Table 12_3_5.1_1
Admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions,a age 18 and over,b United States, 2000, 2004, 2005, 2007, and 2008
|
|
2008 |
2007 |
2005 |
2004 |
2000 |
Population group |
Rate |
SE |
Rate |
SE |
Rate |
SE |
Rate |
SE |
Rate |
SE |
Total |
|
1.32 |
0.01 |
1.28 |
0.01 |
1.30 |
0.01 |
1.33 |
0.01 |
1.11 |
0.01 |
Age |
18-44 |
0.69 |
0.01 |
0.67 |
0.01 |
0.72 |
0.01 |
0.61 |
0.01 |
0.69 |
0.01 |
45-64 |
1.36 |
0.01 |
1.34 |
0.01 |
1.20 |
0.01 |
1.27 |
0.01 |
0.96 |
0.01 |
65 and over |
1.64 |
0.01 |
1.56 |
0.01 |
1.67 |
0.01 |
1.77 |
0.01 |
1.45 |
0.01 |
65-69 |
1.46 |
0.02 |
1.38 |
0.02 |
1.37 |
0.03 |
1.40 |
0.03 |
1.02 |
0.02 |
70-74 |
1.55 |
0.03 |
1.57 |
0.03 |
1.58 |
0.03 |
1.72 |
0.03 |
1.25 |
0.02 |
75-79 |
1.86 |
0.03 |
1.70 |
0.03 |
1.84 |
0.03 |
1.93 |
0.03 |
1.51 |
0.02 |
80-84 |
1.85 |
0.03 |
1.78 |
0.03 |
1.99 |
0.03 |
2.25 |
0.03 |
1.70 |
0.03 |
85 and over |
1.49 |
0.02 |
1.40 |
0.02 |
1.53 |
0.02 |
1.50 |
0.02 |
1.71 |
0.02 |
Gender |
Male |
1.33 |
0.01 |
1.21 |
0.01 |
1.23 |
0.01 |
1.22 |
0.01 |
0.91 |
0.01 |
Female |
1.39 |
0.01 |
1.40 |
0.01 |
1.41 |
0.01 |
1.47 |
0.01 |
1.33 |
0.01 |
Median income of patient's ZIP Code |
First quartile (lowest income) |
1.34 |
0.01 |
1.29 |
0.01 |
1.23 |
0.01 |
1.27 |
0.01 |
1.04 |
0.01 |
Second quartile |
1.26 |
0.01 |
1.16 |
0.01 |
1.24 |
0.01 |
1.33 |
0.01 |
1.10 |
0.01 |
Third quartile |
1.36 |
0.01 |
1.35 |
0.01 |
1.41 |
0.01 |
1.40 |
0.02 |
1.17 |
0.01 |
Fourth quartile (highest income) |
1.36 |
0.02 |
1.33 |
0.02 |
1.35 |
0.02 |
1.36 |
0.02 |
1.15 |
0.01 |
Location of patient residence |
Large central metropolitan |
1.30 |
0.01 |
1.32 |
0.01 |
1.25 |
0.01 |
1.28 |
0.01 |
1.05 |
0.01 |
Large fringe metropolitan |
1.31 |
0.01 |
1.29 |
0.01 |
1.37 |
0.01 |
1.34 |
0.01 |
1.20 |
0.01 |
Medium metropolitan |
1.35 |
0.02 |
1.32 |
0.02 |
1.34 |
0.02 |
1.51 |
0.02 |
1.22 |
0.02 |
Small metropolitan |
1.50 |
0.02 |
1.26 |
0.02 |
1.24 |
0.02 |
1.36 |
0.02 |
1.16 |
0.02 |
Micropolitan |
1.31 |
0.02 |
1.16 |
0.02 |
1.24 |
0.02 |
1.18 |
0.02 |
1.07 |
0.02 |
Noncore |
1.22 |
0.03 |
1.24 |
0.03 |
1.38 |
0.02 |
1.29 |
0.02 |
0.86 |
0.02 |
Expected payment source |
Private insurance |
1.34 |
0.01 |
1.33 |
0.01 |
1.29 |
0.01 |
1.22 |
0.01 |
0.94 |
0.01 |
Medicare |
1.32 |
0.01 |
1.29 |
0.01 |
1.32 |
0.01 |
1.41 |
0.01 |
1.19 |
0.01 |
Medicaid |
1.29 |
0.02 |
1.43 |
0.02 |
1.30 |
0.02 |
1.30 |
0.02 |
1.31 |
0.02 |
Other insurance |
1.50 |
0.04 |
1.19 |
0.04 |
1.38 |
0.05 |
1.33 |
0.04 |
0.90 |
0.04 |
Uninsured/self-pay/no charge |
1.17 |
0.03 |
0.77 |
0.03 |
