOSCOP Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23
OPERATIONS ON THE CARDIOVASCULAR SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39
REMOVAL OF CORONARY ARTERY OBSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.0
OIRECT HEART REv ASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. L
CAROIAC CA THETERIZAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 L-37.23
PACEMAKER INSERTION, REPLACE14ENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . . ..37.7 -3T.8
OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEti . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41
OPERATIONS ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54
ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3
PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548..9.45.6-45.8
ENOOSCOPY OF LARGE INTESTINE (NATuRAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . . ..45. Z4
APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0
HEf40RRHUI OECTOt4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46
CHOLECYSTECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2
REPAIR OF INGUINAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1
OIVISION OF PERITONEAL AD LESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5
OPERATIONS ON THE URINARY SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59
ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55. Z1-55.22. 56.31,5 T.32,58.22
OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64
PROS TATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 O.2-6O. 6
OPERATIONS UN THE FE14ALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71
00 PHORECTOMY ANO SAL PIN GO- DOPHORECTDMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. b5.3-65.6
81 LATERAL OBSTRUCTION OR oCCLUSION OF FALLOPIAN TUB ES . . . . . . . . . . . . . . ..66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -68. T
OILATION ANO CURETTAGE OF IJTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0
REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5
OBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75
EPISIOTOMY liITH OR HITHOUT FORCEPS OR VACUUt4
EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Z. L,7Z.21,72.31,72 .71,73.6
CESAREAN SE CTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0 -74.2, T4.4,74.99
REPAIR OF CURRENT OBSTETRIC LA AERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..75.5 -75. b
OPERATIONS ON THE WSCULOSKELETAL SYSTEM...................................76-84
OPEN REOUCTION OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 76.79, 79.2-79.3,19.5-7 9.6
OTHER REOUCTION GF FRACTUITE, EXCEPT JAM . . . . . . . . . . . . . 76. T0,7b.78,79 .O-79.1,79.4
EXC1S1ON OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FuslON . . . .. O0.5.81. O
ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..01.41 -81.47
ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8L.6
0P ERA711JNS ON MUSCLES, TENOONS, FASCIA, ANO LIURSA . . . . . . . . . ...82-83.1 ,83.3 -83.9
OPERATIONS ON THE 1NTEGU14ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86
MAST ECTOMY....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4
EXCISION OR CIESTRUCTIDN OF LESION OR TISSUE OF SKIN
ANO SU8CUTANEUUS T IS SUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-8 6.4
SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6.86.7
MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ..8 T-99
COMPUTER IZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..84 AOd7871.88 d01.88838Ol.88.38
PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75
ARTERl OGRAp Hy ANO ANGIOCAROIUGRApHY USING CONTRAST MATERIAL . . . . . . . . . . 80.4 -88.5
OIAGNOSTIC ULTRA SOUND........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7
CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89.6
RAOIOISLITLIPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. O.92.l
38,000
933
347
101
561
1Z2
105
208
L,04b
153
281
1,011 â
199
2, T8b
133
284
775
2 L4
403
5,728
194
293
448
275
114
502
329
325
1,885
671
718
367
2,999
502
423
644
472
147
+,701
1,741
90b
612
3s521
459
.214
338
185
201
344
L,619
132
565
150
9,78L
1,531
406
1,285
1*411
799
n51
1,887
164
123
*5
37
*
*
102
280
*7
176
57
14
129
*
32
*
20
22L
*7
*5
*5
59
*
*
37
*
61
14
79
...
*9
*
*
15
*7
*
*
220
32
55
*
*
*
30
93
40
L7
392
68
13
L7
52
20
18
L5,192
326
99
41
9b
*tJ
~
60
484
109
100
199
36
332
15
Lb
82
*8
96
1,798
38
41
80
174
54
176
84
175
427
113
80
*
2,186
277
421
397
382
48
4,682
L,732
904
609
1,533
18Ll
73
191
75
38
Lb3
642
19
z25
50
2,209
346
145
159
435
104
149
8,976
214
45
32
132
23
18
31
185
27
*
313
b5
1,108
74
144
386
44
116
1,471
56
80
110
28
40
157
101
67
520
178
147
77
573
173
*
191
66
60
*
*
*
*
862
82
33
115
33
40
98
446
51
134
37
2,825
373
lLO
579
337
184
254
11,946
229
80
23
297
87
83
16
96
10
s
442
85
1,217
44
125
275
158
171
2,238
93
L6L7
254
15
19
166
107
81
877
366
411
287
23o
51
. . .
57
23
39
905
L65
53 .
29
74
152
54
43a
b3
166
46
4*355
743
138
529
5a7
492
429
NOTE: SEE 18ME01 CAL COOING ANO tnIT,81 APPENOIX I, FOR COOING HIJOIF ICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
40
TABLE 16. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS* tiY AGE ANO PROCEOURE CATEGORY: UNITEO
STATES, 198a
[DISCHARGES FROM NON-FEDERAL HOSPITALS. EXCLUOES NE HtiORN INFANTS. GROUPINGS OF PKOCEOURES BY ANARCHICAL SYSTEMS ANO COOE NUMBER
INCLUSIONS AR6 BASEO LIN THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MUOIFICATION (ICO-9-Cii) 1
uNOER 15 15-4+ 45-64 65 YEARS
PROCEOURE CATEGORY ANO lCO-9-CM COOE ALL AGES YEARS YEARS YEARS AND OVER
RATE GF ALL-L ISTEO PRCICEOLRES PER 100,000 POPULATION
ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..01-G5
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3l
OPERATIONS ON THG ENOOCRINE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07
OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16
EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. A-13.6
INSERTIUN OF prOSthetiC LEN.3 (pSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L3.7
OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..............18-20
OPERATIONS ON THE NOSE, HOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29
RHINOPLASTY ANO REPAIR OF NO SE . . . . . . . . . . . . . . . . . . . . . . . .....................21.8
TONSILLECTOMY liITH OR hITHOUT AOEhOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..28..? -28.3
OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34
BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21 -33.23
OPERATIONS LIN THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39
REMOVAL OF CORONARY ARTERY OBSTRUCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o
OIRECT HEART REVASCULARIZATI ON....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1
CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 L-37.23
PACEMAKER INSERTION, REPLACE14ENT, R [MOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8
OPERATIONS ON THE HEHIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-+1
OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54
ES0PHAG05c0py ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3
PARTIAL GASTRECTOMY ANO RESECTION OF IN TESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8
ENooscapy OF LARGE INTESTINE (NATURAL oRIFIcE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24
APPENDECTOMY, EXCLUOING IhCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0
HEMORRHOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43.49 .46
CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2
REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1
OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5
OPERATIONS UN THE URINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59
ENOOSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32S58.22
OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64
PROS TATECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 O.2.6O.6
OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71
00 PH0RECT0H% ANO SALPINGO.OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6
BILATERAL OESTRUCTION OR OCCLUS1ON OF FALLOPIAN TUB ES . . . . . . . . . . . . . ...66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7
OILATION ANO CUR ETT.AGti OF UT ERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0
REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5
OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75
EPISIOTOMY !41TH OR WITHOUT FORCEPS OR VACUUll
EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2 l.72.3l.72.7l.73.6
CESAREAN SE CT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. 0.74.2. T4. +.74.99
REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6
oPERATIONS UN THE FIUSCULOSKELETAL SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84
OPEN REOUCTION OF FRACTURE, EXCEPT JAU . . . . . . . . . . . . ...76.79. 79.2 -79.3 ~79.5-T9.6
OTHER REOUCTION OF FRACTURC, EXCEPT JAH . . . . . . . . . . . ..76.7 O.76. 78,79 .0-79.1,79.+
ExCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O
ARTHROPLASTY ANO REPLACEMENT LTF KNEE. . . . . . . . . . . . . ..- . . . . . . . . . . . . . ..81.41 -81.47
ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8I.6
OPERATIONS ON MUSCLt S, TENOONS, FASCIA, ANO BURSA . . . . . . . . . . ..32 -M3.1.83.3-83.9
OPERATIONS ON THE 1NTEGUHENTAR% SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B5-86
MASTECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.+
EXCISION OR OBSTRUCTION OF LES1ON OR TISSUE OF SKIN
ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B6.2-86.4
SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86.7
MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PRO CEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99
COMPUTERIZE AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .8 b80L.8Lib.0L .8 Li.3ll
PYELoGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 .87.75
ART ER1OGRAPHY ANO AN GIOCAROIOGRAPHY USING CONTRAST MATERXAL . . . . . . . ...88.4-88.5
DIAGNQSTIC ULTRA SO UND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88. 7
CIRCULATORY MONITOR ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6
RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.⢠.92.l
15,876.0
389.8
144.9
42.2
234.5
51.0
43.7
87.1
436.9
64.1
1L7.4
422.4
83.3
1,164.0
55.8
118.8
323.8
89.5
168.3
2,393.2
B1.1
122.5
187.3
115.0
47.7
209.8
137.5
135.9
787.5
280.3
299.8
153.2
1,252. B
209.8
176.8
269.1
197.0
61.3
1,963.8
727.5
378.4
255.8
1,470.9
191.7
89.5
141.1
77.4
83.9
143.8
676.5
55.3
235.9
62.6
4,086.2
639.6
169.8
536.7
569.7
334.0
355.3
3,629.2
316.0
235.7
*10.5
71.6
*
a
196.5
539.1
*13.9
339.2
109.9
26.6
248.8
*
62.1
a
38.3
424.7
*13.1
*8.8
*8.8
112. T
*
*
72.1
*
117.2
26.9
15. ?.5
. . .
*16.9
*
*
29.7
*14. O
*
*
424.2
61.9
105.2
*
*
*
57.3
179.1
7T.2
32.2
T54.3
131.6
25.8
33.3
10u.8
38.0
35. U
13,420.4
2B7.9
07.8
36.3
84.4
*7.1
*
52.7
+213. O
96.2
88.5
176.1
31.6
293.4
13.2
13.9
72.5
*6.9
85.2
L,588.5
33.9
36. L
70.3
153.5
48.0
155.6
74.0
154.7
376.8
99.6
70.7
*
1*931.4
2+4.3
372.0
350.3
337.2
42.5
4,136.2
1.530.3
798.4
537.8
1,354.3
15a.7
6+. T
i68.7
65.9
*7.1
143.8
567.5
16.4
198.6
44.3
1 ,951.1
305.5
12T.7
140.3
384.2
91.7
131.5
19,946.6
474.8
99.6
70.1
292.6
51.8
40. L
68.6
410.1
60.5
*
694.8
143.6
2,462.1
L64.6
319.1
657.8
97.5
25T.4
3,268.8
124.4
177.4
244.7
62.3
89.8
348.5
225.0
147.9
1,156.3
396.6
327.1
171.3
1.274.0
385.4
*
424.5
146.3
133.2
*
*
*
*
L*914.9
182.3
73.7
255.2
72.7
89.7
217.4
991.7
L12.9
297.4
83.0
6,276.9
629.7
244.3
1,287.2
748.8
409.6
564.8
40,947.9
7u6. O
274.3
78.8
1,017. B
298.1
285.8
54.3
330.7
34.4
*
1,514.8
29L.9
4*i70.0
150.4
429.0
941.4
542.9
584.7
7,672.5
3L8. L
576.0
870.6
50.7
64.7
569.5
365.7
276.0
3,006.7
1,253.9
1,409.1
985.2
789.3
L73.6
. . .
194.0
79.3
132.7
. . .
. . .
. . .
. . .
3,103.4
5b5.7
182.3
98.6
252.8
521..?
184.6
1,500. o
216.2
568.9
156.6
1*,928.9
2,548.1
4T4.6
1,814.2
2,012.5
1,685.0
1,471.4
NOTE: SEE â1f4E91CAL COOING ANO EOIT,ll APPENOIX I, FOR COOING 140L11F1CATIONS FOR THE NATIONAL HOSPITAL OISChARGE SURVEY.
41
.
TABLE 17. NUMBER OF ALL-L1 STEO PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY SEX ANO PROCEOURE CA TEGORV:
STATES, L9d6 . .
UNITED
lDISCHARGES FROM NON- FkLZERAL HOSPITALS. EXCLUDES NE16BORN INFANTS. GROUPINGS OF PROCEOURk S BY ANATGtii CAL SYSTEMS AND CODE NIJHBER
1NCLUS1ONS ARE EIASEO UN THE 1NTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CLINICAL MOOIE1CATION (I CO-9-CM) 1
PRDCEOUlt E CATEGORY ANO ICO-9-CM COOE 80TH SEXES HALE - FE14AI. E
NUt48Ek OF ALL-L ISTEO PROCEOUT4ES Iti THOU SANOS
ALL PROCEDURES......2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,000
OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.3A
OPERATIONS ON THE ENUOCRINk SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-o T
OPERATIONS ON TtiE EYE . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16
EXTRACT ICIN OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6
INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7
OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20
OPERATIONS ON THE NOSE, MOUTH. ANo PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2i-z9
RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2 L.&
TONSILLECTOMY i.lITH OR i.lITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..z13. z-2E.3
OPERATIONS ON THE RESPIRATORY SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34
BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 L-33.23
OPERATIONS ON THE CARO1OVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39
REMOVAL OF CORONARY ARTERY OBSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o
OIRECT HEART REv ASCULAR12A TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. I
CAROIAC CA ThETER12AT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23
PACEMAKER INSERTION, REPLACEMENT, RtMOVAL, ANO REP AI R. . . . . . . . . . . . . . ..37. T-37. a
OPERATIONS ON THE HEMIC ANO LY14PHAT1C SYSTEM . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ...40-41
OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~2.54
ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13
PARTIAL GAS TRECTOHY ANO RESECTION OF IN TEST IN E. . . . . . . . . . ...46.4548.8.45.6-45.8
ENooscOPY OF LARGE INTESTINE (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+
APPENOECTCM4Y, EXCLUOING INCIDENT AL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~7. o
HEMORRHOIOECTOM Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -+9.46
CHOLECYSTEC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2
REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.⢠.S3. I
OIVIS1ON OF PERITONEAL ADLESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5
OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59
ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22
OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64
PROSTATECTO MY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6
OPERATIONS ON THE FEMALE GENITAL ORGANs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7l
00 PHORECTOMY AND SAL PIN GO- OOPHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6
BILATERAL OESTRUCTII.IN OR OCCLUSION OF FALLOPIAN TU8ES . . . . . . . . . . . . . ...66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7
OILATION ANO CURETTAGE OF UT EC US . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69. o
REPAIR OF CYSTOCELE ANCI RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5
OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75
EPIS1OTOMY wITH OR HITHOUT FORCEPS OR VACUUM
EXTRA CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.1,72 .21,72 .31,72 .71, iâ3.6
CESAREAN SECT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0 -74.2 .74.4 .74.99
REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75. 5-75.6
OPERATIONS UN THE MUSC ULOSKELETAL SYSTEN...................................76-84
OPEN REOUCTION OF FRACTURE, EXCEPT JAU . . . . . . . . . . . . . .. T6.79. 79.2 -79.3,79.5-79.6
OTHER REOUCTION OF FRACTURE, EXCEPT JAH . . . . . . . . . . . ..76.00796 .78.74 .O-79.1.79.4
EXCIS1ON OR LIESTFWCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O
ART HUOPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47
ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8L.6
OPEILATIONS ON MUSCLES, TENDONS, FASCIA, ANO BuRSA . . . . . . . . . ...32-83.1.83.3-83.9
OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-66
MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0 . . . . . . . . . . . . . . ..~5.4
EXCISION OR 0ES7RUCTION OF LESION OR TISSUE OF SKIN
ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-86.4
SKIN GRAFT (EXCEPT LIP OR MouTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86.6 -a6.7
15*318 22,602
4!53
167
933
347
480
L80
101 26 75
561
122
105
252
48
40
3)10
iI4
65
208 120
1,046
153
281
535
79
121
5111
if 4
160
1,011
199
585
119
42!6
80
1,102
39
i~o
200
1(11
2,786
133
284
1 *6a4
94
214
495
113
775
214
403
5.72a
194
293
44a
275
1L4
502
329
325
l,a85
671
718
367
2,999
502
423
644
472
147
4,701
1*741
906
612
3,521
459
214
33a
la5
201
344
203 200
3,294
1C12
165
256
132
5,5
2,434
92
128
192
143
60
144
293
54
35ta
36
271
1,159
493
726
178
71a
367
. . .
. . .
2,999
502
423
644
472
147
. ..
. ..
. . .
. . .
. . .
. . .
. . . 4,701
1,741
906
612
. . .
. . .
1,767
220
104
127
94
138
149
1,T54
239
110
211
91
63
196
1,619
132
565
150
9.7al
1,531
651
*
283
87
969
130
282
63
HISCELI, ANEOUS OIAGNOSTKC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99
COMpUTERIZEO AXIAL TOMOGRAPHY (CAT scAN) . . . . . . . ..a41.3*a7.4l. 87.71,.sa. ol, aa.38
PYELOGRAi+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75
ARTERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST nA7ERIAL . . . . . . . . ..88.4 -aa.5
DIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8d OT
CIRCULATORY MONIT ORIN G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a9.6
RAOILIISOTOPE scAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o.9~. ~
5, ,062
7a4
183
514
a65
3a5
462
4,T18
747
223
771
547
414
3a9
406
1,285
1,41L
799
851
NOIE: SEE âlMEOICAL COOING ANLI EOIT,,I APPENOIX 1, FOR COOING MOOIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
42
TA13LE 18. RATE W ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHOUT-STAY HOSPITALS, 8Y SEX AND PROCkOURE CAT EbORY:
sTATES, 1986
uNITto
[DISCHARGES FRL3M NON-FEDERAL HOSPITALS. EXLLUOES NEHBORtA INFANTS. GROUPINGS OF PROCEDURES bY ANATOMICAL SYSTEMS ANO COGE NUt4BER
INCLUS1ONS ARE FzASEO ON THt INTERNATIONAL CLASSIFICATION OF OISEASES. 9TH 8EVIS1ON, CLINICAL MO!J1F1CATION (ICC-9-CM) 1
PROCEOURk CATEGORY ANO lCO-9-CM COOE dOTH SEXES MALE FEMALE
RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION
ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31
OPERATIONS ON THE ENOOCRINE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O6.O7
OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6
EXTRACTION GF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6
INsERTION OF PROSTHETIC LENS (PsEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. T
OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O
OPERATIONS ON THE NOSE, 140UTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2L-29
RHINoPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21.8
TONSILLECTOMY !41TH OR ldITHOUT AOENOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3
OPERATIONS UN THE RESPIRATORY .3ysTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34
BRONCHDSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l-33.23
OPERATIONS ON THE CARDIOVASCULAR SYSTEM....................................35-39
REMOVAL OF CORONARY ARTERY OBSTRUCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. O
DIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l
CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.3T.23
PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8
OPERATIONS ON THE HE141C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41
Operations ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54
ESOPHAGOSCOPY ANO GASTROSCOPY (NATuRAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..4 Z.23.44.13
PARTIAL GAS TRECTO14Y ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8
ENOOSCOPY OF LARGE INTESTINE (NATuRAL OR IF ICE) . . . . . ..- . . . . . . . . . . . . . . . . ...45.24
APPENOECTOHY, EXCLUOING IN CIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0
HEMuRRHIJIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43-+9 .46
CHOLECYSTEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2
REPAIR OF It+ GUItAAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. O.53.l
OIV:SION OF PERITONEAL AIzLESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-....54.5
OPERATIONS ON THE URINARâf SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . ...55-59
ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . . . 55., ?1-55.22,56.31,57 .32,58.22
CIPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64
PROSTATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 0.2-b G.6
OPERATIONS ON THE FEHALE GSNITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7 I
00 PHOREC70HY ANO SALPINGO-OO PHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6
BILATERAL 0E3TRuCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7
OILATION ANO CURETTAGE OF UT ECUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0
REPAIR OF CYSTOCFLE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5
OBSTETRICAL PROCEOURk S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Tz-T5
EPISIOTOHY IAITH LTR WITHOUT FORCEPS OR VACUUH
EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2 l.72.31.72. Tl.73.6
CESAREAN SE CT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.0 -74.2,74 .4,74.4â9
REPAIR OF CURRENT OBSTETRIC LACE RAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6
OPERATIONS ON THE INJSCULOSKELETAL SYSTEf4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T6-u+
OPEN REOUCTIUN OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 70.79,79 .2- T9.3,79.5-T9. h
OTHER REOUCTION OF FRACTURE, EXCEPT JAB . . . . . . . . . . . . . 76.70, T6.78,79. O-79.1,79.4
EXCISION OR OESTRUCTILIN OF INTERVERTEBRAL OISC AND SPINAL FUSION . . . ..8 G.5081. O
ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..til.4l-8l.47
AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 I.5.81.6
OPERATIONS ON MUSCLES, TENOONS, FASCIA, AND L!uRSA . . . . . . . . . . ..ti3-83.9 .Li3.3-83.9
OPERATIONS UN THE IN TEGUMENTARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..u5-66
HAs TECTO!IY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L15.4
EXCISIIiN OR OBSTRUCTION OF LESION OR TISSUE OF SKIN
ANO SUBCUTANEOUS> TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. Z.O6.4
SKiN GRAFT (EXCEPT LIP OR HOUTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86.6 .S6.7
NISCELLANEWS DIAGNOSTIC ANIl THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. U7-99
COMPUTER IZt D AXIAL TcNIOGRAPHY [CAT SCAN) . . . . . . . ..841 .8787141 .87.71 ,88-01,88.38
PYELOGRAH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87. T3-n7. T5
AR TERIOGRAPHY ANG ANGIOCARO1OGRAPHY uSING CONTRAST tiATERIAL . . . . . . . . ..58. +-8tl.5
OIAbNOSTIC ULTRA SOuNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..aa.7
CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6
RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-9z. 1
15, a76.o
3a9. n
L44.9
42.2
234.5
5L. O
43.7
a7.1
436.9
64.1
117.4
422.4
a3.3
1,164. O
55a
lia.a
323a
a9.5
168.3
2,393.2
ail
122.5
ia7.3
115.0
47.7
209.8
137.5
135.9
787.5
280.3
299.8
153.2
1,252. a
209. a
176. a
269.1
197.0
61.3
l,9b3.8
727.5
37a.4
255.8
1,4 T0.9
191.7
89.5
1+1.1
77.4
83.9
1+3. a
676.5
55.3
235.9
02.6
4,0a6.2
639.6
1o9.13
536.1
5u9. T
334.0
355.3
13,228.2
4L4.9
155.2
22.1
217.4
4L.4
34.5
103.0
462.0
6a.4
104.1
505.0
L02.7
1,454.1
81.5
la5.1
427.6
97a
175.2
2,102.1
79.3
110.5
165.9
123.3
51.5
124.1
253.3
46.6
l.OOO. a
425.6
619. T
316.7
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
1.514.5
Z06.4
95.4
181.8
?b. i
54. T
169.0
561.9
*
Z44. U
75.4
+,074.7
645.5
192.6
6b5.7
4T2. L
35T.9
335.8
la,357.7
366.3
135.2
61.0
250.5
60.0
52.4
71.6
413.4
60.1
129.8
345.0
65.1
a92.1
31.7
5.5. a
226.4
B1. a
161. T
2,666.0
a2.7
133. a
207.3
107.1
44.2
290.1
29.0
219. T
5a7.6
144.2
. . .
. . .
2,427.0
406.4
342.6
521.4
381.6
ila. e
3,804.4
1,409.3
733.0
495.6
1,430.0
177.9
84.0
102.9
76.5
111.3
120.2
Ta+. o
io>.4
Zzu. +
50.1
+,09T.1
634.2
14a.4
415.8
099.8
311.6
373.6
NOTE: SEk â*ME OICAL COOING ANO EOXT, - APPENOIX 1, FOR COOING UOOIFICATIONS FOR THE NAT IOhAL HIJSPI IAL UISCkiARbk bbRVk Y.
43
TABLE 19. NUHdEk OF ALL-L LSTEU PRIJc EOURk S Ftiu PATIENTS DISC HARGEO FROM SHORT-STAY HOSPITALS, BY RACE ANO PROCEOURE CATEGORY:
uNITEO STATES, 19ab
[DISCHARGES FROM NCIN-FEOERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. GRGUPINGS OF PRQCEGURES BY ANA TGHICAL SYSTEMS AND COOE NUMBEIT
1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASS IF ICATICIN OF OISEASES, 9TH REV1S1ON, CLINICAL MOOIF1CATION (I CO-9-CM) 1
PROCEOURE CATEGORY ANO ICO-9-CM COOE
ALL NOT
ALL RACES klHITE OTHER STATEO
NUMEIER OF ALL-L ISTEO PROCEDURES IN THOLJSANOS
ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.3 L
OPERATIONS ON THE ENOUCRINE SYSTEM.........................................⢠6.O7
OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16
ExTRACTIUN GF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6
INSERTION OF PROSTHETIC LENS (P SE UOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.7
OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-zo
OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29
RHINOPLASTY ANO flEPAi R OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21. a
TONSILLECTOMY WITH OR WITHOUT AOENOIOEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . ..zf3. z-z5.3
OPERATIONS ON THE RESPI(CATâ7RY SYSTEti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34
dRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23
OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39
REMOVAL OF CORONARY ARTERY OIKSTRUCTI ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o
OIRECT HEART REV As CULARIZATI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l
CA ROIAC CA THETERIZAT 10N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37. ZI.37. Z3
PACEMAKER INSERTION, REPLACE 14ENT, REMOVAL, ANO REP AI R. . . . . . . . . . . . . . ..37. T-37.8
OPERATIONS ON THE HEf41C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41
OPERATIONS ON THE OiGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-5+
ESOPHAGOSCaPY ANO GAS TROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13
PARTIAL GAS TRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . . . 43.5 -43.8,45.6-45.8
ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+
APPENDECTOMY, EXCLUi)ING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o
HEMORRHOIOEC TIJMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+9. +3-49.+6
CHOLECYSTEC T014Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z
REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1
OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5
OPERATIONS ON THE URINARY SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59
ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22
OPERATIONS UN THt HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64
PRO STAT EC TOHY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60.2-60.6
OPERATIONS UN THE FEllALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7L
00 PHORECTOMY ANO SAL PIN GO- OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6
BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUJ3ES . . . . . . . . . . . . . ...66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -6a.7
OIL AT ION ANO CURETTAGE OF UT ECUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69. o
REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5
OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7Z. T5
EPISIOTOMY !41TH OR 161THOUT FORCEPS OR VACUUM
EXTRACl I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T2.1 ,72.21,72.31,72.71,73.6
CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-7+.2,74.4,74.99
REPAIR OF CURRENT OBSTETRIC LA AERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6
OPERATIONS ON THE i+uSCULOSKELErAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . ...76-8+
OPEN REOUCTION OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 76.79,7â9.2- T9.3,79.5-79.6
OTHER REOUCTION OF FRACTURE, kXCEPT JAM . . . . . . . . . . . . . 76.70,76 .78,79.0-79.1,19.4
EXCISION OR OBSTRUCTION OF lNTERVERTEt3RAL OISC ANO SPINAL FuSION . . . ..8 0.5.81. O
AR THROPLASTY ANU REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -8 L.47
AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6
OPERATIONS ON MuSCLES, TEN OLTNS, FASCIA, ANO tlURSA . . . . . . . . . ...82-83. 1,83.3 -83.9
OPERATIONS ON THE lNTEtiu MENTARY System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..85-tI6
MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4
tXCISION JR OESIRUCTION OF LESION OR TISSUE OF SKIN
ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..136 .z-E6.4
SKIN GRAFT (EXCEPT LIP OR MOUT H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86. 7
MISCELLANEOUS OIAGNti STIC ANO THE RAp Eu71c PrOCed Urea . . . . . . . . . . . . . . . . . . . . . ...87-99
C(IMPUTERILEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .8787 .41.87 .71,88 .01,88.38
PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -8 T.75
ART ERIOGRAPHY ANO ANG1OCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . ..88. +88.5
Diagnostic ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7
CIRCULATORY UIJNITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6
RAO1OISOTGPE SC AN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-92. 1
38,000
933
34T
101
561
122
105
208
1,0+6
153
281
1,011
199
2,786
133
284
TT5
214
403
5,728
194
293
448
275
114
502
329
325
1,885
671
718
367
2,999
502
423
644
472
147
4,701
1,741
906
612
3,521
459
214
338
185
201
344
1,619
132
565
150
9,781
1,531
406
1,285
1,411
799
851
28,518
686
234
70
399
93
82
L62
817
L26
222
767
154
2,216
114
246
636
173
315
4,425
L49
231
359
Zio
88
386
258
240
1*483
545
561
292
2,132
375
271
476
317
120
3,024
1,193
608
384
2,626
347
167
261
133
L64
252
1.198
103
415
110
7,635
1,200
332
1,037
1,047
6i0
5,6+6
154
84
16
67
13
+9
19
103
=%9
27
160
26
358
12
19
84
22
54
757
29
30
56
31
14
55
35
54
228
74
90
33
533
67
90
90
111
10
959
290
173
136
433
51
21
30
15
10
47
254
14
93
26
1,463
231
46
143
2T9
133
3,836
93
29
15
95
16
13
27
126
19
32
84
19
212
=8
19
56
20
34
546
16
32
34
34
12
61
37
32
174
52
67
41
333
59
55
78
43
17
717
259
124
92
461
61
27
47
37
27
45
167
16
57
15
683
100
28
105
86
56
678 129 43
NOTE: SEE **ME 01 CAL Cti OINti ANO ED IT,,, APtIENUIX 1, FUR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
TAbL6 20. NUMBER OF ALL-L ISTEO PROCEDURES FOR PATIENTS OISCFIARGEO FROH SHORT-STAY HOSPITALS, BY GECIbRAPtl IC REGIGN ANO PROCEOURE
CATEGORY: uNITEO STATES, 1986
iOISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLUti ES NE14k10RN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEHS ANu COOt NUMBkR
inclusions ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REV ISIdN, CLINICAL HOOIFICATIOb (ICC-9-CM) 1
uNITED NORTHPROCEOURE CATEGCIRY ANO ICO-9-CM COOE STATES kAST MI OHEST SOUTH dEST
ALL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATIONS ON THE NERVOUS SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...93.31
OPERATIONS ON THE liNOOCRINE SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07
OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6
EXTRACTION GF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6
INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7
OPERATIONS UN THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O
OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29
RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21.8
TONSILLECTOMY xITH OR liITHOUT AOENOIDECTOHY . . . . . . . . . . . . . . . . . . . . . . . . ..2 I3.2-2a.3
OPERATIONS ON THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34
BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23
OPERATIONS ON THE cAR010vA5CuLAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39
REMOVAL OF CORONARY ARTERY OBSTRUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.0
OIRECT HEART REV ASCULARIZAT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1
CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23
PACEt4AKER INSERTION, REPLACEMENT, REHOVAL, ANO REPAIR . . . . . . . . . . . . . . ..3 V.7-37.8
OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41
OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54
ESOPHAGOSCOPY ANO GASTROSCOPY (NATuRAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13
PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . ..46.4548 .8 S45.6-45.8
ENOOSCOPY OF LARGE INTESTINE (NATURAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24
APPENOECTOHYS EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47.â˘
HE140RRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46
CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5l.2
REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.⢠.53.l
OIVISION OF PERITONEAL AD HE SIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5
OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59
ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.5T.32.58.22
OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64
PROSTATE CTD14Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6
OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . ...65-71
00 PHORECTOHY ANO SAL PINGO.OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6
BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3.68.7
OILATION ANO CUR ET7AGE OF LTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49.0
REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TO.5
OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75
EPISIOTOMY wITH OR liITHOUT FoRCEPS OR VACUUM
EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 72.1,72 =2 L,72.31,72.7~, T3.6
CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7+. 0.74.2. T4.4.74.99
REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6
OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..76-Ll4
OPEN REOUCTION OF FRACTURE, EXCEPT JAU...............3,79957792-79.3,79.5-79.6
OTHER REOUCTION OF FRACTURE, EXCEPT .( Au . . . . . . . . . . . ..76.00 .76.78 .74. O-79. I. T9.4
EXCIS1ON OR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O
ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47
ARTHROPLASTY ANo REPLACEMENT OF liIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8l.5.8l.6
OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...32-83.1.83.3-83.9
OPERATIONS ON THE INTEGUHENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86
HASTECT014Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-4
tXCISION OR OBSTRUCTION OF LESION OR TISSUE OF SKIN
ANO SUBCUTANEINJS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2.86.4
SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86.7
MISCELLANEOUS DIAGNOSTIC ANG THERAPEUTIC PROCEOLIRES . . . . . . . . . . . . . . . . . . . . . ...87-99
CO14PUTERIZE0 AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..i341.ti 77.41. ti01.8883&ll.88 .3&l
PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75
ARTER1OGRAPHY ANO ANGIOCAROIGGRAPHY USING CONTRAST HATER IAL . . . . . . . . ..58.4 -8.s.5
DIAGNOSTIC ULTRA SLTUNO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.7
CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..&9. O
RACIIOISOTIJPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..9 Z. 0.92. I
NUH8ER OF ALL-L ISTEO PROCEDURES IN THOUSANOS
38.000
933
347
101
561
122
105
208
1,046
153
281
1,011
199
2,786
133
284
775
214
403
5,T28
194
293
448
275
114
502
329
325
1,885
671
718
367
2,999
502
423
644
4T2
147
4.701
1*741
906
612
3,521
459
214
338
185
201
344
1,619
132
565
150
9,781
1,53L
406
1,285
1*411
199
851
8,3&la
165
75
16
159
51
46
46
213
27
47
2L9
41
494
18
39
122
47
93
1,261
53
65
120
47
21
92
84
64
399
160
150
74
622
79
76
93
160
23
869
314
177
111
618
87
45
38
26
36
6a
345
23
131
2s
2,717
471
109
230
465
293
289
10,064
251
81
31
188
32
24
55
346
64
81
260
52
836
46
96
231
56
117
1,473
39
80
103
T9
30
136
90
79
519
188
203
102
683
137
83
164
86
31
1,229
437
211
154
928
106
57
83
67
61
92
449
36
154
43
2,495
357
119
406
355
133
197
12,137
335
120
35
117
19
14
74
338
41
112
341
75
948
49
103
305
73
127
1,967
79
84
164
B5
48
167
115
122
652
244
228
113
1,145
185
191
254
168
60
L,462
598
310
191
1,141
141
65
143
43
52
114
546
47
199
50
2,681
427
127
424
336
136
Zod
7*412
la3
64
20
9a
21
21
33
i49
21
41
191
31
5oa
21
46
117
3a
65
1,027
23
65
61
64
16
107
4a
60
315
79
137
78
548
101
73
133
57
32
1,141
392
208
157
a34
125
47
73
49
52
7i
276
26
az
32
l*a87
275
51
225
255
237
157
NOTE: SEE *,HEOICAL COOING ANLI EOIT,,, APPENOIX 1, FOR COO INIJ MOOIF1CATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
45
TAu LC 21. RATE OF AL L-L ISTk D PROCEDLMES F(IR PA TJ EN IS. DISCHARGECI FROM SHOKT-STAY
CATEGORY: UN ITEO STATES. 1986
HUSPITALS+ BY GEOGRAPHIC REGION ANO PROCEOURE
( DISCHARGES FROM NOti-FEOERAL HOSPITALS. EXCLUOES NEuEiORN INFANTS. GROUPINGS OF PROCEDURES dV ANATOMICAL SYSTEMS ANO COOk NUMbkR
1NCLUS1ONS ARE uASEO ON THE INTERNATIONAL CL ASS IF1CATION OF OISEASES, 9TH RkVISION, CLINICAL HOOIFICAi ION lCO-9-CM) 1
UN ITEO t+ORTHPRO CEOURE CAT El, ORY ANO lCO-9-CPl COOE STATES EAST MI OHEST SLWTH HEST
RATE OF ALL-L ISTEO PRO CEOLRES PER 100,000 POPULATION
ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATIONS ON THE NERvOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..03.3L
OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07
OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16
EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.l-i3.6
INSERTION OF PRUSTHETIC LENS (PSEUDOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L3.7
OPERATIONS ON THE EAR . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..18-zo
OPERATIONS ON THE NOSE, fiOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29
RHINtiPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Zl.8
TCINSILLtCTOHY HITH (JR blITHOUT AOENOLOECTOilY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3
OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34
BRONCHOSCO PA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23
OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39
REMOVAL OF CORONARY ARTERY OBSTRUCT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.0
OIRECT HEART REV ASCULARIZAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. L
CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23
PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8
OPERATIONS ON THE HEt41C ANO LYMPHATIC SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41
OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54
EsOpHAGOscOp Y ANO GASTRCISCOPY (NATURAL Orifice ) . . . . . . . . . . . . . . . . . . ..4 L.23.44. L3
PARTIAL GAS TRECTOti Y ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8
ENOOSCOPY OF LARGE INTEsTINE (NATURAL oRIF1cE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24
APPENDECTOMY, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..â. ..47. o
HEMORRHOILJEC TOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46
CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z
REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1
OIVIS1ON OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5
OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59
ENOQSCOPIES THROUGH NATURAL OR IF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.3Z.58.22
OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64
PRO ST4TECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60. 6
OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71
00 PHORECTOMY ANO SAL PIN GO- OOPHORECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6
BILATERAL 0ESTRUC710N OR OCCLUS1ON OF FALLOPIAN TUBE S. . . . . . . . . . . . . ...66.2-66.3
HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3 -6 LT.7
OILATION ANO CURETTAGE OF IJTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0
REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7o.5
OBSTETRICAL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75
kPISIOTOMY 141TH OR tAITHOUT FORCEPS OR VACUUM
EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2L .72.3 l.72.7l.73.6
CESAREAN SEC TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T4. O-7+.2 .74.4 .74.99
REPAIR OF CURRENT oN, TETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15.5 -75.6
OPERATIONS ON THE MUSCULOSKELETAL SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84
OPEN REOUCTION OF FRACTURE, EXCEPT JAu . . . . . . . . . . . . ...76.79. 19.2 -79.3,79.5-79.6
OTHER REOUCTION OF FRACTURE, EXCEP7 .AAH. . . . . . . . . . . . . 76.70,76 .78, T9. O-79.1,79.4
EXCISION OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5..81. O
AR THROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47
ART HRCIPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B1.5.81. o
OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BuRSA. . . . . . . . . ...82-83. 1 ,83.3-83.9
OPERATIONS ON THE IhTEGUHENTARY SYSTEU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86
MAST ECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a5. +
EXCISION OR OBSTRUCTION OF LESION OR TISSUE OF SKIN
ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. +86-4
SKIN GRAFT (EXCEPT LIp OR t40uTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06.6-86.7
MiSCEL~ANEOUS OIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...81-99
CClllPUTERIZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .8 LT7.71.8L3 EI1.88.3EI
PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a7.73-a7.75
AR TERIOGRAPHY ANO AN GIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . ..5i8.4-88.5
OIAGNOSTIC ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..aa.7
CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a9.6
RALIIOISOTOPt SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.⢠.92. I
15,876.0
389.8
144.9
42a
234.5
51.0
43.7
87.1
436.9
64.1
117.4
422.4
a3.3
1,164.0
55a
Lla. a
323.8
a9.5
168.3
2,393.2
all
122.5
la7.3
115.0
47.7
209.8
137.5
135.9
7a7.5
2ao.3
299a
153.2
1,252. a
209. a
176.8
269.1
197. o
61.3
1,963.8
7Z7.5
37a.4
255.8
1,470.9
191.7
a9.5
14L.1
77.4
83.9
143. a
676.5
55.3
235.9
62.6
4,080.2
639.6
L69.8
536.7
589.7
33+.0
355.3
16,908.1
331.6
149.9
31.1
317.7
101.9
9i.6
92.3
426.3
54.5
94.8
438.2
82.1
990.1
35.8
79.1
244.9
95.0
186.6
2,527.6
106.6
129.3
240. a
93.3
41.6
184.4
16a.2
127.4
799.6
320.0
299.6
147.5
1,246.3
15a.3
153.0
186.2
321.5
47.0
1,740.3
630.2
353.7
222.9
l,23a. o
173.6
89.9
76.2
52.8
72.1
136.0
69a.5
45.9
261.9
50.3
5,444.2
944.4
2ia.4
461.6
931.0
5a7.1
578.1
17,009.4
423.5
147.5
51.6
31?.3
53.4
41.4
93.6
5a5.6
108.4
136.8
440.2
8a.6
L,413.6
78.0
163.0
389.9
93a
19a.5
2,489.6
65a
134.8
174.2
133.3
50.0
230.6
152.7
134.2
877.3
317.4
343. &
172.4
1,154.4
231.5
140.6
277.0
146. O
53.2
2,077.2
73a.6
356.0
259.7
1 ,567.9
179.7
,96.0
140.a
113.8
102.6
154. a
75a.5
61.3
259.9
72.3
4,2 L6.9
603.6
20i.7
686.3
.600.7
225.5
332.1
14,784.6
407.5
146.4
4Z.7
142. a
Z2.8
17.0
89.9
411.7
50.4
136.7
415.2
91.5
1,15+.6
59.7
125.3
371.6
88.9
155.0
2,395. b
96.5
102.6
199.7
103.9
57.9
203.2
139.5
1+9.2
793.9
297.7
277.2
137.3
1*395.3
225.2
232. L
309. a
204.6
72.6
1,780.9
72a.2
377.8
232.5
1,390.5
17L.3
79.5
174.2
51.9
63.2
138.9
665.2
57.6
242.1
61.5
3,266.5
5Z0.5
154.8
516.0
409.5
L65.7
253.â3
15,378.8
37EI.7
133.7
41.4
203.0
43.4
42.6
69.0
3oa.3
42.8
a4.1
396.4
64.1
1,053.7
42.6
94a
242a
79.6
134.7
2,131.2
47.1
134.4
L26.7
133.8
34.0
221.9
a3.6
124.4
653.9
164.2
284.6
,162.8
1,137. a
210.3
151.9
276.1
117.7
67.0
2,367.6
a13.6
432.1
324.9
1.729. a
259.9
9a.2
152.3
101.5
108.4
146. a
572.0
53.9
169.2
65.6
3,916.0
571.2
105.6
466.0
529.6
491.9
325.9
NOTE: SEE â6MEOICAL CLIOING ANO EOIT, W APPENOIX I, FOR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
46
TAtiLE 22. NUMBER LIF ALL-LISTED PRUCEIMJRES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPIIALS? MY EEO SIZt OF HOSPITAL ANO PWCEOURk
CATEGURY: uNITEO STATES. 1986
[DISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLUOES NEwdORN INFANTS. GROUPINGS OF PROCEDURES BY AhAIGHICAL SYSTEHS ANO COOE NME. ER
INCLUSPJNS ARE L!AStO LIN THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL f100IFICATIGN ( lCO-9-CM) 1
ALL 6-99 100-199 200-29q
PR13Ct OURE CATEGORY ANO ICO-9-CM COOE
300-499 500 BEOS
sIz&s Blms BEOS BEOS BEOS OR hORE
NuMBER UF ALL-L ISTEO P17GCEGURES IN THOUSANDS
ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...38.000
OPERATIONS ON THE NE KVOU.i SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05 933
SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- . . . . . . . . . . . . . . . ...03.31 347
OPERATIONS ON THE ENOLICRINE SYSTEM . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . ...06-07 101
OPERATIONS ON THE EYE......................................................08-16 561
EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6 122
INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7 105
OPERATIONS ON THE EAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-20 208
OPERATIONS ON THE NOSE, FIOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 1,046
RHINOPLASTY ANO REPAIR OF NO SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8 153
ToNSILLECTOMY HITH OR HITHOUT AOENOIOECT014Y . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3 281
OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34 1,011
BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23 199
OPERAT1ilNS ON THE CARO1OVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 2,786
REMOVAL OF CORONARY ARTERy oBs TRucT1oN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o 133
OIRECT HEART REV ASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1 2b4
CAROIAC CA THE Tti RI CA TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7.21 -37.23 775
PACEHAKER INSERTION, REPLACEMENT, REMOVAL. ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8 214
OPERATIONS ON THE HEF41C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 403
OPERATIONS ON THE OIG&STIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54 5.728
ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .+4.13 194
PARTIAL GASTRECTOHY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8 293
ENOOSCOPY OF LARGE INTESTINE (NATIJRAL OR IF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 4+8
APPENOkCTOMY, EXCLUOi NG lNCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . ...-...........47.0 275
HE MORRHOIOECTOHY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49 .46 114
CHOLECYSTECT 014Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 502
REPAIR clf IflGUINAL HE RN I A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53.0 -53.1 329
OIVISION OF PERITONEAL ADHESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5+.5 325
OPERATIONS ON THE URINARY SYSTW1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 1,885
ENOOSCOPIES THROUGH NATURAL OR IF IC6 . . . . . . . . . . . ..-55 .21-55.22.56 .3l.57.32.58.22 671
OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . ..6O-64 718
PROS TAT EC TOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6 367
OPERATIONS UN THE FEHALE GENITAL i3RGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7l 2,999
00 PHORECTOHY ANO SAL PINGO-GOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 502
BILATERAL OESTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3 +23
HYSTERECTOFIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. b8.3-68. 7 6+4
OILATION ANO CURETTAGE OF UT ECU S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . bâi. O +72
REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 147
OBSTETRICAL PROCEDURE S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72-75 4,T01
EPISIOTO&lY ltITH OR HITHOUT FORCEPS OR VACUUM
EXTRACT I ON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.1,72 .21,72 .31,72 .TI, T3.6 1,741
CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T4. O. T4.2.74. +.74.99 906
REPAIR OF CURRENT OtISTETRIC LACERAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75-6 612
OPERATIONS ON THE HUSCULOSKELk TAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-8+ 3,521
OPEN REOUCTION OF FRACTURE, EXCEPT JAH . . . . . . . . . . . . ...3.79951792-79.3.79.5-79.6 +59
OTHER REOUCIILIN OF FRACTURE, EXCEPT JAIF . . . . . . . . . . . ..76.00796 .78.74 .0-79.1. T9.4 214
EXCISION OR LIESTRUCTION UF ltwTERVERTEliRAL OISC ANO SPINAL FIJSION . . . ..8 0.5081. O 338
ARTHROPLASTY ANO REP LALEHENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 I .41-81.+7 185
AR THROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6 201
OPERATIONS ON HUhCLES, TENOONS, FASCIA, ANO MURSA. . . . . . . . . ...32-83.1*83.3-83.9 344
OPERATIONS ON THE IN TEW.MIENTARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 1,619
MAST EC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .d5.4 132
EXCISIUN OR OCSTRUCTICiN UF LESILIN Ott TISSUE OF SKIN
ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-86.4 565
SKIN GRAFT (EXCEPT LIP OK MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. b.86.7 150
MISCELLANEOUS DIAGNOSTIC ANO THt KAPEu IIC PROCEDUFCES . . . . . . . . . . . . . . . . . . . . . . .. S7-99 9,781
CO14PUTERIZEC AXIAL IOt4GbRAPHY (CAT SCAN) . . . . . . . ..87. 03. ET71.88801 .88838 O1.88.38 1,531
PYELOGRA14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87. 73-87.75 406
ARTERIOGltAPHY ANO ANGIOCAROIObRAPHY USING CON THAb T MAT ERIAL . . . . . . . ...88.4-88.5 1,285
DIAGNOSTIC ULTRA SOUNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ti8.7 1.411
CIRCULATORY 140NITORIN6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..89. b 799
RAOIOISOTOPt SC AN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92.0-92. 1 851
3,886
5b
22
36
83
12
12
14
139
30
+7
76
14
56
*
*
15
25
758
15
34
45
68
16
89
63
39
169
62
83
*3
401
70
85
88
53
17
5a*
.252
112
86
+16
53
34
29
15
15
++
231
lT
72
13
787
81
49
*U
99
98
54
6,233
157
65
10
43
10
*8
45
191
23
71
15.?
