Table 2.12 Postoperative physiologic and metabolic derangements per 1,000 elective surgical discharges (excluding some serious diseasea and obstetric admissions), age 18 and over, United States, 2003 and 2004 |
Population group |
2004 |
2003 |
Rateb |
Standard error |
Rateb |
Standard error |
Total |
|
1.37 |
0.02 |
1.48 |
0.02 |
Age |
18-44 |
0.70 |
0.03 |
0.91 |
0.02 |
45-64 |
1.19 |
0.02 |
1.37 |
0.02 |
65 and over |
1.93 |
0.03 |
1.97 |
0.03 |
65-69 |
1.91 |
0.05 |
1.86 |
0.05 |
70-74 |
1.83 |
0.05 |
1.87 |
0.05 |
75-79 |
2.42 |
0.06 |
2.28 |
0.06 |
80-84 |
1.58 |
0.07 |
2.21 |
0.07 |
85 and over |
1.46 |
0.09 |
1.25 |
0.09 |
Gender |
Male |
1.95 |
0.03 |
2.12 |
0.03 |
Female |
0.99 |
0.02 |
1.07 |
0.02 |
Median income of patient's ZIP Code |
Less than $25,000 |
1.68 |
0.08 |
1.76 |
0.08 |
$25,000-$34,999 |
1.31 |
0.03 |
1.29 |
0.03 |
$35,000-$44,999 |
1.34 |
0.03 |
1.40 |
0.03 |
$45,000 or more |
1.39 |
0.02 |
1.58 |
0.02 |
Location of patient residence |
Metropolitan-large |
1.48 |
0.02 |
1.74 |
0.02 |
Metropolitan-small |
1.20 |
0.03 |
1.27 |
0.03 |
Micropolitan |
1.31 |
0.04 |
1.16 |
0.04 |
Noncore |
1.38 |
0.05 |
1.02 |
0.05 |
Expected payment source |
Private insurance |
1.34 |
0.03 |
1.48 |
0.03 |
Medicare |
1.37 |
0.02 |
1.43 |
0.02 |
Medicaid |
1.86 |
0.07 |
2.20 |
0.07 |
Other insurance |
0.70 |
0.10 |
1.71 |
0.10 |
Uninsured/self-pay/no charge |
1.87 |
0.12 |
1.25 |
0.14 |
Region of inpatient treatment |
Northeast |
1.54 |
0.04 |
1.30 |
0.04 |
Midwest |
1.44 |
0.03 |
1.49 |
0.03 |
South |
1.20 |
0.02 |
1.19 |
0.02 |
West |
1.45 |
0.03 |
2.20 |
0.03 |
Ownership/control of hospital |
Private, not-for-profit |
1.37 |
0.02 |
1.42 |
0.02 |
Private, for-profit |
1.23 |
0.04 |
1.83 |
0.04 |
Public |
1.53 |
0.05 |
1.49 |
0.05 |
Teaching status of hospital |
Teaching |
1.71 |
0.03 |
1.70 |
0.02 |
Non-teaching |
1.18 |
0.02 |
1.35 |
0.02 |
Location of hospital |
Metropolitan-large |
1.61 |
0.02 |
1.81 |
0.02 |
Metropolitan-small |
1.14 |
0.02 |
1.08 |
0.03 |
Micropolitan |
0.74 |
0.06 |
0.75 |
0.06 |
Noncore |
0.47 |
0.14 |
0.68 |
0.15 |
Bed size of hospital |
Less than 100 |
0.61 |
0.06 |
0.80 |
0.07 |
100-299 |
1.23 |
0.03 |
1.43 |
0.03 |
300-499 |
1.29 |
0.03 |
1.40 |
0.03 |
500 or more |
1.85 |
0.03 |
1.77 |
0.03 |
a That is, excluding patients with diabetic coma and patients with renal failure who also were diagnosed with acute myocardial infarction, cardiac arrhythmia, cardiac arrest, shock, hemorrhage, or gastrointestinal hemorrhage.
b Rates are adjusted by age, gender, age-gender interactions, comorbidities, and diagnosis related group (DRG) clusters. When reporting is by age, the adjustment is by gender, comorbidities, and DRG clusters; when reporting is by gender, the adjustment is by age, comorbidities, and DRG clusters.
Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 2003 and 2004.