Table 12_2_6.1_1
Postoperative respiratory failure per 1,000 elective-surgery 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 |
|
9.5 |
0.0 |
9.9 |
0.0 |
10.0 |
0.0 |
10.2 |
0.0 |
9.0 |
0.1 |
| Age |
18-44 |
4.9 |
0.1 |
4.6 |
0.1 |
4.4 |
0.1 |
4.8 |
0.1 |
3.8 |
0.1 |
| 45-64 |
7.9 |
0.1 |
8.5 |
0.1 |
8.4 |
0.1 |
8.7 |
0.1 |
7.6 |
0.1 |
| 65 and over |
13.8 |
0.1 |
14.5 |
0.1 |
14.7 |
0.1 |
14.7 |
0.1 |
13.3 |
0.1 |
| 65-69 |
11.1 |
0.1 |
11.5 |
0.1 |
11.3 |
0.2 |
12.1 |
0.2 |
10.4 |
0.2 |
| 70-74 |
12.5 |
0.2 |
13.1 |
0.2 |
13.3 |
0.2 |
12.9 |
0.2 |
12.1 |
0.2 |
| 75-79 |
15.0 |
0.2 |
15.5 |
0.2 |
15.1 |
0.2 |
14.9 |
0.2 |
13.8 |
0.2 |
| 80-84 |
16.7 |
0.2 |
18.2 |
0.2 |
18.6 |
0.3 |
18.6 |
0.3 |
17.4 |
0.3 |
| 85 and over |
19.8 |
0.4 |
20.3 |
0.4 |
21.5 |
0.4 |
21.4 |
0.4 |
17.7 |
0.4 |
| Gender |
Male |
12.9 |
0.1 |
13.4 |
0.1 |
13.5 |
0.1 |
13.7 |
0.1 |
12.1 |
0.1 |
| Female |
7.5 |
0.0 |
8.0 |
0.1 |
7.8 |
0.1 |
7.8 |
0.1 |
6.7 |
0.1 |
| Median income of patient's ZIP Code |
First quartile (lowest income) |
10.0 |
0.1 |
10.8 |
0.1 |
11.1 |
0.1 |
11.0 |
0.1 |
9.8 |
0.1 |
| Second quartile |
9.4 |
0.1 |
10.2 |
0.1 |
10.2 |
0.1 |
10.7 |
0.1 |
9.1 |
0.1 |
| Third quartile |
9.5 |
0.1 |
9.9 |
0.1 |
9.8 |
0.1 |
10.0 |
0.1 |
9.0 |
0.1 |
| Fourth quartile (highest income) |
8.8 |
0.1 |
8.7 |
0.1 |
8.9 |
0.1 |
9.0 |
0.1 |
8.0 |
0.1 |
| Location of patient residence |
Large central metropolitan |
9.7 |
0.1 |
9.9 |
0.1 |
10.1 |
0.1 |
10.1 |
0.1 |
9.4 |
0.1 |
| Large fringe metropolitan |
9.6 |
0.1 |
9.8 |
0.1 |
9.6 |
0.1 |
10.6 |
0.1 |
9.1 |
0.1 |
| Medium metropolitan |
9.9 |
0.1 |
10.8 |
0.1 |
10.4 |
0.1 |
10.6 |
0.1 |
8.6 |
0.1 |
| Small metropolitan |
8.6 |
0.1 |
9.3 |
0.1 |
10.1 |
0.2 |
9.9 |
0.2 |
8.4 |
0.2 |
| Micropolitan |
8.7 |
0.1 |
9.4 |
0.1 |
9.2 |
0.1 |
9.3 |
0.1 |
8.5 |
0.2 |
| Noncore |
9.5 |
0.1 |
10.0 |
0.2 |
10.6 |
0.2 |
10.2 |
0.2 |
8.8 |
0.2 |
| Expected payment source |
Private insurance |
8.2 |
0.1 |
8.8 |
0.1 |
8.7 |
0.1 |
9.1 |
0.1 |
8.0 |
0.1 |
| Medicare |
9.7 |
0.1 |
10.3 |
0.1 |
10.4 |
0.1 |
10.6 |
0.1 |
9.2 |
0.1 |
| Medicaid |
13.5 |
0.2 |
12.8 |
0.2 |
14.4 |
0.2 |
14.6 |
0.2 |
13.0 |
0.2 |
| Other insurance |
10.3 |
0.2 |
9.9 |
0.3 |
8.9 |
0.3 |
8.8 |
0.3 |
7.6 |
0.3 |
| Uninsured/self-pay/no charge |
10.8 |
0.3 |
11.8 |
0.3 |
9.9 |
0.3 |
9.0 |
0.3 |
11.3 |
0.4 |
| Region of inpatient treatment |
Northeast |
9.1 |
0.1 |
9.1 |
0.1 |
9.5 |
0.1 |
10.1 |
0.1 |