31
250
*5
10
53
34
55
1,042
42
44
81
57
22
99
58
69
353
138
133
7+
612
98
99
127
98
34
76b
340
146
1Ob
111
82
41
51
33
27
69
265
25
105
18
1,+43
242
TT
105
22a
89
15+
7,150
167
49
19
63
23
20
41
185
26
59
187
40
488
20
+2
130
46
63
1, 168
35
60
109
49
26
93
66
55
335
120
144
7+
486
81
59
10T
80
30
603
,?31
128
78
T20
101
+9
72
+1
+9
68
Z131
20
101
23
2*1J3Z
353
79
197
315
291
195
10,584
L45
84
28
168
39
33
59
266
41
61
287
50
930
52
9a
2bT
63
1Z5
1,444
56
87
111
62
26
140
al
a7
530
180
19a
104
794
145
91
1L15
131
39
1,491
513
282
la4
921
130
53
89
57
65
89
+3+
39
152
4T
.?,666
397
120
479
358
175
219
10,148
308
12T
39
184
38
31
50
L6+
34
44
309
65
1,061
58
135
323
56
135
1,316
46
69
101
39
Z4
al
60
76
499
lT2
160
7Z
70T
108
89
13T
110
27
1,256
406
238
159
748
92
3T
96
40
45
T5
410
32
135
4a
2,T04
45a
a2
49b
411
1*6
230
NOTE: SEt â14 EOICAL COOING ANO E01T,8! APPENOIX I, FOR LODIN& HoOIFICATIOhS FOR THE NATIONAL HuSPITAL 01 SC HAR6E SURVEY.
47
Appendixes
Contents
I. Technical notes on methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Statistical design of the National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Data collection and processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Presentation of estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . 52
Reliability of estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,<, 53
Tests of significance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
II. Definitions of terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Hospitals and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Diagnoses.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, 58
Surgical and nonsurgical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Demographic terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
List of appendix figures
I. Medical abstract for the National Hospital Discharge Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
II. Approximate relative standard errors ofestimated numbers ofpatients discharged or first-listed dia~oses ad of
all-listed diagnoses, by selected patient and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
III. Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital
characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
IV. Approximate relative standtid errors ofestimated numbers ofprocedures forpatients dischmged, byselwted
patient and hospital characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
List of appendix tables
I. Number of hospitals in the National Hospital Discharge Survey (NHDS) universe, number of hospitals added to
the NHDS sample, and year of addition, by year of Master Facility Invento~ (MFI) used: United States,
1963-83 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ,. 4... . . . . . . . . . . . . . . . . . . . . . . . . . . 49
IL Number of short-stay hospitals in the National Hospital Discharge Survey universe and survey sample, by
geographic region and bed size of hospital: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
III. Civilian population, by selected characteristics: United States, July 1, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
48
Appendix I
âYechnical notes on
methods
Statistical design of the National
Hospital Discharge Survey
Scope of the survey
The National Hospital Discharge Survey (NHDS) covers patients discharged from noninstitutional hospitals, exclusive of military and Veterans Administration hospitals,
located in the 50 States and the District of Columbia. Only
hospitals with six beds or more for patient use and those in
which the average length of stay for all patients is less than
30 days are included in the survey. Discharges of patients
from Federal hospitals are excluded.
Sample size
The Master Facility Inventory of Hospitals (MFI) is the
universe from which the NHDS sample is drawn. A detailed description of the development, contents, maintenance plans, and assessment of coverage was published in
1%5 (National Center for Health Statistics, 1965).
The original universe for the survey consisted of 6,965
short-stay hospitals contained in the 1963 MFI. This univeke is updated periodically (table I). Data on the universe
of short-stay non-Federal hospitals is now obtained from
the American Hospital Association. The distrl%ution of the
hospitals currently in the American Hospital Association
universe (American Hospital Association, 1986) and
NHDS sample of in-scope hospitals for 1986 is given by bed
size and geographic region in table II.
NOTE: A listof rcfcrkcs follows the text.
Table L Number of hospftals In the Natfonal Hospital Discharge
Survey (NHDS) universe, number of hospitala added to the NHDS
sample, and year of addition, by year of Master Facility Inventory
(MFI) used: United States, 1963-63
NHDS unlwse and ssmple
Number addsd Number edded
h4Fl data v :Z to unhkwse to Sampla
1963 . . . . . . . . . . . . . . . .
le63 . . . . . . . . . . . . . . . .
196!3 . . . . . . . . . . . . . . . .
1972 . . . . . . . . . . . . . . . .
1975 . . . . . . . . . . . . . . . .
1977 . . . . . . . . . . . . . . . .
1979 . . . . . . . . . . . . . . . .
1961 . . . . . . . . . . . . . . . .
1263 . . . . . . . . . . . . . . . .
1266
1969
1972
1975
1977
1979
1961
1963
196s
6,965
. . .
442
223
273
114
63
50
45
315
150
32
14
24
9
6
3
5
Table IL Number of short-stay hospitals In the National Hospftal
Discharge Survey universe and survey sample, by geographic
region ând bad size of hospital: United Statea, 1986
&dsL?eot All
hospual tqfkms NonâhsastMk7w8sf South West
All S&tS
Universe. . . . . . . . . . . 6,007
In-scope sample . . . . . . 493
6-49 beds
Universe. . . . . . . . . . . 1,351
In-scope sample . . . . . 35
50-99 beds
Untierse . . . . . . . . . . . 1,464
in-scopessmp4e . . . . . . 65
100-199 beds
Universe. . . . . . . . . . . 1,410
In-soopessmpkr . . . . . . 92
200-299 beds
Universe . . . . . . . . . . . 747
In-scope sample . . . . . . 78
300-499 bds
Unlveme . . . . . . . . . . . 706
In-scope sample . . . . . . 115
500-9S9 beds
Untversa . . . . . . . . . . . 302
In-scope sampla . . . . . . 96
I,rxlobadsor
more
Universe. . . . . . . . . . . 27
In-scqesampia . . . . . . 12
Number of hospitals
902 1,667 2,301
115 139 164
73 420 527
6 10 10
163 414 623
11 15 31
m 374 574
15 21 43
199 179 247
19 20 23
177 196 214
35 37 24
77 86 107
24 33 30
9 8 9
5 3 3
1,117
75
331
9
264
8
256
13
122
16
119
19
22
9
1
1
The sample for 1986 consisted of 558 hospitals. Of
these, 75 refused to participate and 65 were out of scope
either because the hospital had gone out of business or
because it failed to meet the definition of a short-stay
hospital. Thus, 418 hospitals participated in the survey
during 1986 and provided approximately 193,000 abstracts
of medical records.
Sample desig~
AU hospitals with 1,000 beds or more in the universe of
short-stay hospitals were selected with certainty in the
sample. AU hospitals with fewer than 1,000 beds were
stratified, the prima~ strata being the 24 size-by-re~.on
cfasses shown in table II. Within each prima~ stratum, the
allocation of the hospitals was made through a controlled
49
selection technique so that hospitals in the sample would be
distributed properly with regard to ownership and geographic division. Sample hospitals were drawn with probabilities ranging from certainty for the largest hospitals to 1
in 40 for the smallest hospitals.
The within-hospital sampling ratio for selecting sample
discharges varied inversely with the probability of hospital
selection. The smallest sampling fraction of discharged
patients was taken in the largest hospitals, and the largest
fraction was taken in the smallest hospitals. This sampling
was done to compensate for hospitals that were selected
with probabilities proportionate to their size class and to
ensure that the overall probability of selecting a discharge
would be approximately the same in each size class.
In nearly all hospitals using the traditional manual
system of sample selection and data abstraction, the daily
listing sheet of discharges was the frame from which the
subsamples of discharges were selected. The sample discharges were selected by a random technique, usually on
the basis of the terminal digit(s) of the patientâs medical
record number, which was assigned when the patient was
adâmitted to the hospital. If the hospitalâs daily discharge
listing did not show the medical record numbers, the
sample was selected by starting with a randomly selected
discharge and taking every kth discharge thereafter.
Data collection and processing
Data collection
In 1985, for the first time, two data collection procedures were used for the survey. The first was the traditional
manual system of sample selection and data abstraction.
The second was an automated method, used in approximately 17 percent of the sample hospitals. In 1986 this
automated method was used in approximately 19 percent of
the sample hospitals. It involved the purchase of data tapes
from commercial abstracting services.
In the manual system, depending on the study procedure agreed on with the hospital administrator, the sample
selection and the transcription of information from the
hospital records to abstract forms were performed by either
the hospital staff or by representatives of the National
Center for Health Statistics (NCHS) or by both. In 1986,
about 50 percent of the hospitals that participated in the
manual NHDS system had the work performed by their
medical records department. In the remaining hospitals
using this system, the work was performed by personnel of
the U.S. Bureau of the Census acting for NCHS. The
completed forms were forwarded to NCHS for coding,
editing, and weighting procedures.
For hospitals using the automated system, tapes containing machine-readable medical record data were purchased horn commercial abstracting services. Upon receipt,
these tapes were subject to NCHS sampling, editing, and
weighting procedures. A detailed description of the automated process will be published.
NOTE A listof referencesfollowsthe text.
The medical abstract form (figure I) and the abstract
service data tapes contain items relating to the personal
characteristics of the patient, including birth date, sex, race,
and marital status, but not name and addres~ administrative information, including admission and discharge dates,
discharge status, and medical record number; and medical
information, including diagnoses and surgical and nonsurgical operations or procedures. Since 1977, patient ZIP
Code, expected source of payment, and dates of surgery
have also been collected. (The medical record number and
patient ZIP Code are considered confidential information
and are not available to the public.)
Medical coding and edit
The medical information recorded on the sample patient abstracts that was collected by the manual syste]mwas
coded centrally by NCHS staff. A maximum of seven
diagnostic codes were assigned for each sample abstract; in
addition, if the medical information included surgical or
nonsurgical procedures, a maximum of four codes for these
procedures were assigned. Following conversion of the data
on the medical abstract to computer tape, a final medical
edit was accomplished by computer inspection runs and a
review of rejected abstracts. If the sex or age of the platient
was incompatible with the recorded medical information,
priority was given to the medical information in the editing
decision.
NHDS medical coders code from abstracts of medical
records in the order the diagnoses and procedures are
entered. For most abstracts, this coding procedure is relatively free of problems. It was noted, however, that acute
myocardial infarction frequently is not the lead entg in a
group of circulatory diagnoses. For example, the patientâs
record may have arteriosclerosis listed first and arteriosclerotic heart disease listed second, with acute myocardial
infarction listed third. If the usual procedure were followed,
as it was until 1982, acute myocardial infarction would be
coded in third place and retrievable only under the heading
of all-listed diagnoses. A decision was made to reorder
some acute myocardial infarction diagnoses. In the new
procedure, based on accepted medical coding practice,
whenever an acute myocardial infarction is encountered
with other circulatory diagnoses and is other than thle first
entry, it is reordered to first position.
The system currently used for coding the diagnoses and
procedures on the medical abstract forms and the data that
appear on the commercial abstracting services data tape is
the International Classification of Disemes, 9th Revision,
Clinical Modification, or ICD-9-CM (Public Health Service
and Health Care Financing Administration, 1980). Data for
1970-78 were coded according to the Eighth Revision International Classification of Diseases, Adapted for Use in the
United States, or ICDA (NCHS, 1967a), with some modifications. These modifications, which were necessary because
of incomplete or ill-defined terminology in the abstracts,
are presented elsewhere (NCHS, 1980a). It has not been
necessary, however, to modiiJ the ICD-9-CM for use in
NHDS.
50
Farm Aonroved:
-r- - -â: O.M.â ---- R.â--------No. OW.7.0C04 ----
CONFIDENTIAL - All information which would permit identification of an individual or of an establishment will be held confidendsl, will be used only
by persons engaged in end for the purposes of the survey. end will not be disclosed or released to other parsons or used for any other purpose.
>RM HDS-1 DEPARTMENTOFHEALTHAND HuMAN SERVICES
!-s-821 U.S. PUBLICHEALTHSERVICE
NATIONALCENTERFORHEALTHSTATISTICS
MEDICAL ABSTRACT - NATIONAL HOSPITAL DISCHARGE SURVEY
i. PATlENT IDENTIFICATION Month Day Year
l. Hospital number . . . . . . . . . . ..l I I 4. Dateofadmission. . m-m-m
2. HDSnumber . . . . . . . . . . . . . ..[ 5. Dateofdischarge . . m-m-m
3. Medical record number 6. Residence ZIPcode ] I
I. PATlENT CHARACTERISTICS
B. Age (Com~/ete only if date of â
1â Years
=( {:8 ::;:âs
Month Day Yrrar
7. Date of birth mârnâ DrErl binhnotgâvan)âââââââââ
9. Sex {Mark (X) one)
i
1 1â Male 2~ Female 3 ~ Not stated
1
10. Race I 1â White 3 â American hsdian/Ala$kan Netive 5 ~ Other (SDeclfy)
â 2D Black 4 â Asian/Pacific Islander Gâ Not stated
I
11. Ethnicity (Mark (X) one) I I â Hispanio origin 2âNon-Hispanic 3 n Not slated
12, Marital status I I @ Married 3 â Widowed 5â~ Separated
(Mark (X) one) I
I
20 Single 4 L Divorced a ~ Not stated
13. Expected source(s) of payment Principal Other additional
(Mark oneonly]
14. Status/Disposition of patient
sources
[Mark accordingly) (Mark (X) appropriate box{es))
{
1. Workmenâs Compensation . . . . . . . â â
Status Disposition
2. Medicare . . . . . . . . . . . . . . . . . . . . . . . â â˘1
1â Alive â 8. â Routine discharge/
Government 3. Medicaid . . . . . . . . . . . . . . . . . . . . . . . â â˘1
discharged home
aourcos
4. Title V . . . . . . . . . . . . . . . . . . . . . . . . . . â â˘1
b. (1 Left against medical advice
5. Other government payments . . . . . . n â
c-n Discharged, transferred to
{
6. Blue Cross . . . . . . . . . . . . . . . . . . . . .
another short-term hospital
Private â˘1 â
sources 7. Other private or commercial
d. â Discharged, transferred to
insurance . . . . . . . . . . . . . . . . . . . . . . â â
long-term care institution
{
8.Self pay . . . . . . . . . . . . . . . . . . . . . . .
Other
â˘1 a. Q Disposition not stated
sources
9.No charge . . . . . . . . . . . . . . . . . . . . . .
: â˘1
10. Other (SpecifyJ n â
2nDiod
â No sour.. of paymwst indicated 3 IJ Status not statad
:. FINAL DIAGNOSES
Principal:
Other/additional:
â Seereversaside
), SURGICAL AND DIAGNOSTIC PROCEDURES 0;:;:
MOM) Yam
Principal: m-m-m
Other/additional: m-m-m
m-m-m
m-m-m
â NONE ~ Sea reversas)de
:ompleted by Date
51
Both the ICDA and the ICD-9-CM are divided into
two main section~ diseases and injuries, and surgical and
nonsurgical procedures. However, many differences exist
between the two classifications. These differences are discussed in a previous report (NCHS, 1981).
Some ICD-9-CM diagnostic codes cannot appear
alone. Specifically, the following codes cannot be firstIisted 320.7, 321.1-321.8, 323.0-323.4, 323.6-323.7, 330.2-
330.3,331 .7,334.4, 336.2-336.3, 337.1, 357.1-357.4, 358.1,
359.5-359.6, 362.01-362.02, 362.71-362.72,364.11, 365.41-
365.44, 366.41-366.44, 370.44, 372.15, 372.31-372.33,
373.4-373 .6,374.51,376.13-376.22, 380.13,380.15,382.02,
420.0, 421.1, 422.0, 424.91, 425.7-425.8, 443.81, 456.20-
456.21,484.1-484.8,516.1, 517.1 -517.8,567.0, 573.1-573.2,
580.81,581.81,582.81, 583.81,590.81,595.4, 598.01,601.4,
604.91, 608.81, 616.11, 616.51, 628.1, 711.10-711.89,
712.10-712.39, 713.0-713.8, 720.81, 727.01, 730.70-730.89,
731.1, 731.8, 737.40-737.43, 774.0, 774.31, 774.5. In addition, all discharges with the diagnostic codes 640.0-643.9
and 645.O-676.9with a fifth digit of 1 or 2 or with code 650
(indicating delivery) must have a code V27.O-V27.9 as a
first-listed diagnosis. Conversely, every discharge with a
first-listed diagnosis of V27.O-V27.9 also must have one of
these delivery codes.
Prior to 1979, data on radiotherapy and physical medicine and rehabilitation (ICDA codes R1-R4) and some
obstetrical procedures were not collected by means of
NHDS. The obstetrical procedures not coded were artificial
rupture of membranev external, internal, and combined
version; outlet and low forceps delivery with and without
episiotomy and episiotomy (ICDA codes 75.0-75.6 and
75.9). In addition, data for diagnostic endoscopy, radiography, and other nonsurgical procedures (ICDA codes A4-
A9 and R9), although coded, were not published. Starting
with 1979 data, however, the procedures coding has followed guidelines of the Uniform Hospital Discharge Data
Set (UHDDS). (See U.S. National Committee on Vital and
Health Statistics, 1978, and NCHS, 1980b.) The UHDDS is
a minimum data set of items uniformly defined and abstracted from hospitaJ medical records. These items were
selected on the basis of their continuous usefulness to
organizations and agencies requiring hospital information.
According to the UHDDS guidelines, all procedures
are allocated into one of four classes. Classes 1-3 consist of
procedures that carry an operative or anesthetic risk or
require highly trained personnel, special facilities, or special
equipment. Class 4 procedures do not meet these criteria.
See appendix II for the procedure codes included in these
classes.
Until 1983, the only Class 4 procedures coded in
NHDS were circumcision (ICD-9-CM code 64.0), episiotomy (code 73.6), and removal of intrauterine contraceptive
device (code 97.71). The coding of additiomd Class 4
procedures, listed in appendix II, that are used in the
assignment of diagnosis-related groups (DRGâs) was begun
NOTE A list of references follows the text.
in mid-1983. DRGâs, developed at the Yale School of
Organization and Management, are being used by the
Health Care Financing Administration, some States, and
some third-party payers to reimburse hospitals for inpatient
care. A report on the conversion of NHDS data to DRGs
has been published (NCHS, 1987c).
Presentation of estimates
Grouping of diagnoses and procedures
In this report the diagnostic chapters, the broadest
groupings of diseases and injuries shown, correspcmd to
ICD-9-CM chapters 1-17 and the supplementary classification of factors influencing health status and contact with
health services. The diagnostic categories, the most detailed
groupings of diseases and injuries shown, are subsets of the
major groups or chapters. The titles and the ordering of the
categories in the tabular list developed for NHDS follow
the format of the ICD-9-CM tabular list as closely as
possible.
The procedure groupings used in this report are the
groups numbered 1-16 in the ICD-9-CM section entitled
âProcedure Classification.â Specific categories of operations or procedures, the most detailed of these groupings
shown, are subsets of the major groups and are based on
the 4-digit codes provided by the ICD-9-CM.
In developing the tables of diagnoses and of procedures, an effort was made to maximize specificity of the
conditions or procedures consistent with clarity of characterization, the frequency of their occurrence, ancl their
interest.
Patient characteristics not stated
The age and sex of the patient were not stated on the
hospital record (the face sheet of the patientâs medical
record) for about 0.6 percent of the discharges. Imputations of these missing items were made by assigning the
patient an age or sex consistent with the age or sex o~fother
patients with the same diagnostic code. During 1986, 11.0
percent of the hospital records had no race identified.
If the dates of admission or discharge were not given
and could not be obtained from the monthly sample listing
sheet transmitted by the sample hospital, a length of stay
was imputed by assigning the patient a length of stay
characteristic of the stays of other patients of the same age.
During 1985, only 0.01 percent of the records were missing
the date of admission or discharge.
Rounded numbers
Estimates of the numbers of inpatient discharges, days
of care, discharges with procedures, all-listed diagnoses,
and all-listed procedures have been rounded to the nearest
thousand for tabular presentation. Therefore, detained figures within the tables do not always add to totals. Rates and
percents were calculated on the basis of unrounded figures
and will not necessarily agree with computations made
from the rounded data.
52
Table Ill. Civilian population, by selected characteristic= United
States, July 1, 1986
[Population estimates consistent wtth Series P-25, Current Fâop@rfbn Repofts,
U.S. Bureau of the Census]
Age, gaogrephk regbn,
and mea Boih .Sf3XeS Male Female
All ages
Toil. . . . . . . . . . . . . . . .
Region
Northeast . . . . . . . . . . . .
Mldwast . . . . . . . . . . . . .
South . . . . . . . . . . . . . .
west. . . . . . . . . . . . . . .
Reea
white . . . . . . . . . . . . . .
Allofher . . . . . . . . . . . . .
Under 15 yeare
Total . . . . . . . . . . . . . . . .
Underlyear . . . . . . . . . . .
l-4years . . . . . . . . . . . . .
5-14years . . . . . . . . . . . . .
Re@n:
Northeast . . . . . . . . . . . .
Midwest . . . . . . . . . . . . .
South . . . . . . . . . . . . . .
West . . . . . . . . . . . . . . .
Racec
white . . . . . . . . . . . . . .
Ailolher . . . . . . . . . . . . .
15-44 years
-rotaI . . . . . . . . . . . . . . . .
16-24years . . . . . . . . . . . .
25-34yeare . . . . . . . . . . . .
35-44ye.9re . . . . . . . . . . . .
Reqbm
Northeast . . . . . . . . . . . .
Midwest . . . . . . . . . . . . .
%.rth. . . . . . . . . . . . . .
west . . . . . . . . . . . . . .
Race:
Wolfe . . . . . . . . . . . . . .
Another. . . . . . . . . . . . .
46-64 year5
Total . . . . . . . . . . . . .
45-54years . . . . . . . . . . . .
55-64yeers . . . . . . . . . . . .
Rsqbn
Northeast . . . . . . . . . . . .
Mktwest . . . . . . . . . . . . .
South . . . . . . . . . . . . . .
west. . . . . . . . . . . . . . .
Raw
White . . . . . . . . . . . . . .
Allofher . . . . . . . . . . . . .
65 years end over
Total . . . . . . . . . . . . . . . .
65-74yea~ . . . . . . . . . . . .
75-64years . . . . . . . . . . . .
85yearsendover . . . . . . . .
Region:
Northeast . . . . . . . . . . . .
Midwest . . . . . . . . . . . . .
South . . . . . . . . . . . . . .
West . . . . . . . . . . . . . . .
Race:
White . . . . . . . . . . . . . .
All Other. . . . . . . . . . . . .
239,357
49,907
59,165
82,091
48,193
202,956
36,3ee
51,963
3,726
14,400
33,856
9,756
IZ922
16,293
11,012
41,992
9,991
113,200
36,259
42,146
32,793
23,297
27,796
36,606
23,496
95,362
17,836
45,001
22,774 â
22,?27
10,157
11,051
15,296
8,497
39,307
5,694
29,173
17,325
9,051
2,796
6,698
7,394
9,695
5,185
26,297
2,875
115,600
23,635
28,721
39,534
23,711
26,576
17,222
26,612
1,906
7,366
17,336
4,994
6,622
9,356
5,636
21,546
5,065
55,874
19,024
20,828
16,022
11,404
13,813
18,915
11,742
47,463
8,412
21,491
11,036
10,453
4,601
5,320
7,233
4,136
16,920
2,571
11,823
7,645
3,366
792
2,636
2,965
4,027
2,195
10,646
1,174
123,556
26,072
30,444
42,556
24,462
104,360
19,176
25,371
1,819
7,035
16,517
4,762
6,300
8,934
5,375
20,444
4,927
57,326
19,235
21,320
16,770
11,692
13,285
19,691
11,757
47,899
9,426
23,511
11,737
11,774
5,356
5,729
6,063
4,360
20,366
3,123
17,350
9,661
5,E%5
2,004
4,062
4,429
5,669
2,990
15,649
1,701
Population estimates
The population estimates used in computing rates are
from published and unpublished estimates for the U.S.
eivilian population on July 1 of the data year providedby
the U.S. Bureauof the Census. The estimates byage, se~
race, and geographic region are presented intable IIIand
are consistent with the population estimates published in
Current Population Repom, Series P-25.
Although the civilian noninstitutionalized population
was used prior to 1981, it has been determined that the
eivilianpopulation ismoreappropriate touseforNHDS, as
persons ininstitutions usually are hospitalized in short-stay
hospitals. This is true especially for elderly residents of
nursing homes. Aeumparison ofNHDSrates basedonthe
eivilian population withratesbased onthecivilian noninstitutionalized population is available in another publication
(NCHS, 1984).
Reliability of estimates
Estimation
Statistics produced by NHDS are derived by a complex
estimating procedure. The basic unit of estimation is the
sample inpatient discharge abstract. The estimating procedure used to produce essentially unbiased national estimates in NHDS has three principal components: inflation
by reciprocals of the probabilities of sample selection,
adjustment for nonresponse, and ratio adjustment to f~ed
totals. These components of estimation are described in
appendix I of two earlier publications (NCHS, 196%,
1967c).
Measurement errors
As in any survey, results are subject to nonsampling or
measurement errors, which include errors because of hospital nonresponse, missing abstracts, information incompletely or inaccurately recorded on abstract forms, and
processing errors. Some of these errors were discussed in
an earlier section entitled âPatient characteristics not stat-
~.,,
The Institute of Medieine (IOM) has conducted three
studies on the reliability of hospital abstract data collection;
the most recent study was on NHDS. The IOM NHDS
study was performed by using data coded according to the
ICDA, however, some of the findings are relevant to the
1981 NHDS data even though these data were coded
according to the ICD-9-CM. Of special interest to this
report is the finding that, in a number of cases, the firstIisted diagnosis in NHDS was not the principal diagnosis as
determined by IOM after a study of the entire medical
record. For example, when diagnoses at the ICDA class
level were examined, the principal diagnosis from IOM
matched the first-listed diagnosis from the NHDS in approximately 86 percent of the cases. Detailed accounts of this
NOTE: A list of references follows the text.
53
and other IOM findings have been published (IOM, 1977a,
1977b, 19s0).
Sampling errors
The standard error is primarily a measure of the
variability attributed to a value obtained from a sample as
an estimate of a population value. In this report it also
reflects part of the measurement error. The value that
would have been obtained if a complete enumeration of the
population had been made will be contained in an interval
repn$sented by the sample estimate plus or minus 1 standard error about 68 out of 100 times and by the estimate
plus or minus 2 standard errors about 95 out of 100 times.
The relative standard error is obtained by dividing the
standard error by the estimate. The resulting value is
multiplied by 100, so the standard error is expressed as a
percent of the estimate.
The standard error of one statistic generally is different
flom that of another, even when the two come from the
same survey. To derive standard errors that are applicable
to a wide variety of statistics and can be prepared at a
moderate cost, a number of approximations are required.
As a result, figures II-IV provide general relative standard
errors for a wide variety of estimates rather than the
specific error for a particular statistic.
Approximate relative standard errors and standard
errors have been prepared for measuring the variances
applicable to (1) estimates of discharges or first-listed
diagnoses and days of care for patient characteristics (for
example, age, sex, and race) and hospital characteristics
(for example, region, bed size, and ownership) and patient
characteristics cross-t abulated by hospitzd characteristics;
and (2) estimates ofâ all procedures performed by the
specific procedure for the patient characteristics age, sex,
and race and the hospital characteristics geographic region
and bed size.
The relative standard errors applicable to patients
discharged or first-listed diagnoses, all-listed diagnoses,
days of care, and procedures are provided in figures II-IV.
The curves for relative standard errors of the estimates in
each figure relate to the variables by which estimates are
presented in,this report. In these figures, curves are shown
for variables the relative standard errors of which are
different from those in the curve for âall other variables,â
which is relevant to most of the estimates. For example, one
curve is applicable only to estimates of discharges by
region, a second curve is concerned with discharges from
hospitals by bed size, and a third curve pertains to estimates
of days of care for white patients.
NOTE A list of references follows the text.
The selection of the appropriate relative standard error
curve is made as follows
1.
2.
3.
Discharges for jirst-li.sted diagnoses and al-listed diagnoses for patient and hospital characteristics: Relative
standard errors of the estimated number of discharges
and of all-listed diagnoses are obtained tlom the curves
in figure IL
Dqys of cme for dischcnges or jirst-listed diagnoses for
pdâent and hospikd charactetitics: Relative standard
errors of the estimated number of days of care are
obtained from the curves in figure III.
Procedures: Relative standard errors for procedures are
obtained from the curve in figure IV.
The presentation of estimates for NHDS is based on
the relative standard error of the estimate and the number
of sample records on which the estimate is based (referred
to as the sample size). Estimates are not presented unless a
reasonable assumption regarding the probabili~ distribution of the sampling error is possible. The Central ILimit
Theorem is used to determine the distribution of the
sampling errors. The Central Limit Theorem states that,
given a sut%ciently large sample size, the sample estimate is
approximately normally distributed and approximates the
population estimate.
Based on consideration of the complex sample design
of NHDS, the following guidelines are used for presenting
NHDS estimate~
1. If the sample size is less than 30, the value of the
estimate is not reported. Only an asterisk (*) is shown
in the tables.
2. If the sample size is 30-59, the value of the estimate is
reported but should be used with caution. The estimate
is preceded by an asterisk (*) in the tables.
3. If the sample size is 60 or more but the relative
standard error is more than 30 percent, the estimate is
reported but should be used with caution. The estimate
is preceded by an asterisk (*) in the tables.
Tests of significance
h this report, the determination of statistical inference
is based on the t-test with a critical value of 1.96 (0.05 level
of significance). Terms relating to differences, such as
âhigherâ and âless,â indicate that the differences are statistically significant. Terms such as âsimilarâ and âno differenceâ mean that no statistically significant difference exists
between the estimates being compared. A lack of comment
on the difference between any two estimates does not :mean
that the difference was tested and found to be, not
significant.,
54
54
40
10
0
50
40
30
20
10
0
A 2 3 456789
A
2 3 4s 6789
A
2 3 4 56789
A
2 3 4 56789
A
2 3 456789
1
A
10 100 1,000 10,000 1Oo,ooa
3ize of eethete (in thousands)
Fwre IL Appminat, tddw ztmchrd âmomofdnutod nimhnm of p4ent$didwged or fht-ktddagnoses and of all-listed dlagnos~ by selected patient andhcwpitdchamctorbtics
mCn
50 50
40
30
10
0
40
30
20
10
0
A 2 3 456789
A
2 3 456789
A
2 3 4 56789
A
2 3 4 56789
A
2 3 456789
A
10 100 1,WJo 10,000 lfx),wo 1,000,000
Size of estimate (in thousands)
EXAMPLE: As sfwwn in tatie 2, an estimated 7,274,WJ0 dSYa of QIre ware provtied dudng 19SS to mab @ank under 15 years 01 aga discharged km ahert-siay lmspitafs. The dative standard enor of this estiiate as read from CUIVS 8 (a
~proximatefy 4.o percent Thus, tha skmdard error is approximately 290,W (4.0 wcent of 7,274,000).
Figure Ill, Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital characteriatice
50
40
30
20
10
0
50
40
30
20
10
0
A 2 3 456789
A
2 3 456789
A
2 3 4 56789
A
2 3 4 56789
A
2 3 458789
1 10 100
A
1,000 Io,ooo 100,000
Size of eslimate(inthousmds)
FkfuIâsIV. AgproxfmatrIMath standard awora of estknated msnbera of prwedwes fw patients diachwg~ by aelwtad patient and hosfhrl characteristics
w
-4
Appendix II
Definitions of terms
Hospitals and hospital
characteristics
HospitakâShort-stay special and general hospitals
have six beds or more for inpatient use and an average
length of stay of less than 30 days. Federal hospitals and
hospital units of institutions are not included.
Bed size of hospitcd-Size is measured by the number
of beds, cribs, and pediatric bassinets regularly maintained
(set up and staffed for use) for patients; bassinets for
newborn infants are not included. In this report the classification of hospitals by bed size is based on the number of
beds at or near midyear as reported by the hospitals.
Type of ownership of hospital-The type of ownership is
determined by the organization that controls and operates
the hospital. Hospitals are grouped as follow~
â Voluntcuynonproj7t-Hospitals operated by a church or
another nonprofit organization.
. Government-Hospitals operated by State or local governments.
. Propnâetay-Hospitals operated by individuals, partnerships, or corporations for profit..
Patient-A person who is formally admitted to the
inpatient service of a short-stay hospital for observation,
care, diagnosis, or treatment is considered a patient. In this
report the number of patients refers to the number of
discharges during the year, including any multiple discharges of the same individual from one short-stay hospital
or more. Infants admitted on the day of birth, directly or by
transfer froni another medical facility, with or without
mention of a disease, disorder, or immaturity, are included.
In this report newborn infants, defined as those admitted by
birth to the hospital, are excluded from all tables except
those in the newborn section. The terms âpatientâ and
âinpatientâ are used synonymously.
Newborn infmt-A newborn infant is defined as a
patient admitted by birth to a hospital.
Dischcnge-Discharge is the formal release of a patient
by a hospital; that is, the termination of a period of
hospitalization by death or by disposition to place of residence, nursing home, or another hospital. The terms âdischargesâ and âpatients dischargedâ are used synonymously.
Dischcnge rate-The ratio of the number of hospital
discharges during a year to the number of persons in the
civilian population on July 1 of that year determines the
discharge rate.
Days of careâThe total number of patient days accumulated at time of discharge by patients discharged from
short-stay hospitals during a year constitutes days of care. A
stay of less than 1 day (patient admission and discharge on
the same day) is counted as 1 day in the summation of total
days of care. For patients admitted and discharged on
different days, the number of days of care is computed by
counting all days from (and including) the date of ~admission to (but not including) the date of discharge.
Rate of days of care-The rate of days of care is the
ratio of the number of patient days accumulated at time of
discharge by patients discharged from short-stay hospitals
during a year to the number of persons in the civilian
population on July 1 of that year.
Average length of stqy-The average length of stay is the
total number of patient days accumulated at time (of discharge by patients discharged during the year divided by the
number of patients discharged.
Diagnoses
Dischcuge diagnoses-A discharge diagnosis is a disease or injury (or some factor that influences health status
and contact with health services that is not itself a current
illness or injury) listed by the attending physician on the
medical record of patients. In NHDS all discharge (or final)
diagnoses listed on the fact sheet (summary sheet) of the
medical record for patients discharged from the inpatient
service of short-stay hospitals are transcribed in the order
listed. Each sample discharge is assigned a maximum of
seven 5-digit codes according to the International Ckmsification of Diseases, 9th Revision, Cliniccd Modification, or
ICD-9-CM (Public Health Service and Health Care Financing Administration, 1980). The number of principal or
first-listed diagnoses is equivalent to the number of discharges.
Principal diagnosis-The condition established after
study to be chiefly responsible for occasioning the admission of the patient to the hospital for care is called the
principal diagnosis.
NOTE A list of references follows the text.
E@
First-hkted diagnosis-The coded diagnosis identified
as the principal diagnosis or listed first on the face sheet of
the medical record is the first-listed diagnosis. The number
of first-listed diagnoses is equivalent to the number of
discharges.
All-listed diagrzoses-All-listed diagnoses are an estimated number of discharge (or final) diagnoses, up to a
maximum of seven, that are listed on the face sheet of the
medical record for inpatients discharged horn non-Federal
short-stay hospitals during the year.
Obstebzâcaldiagrzosis-A diagnosis relating to conditions arising from or affecting the management of pregnancy, childbirth, and the puerperium (the period following
childbirth) is a obstetrical diagnosis. These are code numbers 640-676 of the ICD-9-CM.
Nowcd delivay-A normal deliveq is a delivery without abnormality or complication of pregnancy, childbirth,
or the puerperium and with spontaneous cephalic delivery
(that is, presentation of the child headfirst and delivery of
the child without external aid). If no mention of fetal
manipulation or instrumentation is made, ICD-9-CM code
650 is assigned.
Complicated deliveiy-All deliveries not considered
normal, including deliveries of multiple gestation, are included. ICD-9-CM code numbers 640-648 and 651-676 are
assigned.
Surgical and nonsurgical
procedures
Dfichcuges with proceduresâThe estimated number of
patients discharged from non-Federal short-stay hospitals
during the year who underwent at least one procedure
during their hospitalization are termed âdischarges with
procedures.â
Procedure-A procedure is one or more surgical or
nonsurgical operations, diagnostic procedures, or special
treatments assigned by the physician to the medical record
of patients discharged from the inpatient service of shortstay hospitals. In NHDS all terms listed on the face sheet of
the medical record under captions such as âoperation;
âoperative procedures? and âoperations and/or special
treatmentsâ are transcribed in the order listed. A maximum
of four 4-digit codes are assigned per sample discharge
according to ICD-9-CM and NHDS directives. (See âMedical coding and editâ in the âData collection and processingâ section of appendix I for further details.)