1.18 |
0.03 |
1.04 |
0.03 |
0.90 |
0.03 |
Region of inpatient treatment |
Northeast |
1.26 |
0.02 |
1.35 |
0.02 |
1.32 |
0.02 |
1.17 |
0.02 |
1.14 |
0.01 |
Midwest |
1.24 |
0.01 |
1.09 |
0.01 |
1.25 |
0.01 |
1.25 |
0.01 |
1.07 |
0.01 |
South |
1.31 |
0.01 |
1.28 |
0.01 |
1.30 |
0.01 |
1.38 |
0.01 |
1.04 |
0.01 |
West |
1.53 |
0.02 |
1.47 |
0.02 |
1.37 |
0.02 |
1.56 |
0.02 |
1.28 |
0.02 |
Ownership/control of hospital |
Private, not for profit |
1.34 |
0.01 |
1.26 |
0.01 |
1.27 |
0.01 |
1.33 |
0.01 |
1.10 |
0.01 |
Private, for profit |
1.01 |
0.02 |
1.22 |
0.02 |
1.26 |
0.02 |
1.26 |
0.02 |
1.14 |
0.02 |
Public |
1.55 |
0.02 |
1.47 |
0.02 |
1.56 |
0.02 |
1.41 |
0.02 |
1.16 |
0.02 |
Teaching status of hospital |
Teaching |
1.66 |
0.01 |
1.60 |
0.01 |
1.58 |
0.01 |
1.51 |
0.01 |
1.09 |
0.01 |
Nonteaching |
1.16 |
0.01 |
1.12 |
0.01 |
1.18 |
0.01 |
1.26 |
0.01 |
1.12 |
0.01 |
Location of hospital |
Large central metropolitan |
1.53 |
0.01 |
1.44 |
0.01 |
1.39 |
0.01 |
1.42 |
0.01 |
1.09 |
0.01 |
Large fringe metropolitan |
1.09 |
0.02 |
1.14 |
0.02 |
1.29 |
0.02 |
1.25 |
0.02 |
1.20 |
0.01 |
Medium metropolitan |
1.41 |
0.02 |
1.36 |
0.02 |
1.42 |
0.02 |
1.53 |
0.02 |
1.19 |
0.02 |
Small metropolitan |
1.36 |
0.02 |
1.29 |
0.02 |
1.34 |
0.02 |
1.40 |
0.02 |
1.09 |
0.02 |
Micropolitan |
1.06 |
0.02 |
1.07 |
0.02 |
0.97 |
0.02 |
0.98 |
0.02 |
0.94 |
0.02 |
Noncore |
0.51 |
0.04 |
0.51 |
0.04 |
0.60 |
0.04 |
0.61 |
0.04 |
0.70 |
0.04 |
Bed size of hospital |
Less than 100 |
0.80 |
0.02 |
0.86 |
0.02 |
0.84 |
0.02 |
0.87 |
0.02 |
0.88 |
0.02 |
100-299 |
1.13 |
0.01 |
1.09 |
0.01 |
1.19 |
0.01 |
1.21 |
0.01 |
1.10 |
0.01 |
300-499 |
1.36 |
0.01 |
1.40 |
0.01 |
1.41 |
0.01 |
1.46 |
0.01 |
1.17 |
0.01 |
500 or more |
1.88 |
0.02 |
1.73 |
0.02 |
1.65 |
0.02 |
1.64 |
0.02 |
1.13 |
0.01 |
a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the iatrogenic pneumothorax be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. Consistent with the AHRQ PSI software, the following cases are excluded: obstetric admissions and admissions with chest trauma, pleural effusion, thoracic surgery, lung/pleural biopsy, diaphragmatic surgery repair, and cardiac surgery.
b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), and diagnosis-related group (DRG). When reporting is by age, the adjustment is by gender, comorbidities, MDC, and DRG; when reporting is by gender, the adjustment is by age, comorbidities, MDC, and DRG. The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).
Key: SE: standard error.
Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.