8.5 |
0.1 |
| Midwest |
9.0 |
0.1 |
9.5 |
0.1 |
9.8 |
0.1 |
10.7 |
0.1 |
8.2 |
0.1 |
| South |
10.1 |
0.1 |
11.0 |
0.1 |
10.8 |
0.1 |
10.4 |
0.1 |
9.6 |
0.1 |
| West |
9.1 |
0.1 |
9.1 |
0.1 |
9.3 |
0.1 |
9.4 |
0.1 |
9.1 |
0.1 |
| Ownership/control of hospital |
Private, not for profit |
9.2 |
0.0 |
9.7 |
0.1 |
9.6 |
0.1 |
9.9 |
0.1 |
8.5 |
0.1 |
| Private, for profit |
8.6 |
0.1 |
9.9 |
0.1 |
11.9 |
0.1 |
11.3 |
0.1 |
10.4 |
0.2 |
| Public |
11.7 |
0.1 |
11.2 |
0.1 |
9.9 |
0.1 |
11.4 |
0.1 |
11.0 |
0.2 |
| Teaching status of hospital |
Teaching |
10.6 |
0.1 |
10.2 |
0.1 |
10.1 |
0.1 |
10.8 |
0.1 |
9.3 |
0.1 |
| Nonteaching |
8.7 |
0.1 |
9.7 |
0.1 |
9.9 |
0.1 |
9.9 |
0.1 |
8.8 |
0.1 |
| Location of hospital |
Large central metropolitan |
10.1 |
0.1 |
9.8 |
0.1 |
10.2 |
0.1 |
10.5 |
0.1 |
9.3 |
0.1 |
| Large fringe metropolitan |
9.4 |
0.1 |
10.4 |
0.1 |
9.9 |
0.1 |
10.2 |
0.1 |
9.4 |
0.1 |
| Medium metropolitan |
9.9 |
0.1 |
10.8 |
0.1 |
10.1 |
0.1 |
11.1 |
0.1 |
8.6 |
0.1 |
| Small metropolitan |
8.0 |
0.1 |
9.5 |
0.1 |
10.2 |
0.2 |
9.9 |
0.1 |
9.2 |
0.2 |
| Micropolitan |
7.5 |
0.2 |
8.9 |
0.2 |
8.8 |
0.2 |
8.1 |
0.2 |
7.2 |
0.2 |
| Noncore |
7.0 |
0.4 |
6.6 |
0.4 |
8.2 |
0.4 |
6.7 |
0.4 |
6.8 |
0.3 |
| Bed size of hospital |
Less than 100 |
6.4 |
0.1 |
6.4 |
0.1 |
7.1 |
0.1 |
7.1 |
0.2 |
7.1 |
0.2 |
| 100-299 |
8.9 |
0.1 |
9.5 |
0.1 |
11.1 |
0.1 |
10.0 |
0.1 |
8.9 |
0.1 |
| 300-499 |
9.5 |
0.1 |
10.4 |
0.1 |
10.2 |
0.1 |
11.1 |
0.1 |
9.9 |
0.1 |
| 500 or more |
10.9 |
0.1 |
11.3 |
0.1 |
9.3 |
0.1 |
10.6 |
0.1 |
8.5 |
0.1 |
a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the respiratory failure 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. In addition, the tracheostomy is not verifiable as following surgery. Consistent with the AHRQ PSI software, the following cases are excluded: admissions with respiratory disease, circulatory disease, craniofacial anomalies, or neuromuscular disorders; obstetric admissions; and admissions in which the tracheostomy is the only operating room procedure.
b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital. When reporting is by age, the adjustment is by gender, comorbidities, MDC, DRG, and transfers into the hospital; when reporting is by gender, the adjustment is by age, comorbidities, MDC, DRG, and transfers into the hospital. 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.
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