A1l-hkted proceduresâ All coded procedures that are
listed on the face sheet of the medical record, exclusive of
most Class 4 procedures, are included.
Un~orm Hospital Discharge Data Set (UHDDS) classes
ofproceduresâProcedures are categorized into four classes
according to UHDDS guidelines. Classes 1-3 consist of
significant proceduresâthat is, procedures that carry an
operative or anesthetic risk or require highly trained personnel, special facilities, or special equipment. Class 4
procedures do not meet these criteria.
VHDDS Class 1 procedures-All procedures not categorized as Class 2, 3, or 4 procedures are included.
.?.?HDDSClass 2proceduresâThe following ICD-9-CM
procedure codes identify Class 2 procedures as categorized
by the UHDDS:
03.31,03 .91-03.92,04.80-04.89, 21.01,24.7,31.41-31.42,
34.91-34.92, 37.92-37.93, 42.22-42.23, 44.12-44.13,
45.12-45.13, 45.22-45.24, 48.22, 50.92, 54.91,
54.97-54.98, 57.31, 58.22, 59.95, 62.91, 66.8, 69.6-69.7,
69.93, 70.0, 73.01-73.1, 73.3, 73.51-73.59, 76.96, 81.91-
81.92, 82.92-82.96, 83.94-83.98, 85.91-85.92, 86.01,
87.03-87.08, 87.13-87.15, 87.31-87.35, 87.38,
87.41-87.42, 87.51-87.52, 87.54-87.66, 87.71-87.73,
87.75, 87.77-87.78, 87.81-87.84, 87.91, 87.93-87.94,
88.01-88.03, 88.12-88.15, 8838, 88.71-88.89, 89.14,
89.21-89.25,89.32,89.41-89.44, 89.54,89.61-89.65,89.8,
92.01-92.29, 93.45-93.54, 93.56-93.59, 93.92-93.93,
93.95, 93.97, 94.24, 94.26-94.27, 95.04, 95.12-95.13,
95.16-95.26, 96.01-96.08, 96.21-96.25, 96.31-96.33,
97.11-97.13, 98.02-98.04, 98.14-98.16, 98.19, 99.01,
99.60-99.69,99.81.
UHDDS Class 3procedures-The following ICD-9-CM
procedure codes identifj Class 3 procedures as categorized
by the UHDDS:
.
29.11, 57.94-57.95, 60.19, 84.41-84.43, 84.45-84.47,
86.26, 93.98, 98.01, 98.05-98.13, 98.17, 98.18, 98.20-
98.29,99.25.
.W?DDS CLZYS4 proceduresâFrom 1979 through the
middle of 1983 only three Class 4 procedures were coded
for NHDS: circumcision (ICD-9-CM code 64.0), episiotomy (code 73.6), and removal of intrauterine contraceptive
device (code 97.71). The ICD-9-CM codes for the Class 4
procedures coded since the last half of 1983 are as follows:
01.18-01.19, 03.39, 04.19, 05.19, 06.19, 07.19, 08.91-
08.93, 09.19, 09.41-09.49, 10.29, 11.29, 12.29, 14.19,
15.09, 16.29, 20.39, 28.19, 33.28-33.29, 34.28-34.29,
38.29, 40.19, 50.19, 51.19, 52.19, 54.29, 55.29, 56.39,
57.39, 59.29, 60.18, 62.19, 63.09, 64.0, 65.19, 66.19,
67.19,68.19,70.29,71.19, 73.6,76.19,78.8,81.98, 83.29,
97.71.
The following ICD-9-CM procedure codes identi&
Class 4 procedures not coded by the NHDS:
08.19, 16.21, 18.01, 18.11, 18.19, 21.21, 21.29, 22.19,
24.19, 25.09, 25.91, 26.19, 27.29, 27.91, 29.19, 31.48-
31.49, 37.29, 41.38-41.39, 42.29, 44.19, 45.19, 45.28-
45.29, 48.23, 48.29, 49.21, 49.29, 49.41, 58.29, 61.19,
64.19, 64.91, 64.94, 69.92, 70.21, 73.91-73.92, 75.35,
85.19, 86.19, 86.92, 87.09-87.12, 87.16-87.17,
87.22-87.29, 87.36-8737, 87.39, 87.43-87.49, 87.69,
87.79, 87.85-87.89, 87.92, 87.95-87.99, 88.09,
88.16-88.31, 88.33, 88.35, 88.37, 8839, 89.01-89.13,
89.15-89.16, 89.26-89.31, 89.33-89.39, 89.45-89.53,
89.55-89.59,89.66,89.7, 90.01-91.99,93.01-93.25, 93.27-
93.28, 93.31-93.39, 93,42-93.44, 93.61-93.91, 93.94,
93.96, 93.99-94.23, 94.25, 94.29-95.03, 95.05-95.11,
95.14-95.15, 95.31-95.49, 96.09-96.19, 96.26-96.28,
59
96.34-97.04, 97.14-97.69, 97.72-97.89, 99.02-99.24,
99.26-99.59,99.71-99.79, 99.82-99.99.
SuWâcaloperations-All procedures except those listed
underâânonsurgical proceduresââ are listed assurgicaloperations.
Biopsy-Biopsy is excision of tissue for microscopic
examination. The ICD-9-CM biopsy codes are as follows
0.11-0.15, 03.32, 04.11-04.12, 05.11, 06.11-06.13, 07.11-
07.17, 08.11, 09.11-09.12, 10.21, 11.22, 12.22, 15.01,
16.23, 18.12, 20.32, 21.22, 22.11, 24.11-24.12, 25.01,
25.02, 26.11, 27.21-27.24, 28.11, 29.12, 31.43-31.44,
33.24-33.27, 34.23-34.27, 37.24-37.25, 38.21, 40.11,
41.31-41.33, 42.24, 44.14-44.15, 45.14-45.15,
45.25-45.27, 48.24-48.26, 49.22-49.23, 50.11-50.12,
51.12-51.13, 52.11-52.12, 54.22-54.23, 55.23-55.24,
56.32-56.33, 57.33-57.34, 58.23-58.24, 59.21, 60.11-
60.15, 61.11, 62.11-62.12, 63.01, 64.11, 65.11-65.12,
66.11, 67.11-67.12, 68.13-68.14, 70.23-70.24, 71.11,
76.11, 77.40-77.49, 80.30-80.39, 83.21, 85.11-85.12,
86.11.
Nonsuqâcalprocedures -Procedures generally not considered to be surgery are listed as nonsurgical procedures.
These include diagnostic endoscopy and radiography, radiotherapy and related therapies, physical medicine and
rehabilitation, and other nonsurgical proceduresâlnternationa.1 Classific&âon of Diseases, Adapted for Use in the
United States (ICDA) codes A4-A9 and R1-R9. The following ICD-9-CM codes are for diagnostic and nonsurgical
procedures:
03,31, 11.21, 12.21, 14.11, 16.22, 20.31, 29.11, 31.41-
31.42, 33.21-33.23, 34.21-34.22, 39.95, 42.21-42.23,
44.11-44.13, 45.11-45.13, 45.21-45.24, 48.21-48.22,
51.11, 54.21, 55.21-55.22, 56.31, 57.31-57.32,
58.21-58.22, 60.19, 68.11-68.12, 70.22, 80.20-80.29,
87.01-99.99.
Rate of proceduresâThe ratio of the number of alllisted procedures during a year to the number of persons in
the civilian population on July 1 of that year determines the
rate of procedures.
Demographic terms
Population âThe civilian population is the resident
population excluding members of the Armed Forces. The
civilian noninstitutionalized population is the civilian population not residing in institutions.
AgeâPatientâs age refers to age at birthday prior to
admission to the hospital inpatient service.
Race-Patients are classified into two groups: âwhiteâ
and âall other.â The all other classification includes all
cat egories other than white. In addition, 11.0 percent of the
patients had no race stated on the face sheet of the record.
Geographic regzâonâHospitals are classified by location
in one of the four geographic regions of the United States
that correspond to those used by the U.S. Bureau of the
Census.
Region
Northeast
Midwest
South
West
States included
Maine, New Hampshire, Vermont,
Massachusetts, Rhode Island,
Connecticut, New York New Jersey,
and Pennsylvania
Michigan, Ohio, Illinois, Indiana,
Wisconsin, Minnesota, Iowa,
Missouri, North Dakota,
South Dakota, Nebraska,
and Kansas
Delaware, Maryland, District of
Columbia, Virginia, West Virginia, North
Carolina, South Carolina, Georgia,
Florid% Kentucky, Tennessee, Alabama,
Mississippi, Arkansas, Louisiana,
Oklahoma, and Texas
Montanq Idaho, Wyoming,
Colorado, New Mexico, Arizona,
Utah, Nevada, Washington, Oregon,
California, Hawaii, and Alaska
60
Vital and Health Statistics
series descriptions
SERIES 1.
SERIES 2.
SERIES 3.
SERIES 4.
SERIES 5.
SERIES 10.
SERIES 11.
SERIES 12.
SERIES 13.
Programs and Collection Procecfures-+kptirfs descnb!ng lhs!
general program~ of the National Center for Health Sta!Mics
and its offices and divisions and the data co!kcmm methods
used. They also mclucfe definitions and othw material neccssmy
for understanding the data,
Data Evaluation and Methods ResearckStucltes of new stat~stlcal methodology irmkrdmg experimental tests of new survey
methods, studies of vital s!atis!ics collection methods, new analytical techniques., objective evakdkms of relmbMy of coi!ected
da!a, and contributions to statistical theo~~. Stud[es also include
comparison of U.S. methodology wth those of other countnes,
Analytkal and Epidemiological Studie*Reports presenting
analytical or interpretive stud~es based on vital and health sia!istics, carrying the analysis further than the expository F;pes of
reports in the other series.
Documents and Committee Reports-Final reports of major
commtfees concerned ~ith ~itd and health stattstcs and documents such as recommended model v!tal regustrat[on laws and
revised birth and death certificates.
Comparative International Vial and Health Statistics Reports-Analytical and descriptive reports comparmg U.S. vital
and health stat~s!!cs with those of other countnss
Date From the National Heafth Interview Survey-Statistics
on Mess, accidental inpxies, dmbilty, use of hospital, medmal,
dental, and other services, and other health-related top:cs, all
based on data co!lected in the continu~ng national househo!d
interview survey.
Date From the National Health Examination Survey and the
Nathral Health and Nutrition Examination Survey-Data from
direct exammation, tes!mg, and measurement of natronal samp!es
of the civdian noninstitutlonalized population provide the bask
for (1) estimates of the medically defined prevalence of specific
diseases in the United States and the distributions of the poptkt[on
with respect to physical, physiological, and psychological characteristics and (2) analysis of relationships among the various measurements without reference to an explicit finite umverse of persons.
Data From the Instiiutionatiied Population Surveye-D/scontinued in 1975. Reports from these suweys are included m Series
13.
Data on Health Resources f.ftikzatio~tatistics on the utilization of health manpower and facihties providing long-term care,
ambulatory care, hospital care, and family planning servfces.
SERIES 14.
SERIES 15.
SERIES 20.
SERIES 21.
SERIES 22.
SERIES 23.
Date on Health Resources: Manpower and Facihtiea-Statlst[cs an the numbers. geograpfvc d,s!r,bu![on. and characterls!fcs
of hea:tln resources mclud ng physmans. den!tsts, nurses, other
health occupa!,ons, hospJals, nursing homes, and outpakm! facJlt[es.
Data From Special Sr.rrveys-Sta.! shcs on health and heallhrek!ecl tcpzs colkted m spwal surveys tha! are no! a part
of tine conlnumg data systems of the fdatonal Center for Health
S!akfics.
Data on Mortafii-varmus stat,shcs on mortahty other than
as mchnkd in regular annual or monthly reports Special analyses
by cause of deafh, age, and o!her demographic variables: geographic and t,me stwes analyses: and slatstlcs on characteristics
of deaths not a.vatkk from the vi!al records based on sample
surveys of thoss recmds.
Data on Natafii, Marriage, and Divorc+Vanous s!a!rstlcs
on natarity, marriage, and divorce other than as mduded m re9ular
annual or mon~nly repofls. Specml analyses by demographic
vanab!es: gecxyaph c and tfme series analyses: stud[es of ferlMy;
and statis!cs on characterMcs of births not available from the
vital records based on sample surveys of those records.
Data From the Nationat Mortefity and Natelity Surveya-Dmcontinued m 1975. Reports from these sample suweys based
on vdal records are included m Serfes 20 and 21, respectwely.
Date From the National Survey of Famify Growth-Stat@cs
on ferti!ly, famly fmrnatmn and dmsoluton, fam)iy planning, and
related maternal arcl mfan! hea[lh topics derived from a per~odm
survey of a natonw,de probabdity sample of women 15-44 years
of age.
For answers to questions about this report or for a list of titles of reports
pub!ished in these series, contact:
Scientific and Tecfmcal Information Branch
Nalional Center for Health Sta!Wcs
Centers for Disease Cm.!rcd
Public Health Serwce
Hyaftsvil!e, Md. 20782
301-436-8500
.
U.S. DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Public Health Service
Centera for Disease Control
National Center for Health Statistics
3700 East-West Highway
Hyattsville, Maryland 20782
OFFICIAL BUSINESS
PENALTY FOR PRIVATE USE, .$300
BULK RATE
POSTAGE & FEES PAID
PHSINCHS
PERMIT NO. ~
DHHS Publication No. (PHS) 86-1757, Series 13, No. 96
text/markdown
# Utilization of Short=$tay Hospitals United States, 1986 Annual Summary
This report presents statistics on the utilization of non-Federal short-stay hospitals based on data collected through the National Hospital Dkcharga Survey from a national sample ofthe hospital records of discharged inpatients. Estimates are provided bythe demographic characteristics of patients discharged, condticms diagnosed, and surgical and nonsurgical procedures performed, and by geographic region, bed size, and ownership of hospitals that provided inpatient care. Measurements of hospital utilization are given by frequency, rate, percent, and average length ofstay.
# Dsts From the National Heslth Survey
# series 13
# No. 96
DHHS Publication No. (PHS) 88-1757 U.S. Department of Health and Human Services Public Health Service Centers for Dkx3aee Control National Center for Health Statistics Hyattsville, Md. June 1988
## Copyright Infomafh
## Allmaterialappearing inthis report is
## inthe publicdomain andmaybe reproduced orcopied withoutpermission; citation as to source, however, IS
### appreciated.
# suggested
Citatbn National Center for Health Statistics, E. J. Graves. 1968. Utilization ofshort-stay hospitals, United States, 1986, annual summary. Vita/and Hea/th SWsttis. Series 13, No. 98. DHHS Pub. No. (PHS) 88-1757. Public Health Sew&. Washington: U.S. Government Printing tXce.
Utilization ofshort-stay hospitals. United States . annual summaty.-l g81â âHyattsville, Md.: U.S. Dept. of Health end Iiuman Services, Public Heaith service, National Center for Hea~ sta~~=, v.; 28 cm.-(DHHS publication) (Vital & health stetistce. Series 13, Data from the national health suwey) Annual. Description beeed on: 1981. r Continues: Unitizationofshort-stay hospitals. Annual summary forthe United States. ISSN 07484793= UWizationofshort-stay hospitals. United States, annual summary. 1. Hospital utilization-Unitd Statee-Statiision, Clinical Modification.
# DHHS Pub. No. (PHS) 80-1260. Public Health SeMce. Washington: U.S. Government Printing Office. U.S. National Committee on Vital and Health Statistics, Technical Consultant Panel. 1978. lJHDDS Classes of Procedures, ICD-9- CM.
# Ann Arbor, Mich Commission on Professional and Hospital Activities.
19
# List of detailed tables
1.
# 2.
3.
4.
5.
6.
7.
8.
9.
10.Number, percent distribution, and rate ofpatients discharged from short-stay hospitals and of days ofcare, with average lengths of stay, by sex and age: United States, 1986
....................................................... Number, percent distniution, and rate ofpatients discharged from short-stay hospitals and of days of care, with average lengths of stay, by sex, race, and age: United States. 1986
............................................. Number ofpatients discharged from short-stay hospitak, days of care, and average lengths of stay, by principal expected source of payment, geographic region, and age: United States, 1986
.......................... Number ofpatients discharged from short-stay hospitals, days of care, and average lengths of stay, by sex, age, geographic region, andbed sizeofhospital: United States, 1986
....................................................... Rate of patients discharged from short-stay hospitals and ofdaysofcare, bysex, age, and geographic region: United States, 1986
............................................. Number ofpatients discharged from short-stay hospitals, days of care, and average lengths of stay, by sex, type of ownership of hospital, and age of patient: United States, 1986
............................................. Number, percent distniution, and rate ofwomen with deliveries discharged from short-stay hospitals and of days ofcare, with average lengths ofstay, by age, race, geographic region, and bed size of hospital: United States, 1986
....................................................... Number, of women with deliveries discharged from short-stay hospitals and numberâ of days of care and average lengths of stay for women with deliveries, by bed size of hospital and geographic region: United States, 1986
....................................................... Number of patients discharged from short-stay hospitals, rate of discharges, and average lengths ofstay, by age and catego~ offirst-listed diagnosis United States, 1986
................................................................ Number ofpatients discharged from short-stay hospi21
22
23
25
28
28
29
29
30 tals, rate of discharges, and average lengths ofstay, by sex, race, and categoq offirst-listed diagnosis: United States, 1986
....................................................... 32 11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22. Number of patients discharged from short-stay hospitals, rate of discharges, and average lengths ofstay, by geographic region and catego~ offirst-listed diagnosis: United States, 1986
............................................. Number of patients discharged from short-stay hospitals, bybed size ofhospital and category offirst-listed diagnosis United States, 1986
................................ Average length of stay for patients discharged from short-stay hospitals, bybed sizeofhospital andcatego~ offimt-listed diagnosi~ United States, 1986
.............. Number of all-listed diagnoses for patients discharged from short-stay hospitals, by age, sex, race, geographic region, and bed sizeofhospital, bydiagnostic category United States, 1986
............................................. Number ofall-listed procedures forpatients discharg{sd from short-stay hospitals, byage andprocedure category United States, 1986
......................................... Rate of all-listed procedures for patients discharged from short-stay hospitals, by age andprocedure category United States, 1986
......................................... Number ofall-listed procedures forpatients discharged from short-stay hospitals, bysex and procedure category: United States, 1986
......................................... Rate of all-listed procedures for patients discharged from short-stay hospitals, bysexand procedure catego-
~ United States, 1986
......................................... Number ofall-listed procedures forpatients discharged from short-stay hospitals, by race and procedure category United States, 1986
...................................... Number ofall-listed procedures forpatients discharged from short-stay hospitals, by geographic region and procedure catego~: United States, 1986
................... Rate of all-listed procedures for patients discharged from short-stay hospitals, by geographic region and procedure category: United States, 1986
................... Number ofall-listed procedures forpatients discharged from short-stay hospitals, by bed size of hospital and procedure category: United States, 1986
................... 34
36
37
38
40
41
42
43
44
45
46
47
20AND RATE OF PATIENTS DISCHARGED FRuH SHORT-STAY rlOSPITALS ANO OF CAYS OF CARE, UITH AVERAGE STATES, 1986 TABLE 1. NIJM8ER, PERCENT DISTRIBUTION* LENGTHS dF STAY, bY SEX ANo AGE: uNITED [DISCHARGES FRO14 NON-FEDERAL HOSPITALS. tXCLUOES NEwBORN INFANTS 1 0 lSCHARGEO PATIENTS OAYS OF CARE
NUMBER RATE PER NUPIB&R IN RATE PER
PERCENT AVERAGE 1,000 IN PERCEtiT 1,000 SEX ANO AbE THOUSANOS LENGTH OF DISTRIBUTION POPULATION THOUSANOS O1STR1EIUTION POPULATION STAY IN OAYS
f30TH SEXES 143.1 53.5 196.1 58.6 35.7 118.9 90.6 132.2 133.2 108.4 162.2 138.0 18_l.O 367.3 296.8 44.?.9 559.7 55.2 142.1 419.7
120.5 60.3 228.5 66.7 39.0 73.4 56.2 61.6 72.8 91.3 166.1 136.2 197.6 395.6 323.6 495.9 660.0 59.0 111.7 463.4
164.4 46.5 162.1 50.0 32.2 163.2 125.9 199.7 19.?.1 124.8 158.7 139.7 177.6 348.1 275.4 411.3 520.1 51.2 170.8 392.7 218,496 12.718 4,193 3,L34 5,391 65, L74 7,561 10,750 26,532 20,332 49,563 19,925 29,638 91,041 40,â752 35,691 14,397 15,339 131,392 71,764
94,5s3 7,274 2,303 1,802 3,170 25,180 3,046 3*454 9,660 9,020 23,752 9,340 14,+12 38,386 19,546 14,251 4,589 8,432 57,072 29,089
123.903 5*444 1,890 1,332 2,222 39*994 4,515 7,296 16,8T3 11,312 25e811 lo,5a5 15,225 52,655 21,4C6 21,441 9,80a 6,907 74,320 +2,676
### 100.0 5.a 1.9 1.4 2.5 29a 3.5 4.9 12.1 9.3 22.7 9.1 13.6 41.7 la.7 16.3 6.6 7.0 60.1 32a
100.0 7.7 2.4 1.9 3.4 26.6 3.2 3.7 10.2 9.5 25.1 9.9 15.2 40.6 20.7 15.1 +.9 8.9 60.3 30.8
100.0 4.4 1.5 1.1 1.8 32.3 3.6 5.9 13.6 9.1 20.8 8.5 12.3 42.5 17.3 lT.3 7.9 5.6 60.0 34.4 6.4 ALL AGES. . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256 2,783 731 844 l,zoa 13,45a 1,6T2 2,61a 5,613 3*554 7,300 3,143 4,157 10,716 5,141 4,009 1,565
### 100.0 912.8 244.7 1,124.7 217.6 L59.2 575. T 409.7 542.6 629.5 620.0 1.101. + a74.9 1,333.4 3,120.7 2,363a 3,943.3 5*149.3 257.+ a19.9 3,67a.2
a16.9 273.3 1,207.1 244.6 182.a 450.7 326.1 356a 463.8 563.0 1,105.2 a46.1 1.37a.8 3,246a 2*556. a 4,20a.7 5,794.6 276.4 T33.2 3,906.6
l,ooz.a 21+.6 1,039.0 189.3 134.5 697.7 495.3 720.8 791.4 674.5 l,097.a 901.9 1,293.1 3*034.b 2,211.1 3,7a4.7 *,a94.2 237.5 8.1 2.1 2.5 3.5 4.6 5.7 3.7 4.5 uNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . . . UNOER 1 YEAR. . . . . . . . . . . . . . . . . . . . . . 1-4 YEADS. . . . . . . . . . . . . . . . . . . . . . . . . 5-14 YEARS. . . . . . . . . . . . . . . . . . . . . . . . 39.3 4.9 7.6 16.4 10.4 4.8 4.5 4.1 +.7 5.7 15-44 YEARS . . . . . . . . . . . . . . . . . . . . . . . . . A5-L9 YEARS . . . . . . . . . . . . . . . . . . . . . . . 20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . . 25-34 YEARS . . . . . . . . . . . . . . . . . . . . . . . 35-44 YEARS . . . . . . . . . . . . . . . . . . . . . . . 6.a 6.3 7.1 45-64 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 45-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . 55-64 YEARS . . . . . . . . . . . . . . . . . . . . . . . 21.3 9.2 12.1 8.5 8.0 8.9 9.2 .55 YEARS ANO OVER . . . . . . . . . . . . . . . . . . . 65-74 YEADS . . . . . . . . . . . . . . . . . . . . . . . 75-84 YEADS . . . . . . . . . . . . . . . . . . . . . . . 85 YEARS ANO OVER . . . . . . . . . . . . . . . . . 31.3 15.0 11.7 4.6 4.7 5.a a.a ~OER 17 YEARS . . . . . . . . . . . . . . . . . . . . . . 17-69 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 70 YEARS ANO OVER . . . . . . . . . . . . . . . . . . . 3,291 22,776 8,189 9.6 66.5 23.9 MALE 13,949
### 100.0 11.5 6.a 4.5 5.3 3.7 4.7 6.1 5.8 5.a 6.4 6.2 6.7 6.2 7.0
a.z 7.9 a.5 a.a 4.7 6.6 a.4 ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . uNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . . . . UNOER L YEAR . . . . . . . . . . . . . . . . . . . . . . 1-4 YAW. . . . . . . . . . . . . . . . . . . . . . . . . 5-14 YEAR S. . . . . . . . . . . . . . . . . . . . . . . . 1,603 436 492 676 3.1 3.5 4.a 4*1OO 525 597 29.4 3.a 4.3 10.9 10.5 L5-44 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 15-19 YEARS . . . . . . . . . . . . . . . . . . . . . . . 20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . . 25-34 YEARS . . . . . . . . . . . . . . . . . . . . . . . 35-44 YEARS . . . . . . . . . . . . . . . . . . . . . . . 1,516 1,462 45-64 YEARS . . . . . . . . . . . . . . . . . . . . . . . . . 45-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . 55-64 YEA RS. . . . . . . . . . . . . . . . . . . . . . . 3,569 1,503 2,066 25.6 lo. a 14.8 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . . . 65-74 YEARS . . . . . . . . . . . . . . . . . . . . . . . 75-84 YEARS. . . . . . . . . . . . . . . . . . . . . . . 85 YEARS ANO OVER . . . . . . . . . . . . . . . . . 4,677 2,475 1,679 523 33.5
17.7 12.0 3.7 uNOER 17 YEAR S. . . . . . . . . . . . . . . . . . . . . . 17-69 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 70 YEARS ANO
### OVER. . . .. . . . . . . . . . . . . .. 1,801 8,698 3,451 12.9 62.4 24.7 FEHALE
### 20,307
# 100.0
s.a
### 1.5 1.7 2.6 46.1 5.7 10.0 20.2 10.3 18.4 a.1 10.3 29.7 13.1 11.5 5.1 7.3 69.3 23.3 6.1 ALL AGES. . . . . . . . . . . . . . . . . . . . . . . . . . . .
### 4.6 6.4 3.&1 4.2 UNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . . . . UNOER 1 YEAR. . . . . . . . . . . . . . . . . . . . . . 1-4 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 5-14 YEARS . . . . . . . . . . . . . . . . . . . . . . . . 1*179 295 352 532 15-44 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 15-19 YEA RS. . . . . . . . . . . . . . . . . . . . . . . 20-24 YEARS. . . . . . . . . . . . . . . . . . . . . . . 25-34 YEADS.- . . . . . . . . . . . . . . . . . . . . . 35-44 YEARS. . . . . . . . . . . . . . . . . . . . . . . 9,35a 1,147 2,022 4,097 2,092 3,731 1,6+0 2,091 6.039 2,666 2,330 1,042 1,490 14,0T9 4,73a 4.3 3.9 3.b 4.1 5.4 6.9 6.5 7.3 45-64 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 45-54 YEARS
. . . . . . . . . . . . . . . . . . . . . . . 55-64 YEARS. . . . . . . . . . . . . . . . . . . . . . . **8.T** a.o 9.2 9.+ 65 YeARS ANO OVER . . . . . . . . . . . . . . . . . . . b5-74 YEADS. . . . . . . . . . . . . . . . . . . . . . . 75-84 YEARS. . . . . . . . . . . . . . . . . . . . . . . 85 yEARs ANO AvER . . . . . . . . . . . . . . . . . 4.6 5.3 9.0 UNOER 17 YEARS. . . . . . . . . . . . . . . . . . . . . . 17-69 YEARS. . . . . . . . . . . . . . . . . . . . . . . . . 70 YEARS ANO OVER . . . . . . . . . . . . . . . . . . . 901.9 3,537.2
## 21TABLk 2. NLMI. EER, PERCENT O1STR1BUTION, AND RATk OF PATIENTS DISC HARGEC FROM SHOMT-STAV HUSPITALS ANO GF DAYS OF CARE, wITH AVERAGE LENGTHS OF STAY, 13Y SEX, RACt, ANO AGE: UNITEO STATES, 1986 [DISCHARGES FRIJM NON-F EIMRAL HOSPITALS. EXCLUOES NEWBORN INFANTS 1 OISCHARGEO PATIENTS OAVS OF CARE
NUMBER RATE PER NUMBER IN RATE PER
PERCENT
### 1,000 AVERAGE IN PERCENT 1,000 SEX, RACE, ANO AGE THOUSANOS LENGTH 06 DISTRIBUTION POPULATION THOUSANOS OISTR18b TION POPULATION STAY IN OAYS
BOTH SEXES ALL RACES, ALL AGES. . . . . . . . ... . . . . . . . UiiOER 15 YEARS. . . . . . . . . . . . . . . . . . . . 15-W+ YEADS. . . . . . . . . . . . . . . . . . . . . . . +5-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . WHITE, ALL AGES. . . . . . . . . . . . . . . . . . . . . UNDER 15 YEADS. . . . . . . . . . . . . . . . . . . . 15-44 YEADS. . . . . . . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . ALL OTHER, ALL AGES. . . . . . . . . . . . . . . . . UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . 15-+4 YEARS . . . . . . . . . . . . . . . . . . . . . . . +5-64 YEAds . . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . RACE NOT STATEO, ALL AGES. . . . . . . . . . . uNUER 15 YEADS. . . . . . . . . . . . . . . . . . . . 15-44 YEARS. . . . . . . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . MALE ALL RACES, ALL AGES. . . . . . . . . . . . . . . . . UNOER 15 YEAAS. . . . . . . . . . . . . . . . . . . . 15-44 YEADS . . . . . . . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . wHITE, ALL AGES. . . . . . . . . . . . . . . . . . . . . uNOER 15 YEADS. . . . . . . . . . . . . . . . . . . . 15-44 YEADS . . . . . . . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . ALL OTHER, ALL AGES. . . . . . . . . . . . . . . . . UNOER 15 YEARS. . . . . . . . . . . . . . . . . . . . 15-44 YEADS. . . . . . . . . . . . . . . . . . . . . . . 45-64 VEARS . . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . RACE NOT STATEO, ALL AGES. . . . . . . . . . . UNDER 15 YEARS. . . . . . . . . . . . . . . . . . . . L5-44 YEADS. . . . . . . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . FEMALE ALL RACES, ALL AGES. . . . . . . . . . . . . . . . . UNOER 15 YEARS . . . . . . . . . . . . . . . . . . . . 15-44 VEALS . . . . . . . . . . . . . . . . . . . . . . . 45-64 YEAAS. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . !4HITE, ALL AGES. . . . . . . . . . . . . . . . . . . . . UNOER 15 YEADS. . . . . . . . . . . . . . . . . . . . 15-4+ YEADS. . . . . . . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . . . . . . . 65 VEARS ANO OVER . . . . . . . . . . . . . . . . . ALL OTHER, ALL AGES. . . . . . . . . . . . . . . . . uNOER 15 YEADS. . . . . . . . . . . . . . . . . . . . 15-44 YEADS . . . . . . . . . . . . . . . . . . . . . . . 45-64 VEAL S. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . RACE NOT STATEO, ALL AGES. . . . . . . . . . . UNDER 15 YEADS. . . . . . . . . . . . . . . . . . . . 15-44 VEALS . . . . . . . . . . . . . . . . . . . . . . . 45-64 VEARS . . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANL7 OVER . . . . . . . . . . . . . . . . . 34,256 2,783 13,458 7,300 10,716 25,363 1,925 9,128 5,571 8,740 5,116 5+9 2,642 988 937 3,776 309 1*688 741 1,039
13*949 1,603 4â,100 3,569 4,677 10,488
### 1*101 2,861 .?,732 3,79+ 1,982 322 T73 +.57 420 1,479 180 466 370 463
20,307 1,179 9,358 3,731 6,039 14.875 824 6,267 2,839 4,946 3,13+ 227 1,869 52o 517 2,297 128 1,222 372 575 100.0
8.1 39.3 21.3 31.3 74.0 5.6 26.6 16.3 25.5 14.9 1.6 7.7 2.9 2.7 11.0 0.9 .4.9 2.2 3.0
100.0 11.5 29.4 25.6 33.5 75.2 7.9 20.5 19.6 27.2 14.2 2.3 5.5 3.4 3.0 10.6 1.3 3.3 2.7 3.3
100.0 5.8 46.1 18.4 29.7 73.3 4.1 30.9 14.0 24.4 15.4 1.1 9.2 2.6 2.5 11.3 0.6 6.0 1.0 2.8 143.1
53.5 118.9 162.2 367.3 125.0 45.8 95.7 141.7 332.4 140.6 55.0 148.1 173.5 325.9
. . .
. . .
. . .
. . .
. . .
120.5 60.3 73.4 166.1 395.6 106.4 51.1 60.3 144.4 356.3 115.1 63.6 91.8 181.8 357.3
. . .
. ..
. . .
. . .
. . .
164.4 46.5 L63.2 158.7 3+8.1 142.5 40.3 130.8 139.2 316.1 163.4 46.1 i9a.3 166.6 304.2
. ..
. . .
. . .
. . .
. . . 218,496
12,718 65,174 49,563 9L,04L 163,628 8,549 44,029 37,096 73,953 33,638 2,702 13,813 7,975 9,148 21,231 1,467 7,332 4,492 7,940
94,593 7,274 25,180 23,752 38,386 70,663 4,81L 17,116 17,730 31,005 L4.760 1.636 5,428 3,752 3,944 9,170 826 2,636 2,270 3,437
123,903 5,444 39,994 25,811 52,655 92,965 3,73a 26,913 19,366 42,947 L8,877 L,065 8,385 4,223 5,2o+ 12,061 640 4,696 2.221 4.503 100.0
5.8 29.8 22.7 4L.7 74.9 3.9 20.2 17.0 33.8 15.4 1.2 6.3 3.6 4.2 9.7 0.7 3.4 2.1 3.6
**100.0** 7.7
### 26.6 25.1 40.6 74.7 5.1 18.1 18.7 32.8 15.6 1.7 5.7 4.0 4.2 9.7 0.9 2.8 2.4 3.6
**100.0** 4.4 32.3 20.8 42.5 75.0 3.0 21.7
### 15.6 34.7 15.2 0.9 6.8 3.4 4.2 9.7 0.5 3.8 1.8 3.6 912.8
244.7 575.7 1,101.4 3,120.7 806.2 203.6 461.7 943.8 2,812.2 924.1 27o.4 774.3 1,400.6 3,182.0
# ...
...
...
...
...
816.9 273.3 450.7 1,105.2 3,246.8 716.8 223.3 360.6 937.1 2.911.9
### 857.1 323.1 645.3 1,459.2 3*359.5
# ...
...
...
...
...
1,002.8 214.6 697.7 1,097.8 3,034.8 890.6 182.8 561.9 949.9 2,744.4 9&4.4 216.2 a89.5
### 1,352.3 3,059.6
# ...
...
...
...
... 6.4
4.6 4.8 6.8 ,8.5 6.5 4.4 4.8 6.7 8.5 6.6 4.9 5.2 8.1 9.8 5.6 4.8 4.3 6.1 7.6
6.8 4.5 6.1 6.7 8.2 6.7 4.4 6.0 6.5 8.2 7.4 5.1 7.0 8.0 9.4 6.2 4.6 5.7 6.1 7.4
6.1 4.6 4.3 6.9 8.7 6.2 4.5 4.3 6.8 8.7 6.0 4.7 4.5 8.1 10.1 5.3 5.0 3.8 6.0 7.8
## 22TABLE 3. NUMBER L7F PATIENTS DISCHARGED FRIIM SHORT-STAY HOSPITALS* DAYS OF CARE* ANO AVERAGE LENGTHS OF STAY. W PRINCIPAL EXPkCTEO
SOURCE OF PAYMENT. GEOGRAPHIC REGION. ANO AGE: UNITED STATE. % 1%36 [OISCHAUL.ES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEHEIORN INFANTS 1 ALL PRINCIPAL HORKHEN-S OTHER OTHER ExPECTEO SOURCES PRIVATE COHPENREGION ANO AGE GOVERNMENT PAYt4Et4TS AND OF PAYMENT INSURANCE HEDICARE MEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE
UNITED **STATES** ALL AGE . . . . . . . . . . . . . . . . . . . . . . uNOER 15 YEADS. . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . ..- 45-64 WARS. . . . . . . . . . . . . . . . . 65 YEARS AND OVER . . . . . . . . . . .
NORTHEAST ALL AGES . . . . . . . . . . . . . . . . . . . . . . uNOER 15 YEADS . . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
HIOHEST ALL AGES . . . . . . . . . . . . . . . . . . . . . . uNOER 15 YEADS. . . . . . . . . . . . . . 15-+4 YEADS. . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
SOUTH ALL AGES . . . . . . . . . . . . . . . . . . . . . . UNDER 15 YEADS . . . . . . . . . . . . . . 15-44 YEARS. . . . . . . . . . . . . . . . . +5-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
14 EST ALL AGES . . . . . . . . . . . . . . . . . . . . . . uNOER 15 YEADS . . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEARS . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
uNITEo STATES ALL AGES . . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEADS. . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS AND OVER . . . . . . . . . . .
NORTHEAST ALL AGES. . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEADS . . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
MIoHEST ALL AGES . . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEADS. . . . . . . . . . . . . . 15-44 YEARS. . . . . . . . . . . . . . . . . 45-64 YEARS . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
SOUTH ALL AGES. . . . . . . . . . . . . . . . . . . . . . uNOER 15 YEADS . . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
HEST ALL AGES. . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEADS. . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . NUMBER OF PAT IEhTS OISCHARGEO
### IN THOUSANOS 635 395 170 **T76**
113 821 84 515 198 24
129 11 76 36 *
162 18 100 37 *6
188 19 122 42 *
342 36 2L4 83 10
+,517 397 2,501 1,398 220
T44 4:; 252 *
870 **T5** 465 27+ 056
1,230 118 715 357 *
1,672 lbo 912 515 85 34,256 2,783 13,458 7,300 10,116
6,955 458 2,657 1,500 2,341
8,931 720 3*434 1,967 2,810
11.892 1, L76 4,681 2,520 3,514
6,478 429 2,685 1*313 2,051
21a.496 12,718 65,174 49,563 91,041
51.339 1,893 14,124 11,280 24,042
59,282 3,837 17,848 13,629 23,968
T2,448 5,023 22,056 L6,982 28,387
35,426 1,964 11,147 7,672 14,643 14,910 1,572 8,170 4,864 305
3,013 266 L,636 1,045 65
4,101 432 2,194 1,405 70
5,232 640 2,872 1,619 101
2,564 234 1,468 794 69
77,619 6,492 3T,524 31,176 2,427
16,724 952 7,792 7,374 607
22,9+4 2,112 11,054 9,218 559
26,391 2,44T 12,883 10,204 857
L1,560 981 5,795 4,380 404 11,483 3,304
3s 684 375 1,991 943 530 10,127 99 2,325 292 1,571 404 58
38B 33 273 65 17
478 51 327 90 10
9E12 169 616 176 20
477 39 354 73 10
11,857 1.509 7,058 2,760 530
2,293 136 1,465 486 205
2,735 329 1,586 719 100
+,888 859 2,.575 1,191 163
1,941 184 1,332 363 62 441 191 34 70
2,462 791 93 80 *6 138 *5 62 497 60 50 170 133 30 21 2,224 24 * *
3,014 839 187 149 13 179 26 125 518 86 85 227 124 49 35 2,649 18 53 *
3,86.? 1*140 232 257 12 288 47 1.?5 642 168 135 381 176 57 68 3,344 32 *6 *7
2,145 *7 63 3.65 1,910 534 78 335 97 25 123
81 35 *7 293
35 170 67 21 NUkWER OF OAYS CIF CARE
### IN THOUSANOS
19,101 3,432 10,560 4,309 800 3,766
2.017 1.044 705 4.090
584 2,126 1,122 258 97,547 30+ 3,389 7,753 86,101
25,194 *55 656 1,605 22,817 5*298 69L 3*1 O.? 1,237 268 553
333 196 * 532
*14 367 129 *
25,604 100 1,054
### 1,946 22,504 4,908 1,037 2,774 941 155 1,262
380 318 56+
### 960
184 535 212 *
31,20687 1,061 3,062 26,996
### 6,080 l,33d
### 946 328 *64 1,314
208 596 466 *44 1,304 3,1M0 1,373 223
### 613
359 201 353 1,283
178 628 315
### 162 15*543 *62 618 1,140 13,724 2,814 400 1,503 75a 154
## 23TAEILE 3. NUMBkR OF PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, OAYS OF CARE, ANO AVEkAGE LENGTHS OF STAY, BY PRItMCIPAL EXPECTED
SOURCE OF PAYMENT, GEOGRAPHIC REGION, ANO AGE: UNITEO STATES, 1986--CON. [DISCHARGES FROfi NON-FEOERAL HOSPITALS. EXCLUOES NEwBORN INFANTS] ALL PRINCIPAL MORKMEN-S OTHER ExPECTEO SOURCES OTHER PRIVATE COMPENREGiON ANO AGE GOVERNMENT PAYNENTS ANO OF PAY14ENT INSURANCE MEOICARE UEOICAIO SAT ION PAYMENTS SELF-PAY NO CHARGE
UNITEO STATES AVERAGE LENGTH OF STAY IN GAYS ALL AGES. . . . . . . . . . . . . . . . . . . . . . 6.4 5.2 8.5 5.8 UNOER 15 YEADS. . . . . . . . . . . . . . 5.9 +.6 5.3 5.1 5.5 4.1 7.9 5.0 15-44 YEARS . . . . . . . . . . . . . . . . . 4.8 5.2 5.2 +.6 4.7
9.0 5.3 45-64 YEADS. . . . . . . . . . . . . . . . . 6.8 5.1 4.a 6.4 8.2 4.5 +.9 8.1 65 YEARS ANO OVER . . . . . . . . . . . 6.L 8.5 5.9 8.0 6.8
8.5 7.1
8.1 10.0 T.6 9.2 9.2 NORTHEAST ALL AGES. . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEADS. . . . . . . . . . . . . . 15-44 YEARS . . . . . . . . . . . . . . . . . 45-64 YEADS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
MIO14EST ALL AGES. . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEARS . . . . . . . . . . . . . . 15-44 YEARs . . . . . . . . . . . . . . . . . +5-64 YEARS . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
SOUTH ALL AGES . . . . . . . . . . . . . . . . . . . . . . UNO&t 15 YEADS. . . . . . . . . . . . . . 15-44 YEARS. . . . . . . . . . . . . . . . . 45-64 YEARS. . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . .
WEST 7.4 4.1 5.3 7.5 10.3
6.6 5.3 5.2 6.9 8.5
6.1 +.3 4.7 6.7 8.1 5.6 3.6 4.8 7.1 9.3
5.6 4.9 5.0 6.6 8.0
5.0 3.8 4.5 6.3 8.5 10.2
*9.4 10.6 9.4 10.3
8.5 7.9 8.4 8.6 8.5
8.1 7.0 8.5 8.0 8.1 6.7
5.0 6.2 9.3 11.3
5.8 5.8 5.4 7.6 8.7
5.3 4.5 5.0 7.8 6.9 5.9
5.6 6.6*
6.7 4.4 6.5 10.7
5.8 5.6 5.7 *9.)3 6.7
*3.1 7.3 6.2*
6.4 7.0 6.3 6.1*
5.1 4.4 4.4 6.8 *6.7 5.9 4.2 5.4 1.5 12.1
5.7 6.4 4.9 8.0 9.6
5.0 5.1 4.3 6.8 8.2 5,.8
4.1 5.2 68.9 *
5.4 4.1 4.6 7.4 *8.9
6.6 6.2 5.9 8.5*
ALL AGES . . . . . . . . . . . . . . . . . . . . . . 5.5 4.5 7.2 UNOER 15 YEADS. . . . . . . . . . . . . . 5.3 4.6 5.0 4.4 4.2 *8.3 4.1 4.9 15-44 YEARS . . . . . . . . . . . . . . . . . 5.1 4.2 5.1 3.9 9.8 4.7 4.5 4.5 45-64 YEADS. . . . . . . . . . . . . . . . . 5.s 4.4 3.7 5.5 3.a
6.9 4.3 65 YEARS ANO OVER . . . . . . . . . . . 7.8 7.1 5.8 5.9 4.7
T.2 5.0 6.2
6.2 *7.2 7.8 6.0 8.8
## 24TA13Lc 4. NUiiEER UF PATIENTS DISCti-ARGEO mu SHURT-STAY HOSPITALS, oAYs IJF CAREV Am AvERAGE LENGTHs GF STAY, ay sEx* AGk,
GEIJGKAPHIC REGION, ANLI BEO SIZE OF HOSPITAL: uNITEO STATES, 1986 [DISCHARGES fRilH NON-FEDERAL HOSPITALS. EXCLUOkS NEu80RN INFANTS] AGE, REGION, ANO BEO SIZt BOTH SEXES MALk FEMALE 80TH SEXES HAL E FEMALE MOTH SEX6S UALt Fk14ALE
NIJfli3ER LIF PATIENTS OISCHARGEO ALL AGES
### IN THOUSANOS UNITEO STATES, ALL SIZE S. . . . . . . . . . . . 6-99 BEDS.- . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDs . . . . . . . . . . . . . . . . . . . . . . 200-299 8EOS . . . . . . . . . . . . . . . . . . . . . . 3(30-499 BEDo. . . . . . . . . . . . . . . . . . . . . . 500 dEOS OR MORE . . . . . . . . . . . . . . . . . . NORTHEAST, ALL SIZE S. . . . . . . . . . . . . . . . 6-99 BEDS. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDo. . . . . . . . . . . . . . . . . . . . . . 200-299 EIEUS. . . . . . . . . . . . . . . . . . . ..- 300-499 L3EOS. . . . . ... . . . . . . . . . . . . . . . 500 BEOS OR fore . . . . . . . . . . . . . . . . . . 1410wEST, ALL SIZE S. . . . . . . . . . . . . . . . . . b-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 8EOS . . . . . . . . . . . . . . . . . . . . . . 200-299 EIEOS. . . . . . . . . . . . . . . . . . . . . . 300-+99 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE . . . . . . . . . . . . . . . . . . SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . . 6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BE
DO. . . . . . . . . . . . . . . . . . . . . . 200-299 8EOS . . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS . . . . . . . . . . . . . . . . . . . . . . 500 !3EOS OR MORE. . . . . . . . . . . . . . . . . . HEST, ALL SIZE S. . . . . . . . . . . . . . . . . . . . . 6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDs . . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 aEDS OR tore . . . . . . . . . . . . . . . . . .
UNOER 15 YEARS uNITEO STATES, ALL SIZE S. . . . . . . . . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDS. . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE . . . . . . . . . . . . . . . . . . NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . . b-99 BEDS. . . . . . . . . . . . . . . . . . . . . . . . . 100-199
### BEDS. . . . . . . . . . . . . . . . . . . . . . 200-.299BEDS . . . . . . . . . . . . . .. . . . . . . . 300-499 BEDS. . . . .. .. . . . . . . . . .. . . . . 500 dEOS OR MORE. . . . . . . . . . . . . . . . . . MIDwEST, ALL SIZES. . . . . . . . . . . . . . . . . . 6-99 8EOS . . . . . . . . . . ..-. . . . . . . . . . . . 100-199 8EOS . . . . . . . . . . . . . . . . . . . . . . 200-.?99 !3EOS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEOS GR MORE . . . . . . . . . . . . . . . . . . SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . . 6-99
### BEDS. . . . . . . .. . . . . . . . . .. . . . . . . 100-199 BEDS. . . . . . . . . . . . . . . . . . . . . . 200-299 8EOS . . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEoS OR MORE. . . . . . . . . . . . . . . . . . IIEST, ALL SIZE S. . . . . . . . . . . . . . . . . . . . . 6-99 &EOS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 8Eo S. . . . . . . . . . . . . . . . . . . . . . 200-299 beds . . . . . . . . . . . . . . . . . . . . . . 300-499
### BEDS.. . . .. . . . . . .. . . . .. . . . . 500 i3EOSOR MORE . . . . . . . . .. . . . . . . . . 34*256 5,614 6,243 6,215 8,803 7,381 6,955 788 761 1,637 2,1+6 1,623 8,931 1,164 1,234 1,415 2,577 2,541 11,892 2 ,.2B9 3,248 1,641 2,104 2,611 b,478 1,372 1,000 1,523 1,977 607
2,TB3 475 678 440 59T 593 458 49 46 86 162 115 720 86 115 156 169 L94 1,176 256 465 91 130 235 429 85 52 107 136 49 13,949
2,260 2,444 2,670 3,512 3,063 2,925 373 300 713 846 693 3,712 453 487 611 1*1OO L,062 4,758 920 1,211 740 826 1,062 2,555 515 447 607 740 246
1,603 264 388 262 339 350 270 27 24 51 97 70 410 48 62 96 93 112 681 142 273 50 79 138 242 48 28 65 70 30 20,307
3,354 3,799 3*544 5,29L 4,318 4,031 416 461 924 1,299 931 5*.219 712 747 803 L,478 1,479 7*1341 1,370 2,037 901 1,277 1,5+8 3,923 857 553 916 1,.?37 360
1,179 211 290 178 258 .?43 18B 22 22 35 65 45 310 39 53 60 76 82 495 114 192 41 51 96 187 36 23 42 66 19 NIJHBER OF OAYS OF CARE IN THOUSANOS 218,496 29,604 35,673 40,257 59,039 53,924 51*339 5,509 5,201 11,900 15,918 12,809 59,282 5,974 7,518 9,230 17,624 18,935 72,448 12,217 17,179 10,526 14,447 18,078 35,426
### 5,903 5,773 8,600 11,049 4,101
12,718 1,683 2.728 2,058 2,764 3,485 1,893 159 143 330 641 621 3,837 292 457 88.? 894 1,312 5,023 952 1,938 336 559 1,237 1,964 280 190 510 670 315
### 94,5s3
L2,280 14.450 18,LS3 25,110 24,560 22,598 2,606 2,COB 5,292 6,647 6,045 26.146 2,335 3,070 4,262 7,967 8,511 30*5C4 5,022 6,503 4.753 6,036 8,150 15,345 2,318 2,869 3,845 4,459 1,854
7,274 881 1,536 1,282 1,528 2,049 1,087 aa 68 196 337 398 2,214 141 271 593 489 721 2,864 502 1,080 187 354 742 1,168 150 116 306 348 188 123,903
17,324 21,223 22,065 33,929 29,363 28,741 2,904 3* 194 6.608 9,27L 6,765 33,137 3,639 4,448 4,968 9,657 10,424 41,944 7,195 10,676 5,733 8,412 9,928 20,081 3,586 2,905 4*755 6, 5B9 2,246
5,444 803 1,192 776 1,236 1,437 806 71 74 134 304 223 l,b23 151 186 289 405 592 2,L58 450 858 150 205 *95 856 L30 74 204 322 127 AVERAGE LENGTH OF STAY IN OAYS
### 6.4 5.3 5.7 6.5 6.7 7.3 7.4 7.0 6.8 7.3 7.4 7.9 6.6 5.1 6.1 6.5 6.8 7.5 6.1 5.3 5.3 6.4 6.9 6.9 5.5 4.3 5..9 5.6 5.6 6.8
4.6 3.5 4.0 4.7 4.6 5.9 4.1 3.3 3.1 3.8 4.0 5.4 5.3 3.4 4.0 5.7 5.3 6.6 4.3 3.T 4.2 3.7 + 3 5.3 4.6 3.3 3.7 4.7 +.9 6.5 6.8
5.4 5.9 6.8 7.2 8.0 7.7 7.0 6.7 7.4 7.9 8.T 7.0 5.2 6.3 7.0 7.2 8.0 6.4 5.5 5.4 6.5 7.3 7.7 6.0 4.5 6.4 6.3 6.0 7.5
4.5 3.3 4.0 4.9 4.5 5.9 4.0 3.3 2.8 3.8 3.5 5.7 5.4 3.0 4.4 6.2 5.3 6.5 4.2 3.5 4.0 3.7 4.5 5.4 4.6 3.1 4.1 4.7 4.9 6.3 6.1
### 5.2 5.6 6.2 6.4 6.8 7.1 7.0 6.9 T.2 7.1 7.3 6.3 5.1 6.0 6.2 6.5 7.0 5.9 5.3 5.2 6.4 6.6 6.4 5.1 4.2 5.3 5.2 5.3 6.2
4.6 3.8 4.1 4.4 4.8 5.9 4.3 3.2 3.4 3.9 4.7 4.9 5.2 3.9 3.5 4.8 5.3 7.2 4.4 3.9 4.5 3.7 4.0 5.1 4.6 3.6 3.1 4.8 4.9 6.8
## 25TA8LE 4. NUMBER OF PATIENTS DISCHARGE FROM SHORT-STAY HOSPITALS, OAYS OF CAk E, ANO AVERAGE LENGTHS OF STAY, BY %X, AGE,
GEOGRAPHIC REGION, ANO L!EU SIZE OF HOSPITAL: UNITEO STATES, 1986--CON. [O IS Charges FRIJM NON-FEDERAL HOSPITALS. EXCLUUES NEHBOKN INFANTS 1 AGE, REG1ON, AN: 8k0 SIZE BOTH SEXES MALE FEMALE BOTH SEXES HALE FEMALk BOTH SEXES MALE FEMALE
ruJMLiER OF PATIENTS OISCHARGEO 15-+4 YEARS IN THOU SANOS UNITEO STATES, ALL SIZE S. . . . . . . . . . . . 6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDS. . . . . . . . . . . . . . . . . . . . . . LOO-299 8EOS . . . . . . . . . . . . . . . . . . . . . . 300-499 13
EOS. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE . . . . . . . . . . . . . . . . . . NORTHEAST, ALL SIZE S. . . . . . . . . . . . . . . . 6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 13 EOS. . . . . . . . . . . . . . . . . . . . . 200-299 EIEOS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE . . . . . . . . . . . . . . . . . . MI OIIEST, ALL SIZE S. . . . . . . . . . . . . . . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 1OO-A99 BEDS . . . . . . . . . . . . . . . . . . . . . . ZOO-299 E!
EOS. . . . . . . . . . . . . . . . . . . . . . 300-499 tJEos . . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE. . . . . . . . . . . . . . . . . . SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 demos . . . . . . . . . . . . . . . . . . . . . 200-299 BED S. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR tore . . . . . . . . . . . . . . . . . . uEST, ALL SIZE S. . . . . . . . . . . . . . . . . . . . . 6-99 EIEOS. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDS. . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDO. . . . . . . . . . . . . . . . . . . . . . 500 OEOS OR MORE. . . . . . . . . . . . . . . . . .
45-6+ YEARS UNITEO STATES, ALL SIZE S. . . . . . . . . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 1OO-L99 EIEOS. . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS.
. . . . . . . . . . . . . . . . . . . . . 500 BEoS OR MORE. . . . . . . . . . . . . . . . . . NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . . 6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDS . . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS . . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS . . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR **MORE**
**. .** **. .** **. .** **. .** **. .** **. .** **. .** **. .** **. .** MI OHEST, ALL SIZE S. . . . . . . . . . . . . . . . . . 6-99 8EOS . . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDs . . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS . . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS . . . . . . . . . . . . . . . . . . . . . . 500 EIEOS OR MORE. . . . . . . . . . . . . . . . . . SOUTH, ALL SIZES . . . . . . . . . . . . . . . . . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 Boos . . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS. . . . . . . . . . . . . . . . . . . . . . 300-499 13
Eos . . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE . . . . . . . . . . . . . . . . . . hEs T, ALL SIZE S. . . . . . . . . . . . . . . . . . . . . 6-99 demos . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDS. . . . . . . . . . . . . . . . . . . . . . 200-299 BEDS. . . . . . . . . . . . . . . . . . . . . . 300-499 BEDO. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR MORE . . . . . . . . . . . . . . . . . . 13,458 2,085 2,458 2,2o7 3,515 3,193 2,657 313 253 582 8L9 689 3,434 391 480 540 994 1,028 4,681 7T8 1,379 522 834 1*168 2,685 6D3 346 563 867 307
1,300 1,106 1,215 1,324 1,953 1,703 1,500 164 152 359 +63 360 1,967 225 236 267 605 634 2,52o 441 599 428 457 595 1,313 276 227 26? 428 113 4*1OO
â554 689 761 1,019 976 877 143 84 208 210 233 ,086 108 148 190 346 294 â 379 243 343 215 233 345 758 160 115 149 230 104
3,569 518 550 658 967 877 772 87 69 189 238 la9 **988** 96 107 139 309 336 1,194 2D2 2b3 214 2i6 299 616 133 110 116 203 53 9,35a
1,+31 1,769 1,446 2,496 2,216 1,780 170 169 374 610 456 2,348 283 332 350 668 734 3,302 535 1,036 308 601 823 1,928 443 231 4L3 637 203
3,731 58a 665 665 986 826 728 77 83 170 225 172 979 129 129 128 296 .?98 1,327 .238 337 215 241 296 697 144 117 153 224 bO NUM8ER OF OAYS OF CARE IN THUUSANOS 65,17+ 8,672 10,505 10,281 17,501 18,216 14,124 L,746 1,331 2,746 4,056 4,244 17,848 1,535 2,289 2,7i3 5,351 5,959 22,056 3,382 5,393 2,492 4,347 6*442 11,147 2,009 1*491 2,330 3,747 1*571
49,563 5,982 7,530 8,753 13*873 13,424 11,280 1,148 9d6 2,534 3,668 2,944 13,6,!9 1,165 1,472 1,709 4,311 4,973 16,982 2,47B 3,749 2,d O0 3,329 4,626 7,672 1,191 1,323 1,710 2,56b 881 25,180
3,410 3,541 4,207 6,560 7,462 5,925 96.? 521 1,099 1,303 2,041 7,058 452 850 1,181 2,306 2,269 8,022 1,318 1,544 1,097 1,633 2,431 4,175 679 626 831 l,31a 722
23,752 2,700 3,21LI 4,398 6,652 6,785 5,662 561 432 1,324 1,860 1,485 6,685 499 634 904 2,163 2,485 7,755 1,094 1,472 1*357 1,436 2,396 3,651 545 680 813 1,153 419 39,994
5,262 6,964 6,074 to*94L 10*754 8,198 784 810 1,647 2,754 2,203 0,790 1,084 1,440 1,532 3,045 3,690 4 â034 2,064 3,849 1,395 2,714 4,012 6,972 1.330 865 1,499 2,429 849
25,811 3,283 4,312 4,355 7,222 6,639 5,618 587 554 1,209 1,008 1*459 6,945 665 B3E3 805 2,1+8 2,4138 9,227 1,384 2,276 1,443 1,893 2s230 4,021 646 643 897 1,373 462 AvERAGE LENGTH OF STAâf IN OAVS 4.8 4.2 4.3 4.7 5.0 5.7 5.3 5.6 5.3 4.7 5.0 6.2 5.2 3.9 4.8 5.0 5.4 5.8 4.7 4.3 3.9 4.8 5.2 5.5 4.2 3.3 4.3 4.1 4.3 5.1
6.8 5.4 6.2 6.6 7.1 7.9 7.5 7.0 6.5 7.1 7.9 8.2 6.9 5.2 6.2 6.4 7.1 7.8 6.7 5.6 **b.3** 6.5 7.3 7.8 5.8 4.3 5.8 6.4 6.0 7.8 6.1
5.2 5.1 5.5 6.4 7.6 6.8 **b.T 6.2** **5.3 6.2** **8.8 6.5** **4.2 5.7** **6.2 6.7** **7.7 5.8** **5.4 4.5** **5.1 7.0** **7.0 5.5** **4.2 5.5** **5.6 5.7** **6.9**
**6.7 5.2** **5.9 6.7** **6.9 7.7** **7.3 6.4** **6.2 7.0** **7.8 7.9** **b.8 5.2** **5.9 6.5** **7.0 T.4** **6.5 5.4** **5.6 6.3** **6.6 8.0** **5.9 4.1** **6.2 7.0** **5.9 7.9** 4.3
3.7 3.9 4.2 4.4 4.9 4.6 4.6 4.8 4.4 4.5 4.8 4.6 3.6â 4.3 4.4 4.7 5.0 4.2 3.9 3.7 4.5 4.5 4.9 3.6 3.0 3.7 3.6 3.8 4.2
6.9 5.6 6.5 6.5 7.3 8.0 7.7 7.6 6.7 7.1 8.0 8.5 7.1 5.2 6.5 6.3 T.3 8.3 7.0 5.8 6.8 6.7 7.9 7.5 5.8 4.5 5.5 5.9 6.1 7.8
## 26TABLE 4. NUMBER Of PATIENTS DISCHMRLEO FRL7M SHORT-STAY HOSPITALS, OAYS OF CARk, ANO AVkRAGk LENGTHS IJF STAY, cIY SEX* AGE,
GEOMAPHIL REGION, ANO tIEO SIZE OF HOSPITAL: LJNITEO STATkS* 19a6--CoN. [O13CHARGES FROH NUN-F E13ERAL HOSPITALS. EXCLU13ES NEwBORN INFANTS 1 AGE, REGION, **AND i3kD** SIZE BOTH SEXES MALE FEHALE SGTH SEXES MALE FEMALt BCTH SEXES MALE FkMALt
65 YEARS AND OVER uNITED STATES, ALL SIZE S. . . . . . . . . . . . b-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 EtOS . . . . . . . . . . . . . . . . . . . . . . 200-299 tiers . . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 13EOS OR HARE . . . . . . . . . . . . . . . . . . NORTHEAST, ALL SIZES . . . . . . . . . . . . . . . . 6-99 060s. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 BEDS. . . . . . . . . . . . . . . . . . . . . . 200-299 dads . . . . . . . . . . . . . . . . . . . . . . 300-499 BEDS. . . . . . . . . . . . . . . . . . . . . . 500 BEDS 13R MORE. . . . . . . . . . . . . . . . . .
### HIOUEST, ALL SIZES .. . . . .. .. . . . .. . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 ados . . . . . . . . . . . . . . . . . . . . . . 200-299 BEDO. . . . . . . . . . . . . . . . . . . . . . 300-ât99
### beds .. . . .. . . . .. . . . . . . . . . . . 500 dEOS OR 140 RE. . . . . . . . . . . . . . . . . . SOUTH, ALL SIZE S. . . . . . . . . . . . . . . . . . . . 6-99 BEDO. . . . . . . . . . . . . . . . . . . . . . . . . 100-199 3EOS . . . . . . . . . . . . . . . . . . . . . . .?00-299 iiEOS. . . . . . . . . . . . . . . . . . . . . . 300-+99 BEDO
. . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR 140 Rk . . . . . . . . . . . . . . . . . . **NEST,** ALL SIZE S. . . . . . . . . . . . . . . . . . . . . **b-99** BEDS . . . . . . . . . . . . . . . . . . . . . . . . .
### 100-199 Is
EOS. . . . . . .. . . . . . . . . . . . . . . LOO-299 8EOS . . . . .. .. . . . . . . . . . . . . . . 300-499 BEDS. . . . .. .. . . .. . .. . . . . .. . 501JtIEOSOR MORE. . . . . . . . . . . . . . . . . . NuMBER OF PATIENTS DISCHARGED IN THOUSANOS LO, T16 1,947 1,892 2,245 2,73a 1,893
### 2,341 262 309
### &lo 701
### 45a z,alo
### 462 402 45Z 809 6a5 3*514 a15 aos 599 683 6L3 Z*051 408 375 584 546 L3a
### 4,677
823 a17 9a9 1.La7 a60 1,005 116 122
### 265 301 201 1,228 201 169 lab 352 320 1,505
### 333 332 26Z 29a zao 939 174 194 276 236 59 6,039
1,124 1,075 1,256 1,551 1,033 1,335 146 laa 345 399 257 1,582 Z62 233 266 *5T 364 â?*O1O 48Z 473 338 3a4 333 1*112 234 182 308 310 79 NUM8ER OF OAYS LIE CARE IN THOUSANOS 91,041 13,267 14,911 19,165 24,900 la.798 24,0ztZ 2,456 Z,742 6,290 7,554 5,001 23.968 2,9I32 3,300 3,926 7*06a 6,692 2a,387 5,405 6,100 4,898 6,212 5,772 14,643 2,423 2,770 4,051 4,066 1*333 3a,3a6
### 5,290 6,156 8,306 10,371 8,264 9,924 995 9a7 2,673 3,14a 2,121 lo,la9 i,244 1,315 1,583 3,010 3,037 11,a63 z,loa 2,4C7 2,153 2,613 2,581 6,411 943 L,447 l,a96 1,600 526 52,655
7*977 a.754 lo,a60 14*530 10*534 14,11a 1,461 1,755 3,617 4,405 z.aao 13.779 1,738 l,9a4 2,342 4,059 3,655 16,525 3,297 3,692 2,745 3,600 3,191 a..233 1,481 1,323 2,155 2,466 &o& AVERAGE LENGTH UF STAY IN OAYS a.5 a.2 a.7
### 6.a 6.4 7.1 7.9 7.5 8.1 a.
### 5 9.1 9.9 10.3 9.4 L!.9 10.3 lo-a 10.9 a.5 6.4 a.z a.7 a.7 9.a 8.1 6.6 7.6 a.z 9.1 9.4 -I. 1 5.9 7.4 6.9 7.4 9.7 a.+
a.7
### 9.6 9.9 a.6 &.1 10.1 10.4 10.6 a.3 6.2 7.8 8.5 L3.6 9.5 7.9 6.3 7.2 8.2 8.a 9.2 6.a 5.4 7.5 6.9 6.8 a.9 6.6
9.4 10. Z 10.6 10.0 9.4 10.5
### 11.0 11.2 6.7 6.6 a.5 a.a 8.9 10.0 8.2 6.a 7.a 8.1
### 9.4 9.6 7.4 6.3 7.3 7.0 a.o 10.3
## 27TABLE 5. RATE OF PATIENTS DISCHARGED FROM SHORTâSTAY HOSPITALS AND OF oAYS OF CARE, Biâ SEX, AGE, AND GEOGRAPHIC REG1ON:
UNITED STATES, 1986 [DISCHARGES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEtiBORN INFANTSJ AGE ANO REG1ON BOTH SEXES HALE FENALE BOTH SEXES HAL E FEMALE
RATE OF PATIENTS OISCHARGEO PER I.00LI POPULATION RATE OF DAYS âF cARE PER 1.000 Population 912.8 L116.9 1,002.8 1,028.7 948.1 1,102.4 1,002.0 910.3 lvoaa.s 882.5 771.6 985.6 135.1 647.2 820.2 ALL AGES UNITED STAT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MI OIAEST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . wEsT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNOER 15 YEARS UNITEO STAT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141DHEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . MA ST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-44 YEARS UNITEO STATES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
### MIDWELT. . . .. .. . . .. .. . . . .. . .. . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HE AT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45-64 YEARS UfiITEO STAT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MIoIIEsT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
65 YEARS A140 OVER UNITED STAT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NORTH EAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MI OUEST . . . . . . . . . . . . ..s . . . . . . . . . . . . . . . . . . . . S(3UTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BE ST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143.1 120.5 164.4 139.4 122.7 154.6 150.9 129.2 171.4 14+.9 120.4 Lb_I.6 134.4 107.7 160.3
53.5 60.3 46.5 +6.9 54.0 39.5 55.7 61.9 +9.2 64.3 72.8 55.4 38.9 43.0 34.7 244.7 .?73.3 214.6 194.1 217.7 169.3 297.0 334.4 257.7 276.6 306.1 241.6 178.4 196.7 159.3
118.9 73.4 163.2 114.0 76.9 149.7 123.5 78.6 .167-9 121.3
### 72.9 167.7 114.3 64.5 164.a 575.7 450.7 697.7 606.2 519.6 689.4 642.1 511.0 771.5 571.3 424.1 712.7 474.4 355.6 593.0
162.2 166.1 158.7 147.6 160.8 135.8 178.0 185.7 171.0 164.8 165.0 164.6 154.5 148.8 159.8 1,101.4 1,105.2 1v09T.8 1,110.5 1,179.3 1, 04s.9 1.233.3 1.256.5 1!,212.2 1*11O.2 1.072.2 1,144.4 90.3.9 882.3 922.2
367.3 395.6 348.1 349.5 381.4 328.7 380. o 414.2 357.1 355.2 373.6 342.4 395.5 427.7 371.9 3,120.7 3,246.8 3,034.8 3.589.5 3,764.9 3,475. T 3.241.5 3,436.4 3$,111.1 2,868.9 2,94$.8 2*915.6 2,824.1 2,920.5 2,T53.4
TABLE 6. NUIWER EIF PATIENTS OISCHARGEO FR(IH SHORT-STAY HOSP lTALS, OAYS OF C4RE. ANO AVERAGE LENGTHS OF STAY, 8V SEX. TYPE OF OUNERSHIP OF HOSPITAL, AhD AGE OF PATIENT: UNITED STATES, 1986
co IscnAaGEs man NON-FE⢠ERAL MOSp ITALS. EXCLLN)ES NEH8CIRN INFANTS J TYPE OF OifNERSHIP ANLI AGE ELITH SEXES HALE FEMALE 813TH SEXES MALE FEMALE dOTH SEXES HALE FEMALE
NUMBER OF PATIENTS OXSCHARGEO ALL TYPES IN THOUSANOS MSMBER OF OAVS OF CARI? AVERAGE LENGTH OF S7AV IN THOUSANOS IN OAVS ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNOER 15 VEALS . . . . . . . . . . . . . . . . . . . . 13-44 VEAL S. . . . . . . . . . . . . . . . . . . . . . . 45-64 VEAL S. . . . . . . . . . . . . . . . . . . . . . .
### 65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
VOLUNTARY NONPROFIT ALL AGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEAR S. . . . . . . . . . . . . . . . . . . . 15-44 VEAL S. . . . . . . . . . . . . . . . . . . . . . . 45-64 VEAL S. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . .
GOVERNMENT ALL AGES. . . . . . . . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEARS. . . . . . . . . . . . . . . . . . . . 15-44 YEADS. . . . . . . . . . . . . . . . . . . . . . . 45-64 YEARS . . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO LIVER. . . . . . . . . . . . . . . . .
PROPRIETARY ALL AGEs . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNOER 15 YEAAS. . . . . . . . . . . . . . . . . . . . 15-44 YEARS. . . . . . . . . . . . . . . . . . . . . . . 45-64 YEAR S. . . . . . . . . . . . . . . . . . . . . . . 65 YEARS ANO OVER . . . . . . . . . . . . . . . . . 34,256 2.783 13,458 7.300 10,716 13,949
1,603 4.100 3,569 4*677 20,307
1.179 9,358 3,731 6,039
13,928 811 6,298 2,566 4,253
4,229 275 2,153 735 1,066
2,150 93 907 430 720 218,496
12.71e 65,174 49.563 91,041 94,593
7,27+ 25.180 23,752 38,386
66,847 5,065 16,216 17,120 28,446
18,528 1,809 6,223 4,298 6,
# 1s1
9,21E 400 2,741 2,334 3,743 123,903
5,444 39,99* 25,811 52.655 6.+ 4.6 4.8 6.8 a.5 6.8
4.5 6.1 6.7 8.2 6.1
4.6 4.3 6.9 8.7
### 23,506 1*939 8,918 5,094 T,555 9*578
1,1.?8 2,621 2,529 3.301 154,810 8,767 +3,384 35,165 67,494 87,963 3,102 27.167 18,045 39,048 6.6 4.5 4.9 6.9 8.9 T.o
4.5 6.2 6.8 8.6 b.3
4.6 4.3 7.0 9.2
7*131 647 3.139 1,392 1*953 41,906 3,196 15,144 9,344 14,222 2,903 3T3 986 657 887 23,378 1,387 8,921 5.9
4.9 4.8 6.7 7.3 6.4
4.9 6.3 6.5 7.0 5.5
5.0 4.1 6.9 7.5 5,045 8.025
3,618 196 1,400 81+ 1,208 1,460 la3 493 21.780 754 6,647 5,D55 9,325
### 12,562 354 3,906 2,721 5,502 6.0
3.B 4.7 6.2 7.7 6.3
3.9 5.6 6.1 7.7 5.s
3.8 4.3 6.3 7.8 384 488
## 28TA8LE 7. NWBER, PERcENT DISTRIBUTIONS AND RATE OF wOMEN WITH
### DELIVERIES OISCHAMEO FROM SHORT-STAY HOSP ITAI-S ANO OF OAYS OF CARE,
tiITH AVERAGE LENGTHS OF STAY* BY AGE, **RACE,** GEOGRAPHIC REG1ON* AND BEO SIZE .OF HOSPITAL: UNITED STATES? 1986 [DISCHARGES FROM NON-FEOERAL H13SPITALS1 OISCHARGEO PATIENTS OAYS OF **CARE**
NUMBER RATE PER IN PERCEtiT 1.000 THOUSANOS DISTRIBUTION POPULATION NUHBER RATE PER AVERAGE IN PERCENT l.oao LENGTH OF THOUSANDS DISTRIBUTION POPULATION STAY IN OAYS AbE, RACE. REGION, AND BEO SIZE
XD-54 YEARS . . . . . . . . . . . . . . . . . . . . . . . . . ACE la-14 YEARs . . . . . . . . . . . . . . . . . . . . . . . . . 15-44 YEAAS . . . . . . . . . . . . . . . . . . . . . . . . . 15-19 YEARS . . . . . . . . . . . . . . . . . . . . . . . 20-24 YEARS . . . . . . . . . . . . . . . . . . . . . . . 25-29 YEARS . . . . . . . . . . . . . . . . . . . . . . . 30-34 YEARS . . . . . . . . . . . . . . . . . . . . . . . 35-4+ YEARS. . . . . . . . . . . . . . . . . . . . . . . 45-54 YEARS.. . . . . . . . . . . . . . . . . . . . . . . . 10-17 YEARS . . . . . . . . . . . . . . . . . . . . . . . . . 16-5+ YEARS . . . . . . . . . . . . . . . . . . . . . . . . . RACE !4HITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ALL OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . RACE NOT STATE . . . . . . . . . . . . . . . . . . . . . REGION NORTHEAST . . . . . . . . . . . . . . . . . . . . . . . . . . . HIouEST . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.762
### 100.0 +a.a 12,094 100.0 156.8 3.2
### 11 3,748 475 0.3 1.4
99.6 6S.4 12.6 52.1 2a.7 106.T 32.3
### 111.1 39 0.3 1.?,0+2 99.6 1.436 11.9 4.B 210.1 157.6
### 3.5
3.2 3.CJ 3.1 3.2 3.4 3.6 * 1,080 1s215 72a 251 * 3.296 27.3 325.6 3*913 3Z.+ 3s7.7 Z*499 20.7 240.7 898 7.4 53.6 * * * 19.4 70.1 6.7 15.0 * â
### 186 3,576 4.9 13.7
95.1 56.3 581 4.8 4Z.8 11*513 95.Z 181.1 3.1 3.,Z
2,413 783 561 64.1 37.4
20.8 61.6 15.1 ..- 7*B54 64.9 121.9 Z,611 21.6 205.4 I,6Z9 13.5 -.. 3.3 3.3 2.9
695 90s L.252 906 18.5
24.1 33.3 24.1
### 43.4
4a.1 47.0 58.0 2,s74 ZI.3 16a.8
3,072 25.+ 162.9 4.066 33.6 152..5 2.382 19.7 152.Z 3.7 3.4 3.2 2.0 BEO SIZE 6-99 BEDS . . . . . . . . . . . . . . . . . . . . . . . . . . . 100-199
### BEDS. .... . .. .... ... ..... ... . 20cI-ZS19
5EOS. ... .. .... ..... ......... 300-499 BEDS . . . . . . . . . . . . . . . . . . . . . . . . 500 BEOS OR HARE . . . . . . . . . . . . . . . . . . . . 1,456 lZ.O . . . 1,902 15.7 . . . 1,63s 13.5 . . . 3,648 30.2 . . . 3,450 28.5 . . .
### 540 647 545 1,092 937 14.3 . . .
17.2 . . . 14.5 ..- 29.0 . . . Z4.9 ---
### 2.7 2.9 3.0 3.3 3.7
TABLE d. NUMER OF kOMEN UITH OELXVERIES OISCHARGEO FROM SHORT-STAY HGSPITALS ANO NUHBER OF OAYS CF CARE ANO AVERAGE LENGTHS Oi= STAY FOR NOMEN uITH DELIVERIES. BY BED sIZE OF HOSPITAL ANO GEOGRAPHIC i7EGION: UNITEO STATES. 19s6 [ DISCHARGES FROH NON_FEOERAL Hospitals
REGION ALL SIZES 6-99 BEDS
### la-199 BEOS ZO-299 BEDS 300-499 BEDS 500 BEDS OR t40RE
NUHBER OF PATIENTS OISCHARGEO IN THOUSANGS
647 545 UNITEO STAT ES. . . . . . . . . . . . NORTHEAST . . . . . . . . . . . . . . . . HIoUEST . . . . . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . lest . . . . . . . . . . . . . . . . . . . . . 3,762 540
### 1.092 937 695 908 1,252 908 59 95 184 205 59 1Z8 387 75
### 126 136 75 208 277 247 25+ 315 174 305 35Z 107
NUNBER **OF OAKS** aF CARE IN THOUSAtiDS UNITEO STAT ES. . . . . . . . . . . . NORTH EAST . . . . . . . . . . . . . . . . MODEST . . . . . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . HEAT. . . . . . . . . . . . . . . . . . . . . 12.094 1.456 1.902 1,638 3.648 3,450 Z,574 3, 07Z 4,066 .2,38Z
# 180 301 505 469
### 196 468 396 419 1*135 Z34 175 517
### 1,078 824 844 901 653 1.131 1,347 320
AvERAGE LENGTH DF STAV IN OAYS
Z.9 3.0 UNITEO STAT ES. . . . . . . . . . . . NORTHEAST . . . . . . . . . . . . . . . . H112biEST. . . . . . . . . . . . . . . . . . SOUTH . . . . . . . . . . . . . . . . . . . . BEST . . . . . . . . . . . . . . . . . . . . . 3.2 2.7
### 3.3 3.7 3.7 3.4 3.2 2.6 3.1 3.3 Z.7 2.3 3.3 3.7 3.1 3.1 2.9 3.1 2.4 2.5 3.9 3.3 3.3 2.9
### 3.7 3.7 3.8 3.0
## 29TA8LE 9. . . NUMdER OF PATIENTS OISCHARGEO FRUM SHORT- SIAY HOSPITALS, RATt OF UISCHARGk S, ANO AVt RAGE LENGTHS lilF STAY, EIV AGE AND CATEGORY OF FIRS T-L ISTEO OIAGNOSIS: UNITEO STATES, 1985 [D ISCHARGti S FROM NON- FEOERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. DIAGNosTIC 6ROUPIN6S ANO CLIOE tiUMd ER INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATIIJN OF OISt ASES, 9TH KEV1S1ON, CLINICAL MOOIFICATIUN (l CO-9-CH) 1
### UNOER 15 15-44 65 YEARS
- CATkGORY OF FIRS T-L ISTEO OIAbNOSIS ANO ICO-9-CH COOE 45-64 ALL AGES YEARS YEARS YEARS ANO OVER
NUIIBER OF PATIENTS OISLHARGEO IN JhOUSAf40S ALL COEDIT IO NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
### 34,256 700 2,305 2,783
184 60 42 *
L7
80 20 .50 53 ..6 ..$ 196 60 * 94 30 25 * * * *8 * * 772 169 166 194 158 308 * 12. 56 34 115 * 91 =s * *5 * 50 53 14 * 163 138 83 395 134
~ * 60 35 55 11 13,458
223 423 222 35 15 35 201
268 133 92 1,111 7,300
95
T74 631 59 120 84 143
285 159 55 392 180 114 225 79 20 41 1,717 1,219 263 156 412 12s 104 178 585 00 * 148 99 977 80 54 28 94 65 150 613 L14 60
* * 132 639 125 178 31
* A09 561 173 23 55 29 36 110 *
### 10,716
198 1,049 964 146 155 96 85
484 L79 126 251 158 24 34a 1.?7 76 35 3,341 2,240 452 164 561 338 461 614 1,189 118 * 466 9.9 L,288 i46 54 13 98 90 170 751 51 194
. . .
. . . L56 552 193 52 14
66 816 413 21.9 16 38 26 84
. . . 02 INFECTIOUS ANO PARASITIC OISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139 03 04 05 06 NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239
MALIGNANT NEOPLASKIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..1+0-208.230-234 MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTU14. . . . . . . . ...153-154. 197.5 t4AL1GNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O. 197.3 MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198.81 BENIGN NEOPLAS14S ANO NEOPLASMS OF UNCti RTAIN BEHAV1OR ANO UNSPECIFIED NATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239 1,860 210 29o 216 445 07 08
09 ENOOCRINE, NUTRITIONAL ANO METABOLIC OISEASES, ANO IMMuNITY DISORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..240-279 OIAb ETES MELLITu S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250 1,117 491
### 10 11 OISEASES OF 7i=lE f3LOO0 ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-289 333 12 13 14 MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319
PSYCH OSES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299 ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303 1,807 766 397 422 258 270 134 *5 4a 468 247 42 16 67 41 13 34 657 80 86 134 122 ,158 67 77 153 78 159 171 ,210 164 * 883 341 177 838 142 273 59
* 196 A5 16 17 18 OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389
OISEASES OF THE CENTRAL NERVOUS SYSTEFI . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366 OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..3 S0-389 1,039 401 104 217 19 20 OISEAStS OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459
HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-S98.402 .4 O4.4iO-4l6.42O-429 ACUTE UYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410 ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0 OTHER IS CHEtiIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9 CAROIAC OYSRHYTHMI AS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427 CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0 CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+30-438 5,563 3,731 758 338 21 22 23 1,043 515 582 24 25 26 27 2a 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 889 3,204 426 255 943 477 3,732 295 196 25o 304 429 494 OISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..46 O-5I9 ACUTE RESPIRATORY INFECTIONS, EXCEPT influenza . . . . . . . . . . . . . . . . . . . ..46 O-466 CHRONfC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474 PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4!30-4LT6 AsTHMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493 OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O-579 ULCERS OF THE STOMACH ANO WALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534 GASTRITIS ANO OUOOENITiS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535 APPEND IC IBIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543 INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55O NONINFECTIOUS ENTERITIS ANO COL IBIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558 CHOLEL17HIAS I S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574 OISEASES OF THE GENITCIURINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 HYPE RPLASIA OF PROSTAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600 2,665 331 256 CWIPLICATIONS OF PREGNANCY, CHILOBIRTH, AND THE PUERPERIUM
### 1/. . . .. .. 630-676 ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCY ES. . . . . . . . . . . . . . . . . . . . . ...630-639
. OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709 889 343 515 OISEASES OF THE NuSCULOSKELETAL SVSTEM ANO CONNECTIVE TISSUk . . . . . . . ..7lO-739 ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-719 INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722 2,081 475 504 CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759 267 CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-7T9
### 139 SYMPTOMS, SIGNS, ANO ILL-OEFINEO CIJNOITIONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799 454 51 52 53 54 55 56 INJURY ANO POISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999
FRACTURES, ALL SIT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.829 FRACTURE UF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O SPRA1N5 ANO STRAINS IJF BACK (lNcLuOiNG NEcK) . . . . . . . . . . . . . . . . . . . . . ..846-84T INTRACRANIAL INJURIES (ExCLUOING THOS6 WITH SKULL FRACTIJRE) . . . . . . ..85 O-854 LACERATIONS ANO OPEN kOUNUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87 O.9O4 3,225 1*1OO 1,453 381 =6 118 140 187 252 192 267 284 5T >8 SUPPLEMENTARY CLASSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VO1-V82 3,973
FEMALES uITH DELIVE RI BE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27 3,748 4,222 3,762
### 1/ FIR ST- LtSTEO OIAGNOSIS FUR bEMALES HITH OtLIVERIEs Is COOEO v27, SHOWN UNOER WSUPp LEUENTARy CLASs IFlcA710Ns. *V
## 30TA6LE 9. NU14BER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS? RATE OF DISCHARGES, ANO AVERAGE LENGTHS GF STAY, 8Y AGE ANO
CATEGORY OF FIRST-L ISTtd DIAGNOSIS: UNITEO STATES, 1986--CON. [DISCHARGES FROM NLN4-FEOERAL HUSPITALS. EXCLUDES NEHLIORN INFANTS. LIIAGNOSTIC GROUPINGS ANO COOk NUMBER INCLUSIONS ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CL Iti ICAL A40DIFICATION (ICO-9-CM) 1 UNOER 15 15+4 45-64 65 YEARS UNOER 15 15-44 45-64 ALL AGES YEARS YEARS 65 YEARS YEARS ANO OVER ALL AGES YEARS YEARS YtARS AtiD OVER
RATE OF PATIENTS DISCHARGED PER 10.000 POPULATION AVERAGE LENGTH OF STAY IN OAYS 1,431.2 29.3 96.3 77.7 8.8 12.1 9.0 18.6
46.7 20.5 13.9 T5.5 32.0 lb.6 43.4 16.7 4.3 9.1 232.4 155.9 31.7 14.1 43.6 21.5 24.3 37.1 133.8 17.8 10.6 39.4 19.9 155.9 12.3 8.2 10.5 12.7 L7.9 20.6 111.3 13.8 10.7 37.1 14.3 21.5 8?.0 19.8 21.0
### 11.1 5.8 19.0 134.7 46.0 10.5 8.0 11.1 11.9 176.4 157..2 535.3
35.4 11.5 8.2 .v
3.3
15.5 3.8 11.5 10.2 *1.1 * 37.6 11.6 * 18.0 7.3 4.& * * * *1.5 * * 148.6 32.4 3L.9 37.4 30.3 59.3 * 2.2 10.8 6.5 22.1 * LT.4* * *0.9 * 9.6 10.2 2.7* 51.4 26.5 16.0 76.0 z5. T * * 11.6 6.7 10.6 2.A
### 1,188.8
19.7 37.3 19.6 *0.4 1.3 3.1 17.7
23.6 11.7 8.2 98.1 37.3 22.8 23.8 11.9 *0.5 4.2 41.3 21.8 3.7 1.5 5.9 3.6 1.2 3.0 58.1 7.1 7.6 11.9 10.8 102.3 5.9 6.8 13.5 6.9 14.1 15.1 106.9 14.5 * 78.0 30.1 15.6 74.0 12.6 2+.1 5.2
~ 17.3 128.3 33.6 30.7 10.4 12.3 16.5 350.9 331.1 1,622.2
21.1 171.9 140.2 13.0 26.7 18.8 31.7
63.3 35.4 12.2 87.1 40.1 25.4 50.0 17.5 4.4 9.0 381.5 270.9 58.4 34.7 91.5 28.5 23.1 39.5 130.0 13.3* 32.9 22.0 21T.1 17.8 12.1 6.2 2G.8 14.5 33.4 136.2 25.3 13.3
* * 29.4 142.0 27.9 39.5 6.8
*
### 24.3 124.6 38.4 5.1 12.3 6.4 a. I
### 24.5 * 3,673. L
68.0 359.6 330.6 50.1 53.3 32.9 29.0
105.9 61.5 43.3 86.L 54.2 a.1 119.4 43.7 26.0 12.0 1,145.3 767.7 155.0 56.4 192.3 116.0 158.2 231.0
### 407.6 40.3 * 159.9 33.7 441.7 50.2 18.4 4.6 33.7 30.a 5a.3 257.4 17.5 66.5
. . .
. . . 53.5 la9.1 66.0 lT.8 4.8
22.T 279.8 141.5 74.8 5.6 13.0 8.9 2a.7
. . . 6.4
7.0 8.4 9.1 lz.a a.a 7.1 5.3
7.2 7.6 5.a 12.3 14.4 10.7 5.6 9.3 1.7 2.9 7.5 7.0 a.9 6.2 5.3 5.9 a.z 9.7 6.0 4.T 1.3 7.a 4.a 6.1 7.1 4.5 4.9 3.0 4.8 6.9 5.2 3.6 5.7 2.5 2.1 7.9 6.6 7.6 6.9 5.5 9.0 3.4 6.4 a.6 14.2 5.6 5.0 4.5 3.3 3.2 4.6
3.9 5.4 6.6 *
2.5
5.6 4.1 4.0 24.2 *41.6 * 4.0 6.a * 2.3 6.8 7.T * * * %9.9 * * 3.2 3.2 1.3 4.6 3.2 3.4 * 2.9 +.1 1.7 3.0 * 4.0 * * *2.O * 4.4 6.3 7.2 * 5.1 9.0 3.0 4.2 5.2 * * z.a 3.1 4.0 4.a
### 6.3 5.9 6.8 *1O.9 8.0 6.2 4.9
5.4 5.4 5.4 12.0 14.5 10.4 5.a a.1 *2.3 2.5 5.7 5.7 7.2 5.0 4.2 4.2 7.3 10.9 4.0 3.6 1.3 6.3 4.1 4.a 5.2 3.a 4.2 2.3 5.0 5.7 4.2 2.9 * 2.5 2.1 5.9 5.1 4.4 6.4
### 4.4
* 3.2 5.2 6.4 =15.1 5.4 5.3 4.1 3.2 3.5 3.2 6.a 8.7 8.2 a.a 11.3 a.7 fi.a 5.4
7.0 a.o 5.9 11.5 14.2 10.7 5.4 9.a 1.7 2.9 6.7 6.4 a.z 5.5 4.9 5.5 U.o 9.7 6.7 5.9 * a.o 6.1 6.2 T.2 4.6 0.8 3.0 5.4 6.5 5.0 3.7 5.0
* * a.1 6.4 7.0 T.o
### 8.1
* 3..? 6.4 7.ti 13.0 5.8 4.9 5.8 *.2 * 8.5
9.a 9.6 9.9 13.5 9.0 7.7 6.6
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### 7.a 8.0 5.a 11.3 3.9 6.6 a.a 7.2 5.2 6.0
10.9 9.3 10.9 a.9 6.7
4.7 9.a 11.9 14).2 6.5 7.4 7.3 6.8
. . . 01
02 03 04 05 06 07
oa
09 10 11 12 13 14 15 16 17 la 19 20 21 22 23 24 25 26 27 2a 29 30 31 32 33 34 35 36 37 3a 39 40 41 42 43 44 45 46 47 4a 49 50 51 52 53 54 55 56
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## 31FRIJM SHORT-STAY HOSPITALS, RATE OF IJISCliARGES, ANO AVERAGE LENGTHS OF STAY, BY SEX, RACE, UNITE(I STATES, 1986 EXCLUOES NEu80RN INFANTS. OIAGNIJSTIC GROUPINGS ANO COOE NuMLIER INCLUS1ONS ARE 6ASE0 ON THE INTERNATIONAL CLASSIFICATION OF DiSEASES, 9TH REVISION, CLINICAL MOOIF1CATION (I C17-9-Ct4)l TABLti 10. NUMbER (IF PATIENTS OISCHARGEO ANil CATEGORY OF FIRS T-L ISTEO OIAGNOSIS: [DISCHARGES FROM NON- FEOERAL HOSPITALS.
SEX
BOTH CATEGORY OF FIR ST-L ISTEO JIAGNCISIS ANO lCO-9-Cii COOE 80TH SEXES MALE FEMALE SEXES MALE FEMALE
NUMBER (JF PATIENTS RATE OF PATIENTS OISCHARGEO OISCHARGEO IN THOUSANOS PER
### 10,000 POPULATION
### 01 02 03 04 05 06 07 08
09 10
### 11 12 13 14 15 16 lT 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 +2 43 44 +5 +6 47 48 49 50 Si 52 53 54 55 56 5T 58 ALL COEDIT IO NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,256 13,949 20,307 1,+31.2 1,204.6 INFECTIOUS ANO PARASITIC DISEASE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..00 I-L39 NEIJPLASMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..i+o-239 MALIGNANT NEOPLASUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l+o-2013. ~30-23+ MALIGNANT NEOPLASti OF LARGE INTESTINE ANO RECTUH . . . . . . . . ...153-154. 197.5 MALI GtiANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10. L977. O. L97.3 MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175. 198.8L BENIGN NEOPLASMS ANO NEOPLASt4S OF uNCERTAIN BEHAVIOR ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239 ENOOCRINE, NuTRITIONAL ANO METABOLIC OISEASES. ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2+o-279 01 A13ETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o OISEASES OF 7HE aLOOO ANO dLOOO-FORn ING ORGANS. . . . . . . . . . . . . . . . . . . . . .. ZdO-Z89 MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319 PSYCHOS ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299 ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3o3 OISEASES OF THE NERVOUS SYSTE14 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389 OISEASES OF THE CENTRAL NERVLIUS SYSTEM . . . . . . . . . . . . . . . . . . . ..320 -336,340-349 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366 OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389 OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459 HEART oIsEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398. +o2. 40+, +lo-+16,420-+29 ACUTE MYOCAROIAL IN FARCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41o ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. o OTHER 1SCHEt41C HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . 411-413,414 .1-414.9 CAROIAC OYSRHYTHMI AS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+27 CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . ,. . . . . . . . . . . . . . . . . . . . . . . ..428. o CERELIROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-4313 OISEASES OF THE RESPIRATORY SYSl Et4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+60-519 ACUTE RESPIRATORY 1NFECTIONS, EXCEPT IN FLuENZA . . . . . . . . . . . . . . . . . . ...460-466 CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474 PNEUMONIA, ALL FORMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..480-+6~ ASTHMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493 OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579 ULCERS OF THE STOt4ACH ANo SHALL INTEs TINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534 GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535 APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543 INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o NONINFECTIOUS ENTERITIS ANO cOLi TIS . . . . . . . . . . . . . . . . . . . . . . . . . . ..555 -556.55e CHOLELITHI ASI S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5T4 OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 HYPE RPLASIA OF PROSTAT E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600 COMPLICATIONS OF PREGNANCY, CHILOa IRTH, ANO THE PUERPERIUM 1/ . . . . . . . 630-676 AdORTIONS ANO ECTOPIC ANO MOLAR PREGNANCY ES. . . . . . . . . . . . . . . . . . . . . ...630-639 OISEASES OF THE SKIN ANO SUBCUTANEOUS
### TISSUE . . . . .. . . . . . .. . . . . . . . . . . ..6aO-7o9 OISEASES OF THE MUSCULOSKELCTAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..7 LO-T39 ARTHROPATHIES ANO RELATEO 01 SORC7ERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIO-719 INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T22 CONGENITAL ANOMALI ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..740-759 C6RTAI!4 CONOIT IONS ORIGINATING IN THE PER INATAL PERIOO . . . . . . . . . . . . . ..760-T79 SYMPTOM. SIGNS. ANO xLL-OEFINEO CONDIT IONS . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799 IN.Iu RY ANO POISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999 FRACTURES, ALL SIT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800 -cLz9 FRACTURE OF NECK OF FEMUR............................................⢠ZO SPRAINS ANO STRAINS OF 8ACK (I NCLUOING NEOK) . . . . . . . . . . . . . . . . . . . . ...846-8+7 INTRACRANIAL INJURIES (EXCLUOINL, THOSE HITH SKULL FRACTURE ) . . . . . . ..85 O-a54 LACERATIONS ANO OPEN !4GUNOS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-So+ SUPPLEMENTARY CLASS IF I CATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..âo1-â82 FEMALES HITH DELIv ERI Es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..âz7 700 2,305 1,860 210 29o 216 445 1,117 491 333 1,807 766 397 1,039 401 104 217 5,563 3,731 758 338 1,043 515 582 889 3,204 426 255 943 477 3,732 255 196 250 304 429 494 2,665 331 256 889 343 515 2,081 475 504 267 139 454 3,225
### 1,100 252 192 267 284 4,222 3,762 343
959 a66 105 175 *
T 93
422 205 147 962 356 303 480 194 41 107 2,a46 2,002 467 219 565 240 274 398 1,560 213 107 471 206 1,696 149 T9 13a 273 169 142 949 2L9 256
.. .
. . . 249 940 194 zaa 149 79 225 1,T76 540 62 98 163 219 169
. . . 35T
1,346 994 105 115 214 353
695 286 L86 $345 410 93 558 206 62 110 2,717 1,729 290 119 479 275 308 491 L,644 213 L48 472 271 2,036
### 146 llT 112 2:; 352 1,715 112
. . . 089 343 266 1,142 zao 216 118 60 229 1,449 560 190 95 104 65 4,052 3,762 29.3
9b.3 77.7 8.a 12.1 9.0 ia.b
46.7 20.5 13.9 T5.5 32.0 lb.6 43.4 16.7 4.3 9.1 232.4 155.9 31.7 14.1 +3.6 21.5 24.3 37.1 133.8 17.L7 10.6 39.4 19.9 155.9 12.3 8.2 10.5 L2.7 17.9 20.6 111.3 13.8 10.7 37.1 14.3 21.5 87.0 19.8 21.0 11.1 5.a 19.0 134.7 46.0 10.5 a.o 11.1 11.9 176.4 i57.2 29.6
a2.a 74a 9.1 15.1 *
a.o
36.4 17.7 12.7 83.1 30.a 26.2 41.5 16.a 3.6 9.3 245a 172.9 40.4 la.9 48.8 20.7 23.7 34.4 134.7 la.4 9.2 +0.6 17.a 146.4 12.9 6.a 11.9 23.6 14.6 12.2 a2.o 18.9 22.1
. . .
. . . 21.5 81.2 16.a 24.8 Lz.a 6.8 19.4 i53.4 46.6 5.4 U.4 14.1 la.9 14.6
. . . L,643.5
2a.9 109.0 ao.4 a.5 9.3 17.3 28.6
56.3 23.1 15.0 6a.4 33.2 7.6 45.2 16.7 5.0 8.9 219.9 139.9 23.5 9.6 38a 22.3 24.9 39.7 133.0 17.2 12.0 3a.2 21.9 L64. a 11..9 9.5 9.1 2.5 21.1 2a.5 138.8 9.1
. . . 72.0 27.8 21.5 92.4 22. T 17.5 9.6 4.9 ia.5 117.3 45.4 15.4 7.7 a.4 5.3 32a. o 304.5
ââ 1/ FIR ST-L ISTk O OIAGti OSIS FOR Fti MALEs WITH OELIVk RIES IS COOEO v27, SHOUN UNOER WUPPLEMkNTARY CLASS IF I CATIONS.,,
## 32TAdLE 10. NUMBER OF PATIENTS DISCHARGEO FROH SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVk RAGE LENGTHS OF STAY. dY SEX, RACE,
ANO CATEGORY OF FIRST-L ISTEO
### OIAGNOSIS: UNITEO STATES, 1986 --CCN.
. [DISCHARGES FROfl NON-FEOERAL HOSPITALS. EXCLUOES NEwuORN INFANTS. DIAGNOSTIC GROUPINGS ANO CODE NUMBER INCLUSIONS **ARE** 8ASE0 ON THE IN TkRNATIONAL CLASSIFICATION OF OISEASESV 9TH REV IS1ON* CLINICAL HoolFIcATIoN (lco-9-cn)
### J
SEX--CON. RACE
abTH ALL ALL NOT ALL ALL NOT ALL **ALL** SEXES NOT
HAL E FEMALE RACES HHITE OTHER STATEO RACES hHITE OTHER STATkO RACES HHITE OTHER STATEO
AVERAGE LENGTH OF STAY
### IN **OAYS** NUMtIER OF PATIENTS OISCHARGEO
### IN THOUSANOS RATE OF PATIENTS OISCHARGkO PER 10,000 POPULATION AVERAGE LENGTH OF STAY IN OAYS
# -.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
... 6.4
7.0 a.4 9.1 lz. a a.a l.1 5.3
7.2 7.6
s.a 12.3 14.4 10.7 5.6 9.3 1.7 2.% T.5 7.0 a.9 6.2 5.3 5.9 a.z 9.7 6.0 4.7 1.3 7.8 4.8 6.L 7.1 4.5 4.9 3.0 4.a 6.9 5.2 3.6 5.7 2.5 2.1 7.9 6.6 7.a 6.9 5.5 9.0 3.4 6.4 13.6 14.2 5.6 5.0 4.5 3.3 3.2 6.5 6.6 a.5 a.T 9.9 14.2 11.0 7.1 5.6
a.3 9.3 5.4 11.4 13.7 8.0 6.7 10.5 1.7 2.9 8.5 7.8 a.9 5.9 s.a 7.1 a.7 11.2 5.a 4.0 1.4 a.z 4.0 6.5 a.2 4.4 5.T 3.3 5.7 7.2 5.6 5.0 7.1
z.a 2.2 9.7 T.2 a.3 8.6 6.1 L2. O 3.a 6.8 8.9 via 6.4 7.0 4.6 3.4 3.3 5.6
6.1 7.a 8.5 12.9 9.1 5.7 5.0
6.9 6.a 6.0 10.9 11. a 10.8 4.2 7.2 2.0 2.6 7.1 6.7 a.3 6.4 5.2 5.6 7.3 9.3 5.0 4.0 1.1 6.4 4.4 5.a 6.5 4.3 4.6 2.6 4.9 6.6 4.7 3.4 5.0 2.4 2.0 7.0
s.a 7.a 6.2 5.6 a.6 3.7 5.5 7.2 12.0 6.8 3.2 3.6 2.9 2.9
### 01
02 03 04 05 06 07
oa
09 10
### 11 12 13 14 15 16 17 la 19 20 21 22 23 24 25 26 27 2a 29 30 31 32 33 34 35 **36**
### 37 3a 39 40 41 42 43 44 45 46 47
+a 49 50 51 52 53
n 56 5â7 5a 6.4 7.0 b.a
### 6.1 6.6 7.9 a.a 12.5 9.2 7.0 5.4
7.1 7.a
s.a 12.7 15.1 11.2 5.3 a.s 1.6 3.1 7.a **T**.4 9.5 6.2 5.5 6.5 a.7 9.9 6.1 5.1 1.3 a.o 5.1 6.5 7.7 4.7 5.0 3.a 5.1 6.6 5.0 4.0
. . . .2.5 2.1
a.o 6.9 8.4 7.5 5.5 10.8 3.5 7.2 9.7 14.6 5.a 5.4 5.2 3.2 3.2
### 34,256
700 2,305 1 ,a60 210 29o 216 445 1,117 491 333 1.ao7 766 397 1,039 401 104 217 5,563 3*731 75a 33a 1,043 5i5 582 aa9 3,204 426 255 943 477 3,732 295 196 250 304 429 494 2,665 331 256 aa9 343 515 z,oal 475 504 267 139 454 3,225 1,100 252 192 267 2a4 4,222 3,762 25,363
514 1.76a 1,450 168 .231 3.63 31a
799 326 215 1,262 552 25i 772 300 ao 164 4,450 3,043 634 2a5 a72 4La 45a 694 2,459 326 202 732 313 2.aa3 226 157 L92 236 336 382 2,005 275 205 543 204 370 1,579 356 3a7 191 92 3â41 2,375 650 212 146 190 177 2,744 2,413 5,116
129 3oa 224 23 37 25 a4
205 114
aa 312 133 71 143 63 11 29 625 378 63 31 a9 50 70 109 443 56 25 124 120 469 3a 24 28 35 52 54 379 20 21 236 106 93 22a 52 42 38 26 62 476 llT 12 2a
### 44 75 856 7a3 3,776
5a 229 la6 19 22 28 43
112 52 31 233 al 75 123 3a 13 25 4aa 311 61 21 a3 47 54 a6 302 44 2a a7 44 379 31 15 30 33 41 5a zal 37 29 110 34 52 274 66 75 3a 20 51 373 133 29 19 32 32 621 567 1,431.2
29.3 96.3 77.7 a.e 12.1 9.0 la.6
46.7 20.5 13.9 75.5 32.0 16.6 43.4 16.7 4.3 9.1 232.4 155.9 31.7 14.1 43.6 21.5 24.3 37.1 133. a 17. a 10.6 39.4 19.9 155.9 12.3 a.2 10.5 12.7 LT.9 20.6 111.3 13. a 10.7 37.1 14.3 21.5 a7. o 19.a 21.0
### 11.1 5.a 19.0 134.7 46.0 10.5 a.o 11.1 11.9 17.5.4 157.2 1,249.1
25.3 a7. i 71.5 a.3 11.4 a.1 15.7
39.4 16.1 10.6 62.2 27.2 12.4 3a.1 ~4.a 4.0 a.1 219.2 149.9 31.2 14.1 42.9 20.6 22.6 34.2 121.2 16.1 9.9 36.1 L5.4 142.1 11.1 7.7 9.5 11.6 16.6 La.a 9a.a 13.5 10.1 26a loo la.2 77.8 17.6 i9.1 9.4 4.5 L6.a 117.0 41.9 10.4 7.2 9.4 a.7 L35.2 lla.9 1,+05.6
35.4 84.6 61.4 6.2 10.L 6.a 23.2
56.4 31.2 24.1 a5.7 36.6 19.6 39.3 17.4 2.9 7.9 17L.a 103.9 17.2 a.6 24.4 L3.a 19.3 29.9 121.6 15.3 6.9 34.0 32.9 128.9 10.4 6.7 7.7 9.6 14.4 14.9 104.1 5.4 5.9 64a 29.1 25.5 62.7 14.3 11.5 10.3 7.2 17.2 130.9 32.1 3.3 7.6 12.2 20.5 235.1 215.1 6.7 7.4 a.4
### 9.0 12.6 a.5 7.3 8.4 9.1 lz.a a.8 7.1 9.0
9.4 13.1 8.6 * 5.3 4.9 5.2
7.2 7.6 7.2
7.4 6.9 7.2 6.0 5.a
### 12.3 5.9
11.9 13.7 10.5 12.7 15.0 11.4 L4.4 10.7 5.6 9.3 1.7 2.9
## 6.0
10.0 5.6 9.3 1.7 2.9 1.9 2.7 7.5 7.0 a.9 * 6.2 5.3 5.9 a.2 9.7 7.2
6.7 a.5 6.2 5.1 5.2 7.7 9.5 7.4 7.0 a.9 6.2 5.3 s.a a.3 9.5 6.0 4.7 5.9
4.4 1.3 7.6 4.4 0.2 5.0 1.3 7.a
### 1.3 7.9 5-1 4.a
### 6.1 7.1 4.5 4.9 3.0 4.a 6.9 5.2 3.6 5.1 2.5 2.1 7.9 **b.6** 7.a
### 6.9 5.5 9.0 3.4 6.4 a.6 5.5
6.6 4.2 4.7 2.9 4.5 7.6 6.0 7.1 4.6 4.a 3.0 4.7 **b.9**
### 5.2 3.5 5.7 2.4 2.0 7.5 6.7 7.7 6.a 5.4
a.z 3.2 6.5 a.7 5.5 3.3 5.7
# ...
... 7.7 6.3 7.0 6.4 5.5
### 7.6 3.2 5.a 7.4 14.2 5.6 5.0 12.9
5.3 4.8 14..? 5.2 4.a
### 4.5 4.2 4.5 3.4 3.3 3.3 3.2 4.3
. . .
# 33TABLE 11. Nuf481iR OF PATIENTS DISCHARGE FROM SHCIRT-STAV HOSPITALS, RATt OF DISCHARGES, AtiU AVkRAGE LENGTHS Of STAY, BY GELIGRAPMIC
dE(, IUN AND CATEGORY OF FIR ST- LISTEO OIAGNOSIS: UNITEO STATES, 1986 [DISCHARGES FRLIM NON-F EOERAL HOSPITALS. EXCLUOkS NEh&ORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARti BA.SEO ON THE INTERNATIoNAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL HOOIFICATIIJN (l CC-9-CH) 1 UNITk D NORTHCATEGURY OF FIR ST-L ISTEIJ OIAGNOSIS ANO ICO-9-CM COOE STATES EAST MI O14EST SOUTH ilEST
NUMBER UF PATIENTS OISCHAIWEO IN THOUSA,NOS
### 01 02 03 04 05 06 07 08
09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 ALL CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INFECTIOUS ANO PARASITIC DISEASE S.......,.. . . . . . . . . . ... . . . . . . . . . . . . ...001-139 NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239 MALIGNANT NEOPLASHS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234 MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM . . . . . . . . ...153-154 ,197.5 MALIGNANT NEOPLASH OF TRACHEA, BRONCHUS, ANO LUNG . . . . . ...162. 197.0, L97.3 MALIGNANT NEOPLASM OF dreamt . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81 BENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAV1OR ANO UNSPECIFIELI NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239 ENDOCRINE, NUTRITIONAL ANO ME7ABOL1C OISEASES, ANO I14HUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..24 O.279 OIABETES FIELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250 DISEASES OF THE 8LOO0 ANO BLOOD-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . ..280-289 MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319 PSYCHOS ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299 ALCOHOL OEPENOENCE SYNDROME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303 OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . ..32 O-389 OISEASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366 OISEASES OF THE EAR ANO MASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . ..380-389 OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459 HEART OISEASE . . . . . . . . . . . . . . . . . . ..391 -392. O.393-398.4O2 ,404,410-416,420-429 ACUTE MYOCAROIAL XNFARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..41 O ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O OTHER ISCHEHIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l+.9 CAROIAC OYSRHYTHHIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427 CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..428. O CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438 OISEASES OF THE RESPIRATGRY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519 ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . ..46 O-466 CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474 PNEUMONIA, ,ALL FOR14S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486 ASTHMA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493 OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579 ULCERS OF THE STOMACH ANO SMALL IN TEST ING . . . . . . . . . . . . . . . . . . . . . . . ...531-534 GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535 APPEND ICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543 INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..55o NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . ...%. . . . . . ...555-556.558 cHoLELITHIAsIs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574 OISEASES OF THE GENITOURINARY SYSTEM.................................58O-629 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 HYPE RPLASIA OF PROSTAKE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600 COMPLICATIONS UF PREGNANCY, CHILDBIRTH, /lNO THE PUERPERIUM 1/ . . . . . . . 630-6T6 ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . ...630-639 OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . ..68 O-7O9 OISEASES OF THE MUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . . ..71 O-T39 ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-7L9 INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722 CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74 O.759 CERTAIN CONO1TIONS ORIGINATING
### IN THE PER INATAL PER IO D. . . . . . . . . . . . . ..7&O-779 SYMPTOMS, SIGNS, ANO IL L-O EFINEO CO ED IT IO NO
. . . . . . . . . . . . . . . . . . . . . . . . ..7 B0-T99 INJURY ANO POISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999 FRACTURES, ALL SIT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..800-829 FRACTURE OF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..B20 SPRAINS ANO STRAINS OF BACK (lNCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . ..846-B47 INTRACRANIAL INJURIES (EXCLUOING THOSE wITH SKULL FRACTURE ) . . . . . . ..85 O-854 LACERATIONS ANO OPEN hounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904 SUPPLEMENTARY CLASS IF ICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOl. V8Z FEt4ALES HITH DEL IV ORI ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..V27 34,256 .700 2,305 1.860 210 29o 216 445 1,A17 491 333 1,807 T66 397 1,039 401 104 217 5,563 3,731 758 338 1,043 515 582 889 3,204 426 255 943 477 3,732 295 196 250 304 429 494 2,665 331 256 889 3+3 515 2,081 475 504 267 139 454 3,225
### 1,100 252 192 267 284 4,222 3,762
### 6,955
137 481 379 55 63 41 102
212 94 67 4B9 208 141 240 al 49 49 1,216 834 174 64 236 115 139 191 630 72 48 182 116 765 59 39 45 79 74 95 504 58 49 207 106 121 340 80 68 43 17 71 617 214 52 35 69 49 799 695
# ... ..
8*Y31
### 167 655 546 54 79 64 109
310 128 78 560 195 151 299 116 23 56 i,437 960 196 102 270 123 149 220 833 112 75 249 123 955 72 45 72 82 119 136 661 90 71 219 63 130 562 150 124 67 35 128 808 276 65 48 69 68 1,02B 908 11, U9d
269 708 556 58 94 67 152
410 191 128 489 215 74 316 129 13 77 1,935 1,285 247 125 358 182 196 315 1,236 180 100 371 164 1,358 107 87 77 108 177 166 1,006 129 78 304 119 176 750 133 214 105 53 164 L,091 353 80 âd9 82 106 1,393 1,252 6,418
128 461 378
### 42 54 44 83
185 78 59 269 148 32 183 75 lB 35 975 653 141 47 180 97 98 163 505 62 32 141 14 655 56 25 57 35 59 97 493 55 5a 159 55 89 430 111 97 51 33 91 709 257 56 21 47 61 1*OG2 908
1/ FIR ST-L ISTEO OIAGNOSIS FOR FEMALES uITH OELIVERIES IS CUOEO VZ7, SHO14N UNOER âSUPPLEMENTARY CLASSIFICATIONS. W !
### 34TAdLE
### 11. NUMBER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, RATE OF DISCHARGES, ANO AVERAGE LENGTHS OF
### STAY, BY GEOGRAPHIC
REGION AND CATEGORY OF FIRST-LISTEO OIAGNOSIS: UNITEO STATES, 1986--CON. [DISCHARGES FROM NUti-FEOERAL HOSPITALS. EXCLUDES
### NEWBORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE hU148ER INCLUSIONS ARE BASED ON THk INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REV IS1ON, CLINICAL f100IFiCATION (I CO-9-CH) 1 UNITED NORTH- uNITEO NORTHSTATES EAST HIOHEST SOUTH wEST STATES EAST MI OHEST SOUTH UEST
RATE UF PATIENTS OISCHARGEO PER
### 10.000 POPULATION AvERAGE LENGTH OF STAY IN OAYS 1,431.2 29.3 96.3 7T.7 8.8
### 1.2.1 9.0 18.6
46.7 .?0.5 13.9 75.5 32.0 L6.6 43.4 16.7 4.3 9.1 232.4 155.9 31.7 L+.1 43.6 21.5 24.3 37.1 133.8
### lT.8 10.6 39.4 19.9 155.9 12.3 8.2 10.5 12.7 17.9 20.6 111.3 13.8 10.7 37.1 14.3 21.5 87.0 19.8 21.0 11.1 5.8 19.0 134.7 46.3 10.5 8.0 11.1 11.9
### 1T6.4 157.2 1,393.6 27.4 96.3 75.9
### 11.1 12.6 8.3 20.4
42.5 18.8 13.5 98.0 .41.8 28.2 48. L 16.1 9.8 9.8 2+3.7 167.0 34.9 12.8 47.2 22.9 27.8 38.3 126.2 14.5 9:5 36.5 23.2 153.2 11.9 7.7 8.9 15.8 14.8 19.0
### 101.0 11.7 9.8
. 41.4 21.3 2*.2 bd.1 16.1 13.6 8.6 3.5 14.2 123.6 42.9 10.4 7.0 13. d
### 9.8 160.1 139..2 1,509.5
28.2 110.6 92.3 9.2 13.4 10.8 18.3
### 52.3 21.7 13.2
### 94.6 33.0 25.5 50.6 19.6 4.0 9.4 242.9 162.2 33.1 17.3 45.6 20.7 25.1
### 37.2 140.7 18.9 12.7 42.1 20.8 161.4 12.1 7.6 12.2 13.9 20.1 23.1 111.8 15.1 12.0 37.1 10.7 22.0 95.0 25.4 21.0 11.4 5.8 21.6 136.5 46.7 10.9 8.L 11.6 11.5
### 173.7 153.5 1,448.7
32.7 86.3 67.8 7.1 11.5 8.1 18.5
50.0 23.3 15.6 59.6 26.2 9.0 38.5 15.7 1.6 9.4 235.7 156.5 30.1 15.2 43.6 22.1 23.9 38.+ 150.6 22.0 12.2 45.2 20.0 165.4 13.1 10.7 9.4 13.2 21.6 20.2 122.6 15.7 9.5 37.1 14.5 21.4 91.4 16.2 26.1 12.8 6.5 19.9 132.9 43.0 9.7 10.8 10.0 13.0 169.7 1,344.1 26.6 95.7 78.4 8.7
### 11.1 9.0 17.3
38.4 16.1 12.3 55.8 30.6 6.6 38.0 15.6 3.7 7.3 202.2 135.5 29.2 9.7 37.3 20.0 20.3 33.9 104.8 12.8 6.7 29.3 15.4 135.9 11.7 5.1 11.8 7.2 12.3 20.0 102.3 L1.3 11.9 32.9 11.5 18.4 89.2 22.9 20.1 10.7 6.9 19. (J 147.2 53.4 11.6 4.3 9.0 12.6 6.4
7.0 8.4 9.1 12.8 8.8 7.1 5.3
7.2 7.6 5.8 12.3 14.4 10.7 5.6 9.3 1.7 2.9 7.5 7.0 8.9 6.2 5.3 5.9 8.2 9.7 6.0 4.7 1.3 7.8 4.8 6.1 7.1 4.5 4.9 3.0 4.8 6.9 5.2 3.6 5.7 2.5 2.1 7.9 6.6 7.8 6.9 5.5 9.0 3.4 6.4 8.6 14.2 5.6 5.0 4.5 7.4
9.4 9.6 llT.8 15.7 10.2 7.6 5.2
9.2 8.8 6.6 11.3 15.2 7.2 6.0 11.7 1.5 3.1 9.1 8.3 10.5 6.1 5.9 7.8 9.5 12.8 7.1 5.1 1.2 9.5 5.2 6.7 8.4 5.4 5.6 2.8 6.1 7.5 5.6 4.2 6.8 2.4 1.9 9.0 7.7 9.4 **T.+**
### 5.9 9.1 3.5 7.6 1(3.9 18.2 6.8 5.3 4.7 3.8 3.7 6.6
6.7 8.4 9.0 11.6 9.3 7.5 5.8
7.2 7.9 6.3 13.9 16.3 12.2 5.5 8.9 2.1 3.0 7.5 1.3 9.2 7.2 5.5 5.6 8.5 9.3 5.9 5.0 1.3 7.9 4.7 6.2 7.5 +.6 +.7 3.0 4.8 6.9 5.+ 3.5 6.1 2.6 2.4 7.1 6.9 8.3 6.5 5.3 9.7 4.0 6.3 8.2 13.3 5.3 4.9 4.5 3.5 5.4 6.1
b.1 8.0 8.8 12.7 8.6 6.4 5.3
6.7 7.4 5.1 12.0 13.5 13.6 5.8 8.8 2.0 3.0 7.0 6.7 8.3 5.9 5.5 5.7 7.5 8.8 5.8 4.6 1.4 7.2 4.7 5.8 6.3 4.L 5.2 3.4 4.6 7.0 5.2 3.5 b.o 2.6 2.1 8.0 .5.5 7.5 7.4 5.6 8.9 3.1 6.3 8.3 13.T 5.3 5.5 +.5 3.3 3.2 5.5
0.6 7.4 8.0 10.7 7.0 7.0 4.6
5.7 6.4 5.9 11.0 12.3 12.0 5.1 8.0 1.6 2.1 6.3 5.8 7.2 4.8 3.9 4.4 7.3 8.4 5.5 4.3 1.1 6.9 4.3 5.6 7.0 4.6 4.1 1.9 4.1 6.2 4.6 3.2 4.1 2.4 2.1 7.2 5.8 6.3 5.9 5.3 8.3 2.9 5.8 7.3 12.1 5.0 4.0 4.1 .?.6 2.6 207. fJ 3.3 152.5 la8.4 3.2 01 02 03 04 05 06 07 08
09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 4+ 45 46 47 48 49 50 51 52 53 54 55 56 57 50
## 35TAbLE 12. NUM8ER OF PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY BE!J SIZE OF HOSPITAL ANCJ CATEWRY OF FIRS T-L ISTEO DIAGNOSIS:
UNIT50 STATES, 1966 [O ISCHAR*ES FKOt+ NLIN-FEOERAL riOSPITALS. EXCLUDES NEUdORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE NUMBER INCLUS1ONS ARE BASEO ON THE lNTERNATIUNAL CLASSIFICATICJN âF OISEASES, 9TH REV ISIUN, CLINICAL 14u01FlCATIGN (l CO-9-CM) 1 ALL 6-99 AOO-199 200-299 300-499 500 BEOS CATEGORY OF FIRST-LISTED OIAGNOSIS ANO ICO-9-CM COOE SIZES 13EOS i3EOS 8EGS BEOS **OR** MORE
ALL COEDIT ION S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INFECTIOUS ANO PARASITIC DISEASE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139 NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239 MALIGNANT NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-234 MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM -..............153-154+ 197.5 MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . . . . . ..162 .19?. O. 197.3 MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...174-175. 198.81 dENIGN NEOPLASMS ANO NEOPLASMS OF UNCERTAIN BEHAVIOR ANO uNSPECIFIED NATURE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...210-229.235-239 ENLIOCRINE, NUTRI ONAL ANO HE7ABCILIC OISEASES, ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279 OIABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250
OISEASES âF THE 13 L00LI ANO BLOOO-FORMING Organ s. . . . . . . . . . . . . . . . . . . . . . . . ...280-289 f4ENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319 PSYCHOS ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299 ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303 OISEASES OF THE NERVOUS SYSTEt4 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..320-389 01 S5ASES OF THE CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . ..32 O-336 .34 O-349 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366 OISEASES OF THE EAR ANO &iASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389 OISEASES OF THE CIRCULATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459 HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ..391 -392.0,393-398,402,404,410-416,420-429 ACUTE MYOCAROIAL INFARCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410 ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...414.0 OTHER lSCHEI+IC HEAR7 DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.4 l4.l.4l4.9 CAROIAC OYSRHYTHMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427 CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0 CEREBROVASCULAR OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..43 O.438 OISEASES OF THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519 ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-+66 CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+74 PNEUMONIA, ALL FARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486 AST14MA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493 OISEASES OF THE OIGESTIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579 ULCERS OF THE STOMACH ANO SMALL IN TEST I NE. . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534 GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535 APPEND ICI TIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543 INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550 NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558 cHoLELITHI AsIs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574 OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5d0-629 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 HYPE RPLASIA OF PROSTATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600 COHPLICATILINS **OF** PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUM 1/ . . . . . . . . . . . 630-676 ABORTIONS ANO ECTOPIC ANO HOLAR PREGNANCIE S. . . . . . . . . . . . . . . . . . . . . . . . . ...630-639 DISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . ...680-709 CISEASES OF THE HUSCULOSKELETAL SYSTEM ANO CONNECTIVE TIS SUE. . . . . . . . . . . . .710- 739 ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-7L9 INTERVERTEBRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 CONGENITAL ANOMALIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759 CERTAIN CONDI71ONS OITIGINATING IN THE PER INATAL PER IO D. . . . . . . . . . . . . . . . ...760-779 SYMPTOMS, SIGNS, ANO IL L- OEFINEO COEDIT IO NO. . . . . . . . . . . . . . . . . . . . . . . . . . . ...780-799 INJURY ANO POIRON ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-999 FRACTURES, ALL SIT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-329 FRACTURE GF NECK OF FEMUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820 spRAINs ANO STRAINS OF 13AcK (I NCLUOING Neck) . . . . . . . . . . . . . . . . . . . . . . . . ...846-8+7 iNTRACRANIAL INJURIES (ExcLu OiNG THOSE WITH SKULL FRACTURE ) . . . . . . . . . . ..85 O-854 LACERATIONS ANO OPEN MOUNDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904 SUPPLEMENTARY CLASSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vo1-v82 FEt4ALES klITH OELIVERLE S....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27 NUM8ER OF PATIENTS OISCHARLELl IN THOUSAtvOS 34,256 5,614 700 2,305 1,860 210 290 216 445 1,117 491 , 333 1,807 766 397 1,039 401 104 217 5,563 3,731 75a 338 1,043 515 582 889 3,204 426 255 943 477 3,732 295 196 250 304 429 494 2,665 331 256 8s9 343 515 2,081 475 504 267 139 454 3,225 L*1OO 252 192 267 2S4 4,222 3,762 127
197 156 26 22 24 41
230 100 54 360 125 110 L43 60 11 32 903 6L7 144 22 173 92 130 155 73T 112 44 277 77 737 59 5d **64** 60 105 98 428 51 34 120 38 94 270 4a 62 19 20 67 520 163 39 52 44 42 587 540 6,243
148 313 250 30 40 36 63
212 91 69 311 130 62 156 59 *8 50 915 589 113 28 166 98 104 165 684 111 60 190 93 712 59 48 50 53 91 94 563 65 53 153 63 96 430 88 89 62 28 76 598 205 45 S6 47 42 7L6 647 6,215
12+ 423 337 48 62 35 86
203 84 54 297 124 72 180 71 20 42 1*133 765 164 61 208 105 125 L76 593 74 55 168 98 724 63 :2 63 69 92 463 58 54 109 48 89 414 93 103 31 24 99 628 233 56 30 52 54 626 545 8,803
156 704 5TL 56 87 66 133
248 110 84 483 220 93 279 97 35 55 1,475 995 195 109 287 132 134 230 672 79 55 i79 108 892 70 36 56 74 93 135 654 81 68 252 9T 116 529 L35 136 71 34 114 815 288 68 35 69 72 l,22b 1,092 7,381
146 668 546 50 79 55 122
224 105 72 356 168 59 281 113 30 39 1,136 765 141 L17 209 88 88 162 517 51 41 129 Loz 667 44 20 37 55 70 75 557 76 47 255 97 120 438 110 114 84 32 97 663 212 44 19 55 74 1,067 937
1/ FIRS T-L ISTEO OIAGNOSIS FOR FEMALES wITH OELIVk RIES 1S COOkO v27, SHOHN UNOER âSUPPLEMENTARY CLOSSIFICATIONS.-
### 36TA8LE 13. AVERAGE LENGTH OF STAY FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS* BY BEO SIZE OF HOSPITAL ANO CATEGORY OF FIRSTLISTEO IIIAGNOSIS: uNITEO STATES, 1986 [OISCHARGES FROM NON-FEIIERAL HOSPITALS. EXCLUOES NEwBORN INFANTS. OIAGNOSTIC GROUPINGS ANO COOE NUUdti R INCLUSIONS ARE BASkO GN THE ItiTEANATIONAL CLASSIFICATION OF SIISEASES. 9TH REVISION. CLINICAL MODIFICATION (ICO-9-CM) 1 ALL 6-99 100-199 200-299 300-499 500 $Eos CAT5GOUY OF FIRS T-L ISTEO OIAGNCISIS ANO ICO-9-CM COOE SIZES BEOS BEOS BEOS tJEOS OR MORE
ALL CONDITION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139 NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239 MALIGNANT NEOPLASMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l4O.2O8t23O.234 MALIGNANT NEOPLASM OF LARGE INTESTINE ANO RECTUM . . . . . . . . . . . . ...153-154.197.5 MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LLJNG. . . . . . . . . . ..1623197 .O.197.3 t4ALIGNANT NEOPLASM OF 8REAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l74.l75.l98.8l 8ENIGN NEUPLASMS ANO NEOPLAS14S OF UNCERTAIN 8EHAVIOR ANO UNSPECIFIED liATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239 ENDOCRINE, NUT RIONAL ANO t4ETA80LIC OISEASESS ANO IWIUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Z40-279 OIABETES HELL
ITuS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250 OISEASES OF THE BLOOO ANO BLOOO-FORMING ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . .. Z8O-2B9 MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319 PSYCHO SEA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-299 ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303 OISEASES OF THE NERVOUS SYSTEt4 ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . . . . . . ..32 O-389 OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . . . . ...320-336.340-349 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366 OISEASES OF THE EAR ANO llASTOIO PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..38 O-389 OISEASES OF THE CIRCULATORY SYSTEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..39 O.459 HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . ..391-392. 0.393-39B.402.4 O4.4lO-4l6.42O-429 ACUTE UYOCAROIAL IN FARCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410 ATHEROSCLEROTIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-...414.0 OTHER ISCHEFIIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..411.413.414.1.4 l4.9 CAROIAC OYSRHYTHHI AS........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427 CONGESTIVE HEART FAILURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0 CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438 jISEASES OF THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4 bO.5l9 ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . . . . . ...460-466 CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-474 PNEUHONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..48 O.4S6 ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493 OISEASES OF THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..52 O.579 ULCERS OF THE STOMACH ANO SHALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . . . . . ...531-534 GASTRITIS ANO OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535 APPEND ICITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543 INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550 NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558 cHoLELITHIAs Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574 OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..58 O-629 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6OO COMPLICATIONS OF PREGNANCY, CHILDBIRTH, ANO THE PUERPERIUFl 11 . . . . . . . . . . . 630-676 ABURTIONS ANO ECTOPIC ANO HOLAR PREGNANCIES . . . . . . . . . . . . . . . . . . . . . . . . . ...630-639 OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68 O-TO9 OISEASES OF THE MUSCULOSKELETAL SYSTi+M ANO CONNECTIVE TISSUE . . . . . . . . . . . ..71 G-T39 ARTHROPATHIES ANO RELATEO 01 SOR06RS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7 L0-719 1NTERVERTE8RAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722 CONGENITAL ANOMALI ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759 CERTAIN CONOITIONS ORIGINATING IN THE PER XNATAL PER Ioo . . . . . . . . . . . . . . . . . ..76 O-779 SYMPTOMS, SIGNS, AND lLL-OEFINEO CONOITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..78 O-799 INJuRY ANO POISON lNG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999 FtiACTURES, ALL SIT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-1329 FRACTURE OF NECK OF FEHUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O SPRAINS ANO STRAINS OF BACK (l NCLUOING NECK) . . . . . . . . . . . . . . . . . . . . . . . . . .. B46-847 INTRACRANIAL INJURIES (EXCLUOING THOSE IJITH SKIJLL FRACTURE ) . . . . . . . . . . ..85 O-854 LACERATIONS ANO OPEN UOUNOS . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-......-......670-904 SUPPLEMENTARY CLASSIFICAT IONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. VOl. V8Z FEMALES MITH DEL IVERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27 6.4 7.0 8.4 9.1 12.8 8.8 7.1 5.3
7.2 7.6 5.8 12.3 14.4 10.7 5.6 9.3 1.7 2.9 7.5 7.0 8.9 6.2 5.3 5.9 8.2 9.7 6.0 4.7 1.3 7.8 4.B 6.1 7.1 4.5 4.9 3.0 4.8 6.9 5.2 3.6 5.7 2.5 .?.1 7.9 6.6 7.8 6.9 5.5 9.0 3.4 6.4 8.6 14.2 5.6 5.0 4.5 3.3 3.2 AVERAGE LENGTH OF STAY
### IN OAYS
5.3 5.1 7.1 7.9 11.9 7.2 6.1 4.3
5.6 6.2 4.5 10.9 12.5 10.4 4.6 6.7 1.5 3.5 5.6 5.4 6.6 4.3 4.0 4.3 6.6 6.6 5.4 4.4 i.4 6.5 4.2 5.0 5.6 3.9 4.5 3.0 3.8 6.2 +.8 2.5 5.3 2.1 2.1 5.1 5.9 6.2 7.4 3.4 4.7 2.4 4.6 6.4 lZ.3 5.4 2.7 3.4 2.7 2.7 5.T
6.3 7.7 8.4 12.3 8.3 7.4 5.0
6.8 7.4 4.8 11.3 12.9 10.4 5.0 7.1 *1.5 2.7 7.0 6.6 8.3 5.5 5.0 5.6 S.1 a.9 5.5 4.3 1.4 7.4 4.6 5.6 6.9 4.3 4.7 3.0 4.3 6.a 4.â5 3.5 5.6 2.2 1.9 6.9 5.4 6.5 6.1 4.3 5.5 2.9 5.6 7.5 13.4 5.5 3.6 3.6 2.9 2.9 6.5
7.9 8.1 9.0 13. a 8.2 6.a 4.a
7.4 7.a 5.9 10.9 11.7 10.2 5.1 7.a 1.7 2.9 7.5 7.1 9.1 5.6 4.9 6.L a.z 9.3 6.4 5.5 1.2 a.4 4.9 6.2 7â.6 4.7 4.5 2.9 5.0 6.6 5.3 3.3 5.0 2.3 2.0 8.6 6.6
### a.1 6.7 5.2 9.5 3.7 6.7 9.0 15.5 5.2 6.0 4.9 3.2 3.0 6.7
7.1
### a.5 9.1 12.7 9.5 6.$3 5.6
7.9 a.4 6.7 lz.3 L4. a 10.7 5.2 9.1 l.a 2.4 7.9 7.5 9.3 6.L 5.7 6.8 9.3
### 10.1 6.5 4.9 l.i 8.9 5.1 6.5 7.4 5.7 5.5 2.8 5.3 7.5 5.7 3.9 6.4 2.6 2.1 8.3 7.4 a.5 7.5 5.5 10.1 3.2 6.9 9.2 14.A 5.B 4.1 4.a 3.4 3.3 7.3
a.4 9.0 9.7 lz. a 9.3 7.a
s.a
a.1 a.4 6.9 15.6 ld.6 12.1 7.2 lz. a 1.9 3.3 8.8 a.o 10.8 7.1 6.6 6.3 9.1 13.3 6.5 4.9 1.3 a.9 4.9 6.9 a.5 4.6 5.2 3.3 6.4 7.2 5.5 4.2 6.2 3.0 2..2 9.3 7.4 8.4 6.5 6.9 13.1 4.2 T.a 9.8 15.1 6.2 a.3 4.9 3.a 3.7
### 1/ FIRST-LISTEO OIAWOSIS FOR FEMALES wITH DELIVERIES Is cOOEo v27, SHOhN UNDER -SUPPLEMENTARY CLASS IF ICATIOIMS. -
## 37TABLE 14. NUM8ER w= ALL-LISTED DIAGNOSES FOR $ATlkâNTs OISCHARGEO FROM SHORT-STAY Hti SPITALS, BY AGE, SEX+ RACE. GEOGRAPHIC REG1oN,
AND bE9 SIZE OF HOSPITAL, 6Y OIAGNOSTIC CATEGORY: uNITEO STATES, 1986 [DISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLULIES NEWBORN INFANTS. DIAGNOSTIC GROUPINGS ANO COOE Nuf4BER INCLUSIONS ARE BASEO ON THE ItYTERNATIONAL CLASSIFICATION (IF OISEASES, 9TH REV1S1ON, CLINICAL MOO1F1CATION (LCO-9-CM) 1 AGE
ALL uNOER 15 15-44 45-64 OIAGNOSIIC CATEGORY ANO lCO-9-CM COOE 65 YEARS DIAGNOSES YEARS YEARS YEARS ANO OVER
01 02 03 04 05 06 07 08
09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 3a 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 ;; 54 55 56 57 58
â 1/ ALL CLINOIT ILINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INFECTIOUS ANO PARASITIC DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...001-139 NEOPLASM . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239 MALIGNANT NEOPLASt+S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208.230-23+ MALIGNANT NEOPLASM OF LARGE INTEsTINE ANO RECTUM . . . . . . . . . .. I 55-154.197.5 MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS, ANO LUNG . . . . . . ..10.1977 .O.197.3 MALIGNANT NEOPLASM OF BREAST . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..174 -175.198 .81 t3EN1GN NEOPLASHSâ ANO NEOPLASMS OF UNCERTAIN BEHAVIOR ANO UNSPECIFIED NATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21 O.229.235.239 ENDOCRINE, NUTRITIONAL ANO METABOLIC OISEASES, ANO IMMUNITY OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279 131ABETES MELLITUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250 OISEASES CF THE BLOOO ANO 8LOO0-FORMING ORGANS. . . . . . . . . . . . . . . . . . . . . ..28 O-289 MENTAL OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-319 PSYCHOS ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..29 O.299 ALCOHOL OEPENOENCE SYNOROHE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...303 OISEASES OF THE NERVOUS SYSTEM ANO SENSE ORGANS . . . . . . . . . . . . . . . . . . . ...320-389 OISEASES OF THE CENTRAL NERVOUS SYSTEM. . . . . . . . . . . . . . . . . . . ..320 -336s340-349 CATARACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...366 OISEASES OF TH6 EAR ANO MASTO1O PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . ...380-389 OISEASES OF THE CIRCULATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...390-459 HEART OISEASE . . . . . . . . . . . . . . . . . . ..391-392. 0.393-398.402 .4 O4.4lO-4l6.42O-429 ACUTE tiYOCAROIAL IN FARCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...410 ATHEROSCLEROTIC HEART OISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..414. O OTHER ISCHEMIC HEART DISEASE . . . . . . . . . . . . . . . . . . . . . . ...411-413.414.1-414.9 CAROIAC OYSRHYTHHI AS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...427 CONGESTIVE HEART FAIL URE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...428. O CEREBROVASCULAR DISEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438 âOISEASES OF THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...460-519 ACUTE RESPIRATORY INFECTIONS, EXCEPT INFLUENZA . . . . . . . . . . . . . . . . . . ...460-466 CHRONIC OISEASE OF TONSILS ANO AOENOIOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...474 PNEUMONIA, ALL FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+80-486 ASTHMA
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493 OISEASES OF THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...520-579 uLCERS OF THE STOMACH ANO SMALL INTESTINE . . . . . . . . . . . . . . . . . . . . . . . ...531-534 GASTRITIS AND OUOOENITIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...535 APPENDICIT IS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...540-543 IN GUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...550 NONINFECTIOUS ENTERITIS ANO COLITIS . . . . . . . . . . . . . . . . . . . . . . . . . ...555-556.558 CHOLELITHIASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...574 OISEASES OF THE GENITOURINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...580-629 CALCULUS OF KIONEY ANO URETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...592 HYPERPLASIA OF PROSTATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...600 COMPLICATIONS OF PREGNANCY, CHILOBIRTH, ANO THE PUERPERIU14 il . . . . . . . 630-616 ABORTIONS ANO ECTOPIC ANO MOLAR PREGNANCY ES. . . . . . . . . . . . . . . . . . . . . ...630-639 OISEASES OF THE SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . ...680-709 OISEASES OF THE tiUSCULOSKELETAL SYSTEM ANO CONNECTIVE TISSUE . . . . . . ...710-739 ARTHROPATHIES ANO RELATEO OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71 O-719 lNTERVERTELIRAL OISC OISOROERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...722 CONGENITAL ANOMALI ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759 CERTAIN CONO1TIONS ORIGINATING IN THE PER INATAL PER 100 . . . . . . . . . . . . . ..76 O-779 SYHPTOMS, SIGNS, ANO lLL-OkFINEO COEDIT IONS . . . . . . . . . . . . . . . . . . . . . . . ...780-799 INJURY ANO POISONING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 OO.999 FRACTURES, ALL SIT ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...800-829 FRACTURE OF NECK OF FEMUR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82O SPRAINS ANO sTRAINs OF 8ACK (l NCLUOING NEcK) . . . . . . . . . . . . . . . . . . . . . ..846-a47 INTRACRANIAL INJURIES (E XCLUOING THOSE i41TH SKULL FRACTURE ) . . . . . ...850-854 LACERATIONS ANO OPEN Hobnob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...870-904 SUPPLEMENTARY CLOSSIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vo1-V82 FEMALES wITH LIELIVE RI BE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..v27 NUMBER OF ALL-L ISTEO OIAGNOSES IN THOUSANOS 102,764 2,512 4,712 3*745 288 510 285 S6T 7,030 2,864 2,3o8 5,070 1,473 910 3,531 1,596 169 624 20,373 12,932 870 1,837 3,214 2,571 1,716 1.893 7,591 826 331 1,469 780 8,213 586 555 297 378 730 786 7,366 426 456 6,766 38A 1,308 5,076 1,723 655 675 344 5,479 6,37o 1,637 279 323 350 710 8,039 3,702 5*543 359 91 66 * *
25
281 26 152 124 10 * 501 113 * 304 116 79 * *5 *8 23 11 *Li 1,162 265 219 262 211 464 * 21 62 1:: *5 176 * o 21 * 105 92 28 * 317 333 468 591 163 * *5 67 66 190 11 32,019
739 737 361 +6 24 42 376
1*131 389 607 2,530 595 514 747 363 *9 114 1.275 610 44 46 139 127 33 54 1*313 177 107 192 195 2,122 107 175 178 87 242 223 2,728 191 * 6,738 378 371 1,440 292 316 181
* 1,339 2,887 643 13 204 187 453 5,130 3,748 22,361
+25 1,515 1,206 76 195 104 309 1,937 900 454 1,119 313 294 732 309 30 84 5,355 3,324 288 458 1,096 521 286 354 1$580 130 * 237 171 2,127 163 152 34 107 121 221 1,68T 146 98 *6 * 322 1,404 396 236 97 =7 1,350 1,174 26S 26 84 39 102 1,070 *
FIR ST-L ISTEO OIAGNOSIS FOR FEMAL. S wITH OELIVERIES IS COOEO u27, SHOWN UNOkR âSUP PLE14ENTARY CLASSIFICATIONS. W 42,84i 989 2,369 2,113 205 287 139 256
3,681 1,548 1,094 1,297 555 99 1*551 811 L26 123 1.3,627 8,919 536 L,327 1,971 1,900 1,386 1,477 3,537 253 * 77a 203 3,500 313 207 23 142 204 337 2,778 86 3s5
. . .
. . . 510 2,140 1*007 101 80
* 2,321 1.717 564 237 31 56 89 1,649
. . . .â
# 38TAbLE L+. NUMBER OF ALL-LISTED DIAGNOSES FOR PATIENTS OISCHARGEO FROM SHORT-STAY HOSPITALS, by AGE, SEX, RACE, GEOGRAPHIC
### itEGIOtI*
**ANO** LTEO SIZE GF H12SPITAL$ By Diagnostic cATEGoRy:
## u~lTâ=o STAT=+* 1986--coNâ [DISCHARGES FROM NON-FEOERAL HOSPITALS. EXCLUOES NEWBORN INFANTS. OKAGNOSTIC GROUPINGS ANO CODk NUMBER INCLUSIONS ARE BASELI Gi4 THE INTERNATIONAL CLASSIFICATION OF OISEAStS. 9TH REVISION, CLINICAL 14001 FICATION (ICO-9-Ch) 1
SEX RACE REGION BEO SIZE
ALL NOT NoRTH- 6-99 HALE FEHALE uHITE 100-199 OTHER STATEO EAST 200-299 300-499 500 BEOS HIoHEST SOUTH
### hâEST BEDS BEDS 8EOS BEOS OR MORE
NUMBER OF ALL-L ISTEO OIAGNOSES
### IN THOUSANOSâCON. 4L,759 1,075 2,025 l,7a7 144 301
238 2,715 1,201 693 .?.599 670 6a3 1,641 748 65 318 9,955 6,571 528 985 1,760 1,268 782 8+7 3,867 393 L47 744 318 3,594 291 240 1>6 336 276 253 2,520 271 456
# ...
... 589 L,946 589 359 347 19,? 2,563 3,522 858 74 15d 211 507 1*714
. .. 61,005
1,438 2,687 1,958 144 209 283 729 4,315 1,663 1*415 2,471 795 227 1,889 847 103 306 10,418 6,361 342 852 1*453 1,303 934 1,047 3,724 433 184 724 463 4,620 295 316 142 43 455 533 4*649 154
. . . **6,76b**
### 381 7L$ 3,127 1*134 .?95 328 152 2,91b 2,848 779 205 165 139 &14 6,325 3,762 77,080
1,824 3,675 2,966 231 409 221 709 5,334 2,085 1,60,? 3,603 1,070 560 **2,b02** 1,229 129 484 16*440 10.673 729 1.564 2,712â 2,142 1,380 1,484 5,970 636 259 1$144 529 6,413 460 435 227 â297 576 606 **5,5b4**
### 355 367 4,296 227 960 3,967 1,358 512 491 216 4,189 4*777 1,280 233 231 251 492 5,674 2 .*13 14,956
457 599 434 32 62 30 165 1,107 521 524 843 229 203 492 223 20 80 2,33L 1,267 71 151 258 226 193 235 955 112 35 196 178 1,029 75 75 33 42 84 90 1,089 27 42 1,535 116 227 567 198 56 96 75 765 887 174 16 62 58 137 1*377 783 10,128
23L 438 345 25 39 34 93
589 258 181 624 174 147 356 143 19 61 1,602 992 **b9**
### 122 243 204 144 174 **665**
### 77 37 128 74 772 51 45 37 40 70 90 T15 43 47 935 37 120 541 167 86 87 52 525 706 184 30 30 41 81 989 567 22,035
517 1,030 810 77 111 55 220 1,535 664 540 1,334 411 314 809 364 **65 133**
### 4,878 3,186 199 507 795 594 409 419 1,561 155 58 291 192 1,773 125 117 52 94 128 164 1,464 76 99 1,264 113 318 937 348 90 113 44 1,043 1,279 328 5T 71 89 142 1,597 695 26,994
655 1,323 1,089 74 140 85 235 1,915 756 563 1,476 386 278 1,003 437 46 164 5,230 3,261 225 499 779 640 439 468 2,026 213 95 395 2,087 147 136 83 103 209 212 1,847 114 130 1,695 71 332 1,371 482 160 182 92 1,468 1,628 412 74 80 90 172 2,100 908 34,778
882 1,439 1,105 82 169 85 335 2,415 996 784 1,403 39a 190 1,094 492 30 236 6,819 4,295 283 579 1,079 842 587 659 2,T97 340 133 552 259 2,954 206 229 95 130 284 269 2,739 170 144 2,217 134 427 1,817 568 277 244 134 1,932 2,o98 528 87 134 112 249 2,583 1,252 18,956
457 9L9 741 55 90 60 178 1,165 448 421 857 278 128 625 303 28 91 3.447 2,190 163 252 561 496 282 347 1,207 118 46 231 124 1,399 109 72 **6T**
### 51 110 140 1,319 66 82 1,591 63 Z31 951 325 127 135 74 1,035 1,365 369 bl 39 59 147 1,759 90U 17*395
451 479 367 39 50 32 112 1,397 509 364 1,037 275 216 515 243 19 104 3*415 2,2L8 163 234 534 47â7 402 325 1,678 215 55 407 133 1,572 106 142 75 74 180 152 1,183 66 65 957 45 226
u57 305 93 65 36 975 1,041 240 42 81 1:; **l,14b**
### 540 16,024
446 690 527 42 70 47 164 1,.218 475 379 824 235 139 569 248 18 148 3,346 2,079 129 248 498 443 291 331 L,482 195 81 284 145 1,553 114 129 60 67 146 147 1,476 7a 89 1,o82 71 230 1,034 321 118 143 53 1,019 1,138 296 4k3 95 1:; 1,340 647 18,749
452 913 720 65 107 47 193 L,287 540 413 872 256 160 637 307 31 109 4,081 2,659 166 388 638 544 345 376 1,424 148 **b8**
### 266 152 1â573 127 101 51 17 118 151 1,311 76 88 907 52 238 981 335 133 85 65 1,032 1,190 338 60 55 67 132 1*fi59 5*5 26,515
598 l*3a6 1,117 77 A52 86 270 1,709 725 589 1,291 39-I 230 912 409 50 L37 5,387 3,442 223 561 890 644 **406**
### 499 1,716 15b 75 295 183 **l,9b4**
### 137 108 **69**
### 90 163
### 210 1,881 109 125 1,983 107 31b 1,23+ 431 lT7 189 94 1.336 l,6b3 430 78 61 91 192 .?,268 1.092 22,080
**5b5 1,243**
### 1,014 64 131 72 229 1,418 615 562 1,046 309 165 898 388 51 127 4,144 2,535 169 405 653 **4b4**
### 272 362 1,291 112 52 zla **lb7**
### I,55Z 101 75 43 70 124 126 1,516 97 9G 1,83T 105 298 **969**
### 331 134 193 94 1,117 1,336 333 51 30 66 166 1.996 937 01
02 03 04 05 06 07 08
09 Lo 11 12 13 14 15 16 17 la 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 3a 39 40 41 42 43 44 45 **46**
### *7 +8 49 50 51 52 53 54 55 56 57 58
## 39TA.9LE 15. NUM8ER OF ALL-LISTED PROCEDURES F(IR PATIENTS DISCHARGED
uNITED STATES, 19.96 FROM SHORT-STAY HOSPITALS, BY AGE ANO PROCEOURE CAT EGCIRV: [ OISCHARGES FROM NON-FE OERAL HOSPITALS. EXCLUOES NENBORN INFANTS. GROUPINGS Of PROCEDURES BY ANATLIMICAL SYSTEMS AND CODE hlUt4iJER 1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASS 1F1CATION OF ILIS EASES, 9TH REV ISJONV CLINICAL MODIFICATION (I CO-9-CM) 1 UNDER 15 15-+4 45-64 65 YEARS PROCEOURE CATEGORY ANO lCO-9-Cf4 COOE ALL AGES YEARS YEARS YEARS ANO OVER
NUMBER OF ALL-LISTED PROCEDURES IN TIiOUSANDS ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPEKATIONS ON TH6 NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01-05 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31 oPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-o T OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16 EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6 INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7 OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20 OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 RHINOPLASTY ANO REPAIR OF NOSE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8 TONSILLECTOMY HITH OR i61Tti OUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3 OpERATIuNs ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34 BRONCHOSCOP Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23 OPERATIONS ON THE CARDIOVASCULAR SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 REMOVAL OF CORONARY ARTERY OBSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.0 OIRECT HEART REv ASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. L CAROIAC CATHETERIZAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 L-37.23 PACEMAKER INSERTION, REPLACE14ENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . . ..37.7 -3T.8 OPERATIONS ON THE HEMIC ANO LYMPHATIC SYSTEti . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 OPERATIONS ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54 ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3 PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548..9.45.6-45.8 ENOOSCOPY OF LARGE INTESTINE (NATuRAL ORIF ICE) . . . . . . . . . . . . . . . . . . . . . . . . . ..45. Z4 APPENDECTOMY, EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0 HEf40RRHUI OECTOt4Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46 CHOLECYSTECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 REPAIR OF INGUINAL HERNI A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1 OIVISION OF PERITONEAL ADLESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 OPERATIONS ON THE URINARY SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55. Z1-55.22. 56.31,5 T.32,58.22 OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64 PROSTATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 O.2-6O. 6 OPERATIONS UN THE FE14ALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71 00 PHORECTOMY ANO SALPIN GO- DOPHORECTDMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. b5.3-65.6 81 LATERAL OBSTRUCTION OR oCCLUSION OF FALLOPIAN TUB ES. . . . . . . . . . . . . . ..66.2-66.3 HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -68. T OILATION ANO CURETTAGE OF IJTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0 REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...70.5 OBSTETRICAL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75 EPISIOTOMY liITH OR HITHOUT FORCEPS OR VACUUt4 EXTRACT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Z. L,7Z.21,72.31,72 .71,73.6 CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0 -74.2, T4.4,74.99 REPAIR OF CURRENT OBSTETRIC LAAERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..75.5 -75. b OPERATIONS ON THE WSCULOSKELETAL SYSTEM...................................76-84 OPEN REOUCTION OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 76.79, 79.2-79.3,19.5-7 9.6 OTHER REOUCTION GF FRACTUITE, EXCEPT JAM . . . . . . . . . . . . . 76. T0,7b.78,79 .O-79.1,79.4 EXC1S1ON OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FuslON . . . .. O0.5.81. O ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..01.41 -81.47 ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8L.6 0P ERA711JNS ON MUSCLES, TENOONS, FASCIA, ANO LIURSA . . . . . . . . . ...82-83.1 ,83.3 -83.9 OPERATIONS ON THE 1NTEGU14ENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 MAST ECTOMY....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4 EXCISION OR CIESTRUCTIDN OF LESION OR TISSUE OF SKIN ANO SU8CUTANEUUS TIS SUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-8 6.4 SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6.86.7 MISCELLANEOUS DIAGNOSTIC ANO THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . ..8 T-99 COMPUTER IZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..84 AOd7871.88 d01.88838Ol.88.38 PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -87.75 ARTERl OGRAp Hy ANO ANGIOCAROIUGRApHY USING CONTRAST MATERIAL . . . . . . . . . . 80.4 -88.5 OIAGNOSTIC ULTRA SOUND........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7 CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89.6 RAOIOISLITLIPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. O.92.l 38,000 933 347 101 561 1Z2 105 208 L,04b 153 281
### 1,011 â 199 2, T8b 133 284 775 2L4 403 5,728 194 293 448 275 114 502 329 325 1,885 671
### 718 367 2,999 502 423 644 472 147 +,701 1,741 90b 612 3s521 459 .214 338 185
### 201 344 L,619 132 565 150 9,78L 1,531 406 1,285 1*411 799 n51 1,887
164 123 *5 37 * * 102 280 *7 176 57 14 129 * 32 * 20 22L *7 *5 *5 59 * * 37 * 61 14 79
. . . *9 *
*
15 *7 * * 220 32 55 * * * 30 93
40 L7 392 68 13 L7 52 20 18 L5,192
326 99 41 9b *tJ
~
### 60 484 109 100 199 36 332 15 Lb 82 *8 96 1,798 38 41 80 174 54 176 84 175 427 113 80 * 2,186 277 421 397 382 48 4,682 L,732 904 609 1,533 18Ll 73 191 75 38 Lb3 642 19 z25 50 2,209 346 145 159 435 104 149
### 8,976
214 45 32 132 23 18 31 185 27 * 313 b5 1,108 74 144 386 44 116 1,471 56 80
### 110 28 40 157 101 67 520 178 147 77 573 173 * 191 66 60
*
* * * 862 82 33 115 33 40 98 446 51 134 37 2,825 373 lLO 579 337 184 254 11,946
229 80
### 23 297 87 83 16
### 96 10 s 442 85 1,217 44 125 275 158
### 171 2,238 93 L6L7 254 15 19 166 107
### 81 877 366 411 287 23o 51
. . . 57 23 39
905 L65 53 . 29
### 74 152 54 43a b3
### 166 46 4*355 743 138 529 5a7 492 429
NOTE: SEE 18
ME01 CAL COOING ANO tnIT,81 APPENOIX I, FOR COOING HIJOIF ICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
## 40TABLE 16. RATE OF ALL-LISTED PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS* tiY AGE ANO PROCEOURE CATEGORY: UNITEO
STATES, 198a [DISCHARGES FROM NON-FEDERAL HOSPITALS. EXCLUOES NEHtiORN INFANTS. GROUPINGS OF PKOCEOURES BY ANARCHICAL SYSTEMS ANO COOE NUMBER INCLUSIONS AR6 BASEO LIN THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL MUOIFICATION (ICO-9-Cii) 1 uNOER 15 15-4+ 45-64 65 YEARS PROCEOURE CATEGORY ANO lCO-9-CM COOE ALL AGES YEARS YEARS YEARS AND OVER
RATE GF ALL-L ISTEO PRCICEOLRES PER 100,000 POPULATION ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..01-G5 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O3.3l OPERATIONS ON THG ENOOCRINE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07 OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16 EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. A-13.6 INSERTIUN OF prOSthetiC LEN.3 (pSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L3.7 OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
### . . . . . . . . . . . ...18-20 OPERATIONS ON THE NOSE, HOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 RHINOPLASTY ANO REPAIR OF NOSE. . . . . . . . . . . . . . . . . . . . . . .
### . . .. . . . . . . . . . . . . . . ...21.8 TONSILLECTOMY liITH OR hITHOUT AOEhOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..28..? -28.3 OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34 BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21 -33.23 OPERATIONS LIN THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 REMOVAL OF CORONARY ARTERY OBSTRUCT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o OIRECT HEART REVASCULARIZATI ON....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1 CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 L-37.23 PACEMAKER INSERTION, REPLACE14ENT, R[MOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8 OPERATIONS ON THE HEHIC ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-+1 OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54 ES0PHAG05c0py ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44. I3 PARTIAL GASTRECTOMY ANO RESECTION OF IN TESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8 ENooscapy OF LARGE INTESTINE (NATURAL oRIFIcE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 APPENDECTOMY, EXCLUOING IhCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0 HEMORRHOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43.49 .46 CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1 OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 OPERATIONS UN THE URINARY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32S58.22 OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64 PROSTATECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 O.2.6O.6 OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71 00 PH0RECT0H% ANO SALPINGO.OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6 BILATERAL OESTRUCTION OR OCCLUS1ON OF FALLOPIAN TUB ES. . . . . . . . . . . . . ...66.2-66.3 HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7 OILATION ANO CUR ETT.AGti **OF** UTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0 REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75 EPISIOTOMY !41TH OR WITHOUT FORCEPS OR VACUUll EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2 l.72.3l.72.7l.73.6 CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74. 0.74.2. T4. +.74.99 REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6 oPERATIONS UN THE FIUSCULOSKELETAL SYSTE14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84 OPEN REOUCTION OF FRACTURE, EXCEPT JAU . . . . . . . . . . . . ...76.79. 79.2 -79.3 ~79.5-T9.6 OTHER REOUCTION OF FRACTURC, EXCEPT JAH . . . . . . . . . . . ..76.7 O.76. 78,79 .0-79.1,79.+ ExCISION OR OBSTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O ARTHROPLASTY ANO REPLACEMENT LTF KNEE . . . . . . . . . . . . . ..- . . . . . . . . . . . . . ..81.41 -81.47 ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8I.6 OPERATIONS ON MUSCLt S, TENOONS, FASCIA, ANO BURSA . . . . . . . . . . ..32 -M3.1.83.3-83.9 OPERATIONS ON THE 1NTEGUHENTAR% SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B5-86 MAST ECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.+ EXCISION OR OBSTRUCTION OF LES1ON OR TISSUE OF SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B6.2-86.4 SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86.7 MISCELLANEOUS DIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99 COMPUTERIZE AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .8 b80L.8Lib.0L .8 Li.3ll PYELoGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 .87.75 ARTER1OGRAPHY ANO ANGIOCAROIOGRAPHY
### USING CONTRAST MATERXAL . . . . . . . ...88.4-88.5 DIAGNQSTIC ULTRA SOUND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88. 7 CIRCULATORY MONITOR ING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6 RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.⢠.92.l 15,876.0 389.8 144.9 42.2 234.5 51.0 43.7 87.1 436.9 64.1 1L7.4 422.4 83.3 1,164.0 55.8 118.8 323.8 89.5 168.3 2,393.2 B1.1 122.5 187.3 115.0 47.7 209.8 137.5 135.9 787.5 280.3 299.8 153.2 1,252. B 209.8 176.8 269.1 197.0 61.3 1,963.8 727.5 378.4 255.8 1,470.9 191.7 89.5 141.1 77.4 83.9 143.8 **676.5**
### 55.3 235.9 62.6 4,086.2 639.6 169.8 536.7 569.7
### 334.0 355.3 3,629.2
316.0 235.7 *10.5 71.6* a 196.5 539.1 *13.9 339.2 109.9 26.6 248.8 * 62.1 a 38.3 424.7 *13.1 *8.8 *8.8 112. T * * 72.1 * 117.2 26.9 15. ?.5
. . . *16.9 *
*
29.7 *14. O * * 424.2 61.9 105.2 * * * 57.3 179.1
7T.2 32.2 T54.3 131.6 25.8 33.3 10u.8 38.0 35. U 13,420.4
2B7.9 07.8 36.3 84.4 *7.1 * 52.7 +213. O 96.2 88.5 176.1 31.6 293.4 13.2 13.9 72.5 *6.9 85.2 L,588.5 33.9 36. L 70.3 153.5 48.0 155.6 74.0 154.7 376.8 99.6 70.7* 1*931.4 2+4.3 372.0 350.3 337.2 42.5 4,136.2 1.530.3 798.4 537.8 1,354.3 15a.7 **6+. T** i68.7 65.9 *7.1 143.8 567.5 16.4 198.6 44.3 1 ,951.1 305.5 12T.7 140.3 384.2 91.7 131.5 19,946.6
474.8 99.6 70.1 292.6 51.8 40. L 68.6 410.1 60.5 * 694.8 143.6 2,462.1 L64.6 319.1 657.8 97.5 25T.4 3,268.8 124.4 177.4 244.7 62.3 89.8 348.5 225.0 147.9 1,156.3 396.6 327.1 171.3 1.274.0 385.4 * 424.5 146.3 133.2
*
* * * L*914.9 182.3 73.7 255.2 72.7 89.7 217.4 991.7 L12.9 297.4 83.0 6,276.9 629.7 244.3 1,287.2 748.8 409.6 564.8 40,947.9
7u6. O 274.3 78.8 1,017. B 298.1 285.8 54.3 330.7 34.4* 1,514.8 29L.9 4*i70.0 150.4 429.0 941.4 542.9 584.7 7,672.5 3L8. L 576.0 870.6 50.7 64.7 569.5 365.7 276.0 3,006.7 1,253.9 1,409.1 985.2 789.3 L73.6
. . . 194.0 79.3 132.7
. . .
. . .
. . .
. . . 3,103.4 5b5.7 182.3 98.6 252.8 521..? 184.6 1,500. o 216.2 568.9 156.6 1*,928.9 2,548.1 4T4.6 1,814.2 2,012.5 1,685.0 1,471.4
NOTE: SEE â1f4E91CAL
### COOING ANO EOIT,ll APPENOIX I, FOR
### COOING 140 L11F1CATIONS FOR THE NATIONAL HOSPITAL OISChARGE SURVEY.
### 41
.TABLE 17. NUMBER OF ALL-L1 STEO PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPITALS, BY SEX ANO PROCEOURE CATEGORV:
STATES, L9d6 . . UNITED
lDISCHARGES FROM NON- FkLZERAL HOSPITALS. EXCLUDES NE16BORN INFANTS. GROUPINGS OF PROCEOURk S BY ANATGtii CAL SYSTEMS AND CODE NIJHBER 1NCLUS1ONS ARE **EIASEO UN** THE 1NTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REvISION, CLINICAL MOOIE1CATION (I CO-9-CM) 1 PRDCEOUlt E CATEGORY ANO ICO-9-CM COOE 80TH SEXES HALE - FE14AI.E
NUt48Ek OF ALL-L ISTEO PROCEOUT4ES Iti THOUSANOS 38,000 ALL PROCEDURES......2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.3A OPERATIONS ON THE ENUOCRINk SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..06-o T OPERATIONS ON TtiE EYE . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16 EXTRACT ICIN OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6 INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7 OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...18-20 OPERATIONS ON THE NOSE, MOUTH. ANo PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2i-z9 RHINOPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2 L.& TONSILLECTOMY i.lITH OR i.lITHOUT AOENOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . ..z13. z-2E.3 OPERATIONS ON THE RESPIRATORY SYSTE14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34 BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 L-33.23 OPERATIONS ON THE CARO1OVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 REMOVAL OF CORONARY ARTERY OBSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o OIRECT HEART REv ASCULAR12A TION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. I CAROIAC CAThETER12AT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23 PACEMAKER INSERTION, REPLACEMENT, RtMOVAL, ANO REPAI R. . . . . . . . . . . . . . ..37. T-37. a OPERATIONS ON THE HEMIC ANO LY14PHAT1C SYSTEM . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ...40-41 OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~2.54 ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . ..42.23 .44.13 PARTIAL GASTRECTOHY ANO RESECTION **OF** IN TEST IN E. . . . . . . . . . ...46.4548.8.45.6-45.8 ENooscOPY OF LARGE INTESTINE (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+ APPENOECTCM4Y, EXCLUOING INCIDENT AL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~7. o HEMORRHOIOECTOM Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -+9.46 CHOLECYSTEC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.⢠.S3. I OIVIS1ON OF PERITONEAL ADLESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 OPERATIONS ON THE URINARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 ENOOSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22 OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64 PROSTATECTO MY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6 OPERATIONS ON THE FEMALE GENITAL ORGANs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7l 00 PHORECTOMY AND SAL PIN GO- OOPHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 BILATERAL OESTRUCTII.IN OR OCCLUSION OF FALLOPIAN TU8ES . . . . . . . . . . . . . ...66.2-66.3 HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7 OILATION ANO CURETTAGE OF UTECUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69. o REPAIR OF CYSTOCELE ANCI RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...72-75 EPIS1OTOMY wITH OR HITHOUT FORCEPS OR VACUUM EXTRA CTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.1,72 .21,72 .31,72 .71, iâ3.6 CESAREAN SECT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..74.0 -74.2 .74.4 .74.99 REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75. 5-75.6 OPERATIONS UN THE MUSCULOSKELETAL SYSTEN...................................76-84 OPEN REOUCTION OF FRACTURE, EXCEPT JAU . . . . . . . . . . . . . .. T6.79. 79.2 -79.3,79.5-79.6 OTHER REOUCTION OF FRACTURE, EXCEPT JAH . . . . . . . . . . . ..76.00796 .78.74 .O-79.1.79.4 EXCIS1ON OR LIESTFWCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O ARTHUOPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47 ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.5 .8L.6 OPEILATIONS ON MUSCLES, TENDONS, FASCIA, ANO BuRSA . . . . . . . . . ...32-83.1.83.3-83.9 OPERATIONS ON THE INTEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-66 MASTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..0 . . . . . . . . . . . . . . ..~5.4 EXCISION OR 0ES7RUCTION OF LESION OR TISSUE OF SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-86.4 SKIN GRAFT (EXCEPT LIP OR MouTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86.6 -a6.7 15*318 22,602 4!53 167 933 347 480 L80
### 101 26 75 561 122 105 252 48 40 3)10 iI4 **65** 208 120
### 1,046 153 281 535 79 121 5111 if4 160
### 1,011 199 585 119
### 42!6 80 1,102 39 i~ o 200 1(11
### 2,786 133 284 1 *6a4 94 214 495 113 775 214 403 5.72a 194 293 44a 275 1L4 502 329 325 l,a85 671 718 367 2,999 502 423 644 472 147 4,701 1*741 906 612 3,521 459 214 33a la5 201 344 203
### 200 3,294 1C12 165 256 132 5,5 2,434 92 128 192 143 60 144 293 54 35ta
### 36 271 1,159 493 726 178 71a 367
# ...
... 2,999 502 423 644 472 147
# ...
...
...
...
...
... 4,701
# ... 1,741 906 612
# ...
... 1,767 220 104 127 94 138 149 1,T54 239 110 211 91 63
### 196 1,619 132 565 150 9.7al 1,531
### 651 * 283 87 969 130 282 63 HISCELI, ANEOUS OIAGNOSTKC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...87-99 COMpUTERIZEO AXIAL TOMOGRAPHY (CAT scAN) . . . . . . . ..a41.3*a7.4l. 87.71,.sa. ol, aa.38 PYELOGRAi+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75 ARTERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST nA7ERIAL . . . . . . . . ..88.4 -aa.5 DIAGNOSTIC ULTRA SOUND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8d OT CIRCULATORY MONIT ORIN G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a9.6 RAOILIISOTOPE scAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o.9~. ~ 5,
### ,062 7a4 183 514 a65 3a5 462 4,T18 747 223 771 547 414 3a9 406 1,285 1,41L 799 851
NOIE: SEE âlMEOICAL COOING ANLI EOIT,,I APPENOIX 1, FOR COOING MOOIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
## 42TA13LE 18. RATE W ALL-LISTED PROCEDURES FOR PATIENTS OISCHARGEO FROM SHOUT-STAY HOSPITALS, 8Y SEX AND PROCkOURE CAT EbORY:
sTATES, 1986 uNITto [DISCHARGES FRL3M NON-FEDERAL HOSPITALS. EXLLUOES NEHBORtA INFANTS. GROUPINGS OF PROCEDURES bY ANATOMICAL SYSTEMS ANO COGE NUt4BER INCLUS1ONS ARE FzASEO ON THt INTERNATIONAL CLASSIFICATION OF OISEASES. 9TH 8EVIS1ON, CLINICAL MO! J1F1CATION (ICC-9-CM) 1 PROCEOURk CATEGORY ANO lCO-9-CM **COOE** dOTH SEXES MALE FEMALE
RATE OF ALL-L ISTEO PROCEDURES PER 100,000 POPULATION ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.31 OPERATIONS ON THE ENOOCRINE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O6.O7 OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6 EXTRACTION GF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6 INsERTION OF PROSTHETIC LENS (PsEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13. T OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O OPERATIONS ON THE NOSE, 140UTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2L-29 RHINoPLASTY ANO REPAIR OF NOSE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21.8 TONSILLECTOMY !41TH OR ldITHOUT AOENOIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3 OPERATIONS UN THE RESPIRATORY .3ysTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34 BRONCHDSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l-33.23 OPERATIONS ON THE CARDIOVASCULAR SYSTEM....................................35-39 REMOVAL OF CORONARY ARTERY OBSTRUCT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. O DIRECT HEART REVASCULAR IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.3T.23 PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8 OPERATIONS ON THE HE141C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41 Operations ON THE OIGESTIVE SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54 ESOPHAGOSCOPY ANO GASTROSCOPY (NATuRAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..4 Z.23.44.13 PARTIAL GASTRECTO14Y ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8 ENOOSCOPY OF LARGE INTESTINE (NATuRAL ORIF ICE) . . . . . ..- . . . . . . . . . . . . . . . . ...45.24 APPENOECTOHY, EXCLUOING IN CIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...47.0 HEMuRRHIJIOECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43-+9 .46 CHOLECYSTEC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 REPAIR OF It+GUItAAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53. O.53.l OIV:SION OF PERITONEAL AIzLESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...-....54.5 OPERATIONS ON THE URINARâf SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . ...55-59 ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . . . 55., ?1-55.22,56.31,57 .32,58.22 CIPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64 PROSTATECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 0.2-b G.6 OPERATIONS ON THE FEHALE GSNITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7 I 00 PHOREC70HY ANO SALPINGO-OO PHORECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 BILATERAL 0E3TRuCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3 HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3-68.7 OILATION ANO CURETTAGE OF UTECUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0 REPAIR OF CYSTOCFLE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 OBSTETRICAL PROCEOURk S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Tz-T5 EPISIOTOHY IAITH LTR WITHOUT FORCEPS OR VACUUH EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2 l.72.31.72. Tl.73.6 CESAREAN SECTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.0 -74.2,74 .4,74.4â9 REPAIR OF CURRENT OBSTETRIC LACE RATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6 OPERATIONS ON THE INJSCULOSKELETAL SYSTEf4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T6-u+ OPEN REOUCTIUN OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 70.79,79 .2- T9.3,79.5-T9. h OTHER REOUCTION OF FRACTURE, EXCEPT JAB . . . . . . . . . . . . . 76.70, T6.78,79. O-79.1,79.4 EXCISION OR OESTRUCTILIN OF INTERVERTEBRAL OISC AND SPINAL FUSION . . . ..8 G.5081. O ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..til.4l-8l.47 ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8 I.5.81.6 OPERATIONS ON MUSCLES, TENOONS, FASCIA, AND L!uRSA . . . . . . . . . . ..ti3-83.9 .Li3.3-83.9 OPERATIONS UN THE IN TEGUMENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..u5-66 HAs TECTO!IY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L15.4 EXCISIIiN OR OBSTRUCTION OF LESION OR TISSUE OF SKIN ANO SUBCUTANEOUS> TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. Z.O6.4 SKiN GRAFT (EXCEPT LIP OR HOUTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86.6 .S6.7 NISCELLANEWS DIAGNOSTIC ANIl THERAPEuTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . . .. U7-99 COMPUTER IZt D AXIAL TcNIOGRAPHY [CAT SCAN) . . . . . . . ..841 .8787141 .87.71 ,88-01,88.38 PYELOGRAH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87. T3-n7. T5 ARTERIOGRAPHY ANG ANGIOCARO1OGRAPHY uSING CONTRAST tiATERIAL . . . . . . . . ..58. +-8tl.5 OIAbNOSTIC ULTRA SOuNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..aa.7 CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6 RADIOISOTOPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-9z. 1 15, a76.o 3a9. n L44.9 42.2 234.5 5L. O 43.7 a7.1 436.9 64.1 117.4 422.4 a3.3 1,164. O 55a lia.a 323a a9.5 168.3 2,393.2 ail 122.5 ia7.3 115.0 47.7 209.8 137.5 135.9 787.5 280.3 299.8 153.2 1,252. a 209. a 176. a 269.1 197.0 61.3 l,9b3.8 727.5 37a.4 255.8 1,4 T0.9 191.7 89.5 1+1.1 77.4 83.9 1+3. a 676.5 55.3 235.9 02.6 4,0a6.2 639.6 1o9.13 536.1 5u9.T 334.0 355.3 13,228.2 4L4.9 155.2 22.1 217.4 4L.4 34.5 103.0 462.0 6a.4 104.1 505.0 L02.7 1,454.1 81.5 la5.1 427.6 97a 175.2 2,102.1 79.3 110.5 165.9 123.3 51.5 124.1 253.3 46.6 l.OOO. a 425.6 619. T 316.7
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . 1.514.5 Z06.4 95.4 181.8 ?b. i 54. T 169.0 561.9 * Z44. U 75.4 +,074.7 645.5 192.6 6b5.7 4T2. L 35T.9 335.8 la,357.7 366.3 135.2 61.0 250.5 60.0 52.4 71.6 413.4 60.1 129.8 345.0 65.1 a92.1 31.7 5.5. a 226.4 B1. a 161. T 2,666.0 a2.7 133. a 207.3 107.1 44.2 290.1 29.0 219. T 5a7.6 144.2
. . .
. . . 2,427.0 406.4 342.6 521.4 381.6 ila. e 3,804.4 1,409.3 733.0 495.6 1,430.0 177.9 84.0 102.9 76.5 111.3 120.2 Ta+. o io>.4 Zzu. + 50.1 +,09T.1 634.2 14a.4 415.8 099.8 311.6 373.6
NOTE: SEk â*MEOICAL COOING ANO EOXT, - APPENOIX 1, FOR COOING UOOIFICATIONS FOR THE NAT IOhAL HIJSPI IAL UISCkiARbk bbRVk Y.
## 43TABLE 19. NUHdEk OF ALL-L LSTEU PRIJc EOURk S Ftiu PATIENTS DISC HARGEO FROM SHORT-STAY HOSPITALS, BY RACE ANO PROCEOURE CATEGORY:
uNITEO STATES, 19ab [DISCHARGES FROM NCIN-FEOERAL HOSPITALS. EXCLUDES NEWBORN INFANTS. GRGUPINGS OF PRQCEGURES BY ANATGHICAL SYSTEMS AND COOE NUMBEIT 1NCLUS1ONS ARE BASEO ON THE INTERNATIONAL CLASS IF ICATICIN OF OISEASES, 9TH REV1S1ON, CLINICAL MOOIF1CATION (I CO-9-CM) 1
PROCEOURE CATEGORY ANO ICO-9-CM COOE ALL NOT ALL RACES klHITE OTHER STATEO NUMEIER OF ALL-L ISTEO PROCEDURES IN THOLJSANOS ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPERATIONS ON THE NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o I-05 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...03.3 L OPERATIONS ON THE ENOUCRINE SYSTEM.........................................⢠6.O7 OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16 ExTRACTIUN GF LENs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6 INSERTION OF PROSTHETIC LENS (P SEUOOPHAKOS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.7 OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-zo OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 RHINOPLASTY ANO flEPAi R OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21. a TONSILLECTOMY WITH OR WITHOUT AOENOIOEC TOMY. . . . . . . . . . . . . . . . . . . . . . . . ..zf3. z-z5.3 OPERATIONS ON THE RESPI(CATâ7RY SYSTEti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34 dRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23 OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 REMOVAL OF CORONARY ARTERY OIKSTRUCTI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o OIRECT HEART REVAsCULARIZATI ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.l CAROIAC CATHETERIZAT 10N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37. ZI.37. Z3 PACEMAKER INSERTION, REPLACE 14ENT, REMOVAL, ANO REPAI R. . . . . . . . . . . . . . ..37. T-37.8 OPERATIONS ON THE HEf41C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 OPERATIONS ON THE OiGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-5+ ESOPHAGOSCaPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13 PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . . . 43.5 -43.8,45.6-45.8 ENOOSCOPY OF LARGE INTESTINE (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . . . . . . . . ..+5.2+ APPENDECTOMY, EXCLUi)ING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47. o HEMORRHOIOEC TIJMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..+9. +3-49.+6 CHOLECYSTEC T014Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53.1
### OIVISION OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 OPERATIONS ON THE URINARY SYSTEt4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.32.58.22 OPERATIONS UN THt HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64 PROSTAT ECTOHY
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..60.2-60.6 OPERATIONS UN THE FEllALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7L 00 PHORECTOMY ANO SAL PIN GO- OOPHORECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUJ3ES. . . . . . . . . . . . . ...66.2-66.3 HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..68.3 -6a.7 OIL ATION ANO CURETTAGE OF UTECUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69. o REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7Z. T5 EPISIOTOMY !41TH OR 161THOUT FORCEPS OR VACUUM EXTRACl I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T2.1 ,72.21,72.31,72.71,73.6 CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74.0-7+.2,74.4,74.99 REPAIR OF CURRENT OBSTETRIC LAAERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6 OPERATIONS ON THE i+uSCULOSKELErAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . ...76-8+ OPEN REOUCTION OF FRACTURE, EXCEPT JAM . . . . . . . . . . . . . . . 76.79,7â9.2- T9.3,79.5-79.6 OTHER REOUCTION OF FRACTURE, kXCEPT JAM . . . . . . . . . . . . . 76.70,76 .78,79.0-79.1,19.4 EXCISION OR OBSTRUCTION OF lNTERVERTEt3RAL OISC ANO SPINAL FuSION . . . ..8 0.5.81. O ARTHROPLASTY ANU REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -8 L.47 ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6 OPERATIONS ON MuSCLES, TENOLTNS, FASCIA, ANO tlURSA . . . . . . . . . ...82-83. 1,83.3 -83.9 OPERATIONS ON THE lNTEtiu MENTARY System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..85-tI6 MASTECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85.4
### tXCISION JR OESIRUCTION OF LESION OR TISSUE OF SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..136 .z-E6.4 SKIN GRAFT (EXCEPT LIP OR MOUTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86. 7 MISCELLANEOUS OIAGNti STIC ANO THE RApEu71c PrOCed Urea . . . . . . . . . . . . . . . . . . . . . ...87-99 C(IMPUTERILEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .8787 .41.87 .71,88 .01,88.38 PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -8 T.75 ART ERIOGRAPHY ANO ANG1OCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . ..88. +88.5 Diagnostic ULTRA SOUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...88.7 CIRCULATORY UIJNITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...89.6 RAO1OISOTGPE SCAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92. o-92. 1 38,000 933 34T 101 561 122 105 208 1,0+6
### 153 281 1,011 199 2,786 133 284 TT5 214 403 5,728 194 293 448 275
### 114 502 329 325 1,885 671 718 367 2,999 502 423 644 472 147 4,701 1,741 906 612 3,521 459 214 338 185 201 344 1,619 132 565 150 9,781 1,531 406 1,285 1,411 799 851 28,518
686 234 70 399 93 82 L62 817 L26 222 767 154 2,216 114 246 636 173 315 4,425 L49 231 359 Zio 88 386 258 240 1*483 545 561 292 2,132 375 271 476 317 120 3,024 1,193 608 384 2,626 347 167 261 133 L64 252 1.198 103 415 110 7,635 1,200 332 1,037 1,047 6i0 5,6+6
154 84 16 67 13 +9 19 103 =%9 27 160 26 358 12 19 84 22 54 757 29 30 56 31 14 55 35 54 228 74 90 33 533 67 90 90 111 10 959 290 173 136 433 51 21 30 15 10 47 254 14 93 26 1,463 231 46 143 2T9 133 3,836
93 29 15 95 16 13 27 126 19 32 84 19 212 =8 19 56 20 34 546 16 32 34 34 12 61 37 32 174 52 67 41 333 59 55 78 43 17 717 259 124 92 461 61 27 47 37 27 45 167 16 57 15 683 100 28 105 86 56 678 129 43
NOTE: SEE **ME01 CAL CtiOINti ANO EDIT,,, APtIENUIX 1, FUR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.TAbL6 20. NUMBER OF ALL-L ISTEO PROCEDURES FOR PATIENTS OISCFIARGEO FROH SHORT-STAY HOSPITALS, BY GECIbRAPtl IC REGIGN ANO PROCEOURE
CATEGORY: uNITEO STATES, 1986 iOISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLUti ES NE14k10RN INFANTS. GROUPINGS OF PROCEDURES BY ANATOMICAL SYSTEHS ANu COOt NUMBkR inclusions ARE BASEO ON THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REV ISIdN, CLINICAL HOOIFICATIOb (ICC-9-CM) 1 uNITED NORTHPROCEOURE CATEGCIRY ANO ICO-9-CM COOE STATES kAST MI OHEST SOUTH dEST
ALL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPERATIONS ON THE NERVOUS SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Ol.O5 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...93.31 OPERATIONS ON THE liNOOCRINE SYSTE14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06-07 OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O8.l6 EXTRACTION GF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.l.l3.6 INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.7 OPERATIONS UN THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l8.2O OPERATIONS ON THE NOSE, MOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 RHINOPLASTY ANO REPAIR OF NOSE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..21.8 TONSILLECTOMY xITH OR liITHOUT AOENOIDECTOHY . . . . . . . . . . . . . . . . . . . . . . . . ..2 I3.2-2a.3 OPERATIONS ON THE RESPIRATORY SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34 BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23 OPERATIONS ON THE cAR010vA5CuLAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 REMOVAL OF CORONARY ARTERY OBSTRUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.0 OIRECT HEART REV ASCULARIZAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1 CAROIAC CATHETERIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.2 l.37.23 PACEt4AKER INSERTION, REPLACEMENT, REHOVAL, ANO REPAIR . . . . . . . . . . . . . . ..3 V.7-37.8 OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4O-41 OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42.54 ESOPHAGOSCOPY ANO GASTROSCOPY (NATuRAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .44.13 PARTIAL GASTRECTOMY ANO RESECTION OF INTESTINE . . . . . . . . . . . ..46.4548 .8 S45.6-45.8 ENOOSCOPY OF LARGE INTESTINE (NATURAL ORIF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 APPENOECTOHYS EXCLUOING INCIDENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..47.⢠HE140RRHOIOECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46 CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5l.2 REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..53.⢠.53.l OIVISION OF PERITONEAL ADHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59 ENOOSCOPIES THROUGH NATURAL ORIFICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.5T.32.58.22 OPERATIONS ON THE HALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60-64 PROSTATE CTD14Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6 OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . . ...65-71 00 PHORECTOHY ANO SAL PINGO.OOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3.65.6 BILATERAL OBSTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3 HYSTERECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...68.3.68.7 OILATION ANO CUR ET7AGE OF LTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49.0 REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TO.5 OBSTETRICAL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75 EPISIOTOMY wITH OR liITHOUT FoRCEPS OR VACUUM EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 72.1,72 =2 L,72.31,72.7~, T3.6 CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7+. 0.74.2. T4.4.74.99 REPAIR OF CURRENT OBSTETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75.6 OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..76-Ll4 OPEN REOUCTION OF FRACTURE, EXCEPT JAU...............3,79957792-79.3,79.5-79.6 OTHER REOUCTION OF FRACTURE, EXCEPT .(Au . . . . . . . . . . . ..76.00 .76.78 .74. O-79. I. T9.4 EXCIS1ON OR OESTRUCTION OF INTERVERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5081. O ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47 ARTHROPLASTY ANo REPLACEMENT OF liIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..8l.5.8l.6 OPERATIONS ON MUSCLES, TENOONS, FASCIA, ANO BURSA . . . . . . . . . ...32-83.1.83.3-83.9 OPERATIONS ON THE INTEGUHENTARY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 HASTECT014Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-4
### tXCISION OR OBSTRUCTION OF LESION OR TISSUE OF SKIN ANO SUBCUTANEINJS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2.86.4 SKIN GRAFT (EXCEPT LIP OR MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.6-86.7 MISCELLANEOUS DIAGNOSTIC ANG THERAPEUTIC PROCEOLIRES . . . . . . . . . . . . . . . . . . . . . ...87-99 CO14PUTERIZE0 AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..i341.ti 77.41. ti01.8883&ll.88 .3&l PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..87.73 -a7.75 ARTER1OGRAPHY ANO ANGIOCAROIGGRAPHY USING CONTRAST HATER IAL . . . . . . . . ..58.4 -8.s.5 DIAGNOSTIC ULTRA SLTUNO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.7 CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..&9. O RACIIOISOTIJPE SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..9 Z. 0.92. I NUH8ER OF ALL-L ISTEO PROCEDURES
### IN THOUSANOS 38.000 933 347 101 561 122 105 208 1,046 153 281
### 1,011 199 2,786 133 284 775 214 403 5,T28 194 293 448 275 114 502 329 325 1,885 671 718 367 2,999 502 423 644 4T2 147 4.701 1*741 906 612 3,521 459 214 338 185 201 344 1,619 132 565 150 9,781 1,53L 406 1,285 1*411 199 851 8,3&la
165 75 16 159 51 46 46 213 27 47 2L9 41 494 18 39 122 47 93 1,261 53 65 120 47 21 92 84 64 399 160 150 74 622 79 76 93 160 23 869 314 177 111 618 87 45 38 26 36 6a 345 23 131 2s 2,717 471 109 230 465 293 289
### 10,064
251 81 31 188 32 24 55 346 64 81 260 52 836 46 96 231 56 117 1,473 39 80 103 T9 30 136 90 79 519 188 203 102 683 137 83 164 86 31 1,229 437 211 154 928 106 57 83 67 61 92 449 36 154 43 2,495 357 119 406 355 133 197 12,137
335 120
### 35 117 19 14 74 338 41 112
### 341 75 948 49 103 305 73 127 1,967 79 84 164 B5 48 167 115 122
### 652 244 228 113 1,145 185 191
### 254 168 60 L,462
### 598 310 191 1,141 141 65 143 43 52 114
### 546 47 199 50 2,681 427 127 424 336 136 Zod
### 7*412
la3 64 20 9a 21 21 33 i49 21 41 191 31 5oa 21 46 117 3a 65 1,027 23 65 61 64 16 107 4a 60 315 79 137 78 548 101 73 133 57 32 1,141 392 208 157 a34 125 47 73 49 52 7i 276 26
az 32 l*a87 275 51 225 255 237 157
NOTE: SEE *,HEOICAL
### COOING ANLI EOIT,,, APPENOIX 1, FOR COOINIJ MOOIF1CATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
## 45TAu LC 21. RATE OF ALL-L ISTk D PROCEDLMES F(IR PATJ ENIS. DISCHARGECI FROM SHOKT-STAY
CATEGORY: UNITEO STATES. 1986 HUSPITALS+ BY GEOGRAPHIC REGION ANO PROCEOURE ( DISCHARGES FROM NOti-FEOERAL HOSPITALS. EXCLUOES NEuEiORN INFANTS. GROUPINGS OF PROCEDURES dV ANATOMICAL SYSTEMS ANO COOk NUMbkR 1NCLUS1ONS ARE uASEO ON THE INTERNATIONAL CLASS IF1CATION OF OISEASES, 9TH RkVISION, CLINICAL HOOIFICAi ION lCO-9-CM) 1 UNITEO t+ORTHPROCEOURE CAT El,ORY ANO lCO-9-CPl COOE STATES EAST MI OHEST SLWTH HEST
RATE OF ALL-L ISTEO PROCEOLRES PER 100,000 POPULATION ALL PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPERATIONS ON THE NERvOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..03.3L OPERATIONS ON THE ENOOCRINE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . ...06-07 OPERATIONS ON THE EYE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...08-16 EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..13.l-i3.6 INSERTION OF PRUSTHETIC LENS (PSEUDOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. L3.7 OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..18-zo OPERATIONS ON THE NOSE, fiOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 RHINtiPLASTY ANO REPAIR OF NOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Zl.8 TCINSILLtCTOHY HITH (JR blITHOUT AOENOLOECTOilY . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3 OPERATIONS ON THE RESPIRATORY SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...30-34 BRONCHOSCO PA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.21 -33.23 OPERATIONS ON THE CARDIOVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 REMOVAL OF CORONARY ARTERY OBSTRUCT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36.0 OIRECT HEART REVASCULARIZAT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. L CAROIAC CATHETER IZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..37.21 -37.23 PACEMAKER INSERTION, REPLACEMENT, REMOVAL, ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8 OPERATIONS ON THE HEt41C ANO LYMPHATIC SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 OPERATIONS ON THE OIGESTIVE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54 EsOpHAGOscOp Y ANO GASTRCISCOPY (NATURAL Orifice ) . . . . . . . . . . . . . . . . . . ..4 L.23.44. L3 PARTIAL GASTRECTOti Y ANO RESECTION OF INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8 ENOOSCOPY OF LARGE INTEsTINE (NATURAL oRIF1cE ) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 APPENDECTOMY, EXCLUOING INCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..â. ..47. o HEMORRHOILJEC TOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49.46 CHOLECYSTECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..51. z REPAIR OF INGUINAL HERNIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...53.0-53. 1 OIVIS1ON OF PERITONEAL AOHESIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...54.5 OPERATIONS ON THE URINARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55.59 ENOQSCOPIES THROUGH NATURAL ORIF ICE . . . . . . . . . . . . ..55.2 l-55.22 .56.3 l.57.3Z.58.22 OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6O-64 PROST4TECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60. 6 OPERATIONS ON THE FEMALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65-71 00 PHORECTOMY ANO SAL PIN GO- OOPHORECTOMY.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 BILATERAL 0ESTRUC710N OR OCCLUS1ON OF FALLOPIAN TUBE S. . . . . . . . . . . . . ...66.2-66.3 HYSTERECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3 -6 LT.7 OILATION ANO CURETTAGE OF IJTERUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69.0 REPAIR OF CYST OCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7o.5 OBSTETRICAL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7z-75 kPISIOTOMY 141TH OR tAITHOUT FORCEPS OR VACUUM EXTRACT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..72.1.72.2L .72.3 l.72.7l.73.6 CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T4. O-7+.2 .74.4 .74.99 REPAIR OF CURRENT oN, TETRIC LACERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15.5 -75.6 OPERATIONS ON THE MUSCULOSKELETAL SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-84 OPEN REOUCTION OF FRACTURE, EXCEPT JAu . . . . . . . . . . . . ...76.79. 19.2 -79.3,79.5-79.6 OTHER REOUCTION OF FRACTURE, EXCEP7 .AAH. . . . . . . . . . . . . 76.70,76 .78, T9. O-79.1,79.4 EXCISION OR OESTRUCTION OF INTERvERTEBRAL OISC ANO SPINAL FUSION . . . ..8 0.5..81. O ARTHROPLASTY ANO REPLACEMENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..81.41 -81.47 ART HRCIPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. B1.5.81. o OPERATIONS ON MUSCLES, TEN OONS, FASCIA, ANO BuRSA . . . . . . . . . ...82-83. 1 ,83.3-83.9 OPERATIONS ON THE IhTEGUHENTARY SYSTEU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 MA STECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a5. + EXCISION OR OBSTRUCTION OF LESION OR TISSUE OF **SKIN ANO** SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. +86-4 SKIN GRAFT (EXCEPT LIp OR t40uTH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...06.6-86.7 MiSCEL~ANEOUS OIAGNOSTIC ANO THERAPEUTIC PROCEDURES . . . . . . . . . . . . . . . . . . . . . ...81-99 CClllPUTERIZEO AXIAL TOMOGRAPHY (CAT SCAN) . . . . . . . ..841 .87871 .8 LT7.71.8L3 EI1.88.3EI PYELOGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a7.73-a7.75 ARTERIOGRAPHY ANO ANGIOCAROIOGRAPHY USING CONTRAST MATERIAL . . . . . . . . ..5i8.4-88.5 OIAGNOSTIC ULTRA SOUND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..aa.7 CIRCULATORY MONITORING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..a9.6 RALIIOISOTOPt SCAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..92.⢠.92. I 15,876.0 389.8 144.9 42a 234.5 51.0 43.7 87.1 436.9 64.1 117.4 422.4 a3.3 1,164.0 55a Lla. a 323.8 a9.5 168.3 2,393.2 all 122.5 la7.3 115.0 47.7 209.8 137.5 135.9 7a7.5 2ao.3 299a 153.2 1,252. a 209. a 176.8 269.1 197. o 61.3 1,963.8 7Z7.5 37a.4 255.8 1,470.9 191.7 a9.5 14L.1 77.4 83.9 143. a 676.5 55.3 235.9 62.6 4,080.2 639.6 L69.8 536.7 589.7 33+.0 355.3 **16,908.1**
331.6 149.9 31.1 317.7 101.9 9i.6 92.3 426.3 54.5 94.8 438.2 82.1 990.1 35.8 79.1 244.9 95.0 186.6 2,527.6 106.6 129.3 240. a 93.3 41.6 184.4 16a.2 127.4 799.6 320.0 299.6 147.5 1,246.3 15a.3 153.0 186.2 321.5 47.0 1,740.3 630.2 353.7 222.9 l,23a. o 173.6 89.9 76.2 52.8 72.1 136.0 69a.5 45.9 261.9 50.3 5,444.2 944.4 2ia.4 461.6 931.0 5a7.1 578.1 17,009.4
423.5 147.5 51.6 31?.3 53.4 41.4 93.6 5a5.6 108.4 136.8 440.2 8a.6 L,413.6 78.0 163.0 389.9 93a 19a.5 2,489.6 65a 134.8 174.2 133.3 50.0 230.6 152.7 134.2 877.3 317.4 343. & 172.4 1,154.4 231.5 140.6 277.0 146. O 53.2 2,077.2 73a.6 356.0 259.7 1 ,567.9 179.7 ,96.0 140.a 113.8 102.6 154. a 75a.5 61.3 259.9 72.3 4,2 L6.9 603.6 20i.7 686.3 .600.7 225.5 332.1 14,784.6
407.5 146.4 4Z.7 142. a Z2.8 17.0 89.9 411.7 50.4 136.7 415.2 91.5 1,15+.6 59.7 125.3 371.6 88.9 155.0 2,395. b 96.5 102.6 199.7 103.9 57.9 203.2 139.5 1+9.2 793.9 297.7 277.2 137.3 1*395.3 225.2 232. L 309. a 204.6 72.6 1,780.9 72a.2 377.8 232.5 1,390.5 17L.3 79.5 174.2 51.9 63.2 138.9 665.2 57.6 242.1 61.5 3,266.5 5Z0.5 154.8 516.0 409.5 L65.7 253.â3 15,378.8
37EI.7 133.7 41.4 203.0 43.4 42.6 69.0 3oa.3 42.8 a4.1 396.4 64.1 1,053.7 42.6 94a 242a 79.6 134.7 2,131.2 47.1 134.4 L26.7 133.8 34.0 221.9 a3.6 124.4 653.9 164.2 284.6 ,162.8 1,137. a 210.3 151.9 276.1 117.7 67.0 2,367.6 a13.6 432.1 324.9 1.729. a 259.9 9a.2 152.3 101.5 108.4 146. a 572.0 53.9 169.2 65.6 3,916.0 571.2 105.6 466.0 529.6 491.9 325.9
NOTE: SEE â6MEOICAL CLIOING ANO EOIT, W APPENOIX I, FOR COOING MODIFICATIONS FOR THE NATIONAL HOSPITAL OISCHARGE SURVEY.
## 46TAtiLE 22. NUMBER LIF ALL-LISTED PRUCEIMJRES FOR PATIENTS DISCHARGED FROM SHORT-STAY HOSPIIALS? MY EEO SIZt OF HOSPITAL ANO PWCEOURk
CATEGURY: uNITEO STATES. 1986 [DISCHARGES FROM NON-F EOERAL HOSPITALS. EXCLUOES NEwdORN INFANTS. GROUPINGS OF PROCEDURES BY AhAIGHICAL SYSTEHS ANO COOE NME. ER INCLUSPJNS ARE L!AStO LIN THE INTERNATIONAL CLASSIFICATION OF OISEASES, 9TH REVISION, CLINICAL f100IFICATIGN ( lCO-9-CM) 1 ALL 6-99 100-199 200-29q PR13CtOURE CATEGORY ANO ICO-9-CM COOE 300-499 500 BEOS sIz&s Blms BEOS BEOS BEOS OR hORE
NuMBER UF ALL-L ISTEO P17GCEGURES IN THOUSANDS ALL PROCEDURE S........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...38.000 OPERATIONS ON THE NEKVOU.i SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...01-05 933 SPINAL TAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- . . . . . . . . . . . . . . . ...03.31 347 OPERATIONS ON THE ENOLICRINE SYSTEM . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . ...06-07
### 101 OPERATIONS ON THE
### EYE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..08-16 561 EXTRACTION OF LENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...13.1-13.6 122 INSERTION OF PROSTHETIC LENS (PSEUOOPHAKOS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l3.7 105 OPERATIONS ON THE EAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-20 208 OPERATIONS ON THE NOSE, FIOUTH, ANO PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21-29 1,046 RHINOPLASTY ANO REPAIR OF NOSE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...21.8 153 ToNSILLECTOMY HITH OR HITHOUT AOENOIOECT014Y . . . . . . . . . . . . . . . . . . . . . . . ...28.2-28.3 281 OPERATIONS ON THE RESPIRATORY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..3O-34 1,011 BRONCHOSCOPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..33.2 l.33.23 199 OPERAT1ilNS ON THE CARO1OVASCULAR SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...35-39 2,786 REMOVAL OF CORONARY ARTERy oBs TRucT1oN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..36. o 133 OIRECT HEART REVASCULARIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...36.1 2b4 CAROIAC CATHETti RI CATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7.21 -37.23 775 PACEHAKER INSERTION, REPLACEMENT, REMOVAL. ANO REPAIR . . . . . . . . . . . . . ...37.7-37.8 214 OPERATIONS ON THE HEF41C ANO LYMPHATIC SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...40-41 403 OPERATIONS ON THE OIG&STIVE SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...42-54 5.728 ESOPHAGOSCOPY ANO GASTROSCOPY (NATURAL ORIFICE ) . . . . . . . . . . . . . . . . . . ..42.23 .+4.13 194 PARTIAL GASTRECTOHY ANO RESECTION **OF** INTESTINE . . . . . . . . . . ...46.4548.8.45.6-45.8 293 ENOOSCOPY OF LARGE INTESTINE (NATIJRAL ORIF ICE) . . . . . . . . . . . . . . . . . . . . . . . . ...45.24 4+8 APPENOkCTOMY, EXCLUOi NG lNCIOENTAL . . . . . . . . . . . . . . . . . . . . . . . . . ...-...........47.0 275 HEMORRHOIOECTOHY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..49.43 -49 .46 114 CHOLECYSTECT 014Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...51.2 502 REPAIR clf IflGUINAL HERNI A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53.0 -53.1 329 OIVISION OF PERITONEAL ADHESION S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..5+.5 325 OPERATIONS ON THE URINARY SYSTW1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...55-59 1,885 ENOOSCOPIES THROUGH NATURAL ORIF IC6 . . . . . . . . . . . ..-55 .21-55.22.56 .3l.57.32.58.22 671 OPERATIONS ON THE MALE GENITAL ORGANS . . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . ..6O-64 718 PROSTAT ECTOHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...60.2-60.6 367 OPERATIONS UN THE FEHALE GENITAL i3RGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..65-7l 2,999 00 PHORECTOHY ANO SAL PINGO-GOPHORECTOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...65.3-65.6 502 BILATERAL OESTRUCTION OR OCCLUSION OF FALLOPIAN TUBES . . . . . . . . . . . . . ...66.2-66.3 +23 HYSTERECTOFIY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . **. .** **. .** **. .** **. .** **. .** **. .** **.. b8.3-68.** 7 6+4 OILATION ANO CURETTAGE OF UTECUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . bâi. O +72 REPAIR OF CYSTOCELE ANO RECTOCELE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7O.5 147 OBSTETRICAL PROCEDURE S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72-75 4,T01 EPISIOTO&lY ltITH OR HITHOUT FORCEPS OR VACUUM EXTRACT I ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72.1,72 .21,72 .31,72 .TI, T3.6 1,741 CESAREAN SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T4. O. T4.2.74. +.74.99 906 REPAIR OF CURRENT OtISTETRIC LACERAT ION . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...75.5-75-6 612 OPERATIONS ON THE HUSCULOSKELk TAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...76-8+ 3,521 OPEN REOUCTION OF FRACTURE, EXCEPT JAH . . . . . . . . . . . . ...3.79951792-79.3.79.5-79.6 +59 OTHER REOUCIILIN OF FRACTURE, EXCEPT JAIF. . . . . . . . . . . ..76.00796 .78.74 .0-79.1. T9.4 214 EXCISION OR LIESTRUCTION UF ltwTERVERTEliRAL OISC ANO SPINAL FIJSION . . . ..8 0.5081. O 338 ARTHROPLASTY ANO REP LALEHENT OF KNEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..6 I .41-81.+7 185 ARTHROPLASTY ANO REPLACEMENT OF HIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...81.5.81.6 201 OPERATIONS ON HUhCLES, TENOONS, FASCIA, ANO MURSA . . . . . . . . . ...32-83.1*83.3-83.9 344 OPERATIONS ON THE IN TEW.MIENTARY SYSTEH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...85-86 1,619 MASTECTOMY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .d5.4 132 EXCISIUN OR OCSTRUCTICiN UF LESILIN Ott TISSUE OF SKIN ANO SUBCUTANEOUS TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...86.2-86.4 565 SKIN GRAFT (EXCEPT LIP OK MOUTH ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..86. b.86.7 150 MISCELLANEOUS DIAGNOSTIC ANO THt KAPEu IIC PROCEDUFCES . . . . . . . . . . . . . . . . . . . . . . .. S7-99 9,781 CO14PUTERIZEC AXIAL IOt4GbRAPHY (CAT SCAN) . . . . . . . ..87. 03. ET71.88801 .88838 O1.88.38 1,531 PYELOGRA14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...87. 73-87.75 406 ARTERIOGltAPHY ANO ANGIOCAROIObRAPHY USING CONTHAb T MATERIAL . . . . . . . ...88.4-88.5 1,285 DIAGNOSTIC ULTRA SOUNO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ti8.7 1.411 CIRCULATORY 140NITORIN6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..89. b 799 RAOIOISOTOPt SCAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...92.0-92. 1 851 3,886 5b
### 22 36 83 12 12 14 139 30 +7 76 14 56
* * 15 25 758 15 34 45 68 16 89 63 39 169 62 83 *3 401 70 85 88 53 17 5a* .252 112 86 +16 53 34 29 15 15 ++ 231
### lT 72 13 787 81 49 *U 99 98 54 6,233
157 65 10 43 10 *8 45 191 23 71 15.? 31 250 *5 10 53 34 55 1,042 42 44 81 57 22 99 58 69 353 138 133 7+ 612 98 99 127 98 34 76b 340 146 1Ob 111 82 41 51 33 27 69 265 25 105 18 1,+43 242 **TT 105** 22a
### 89 15+ 7,150
167 49 19 63 23 20 41 185 26 59 187 40 488 20 +2 130 46 63 1, 168 35 60 109 49 26 93 66 55 335 120 144 7+ 486 81 59 **10T**
### 80 30 603 ,?31 128 78 T20 101 +9 72 +1 +9 68 Z131 20 101 23 2*1J3Z 353 79 197 315 291 195 10,584
L45 84 28 168 39 33 59 266 41 61 287 50 930 52 9a **2bT 63** **1Z5 1,444** **56 87** **111**
### 62 26 140 al a7 530 180 19a 104 794 145 91 1L15 131 39 1,491 513 282 la4 921 130 53 89 57 65 89 +3+ 39 152 4T .?,666 397 120 479 358 175 219 **10,148**
**308 12T** **39 184** **38 31** **50 L6+** **34 44** **309 65** **1,061 58** **135 323** **56 135** **1,316 46** **69**
### 101 **39 Z4** al **60 76** **499 lT2**
### 160 **7Z 70T** **108 89** **13T 110** **27 1,256** **406 238** **159 748** **92 3T** **96 40** **45 T5** **410 32** **135** 4a **2,T04**
### 45a a2 **49b 411**
### 1*6 230
NOTE: SEt â14EOICAL COOING ANO E01T,8! APPENOIX I, FOR LODIN& HoOIFICATIOhS FOR THE NATIONAL HuSPITAL 01 SCHAR6E SURVEY.
### 47
# Appendixes
Contents I. Technical notes on methods
........................................................................ 49 Statistical design ofthe National Hospital Discharge Survey
.......................................... 49 Data collection and processing
.................................................................. . 50 Presentation ofestimates
........................................................................ . 52 Reliability ofestimates
........................................................................,<, 53 Tests ofsignificance
........................................................................... . 54 II. Definitions ofterms .............................................................................. . 58 Hospitals and hospital characteristics
.............................................................. 58 Diagnoses..
..................................................................................,, 58 Surgical and nonsurgical procedures
.............................................................. 59 Demographic terms. ............................................................................ 60
# Listofappendix
# figures I. Medical abstract for the National Hospital Discharge Survey
............................................ 51 II. Approximate relative standard errors ofestimated numbers ofpatients discharged orfirst-listed dia~oses ad of all-listed diagnoses, by selected patient and hospital characteristics
....................................... 55 III. Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital characteristics
.................................................................................... 56 IV. Approximate relative standtid errors ofestimated numbers ofprocedures forpatients dischmged, byselwted patient and hospital characteristics
.................................................................. 57
# Listofappendix tables I. Number ofhospitals inthe National Hospital Discharge Survey (NHDS) universe, number ofhospitals added to the NHDS sample, and year of addition, by year of Master Facility Invento~ (MFI) used: United States, 1963-83
......................................................... ,. 4...
.......................... 49 IL Number of short-stay hospitals in the National Hospital Discharge Survey universe and survey sample, by geographic region andbed sizeofhospital: United States, 1986
.......................................... 49 III. Civilian population, byselected characteristics: United States, July 1, 1986
................................ 53
48
# Appendix I âYechnical notes on methods
Statistical design ofthe National Hospital Discharge Survey Scope of the survey
# The National Hospital Discharge Survey (NHDS) covers patients discharged from noninstitutional hospitals, exclusive ofmilitary and Veterans Administration hospitals, located inthe 50States and the District ofColumbia. Only hospitals with sixbeds or more forpatient use and those in which the average length ofstayfor allpatients isless than 30 days are included in the survey. Discharges ofpatients from Federal hospitals are excluded. Sample size
# The Master Facility Inventory ofHospitals (MFI) isthe universe from which the NHDS sample is drawn. A detailed description of the development, contents, maintenance plans, and assessment of coverage was published in 1%5 (National Center for Health Statistics, 1965). The original universe for the survey consisted of6,965 short-stay hospitals contained in the 1963 MFI. This univeke isupdated periodically (table I). Data onthe universe of short-stay non-Federal hospitals is now obtained from theAmerican Hospital Association. The distrl%ution ofthe hospitals currently in the American Hospital Association universe (American Hospital Association, 1986) and NHDS sample ofin-scope hospitals for 1986isgivenbybed size and geographic region intable II. NOTE: A list
# ofrcfcrkcs follows the text.
Table L Number of hospftals In the Natfonal Hospital Discharge Survey (NHDS) universe, number ofhospitala added to the NHDS sample, and year ofaddition, by year of Master FacilityInventory (MFI) used: United States, 1963-63 NHDS unlwse andssmple Number addsd Number edded h4Fldata v :Z to unhkwse toSampla 1963 . . . . . . . . . . . . . . . . le63 . . . . . . . . . . . . . . . . 196!3 . . . . . . . . . . . . . . . . 1972 . . . . . . . . . . . . . . . . 1975 . . . . . . . . . . . . . . . . 1977 . . . . . . . . . . . . . . . . 1979 . . . . . . . . . . . . . . . . 1961
. . . . . . . . . . . . . . . . 1263
. . . . . . . . . . . . . . . . 1266 1969 1972 1975 1977 1979 1961
# 1963 196s 6,965
. . . 442 223 273
# 114 63 50 45 315
150 32 14 24 9 6 3 5
## Table IL Number ofshort-stay hospitals In the National Hospftal
Discharge Survey universe and survey sample, by geographic region
# â
nd bad size of hospital: United Statea, 1986 &dsL?eot All
### hospual tqfkms
# Nonâhsast Mk7w8sf South West
All S&tS
## Universe
. . . . . . . . . . . 6,007 In-scope sample
. . . . . . 493
6-49 beds
## Universe
. . . . . . . . . . . 1,351 In-scopesample . . . . . 35 50-99 beds Untierse . . . . . . . . . . . 1,464 in-scopessmp4e . . . . . . 65 100-199 beds
## Universe
. . . . . . . . . . . 1,410 In-soopessmpkr
. . . . . . 92 200-299 beds Universe . . . . . . . . . . . 747 In-scope sample . . . . . . 78 300-499 bds Unlveme . . . . . . . . . . . 706 In-scope sample . . . . . . 115 500-9S9 beds Untversa . . . . . . . . . . . 302 In-scope sampla . . . . . . 96 I,rxlobadsor more
## Universe
. . . . . . . . . . . 27 In-scqesampia
. . . . . . 12 Number of hospitals 902 1,667 2,301 115 139 164
73 420 527 6 10 10
163 414 623 11 15 31
m 374 574 15 21 43
199 179 247 19 20 23
177 196 214 35 37 24
77 86 107 24 33 30
9 8 9 5 3 3 1,117 75
331 9
264 8
256 13
122 16
119 19
22 9
1 1
# The sample for 1986 consisted of 558 hospitals. Of these, 75 refused to participate and 65 were out of scope either because the hospital had gone out of business or because it failed to meet the definition of a short-stay hospital. Thus, 418 hospitals participated in the survey during 1986 and provided approximately 193,000 abstracts ofmedical records. Sample desig~ AU
# hospitals with 1,000beds ormore inthe universe of short-stay hospitals were selected with certainty in the sample. AU hospitals with fewer than 1,000 beds were stratified, the prima~ strata being the 24 size-by-re~.on cfasses shown intable II. Within each prima~ stratum, the allocation ofthe hospitals was made through a
# controlled
49
# selection technique sothat hospitals inthe sample would be distributed properly with regard to ownership and geographic division. Sample hospitals were drawn with probabilities ranging from certainty for the largest hospitals to 1 in40 for the smallest hospitals. The within-hospital sampling ratio for selecting sample discharges varied inversely with the probability ofhospital selection. The smallest sampling fraction of discharged patients was taken in the largest hospitals, and the largest fraction was taken in the smallest hospitals. This sampling was done to compensate for hospitals that were selected with probabilities proportionate to their size class and to ensure that the overall probability of selecting adischarge would be approximately the same in each sizeclass. In nearly all hospitals using the traditional manual system of sample selection and data abstraction, the daily listing sheet of discharges was the frame from which the subsamples of discharges were selected. The sample discharges were selected by a random technique, usually on the basis of the terminal digit(s) of the patientâs medical record number, which was assigned when the patient was adâmittedto the hospital. If the hospitalâs daily discharge listing did not show the medical record numbers, the sample was selected by starting with a randomly selected discharge and taking everykth discharge thereafter.
# Data collection and processing Data collection
# In 1985, for the first time, two data collection procedures were used forthe survey. The firstwasthe traditional manual system of sample selection and data abstraction. The second was an automated method, used in approximately 17
# percent of the sample hospitals. In 1986 this automated method wasused inapproximately 19percent of the sample hospitals. Itinvolved thepurchase ofdata tapes from commercial abstracting services. In the manual system, depending on the study procedure agreed onwith the hospital administrator, the sample selection and the transcription of information from the hospital records to abstract forms were performed byeither the hospital staff or by representatives of the National Center for Health Statistics (NCHS) or byboth. In 1986, about 50 percent of the hospitals that participated in the manual NHDS system had the work performed by their medical records department. In the remaining hospitals using this system, the work wasperformed bypersonnel of the U.S. Bureau of the Census acting for NCHS. The completed forms were forwarded to NCHS for coding, editing, and weighting procedures. For hospitals using the automated system, tapes containing machine-readable medical record data were purchased horn commercial abstracting services.Upon receipt, these tapes were subject to NCHS sampling, editing, and weighting procedures. A detailed description ofthe automated process willbe published. NOTE A
# listofreferences
follows thetext. The medical abstract form (figure I) and the abstract service data tapes contain items relating to the personal characteristics ofthepatient, including birth date, sex,race, and marital status, but not name and addres~ administrative information, including admission and discharge dates, discharge status, and medical record number; and medical information, including diagnoses and surgical and nonsurgical operations or procedures. Since 1977, patient ZIP Code, expected source of payment, and dates of surgery have alsobeen collected. (The medical record number and patient ZIP Code are considered confidential information and are not available to the public.) Medical coding and edit
# The medical information recorded on the sample patient abstracts that was collected bythe manual syste]mwas coded centrally by NCHS staff. A maximum of seven diagnostic codes were assigned for each sample abstract; in addition, if the medical information included surgical or nonsurgical procedures, amaximum offour codes forthese procedures were assigned. Following conversion ofthe data on the medical abstract to computer tape, a final medical edit was accomplished by computer inspection runs and a review ofrejected abstracts. Ifthe sexor age oftheplatient was incompatible with the recorded medical information, priority was givento the medical information inthe editing decision. NHDS medical coders code from abstracts ofmedical records in the order the diagnoses and procedures are entered. For most abstracts, this coding procedure isrelatively free ofproblems. It was noted, however, that acute myocardial infarction frequently is not the lead entg in a group ofcirculatory diagnoses. For example, the patientâs record mayhave arteriosclerosis listed first and arteriosclerotic heart disease listed second, with acute myocardial infarction listed third. Iftheusual procedure were followed, as itwas until 1982, acute myocardial infarction would be coded inthird place andretrievable onlyunder the heading of all-listed diagnoses. A decision was made to reorder some acute myocardial infarction diagnoses. In the new procedure, based on accepted medical coding practice, whenever an acute myocardial infarction is encountered with other circulatory diagnoses and isother than thlefirst entry, itisreordered to first position. The systemcurrently used forcoding the diagnoses and procedures onthe medical abstract forms and the data that appear on the commercial abstracting services data tape is the International Classification ofDisemes, 9th Revision, ClinicalModification, orICD-9-CM (Public Health Service andHealth Care Financing Administration, 1980). Data for 1970-78 were coded according to theEighth Revision International Classification ofDiseases, Adapted for Usein the UnitedStates, orICDA (NCHS, 1967a), with some modifications. These modifications, whichwere necessary because of incomplete or ill-defined terminology in the abstracts, are presented elsewhere (NCHS, 1980a). It has not been necessary, however, to modiiJ the ICD-9-CM for use in NHDS. 50
### FarmAonroved: O.M. R. No. OW.7.0C04 -r- - -â: â ---- â-------- ----
### CONFIDENTIAL - All information which would permitidentification ofan individualorofanestablishmentwill beheldconfidendsl, will beusedonly bypersonsengaged inendforthe purposesofthesurvey. endwill notbedisclosedorreleasedtootherparsonsorusedforanyotherpurpose.
>RM
# H DS-1 DEPARTMENT OFHEALTHANDHuMANSERVICES !-s-821 U.S. PUBLICHEALTHSERVICE NATIONALCENTER
FORHEALTHSTATISTICS
# MEDICAL ABSTRACT - NATIONAL HOSPITAL DISCHARGE SURVEY i. PATlENT IDENTIFICATION Month Day Year
## l. Hospital number . . . . . . . . . . ..l I I 4. Dateofadmission. .m-m-m 2. HDSnumber . . . . . . . . . . . . . ..[ 5. Dateofdischarge . .m-m-m 3. Medical record number 6. Residence ZIPcode ] I I. PATlENT CHARACTERISTICS B. Age (Com~/ete only ifdate of â 1
# â Years =( {:8 ::;:âs Month Day Yrrar
## 7. Date of birth
# mârnâ DrErl binhnotgâvan)âââââââââ
9. Sex {Mark (X) one) i 1 1
# â Male 2~ Female 3~ Not stated 1
## 10. Race I 1
# âWhite 3
# âAmerican hsdian/Ala$kan Netive 5~ Other (SDeclfy)
â 2D
### Black 4
# â Asian/Pacific Islander G
# â Notstated I 11.
## Ethnicity (Mark (X) one) I I
# â Hispanioorigin 2
# âNon-Hispanic 3n Not slated
## 12, Marital
## status I I @ Married 3
# âWidowed 5â~ Separated
## (Mark (X) one) I I 20 Single 4 L
### Divorced a~ Not stated
## 13. Expected source(s) of payment Principal Otheradditional (Markoneonly]
## 14. Status/Disposition of patient sources [Markaccordingly)
## (Mark (X) appropriate box{es))
{ 1.Workmenâs Compensation .......
# â â Status Disposition 2. Medicare .......................
# â â˘1 1
# â Alive
# â 8.
# â Routinedischarge/ Government 3. Medicaid .......................
# â â˘1 discharged home aourcos 4.Title V ..........................
# â â˘1 b. (1 Leftagainstmedicaladvice 5. Other government payments ...... n
# â c-n Discharged, transferred to
{ 6. Blue Cross ........... .......... anothershort-term hospital Private â˘1
# â sources 7. Other privateorcommercial d.
# â Discharged, transferred to insurance . ... ..................
# â â long-term care institution
{ 8.Self pay ....................... Other â˘1 a. Q Disposition notstated sources 9.No charge ....... ............... : â˘1 10.Other (SpecifyJ n
# â 2nDiod
# â No sour..
### of paymwst indicated 3IJ Status notstatad
:.
## FINAL DIAGNOSES Principal: Other/additional:
# â Seereversa side
## ), SURGICAL AND DIAGNOSTIC PROCEDURES 0;:;: MOM) Yam
## Principal: m-m-m Other/additional:
# m-m-m m-m-m m-m-m â NONE ~ Sea reversas)de
## :ompleted by Date
51
# Both the ICDA and the ICD-9-CM are divided into two main section~ diseases and injuries, and surgical and nonsurgical procedures. However, many differences exist between the two classifications. These differences are discussed in aprevious report (NCHS, 1981). Some ICD-9-CM diagnostic codes cannot appear alone. Specifically, the following codes cannot be firstIisted 320.7, 321.1-321.8, 323.0-323.4, 323.6-323.7, 330.2- 330.3,331 .7,334.4, 336.2-336.3, 337.1, 357.1-357.4, 358.1, 359.5-359.6, 362.01-362.02, 362.71-362.72,364.11, 365.41- 365.44, 366.41-366.44, 370.44, 372.15, 372.31-372.33, 373.4-373.6,374.51,376.13-376.22, 380.13,380.15,382.02, 420.0, 421.1, 422.0, 424.91, 425.7-425.8, 443.81, 456.20- 456.21,484.1-484.8,516.1, 517.1-517.8,567.0, 573.1-573.2, 580.81,581.81,582.81, 583.81,590.81,595.4, 598.01,601.4, 604.91, 608.81, 616.11, 616.51, 628.1, 711.10-711.89, 712.10-712.39, 713.0-713.8, 720.81, 727.01, 730.70-730.89, 731.1, 731.8, 737.40-737.43, 774.0, 774.31, 774.5. In addition, all discharges with the diagnostic codes 640.0-643.9 and 645.O-676.9with afifthdigit of 1or2orwith code 650 (indicating delivery) must have a code V27.O-V27.9 as a first-listed diagnosis. Conversely, every discharge with a first-listed diagnosis ofV27.O-V27.9 also must have one of these delivery codes. Prior to 1979, data on radiotherapy and physical medicine and rehabilitation (ICDA codes R1-R4) and some obstetrical procedures were not collected by means of NHDS. The obstetrical procedures not codedwere artificial rupture of membranev external, internal, and combined version; outlet and low forceps delivery with and without episiotomy and episiotomy (ICDA codes 75.0-75.6 and 75.9). In addition, data for diagnostic endoscopy, radiography, and other nonsurgical procedures (ICDA codes A4- A9 and R9), although coded, were not published. Starting with 1979 data, however, the procedures coding has followed guidelines ofthe Uniform Hospital Discharge Data Set (UHDDS). (See U.S. National Committee onVital and Health Statistics, 1978, and NCHS, 1980b.) The UHDDS is a minimum data set of items uniformly defined and abstracted from hospitaJ medical records. These items were selected on the basis of their continuous usefulness to organizations and agencies requiring hospital information. According to the UHDDS guidelines, all procedures are allocated into one offour classes. Classes 1-3consist of procedures that carry an operative or anesthetic risk or require highlytrained personnel, special facilities, or special equipment. Class 4procedures do not meet these criteria. See appendix II for the procedure codes included in these classes. Until 1983, the only Class 4 procedures coded in NHDS were circumcision (ICD-9-CM code 64.0), episiotomy (code 73.6), and removal ofintrauterine contraceptive device (code 97.71). The coding of additiomd Class 4 procedures, listed in appendix II, that are used in the assignment ofdiagnosis-related groups (DRGâs) wasbegun
NOTE A list of references follows the text.
# in mid-1983. DRGâs, developed at the Yale School of Organization and Management, are being used by the Health Care Financing Administration, some States, and some third-party payers toreimburse hospitals forinpatient care. A report on the conversion ofNHDS data to DRGs has been published (NCHS, 1987c).
# Presentation of estimates Grouping of diagnoses and procedures
# In this report the diagnostic chapters, the broadest groupings of diseases and injuries shown, correspcmd to ICD-9-CM chapters 1-17 and the supplementary classification of factors influencing health status and contact with health services. The diagnostic categories, the most detailed groupings ofdiseases and injuries shown, are subsets ofthe major groups orchapters. The titles and the ordering ofthe categories in the tabular list developed for NHDS follow the format of the ICD-9-CM tabular list
# as closely as possible. The procedure groupings used in this report are the groups numbered 1-16 in the ICD-9-CM section entitled âProcedure Classification.â Specific categories of operations or procedures, the most detailed ofthese groupings shown, are subsets ofthe major groups and are based on the 4-digit codes provided bythe ICD-9-CM. In developing the tables of diagnoses and of procedures, an effort was made to maximize specificity of the conditions or procedures consistent with clarity ofcharacterization, the frequency of their occurrence, ancl their interest. Patient characteristics not stated
# The age and sexofthe patient were not stated on the hospital record (the face sheet of the patientâs medical record) for about 0.6 percent of the discharges. Imputations of these missing items were made by assigning the patient an ageor sexconsistent with the ageor sexo~f other patients with the same diagnostic code. During 1986, 11.0 percent ofthe hospital records had no race identified. If the dates of admission or discharge were not given and could not be obtained from the monthly sample listing sheet transmitted by the sample hospital, a length of stay was imputed by assigning the patient a length of stay characteristic ofthe staysofother patients ofthe same age. During 1985,only0.01 percent ofthe records were missing the date ofadmission or discharge. Rounded numbers
# Estimates ofthe numbers ofinpatient discharges, days of care, discharges with procedures, all-listed diagnoses, and all-listed procedures havebeen rounded tothe nearest thousand for tabular presentation. Therefore, detained figures within the tables donot alwaysaddtototals. Rates and percents were calculated onthe basis ofunrounded figures and will not necessarily agree with computations made from the rounded data. 52
## Table Ill. Civilian population, by selected characteristic= United
States, July 1, 1986 [Population estimates consistent wtth Series P-25, Current Fâop@rfbn Repofts, U.S. Bureau ofthe Census] Age, gaogrephk regbn,
and mea Boih .Sf3XeS
### Male Female
All ages Toil. . . . . . . . . . . . . . . . Region Northeast . . . . . . . . . . . . Mldwast. . . . . . . . . . . . . South . . . . . . . . . . . . . .
# west............... Reea white . . . . . . . . . . . . . . Allofher . . . . . . . . . . . . . Under 15yeare Total . . . . . . . . . . . . . . . . Underlyear . . . . . . . . . . . l-4years . . . . . . . . . . . . . 5-14years . . . . . . . . . . . . . Re@n: Northeast . . . . . . . . . . . . Midwest. . . . . . . . . . . . . South . . . . . . . . . . . . . . West . . . . . . . . . . . . . . . Racec white . . . . . . . . . . . . . . Ailolher . . . . . . . . . . . . . 15-44 years -rotaI . . . . . . . . . . . . . . . . 16-24years . . . . . . . . . . . . 25-34yeare . . . . . . . . . . . . 35-44ye.9re . . . . . . . . . . . . Reqbm Northeast . . . . . . . . . . . . Midwest. . . . . . . . . . . . . %.rth . . . . . . . . . . . . . . west . . . . . . . . . . . . . . Race: Wolfe . . . . . . . . . . . . . . Another.. . . . . . . . . . . . 46-64 year5 Total . . . . . . . . . . . . . 45-54years . . . . . . . . . . . . 55-64yeers . . . . . . . . . . . . Rsqbn Northeast . . . . . . . . . . . . Mktwest . . . . . . . . . . . . . South . . . . . . . . . . . . . .
# west............... Raw White . . . . . . . . . . . . . . Allofher . . . . . . . . . . . . . 65 years end over Total . . . . . . . . . . . . . . . . 65-74yea~ . . . . . . . . . . . . 75-64years . . . . . . . . . . . . 85yearsendover . . . . . . . . Region: Northeast . . . . . . . . . . . . Midwest . . . . . . . . . . . . . South . . . . . . . . . . . . . . West . . . . . . . . . . . . . . . Race: White . . . . . . . . . . . . . . All Other. . . . . . . . . . . . . 239,357 49,907 59,165 82,091 48,193 202,956 36,3ee
51,963 3,726 14,400 33,856 9,756 IZ922 16,293 11,012 41,992 9,991
113,200 36,259 42,146 32,793 23,297 27,796 36,606 23,496 95,362 17,836
45,001 22,774 â 22,?27 10,157 11,051 15,296 8,497 39,307 5,694
29,173 17,325 9,051 2,796 6,698 7,394 9,695 5,185 26,297 2,875 115,600
23,635 28,721 39,534 23,711 26,576 17,222
26,612 1,906 7,366 17,336 4,994 6,622 9,356 5,636 21,546 5,065
55,874 19,024 20,828 16,022 11,404 13,813 18,915 11,742 47,463 8,412
21,491 11,036 10,453 4,601 5,320 7,233 4,136 16,920 2,571
11,823 7,645 3,366 792 2,636 2,965 4,027 2,195 10,646 1,174 123,556
26,072 30,444 42,556 24,462 104,360 19,176
25,371 1,819 7,035 16,517 4,762 6,300 8,934 5,375 20,444 4,927
57,326 19,235 21,320 16,770 11,692 13,285 19,691 11,757 47,899 9,426
23,511 11,737 11,774 5,356 5,729 6,063 4,360 20,366 3,123
17,350 9,661 5,E%5 2,004 4,062 4,429 5,669 2,990 15,649 1,701
# Population estimates
The
# population estimates used in computing rates are from published and unpublished estimates for the U.S. eivilian population on July 1
# ofthe data year providedby the U.S. Bureauof the Census. The estimates byage, se~ race, and geographic region are presented intable IIIand are consistent with the population estimates published in CurrentPopulation Repom, Series P-25. Although the civilian noninstitutionalized population was used prior to 1981, it has been determined that the eivilianpopulation ismoreappropriate touseforNHDS, as persons ininstitutions usually are hospitalized in short-stay hospitals. This is true especially for elderly residents of nursing homes. Aeumparison ofNHDSrates basedonthe eivilianpopulation withratesbased onthecivilian noninstitutionalized population is available in another publication (NCHS, 1984).
# Reliability of estimates Estimation
# Statistics produced byNHDS are derived byacomplex estimating procedure. The basic unit of estimation is the sample inpatient discharge abstract. The estimating procedure used to produce essentially unbiased national estimates in NHDS has three principal components: inflation by reciprocals of the probabilities of sample selection, adjustment for nonresponse, and ratio adjustment to f~ed totals. These components of estimation are described in appendix I of two earlier publications (NCHS, 196%, 1967c). Measurement errors As
# in anysurvey, results are subject to nonsampling or measurement errors, which include errors because ofhospital nonresponse, missing abstracts, information incompletely or inaccurately recorded on abstract forms, and processing errors. Some ofthese errors were discussed in an earlier section entitled âPatient characteristics not stat- ~.,, The Institute ofMedieine (IOM) has conducted three studies onthe reliability ofhospital abstract data collection; the most recent study was on NHDS. The IOM NHDS study was performed byusing data coded according to the ICDA, however, some of the findings are relevant to the 1981
# NHDS data even though these data were coded according to the ICD-9-CM. Of special interest to this report is the finding that, in a number of cases, the firstIisteddiagnosis inNHDS was not the principal diagnosis as determined by IOM after a study of the entire medical record. For example, when diagnoses at the ICDA class level were examined, the principal diagnosis from IOM matched thefirst-listed diagnosis fromtheNHDS inapproximately 86 percent ofthe cases. Detailed accounts ofthis
NOTE: A
## list of references follows the text.
53
# andother IOM findings havebeen published (IOM, 1977a, 1977b, 19s0). Sampling errors The standard error is primarily a measure of the variability attributed to avalue obtained from a sample as an estimate of a population value. In this report it also reflects part of the measurement error. The value that would havebeen obtained ifacomplete enumeration ofthe population had been made willbe contained in an interval repn$sented by the sample estimate plus or minus 1 standard error about 68 out of 100 times and bythe estimate plus or minus 2standard errors about 95out of 100times. The relative standard error isobtained bydividing the standard error by the estimate. The resulting value is multiplied by 100, so the standard error is expressed as a percent ofthe estimate. The standard error ofone statistic generally isdifferent flom that of another, even when the two come from the same survey. To derive standard errors that are applicable to a wide variety of statistics and can be prepared at a moderate cost, a number ofapproximations are required. As aresult, figures II-IV provide general relative standard errors for a wide variety of estimates rather than the specific error for aparticular statistic. Approximate relative standard errors and standard errors have been prepared for measuring the variances applicable to (1) estimates of discharges or first-listed diagnoses and days ofcare for patient characteristics (for example, age, sex, and race) and hospital characteristics (for example, region, bed size, and ownership) and patient characteristics cross-tabulated by hospitzd characteristics; and (2) estimates ofâall procedures performed by the specific procedure for the patient characteristics age, sex, and race and the hospital characteristics geographic region andbed size. The relative standard errors applicable to patients discharged or first-listed diagnoses, all-listed diagnoses, days ofcare, andprocedures are provided infigures II-IV. The curves for relative standard errors ofthe estimates in each figure relate to the variables by which estimates are presented in,this report. In these figures, curves are shown for variables the relative standard errors of which are different from those in the curve for âall other variables,â whichisrelevant tomost ofthe estimates. For example, one curve is applicable only to estimates of discharges by region, a second curve is concerned with discharges from hospitals bybed size,and athird curvepertains to estimates ofdays ofcare forwhite patients.
NOTE A listofreferences followsthe text.
# The selection ofthe appropriate relative standard error curve ismade asfollows 1.
# 2.
3. Dischargesforjirst-li.steddiagnoses and al-listed diagnosesforpatient and hospital characteristics: Relative standard errors ofthe estimated number ofdischarges andofall-listed diagnoses are obtained tlom thecurves infigure IL Dqys
# ofcmefor dischcnges orjirst-listed diagnosesfor pdâent and hospikd charactetitics: Relative standard errors of the estimated number of days of care are obtained from the curves infigure III. Procedures:Relative standard errors forprocedures are obtained from the curve infigure IV. The presentation of estimates for NHDS is based on the relative standard error ofthe estimate and the number ofsample records onwhich the estimate isbased (referred toasthe sample size). Estimates are notpresented unless a reasonable assumption regarding the probabili~ distribution of the sampling error is possible. The Central ILimit Theorem is used to determine the distribution of the sampling errors. The Central Limit Theorem states that, givenasut%cientlylargesample size,the sample estimate is approximately normally distributed and approximates the population estimate. Based on consideration ofthe complex sample design ofNHDS, the following guidelines are used for presenting NHDS estimate~ 1. If the sample size is less than 30, the value of the estimate isnot reported. Only an asterisk (*) isshown inthe tables. 2. Ifthe sample sizeis30-59, thevalue ofthe estimate is reported but should beused withcaution. The estimate ispreceded byan asterisk (*) inthe tables. 3. If the sample size is 60 or more but the relative standard error ismore than 30percent, the estimate is reported but should beusedwithcaution. The estimate ispreceded byan asterisk (*) inthe tables.
# Tests ofsignificance h this report, the determination ofstatistical inference isbased onthet-test with acritical value of 1.96 (0.05
# level of significance). Terms relating to differences, such as âhigherâ and âless,â indicate that the differences are statistically significant. Terms such as âsimilarâ and âno differenceâ mean that no statistically significant difference exists between the estimates being compared. Alackofcomment onthe difference between anytwo estimates does not :mean that the difference was tested and found to be, not significant.,
54
### 54
40
## 10
# 0 50
40
## 30
20
10
0
# A 2 3 456789 A 2 3 4s 6789 A 2 3 4 56789 A 2 3 4 56789 A 2 3 456789 1 A 10 100 1,000 10,000 1Oo,ooa
## 3ize ofeethete (inthousands)
Fwre IL Appminat, tddw ztmchrd â
# mom
# ofdnutod nimhnm
# ofp4ent$ didwged
# or
# fht-ktd dagnoses and
# ofall-listed dlagnos~ by
# selected patient and hcwpitd chamctorbtics
m Cn
### 50 50
40
30
## 10
# 0 40
30
20
10
0
# A 2 3 456789 A 2 3 456789 A 2 3 4 56789 A 2 3 4 56789 A 2 3 456789 A 10 100 1,WJo 10,000 lfx),wo 1,000,000 Size of estimate (in thousands)
EXAMPLE: As sfwwn in tatie 2, an estimated 7,274,WJ0 dSYaof QIre ware provtied dudng 19SS to mab @ank under 15 years 01aga discharged km ahert-siay lmspitafs. The dative standard enor of this estiiate as read from CUIVS8 (a ~proximatefy 4.o percent Thus, tha skmdard error isapproximately 290,W (4.0 wcent of 7,274,000).
### Figure Ill, Approximate relative standard errors of estimated numbers of days of care, by selected patient and hospital characteriatice
### 50
40
30
20
## 10
# 0 50
40
30
20
10
0
# A 2 3 456789 A 2 3 456789 A 2 3 4 56789 A 2 3 4 56789 A 2 3 458789 1 10 100 A 1,000 Io,ooo 100,000
## Sizeofeslimate(inthousmds)
FkfuIâsIV. AgproxfmatrIMath standardaworaofestknatedmsnberaofprwedwes fw patientsdiachwg~ byaelwtad patientandhosfhrl characteristics
w -4
# Appendix II Definitions of terms
Hospitals and hospital characteristics HospitakâShort-stay special and general hospitals have sixbeds or more for inpatient use and an average length of stay ofless than 30 days. Federal hospitals and hospital units ofinstitutions are not included. Bedsize ofhospitcd-Size is measured bythe number ofbeds, cribs, andpediatric bassinets regularly maintained (set up and staffed for use) for patients; bassinets for newborn infants are not included. In this report the classification ofhospitals bybed sizeisbased on the number of beds ator near midyear asreported bythe hospitals. Typeofownershipofhospital-The type ofownership is determined bythe organization that controls and operates the hospital. Hospitals are grouped as follow~ â
# Voluntcuynonproj7t-Hospitals operated byachurch or another nonprofit organization.
. Government-Hospitals operated byState orlocalgovernments.
. Propnâetay-Hospitals operated by individuals, partnerships, or corporations for profit.. Patient-A person who is formally admitted to the inpatient service of a short-stay hospital for observation, care, diagnosis, ortreatment isconsidered apatient. In this report the number of patients refers to the number of discharges during the year, including any multiple discharges ofthe same individual from one short-stay hospital ormore. Infants admitted onthe dayofbirth, directly orby transfer froni another medical facility, with or without mention ofadisease, disorder, orimmaturity, are included. Inthisreport newborn infants, defined asthose admitted by birth to the hospital, are excluded from all tables except those in the newborn section. The terms âpatientâ and âinpatientâ are used synonymously. Newborn infmt-A
# newborn infant is defined as a patient admitted bybirth to ahospital. Dischcnge-Discharge isthe formal release ofapatient by a hospital; that is, the termination of a period of hospitalization by death or by disposition to place ofresidence, nursing home, or another hospital. The terms âdischargesâ and âpatients dischargedâ are used synonymously. Dischcngerate-The ratio of the number of hospital discharges during ayear to the number ofpersons in the civilian population on July 1 of that year determines the discharge rate. Days ofcareâThe total number ofpatient days accumulated at time of discharge by patients discharged from short-stay hospitals during ayear constitutes daysofcare.A stayoflessthan 1 day (patient admission and discharge on the same day) iscounted as 1dayinthe summation oftotal days of care. For patients admitted and discharged on different days, the number ofdays ofcare is computed by counting all days from (and including) the date of ~admission to (but not including) the date ofdischarge. Rate ofdays ofcare-The rate of days ofcare is the ratio ofthe number ofpatient days accumulated attime of discharge bypatients discharged from short-stay hospitals during a year to the number of persons in the civilian population on July 1 ofthat year. Averagelengthofstqy-The average length ofstayisthe total number ofpatient days accumulated at time (ofdischarge bypatients discharged during theyear dividedbythe number ofpatients discharged.
# Diagnoses Dischcugediagnoses-A discharge diagnosis is a disease or injury (or some factor that influences health status and contact with health services that isnot itself acurrent illness or injury) listed by the attending physician on the medical record ofpatients. In NHDS alldischarge (orfinal) diagnoses listed on the fact sheet (summary sheet) ofthe medical record for patients discharged from the inpatient service of short-stay hospitals are transcribed in the order listed. Each sample discharge is assigned a maximum of seven 5-digit codes according to the International Ckmsification ofDiseases, 9th Revision, CliniccdModification, or ICD-9-CM (Public Health Service and Health Care Financing Administration, 1980). The number ofprincipal or first-listed diagnoses is equivalent to the number of discharges. Principal diagnosis-The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care is called the principal diagnosis.
NOTE A listofreferences follows the text.
E@
# First-hkteddiagnosis-The coded diagnosis identified asthe principal diagnosis or listed first on the face sheet of the medical record isthe first-listed diagnosis. The number of first-listed diagnoses is equivalent to the number of discharges. All-listed diagrzoses-All-listed diagnoses are an estimated number of discharge (or final) diagnoses, up to a maximum ofseven, that are listed on the face sheet ofthe medical record for inpatients discharged horn non-Federal short-stay hospitals during the year. Obstebzâcaldiagrzosis-A diagnosis relating to conditions arising from or affecting the management ofpregnancy, childbirth, and the puerperium (the period following childbirth) is a obstetrical diagnosis. These are code numbers 640-676 ofthe ICD-9-CM. Nowcd delivay-A normal deliveq is adelivery without abnormality or complication ofpregnancy, childbirth, or the puerperium and with spontaneous cephalic delivery (that is,presentation ofthe child headfirst and delivery of the child without external aid). If no mention of fetal manipulation or instrumentation ismade, ICD-9-CM code 650isassigned. Complicated deliveiy-All deliveries not considered normal, including deliveries of multiple gestation, are included. ICD-9-CM code numbers 640-648 and 651-676 are assigned.
# Surgical and nonsurgical procedures Dfichcuges withproceduresâThe estimated number of patients discharged from non-Federal short-stay hospitals during the year who underwent at least one procedure during their hospitalization are termed âdischarges with procedures.â Procedure-A procedure is one or more surgical or nonsurgical operations, diagnostic procedures, or special treatments assigned bythe physician to the medical record ofpatients discharged from the inpatient service of shortstayhospitals. InNHDS allterms listed ontheface sheet of the medical record under captions such as âoperation; âoperative procedures? and âoperations and/or special treatmentsâ are transcribed inthe order listed. Amaximum of four 4-digit codes are assigned per sample discharge according to ICD-9-CM and NHDS directives. (See âMedical coding and editâ in the âData collection and processingâ section ofappendix I for further details.) A1l-hktedproceduresâAll coded procedures that are listed on the face sheet ofthe medical record, exclusive of most Class 4procedures, are included. Un~ormHospital DischargeData Set (UHDDS) classes ofproceduresâProcedures arecategorized into four classes according to UHDDS guidelines. Classes 1-3 consist of significant proceduresâthat is, procedures that carry an operative or anesthetic risk or require highly trained personnel, special facilities, or special equipment. Class 4 procedures do not meet these criteria. VHDDS Class 1procedures-All procedures not categorized as Class 2, 3, or 4procedures are included. .?.?HDDS Class2proceduresâThe following ICD-9-CM procedure codes identify Class 2procedures ascategorized bythe UHDDS: 03.31,03 .91-03.92,04.80-04.89, 21.01,24.7,31.41-31.42, 34.91-34.92, 37.92-37.93, 42.22-42.23, 44.12-44.13, 45.12-45.13, 45.22-45.24, 48.22, 50.92, 54.91, 54.97-54.98, 57.31, 58.22, 59.95, 62.91, 66.8, 69.6-69.7, 69.93, 70.0, 73.01-73.1, 73.3, 73.51-73.59, 76.96, 81.91- 81.92, 82.92-82.96, 83.94-83.98, 85.91-85.92, 86.01, 87.03-87.08, 87.13-87.15, 87.31-87.35, 87.38, 87.41-87.42, 87.51-87.52, 87.54-87.66, 87.71-87.73, 87.75, 87.77-87.78, 87.81-87.84, 87.91, 87.93-87.94, 88.01-88.03, 88.12-88.15, 8838, 88.71-88.89, 89.14, 89.21-89.25,89.32,89.41-89.44, 89.54,89.61-89.65,89.8, 92.01-92.29, 93.45-93.54, 93.56-93.59, 93.92-93.93, 93.95, 93.97, 94.24, 94.26-94.27, 95.04, 95.12-95.13, 95.16-95.26, 96.01-96.08, 96.21-96.25, 96.31-96.33, 97.11-97.13, 98.02-98.04, 98.14-98.16, 98.19, 99.01, 99.60-99.69,99.81. UHDDS Class3procedures-The following ICD-9-CM procedure codes identifj Class 3procedures as categorized bythe UHDDS:
. 29.11, 57.94-57.95, 60.19, 84.41-84.43, 84.45-84.47, 86.26, 93.98, 98.01, 98.05-98.13, 98.17, 98.18, 98.20- 98.29,99.25. .W?DDS CLZYS
4proceduresâFrom 1979 through the middle of 1983 only three Class 4 procedures were coded for NHDS: circumcision (ICD-9-CM code 64.0), episiotomy (code 73.6), and removal ofintrauterine contraceptive device (code 97.71). The ICD-9-CM codes for the Class 4 procedures coded since the last halfof 1983 are asfollows: 01.18-01.19, 03.39, 04.19, 05.19, 06.19, 07.19, 08.91- 08.93, 09.19, 09.41-09.49, 10.29, 11.29, 12.29, 14.19, 15.09, 16.29, 20.39, 28.19, 33.28-33.29, 34.28-34.29, 38.29, 40.19, 50.19, 51.19, 52.19, 54.29, 55.29, 56.39, 57.39, 59.29, 60.18, 62.19, 63.09, 64.0, 65.19, 66.19, 67.19,68.19,70.29,71.19, 73.6,76.19,78.8,81.98, 83.29, 97.71. The following ICD-9-CM procedure codes identi& Class 4procedures not coded bythe NHDS: 08.19, 16.21, 18.01, 18.11, 18.19, 21.21, 21.29, 22.19, 24.19, 25.09, 25.91, 26.19, 27.29, 27.91, 29.19, 31.48- 31.49, 37.29, 41.38-41.39, 42.29, 44.19, 45.19, 45.28- 45.29, 48.23, 48.29, 49.21, 49.29, 49.41, 58.29, 61.19, 64.19, 64.91, 64.94, 69.92, 70.21, 73.91-73.92, 75.35, 85.19, 86.19, 86.92, 87.09-87.12, 87.16-87.17, 87.22-87.29, 87.36-8737, 87.39, 87.43-87.49, 87.69, 87.79, 87.85-87.89, 87.92, 87.95-87.99, 88.09, 88.16-88.31, 88.33, 88.35, 88.37, 8839, 89.01-89.13, 89.15-89.16, 89.26-89.31, 89.33-89.39, 89.45-89.53, 89.55-89.59,89.66,89.7, 90.01-91.99,93.01-93.25, 93.27- 93.28, 93.31-93.39, 93,42-93.44, 93.61-93.91, 93.94, 93.96, 93.99-94.23, 94.25, 94.29-95.03, 95.05-95.11, 95.14-95.15, 95.31-95.49, 96.09-96.19, 96.26-96.28,
59
# 96.34-97.04, 97.14-97.69, 97.72-97.89, 99.02-99.24, 99.26-99.59,99.71-99.79, 99.82-99.99. SuWâcaloperations-All procedures except those listed underâânonsurgical proceduresââ are listed assurgicaloperations. Biopsy-Biopsy is excision of tissue for microscopic examination. The ICD-9-CM biopsy codes are as follows 0.11-0.15, 03.32, 04.11-04.12, 05.11, 06.11-06.13, 07.11- 07.17, 08.11, 09.11-09.12, 10.21, 11.22, 12.22, 15.01, 16.23, 18.12, 20.32, 21.22, 22.11, 24.11-24.12, 25.01, 25.02, 26.11, 27.21-27.24, 28.11, 29.12, 31.43-31.44, 33.24-33.27, 34.23-34.27, 37.24-37.25, 38.21, 40.11, 41.31-41.33, 42.24, 44.14-44.15, 45.14-45.15, 45.25-45.27, 48.24-48.26, 49.22-49.23, 50.11-50.12, 51.12-51.13, 52.11-52.12, 54.22-54.23, 55.23-55.24, 56.32-56.33, 57.33-57.34, 58.23-58.24, 59.21, 60.11- 60.15, 61.11, 62.11-62.12, 63.01, 64.11, 65.11-65.12, 66.11, 67.11-67.12, 68.13-68.14, 70.23-70.24, 71.11, 76.11, 77.40-77.49, 80.30-80.39, 83.21, 85.11-85.12, 86.11. Nonsuqâcalprocedures -Procedures generally not considered to be surgery are listed asnonsurgical procedures. These include diagnostic endoscopy and radiography, radiotherapy and related therapies, physical medicine and rehabilitation, and other nonsurgical proceduresâlnternationa.1Classific&âon of Diseases, Adapted for Use in the UnitedStates (ICDA) codes A4-A9 andR1-R9. The following ICD-9-CM codes are for diagnostic and nonsurgical procedures: 03,31, 11.21, 12.21, 14.11, 16.22, 20.31, 29.11, 31.41- 31.42, 33.21-33.23, 34.21-34.22, 39.95, 42.21-42.23, 44.11-44.13, 45.11-45.13, 45.21-45.24, 48.21-48.22, 51.11, 54.21, 55.21-55.22, 56.31, 57.31-57.32, 58.21-58.22, 60.19, 68.11-68.12, 70.22, 80.20-80.29, 87.01-99.99. Rate ofproceduresâThe ratio of the number of alllistedprocedures during ayear tothe number ofpersons in thecivilianpopulation onJuly 1ofthat year determines the rate ofprocedures.
# Demographic terms Population âThe civilian population is the resident population excluding members ofthe Armed Forces. The civiliannoninstitutionalized population isthe civilianpopulation not residing ininstitutions. AgeâPatientâs age refers to age at birthday prior to admission to the hospital inpatient service. Race-Patients are classified into two groups: âwhiteâ and âall other.â The all other classification includes all categories other than white. In addition, 11.0percent ofthe patients had no race stated on the face sheet ofthe record. Geographic regzâon
âHospitals are classified bylocation inone ofthe four geographic regions ofthe United States that correspond to those used by the U.S. Bureau ofthe Census.
Region
Northeast
Midwest
South
West States included
Maine, NewHampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York NewJersey, and Pennsylvania Michigan, Ohio, Illinois, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas Delaware, Maryland, District of Columbia, Virginia, West Virginia, North Carolina, South Carolina, Georgia, Florid% Kentucky, Tennessee, Alabama, Mississippi, Arkansas, Louisiana, Oklahoma, and Texas Montanq Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Washington, Oregon, California, Hawaii, and Alaska
**60**
# Vitaland Health Statistics series descriptions
SERIES 1.
SERIES 2.
SERIES 3.
SERIES 4.
SERIES 5.
SERIES 10.
SERIES 11.
SERIES 12.
SERIES 13. Programs and Collection Procecfures-+kptirfs descnb!ng lhs!
general program~ of the National Center for Health Sta!Mics and its offices and divisions and the data co!kcmm methods used. They also mclucfe definitions and othw material neccssmy for understanding the data, Data Evaluation and Methods ResearckStucltes of new stat~stlcal methodology irmkrdmg experimental tests of new survey methods, studies of vital
### s!atis!ics collection methods, new analytical techniques., objective evakdkms of relmbMy of coi!ected da!a, and contributions to statistical theo~~. Stud[es also include comparison of U.S. methodology wth those ofother countnes, Analytkal and Epidemiological Studie*Reports presenting analytical or interpretive stud~es based on vital and health sia!istics, carrying the analysis further than the expository F;pes of reports inthe other series. Documents and Committee Reports-Final reports of major commtfees concerned ~ith ~itd and health stattstcs and documents such as recommended model v!tal regustrat[on laws and revised birth and
## death certificates. Comparative International Vial and Health Statistics Reports-Analytical and descriptive reports comparmg U.S. vital and health stat~s!!cswith those ofother countnss Date From the National Heafth Interview
## Survey-Statistics on Mess, accidental inpxies, dmbilty,
# use of hospital, medmal, dental, and other services, and other health-related top:cs, all based on data co!lected in the continu~ng national househo!d interview survey. Date From the National Health Examination Survey and the Nathral Health and Nutrition Examination Survey-Data from direct exammation, tes!mg, and measurement of natronal samp!es of the civdian noninstitutlonalized population provide the bask for (1) estimates of the medically defined prevalence of specific diseases inthe United States and the distributions ofthe poptkt[on with respect to physical, physiological, and psychological characteristics and (2) analysis of relationships among the various measurements without reference toan explicit finite umverse of persons. Data From the Instiiutionatiied Population Surveye-D/scontinued in 1975. Reports from these suweys are included m Series 13. Data on Health Resources f.ftikzatio~tatistics on the utilization of health manpower and facihties providing long-term care, ambulatory care, hospital care, and family planning servfces. SERIES 14.
SERIES 15.
SERIES 20.
SERIES 21.
SERIES 22.
SERIES 23. Date on Health Resources: Manpower and Facihtiea-Statlst[cs an the numbers. geograpfvc d,s!r,bu![on. and characterls!fcs of hea:tln resources mclud ng physmans. den!tsts, nurses, other health occupa!,ons, hospJals, nursing homes, and outpakm! facJlt[es. Data From Special Sr.rrveys-Sta.! shcs on health and heallhrek!ecl tcpzs colkted m spwal surveys tha! are no! a part of tine conlnumg data systems of the fdatonal Center for Health S!akfics. Data on Mortafii-varmus stat,shcs on mortahty other than as mchnkd in regular annual or monthly reports Special analyses by
# cause of deafh, age, and o!her demographic variables: geographic and t,me stwes analyses: and slatstlcs on characteristics of deaths not a.vatkk from the vi!al records based on sample surveys ofthoss recmds. Data on Natafii, Marriage, and Divorc+Vanous s!a!rstlcs on natarity, marriage, and divorce other than as mduded mre9ular annual or mon~nly repofls. Specml analyses by demographic vanab!es: gecxyaph cand tfme series analyses: stud[es offerlMy; and statis!cs on characterMcs of births not available from the
# vital records based on sample surveys ofthose records. Data From the Nationat Mortefity and Natelity Surveya-Dmcontinued m 1975. Reports from these sample suweys based onvdal records are included mSerfes 20 and 21, respectwely. Date From the National Survey of Famify Growth-Stat@cs on ferti!ly, famly fmrnatmn and dmsoluton, fam)iy planning, and related maternal arcl mfan! hea[lh topics derived from a per~odm survey
## ofa natonw,de
## probabdity sample of women 15-44 years ofage.
For answers to questions about this report or for a list of titles of reports pub!ished inthese
# series,contact:
Scientific and Tecfmcal Information Branch Nalional Center for Health Sta!Wcs Centers for Disease Cm.!rcd Public Health Serwce Hyaftsvil!e, Md. 20782 301-436-8500
# .
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centera for Disease Control
## NationalCenter for Health Statistics 3700 East-West Highway Hyattsville, Maryland 20782
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DHHS Publication No. (PHS) 86-1757, Series 13, No. 96