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Agency for Healthcare Research Quality www.ahrq.gov
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2011 National Healthcare Quality & Disparities Reports
Data Tables Appendix

Table 12_2_7.3
Postoperative physiologic and metabolic derangements per 1,000 elective-surgery admissions,a age 18 and over,b by income, United States, 2000-2008
        Median income of patient's ZIP Code
    Total First quartile (lowest income) Second quartile Third quartile Fourth quartile (highest income)
Data year   Rate SE Rate SE Rate SE Rate SE Rate SE
Data year 2008 1.61 0.02 1.75 0.03 1.53 0.03 1.75 0.03 1.42 0.04
  2007 1.54 0.02 1.65 0.03 1.51 0.03 1.52 0.03 1.46 0.03
  2006 1.38 0.02 1.50 0.04 1.41 0.03 1.28 0.03 1.32 0.04
  2005 1.67 0.02 1.84 0.04 1.43 0.04 1.69 0.04 1.71 0.04
  2004 1.64 0.02 1.64 0.04 1.70 0.04 1.63 0.04 1.60 0.04
  2003 1.72 0.02 1.61 0.04 1.68 0.04 1.88 0.04 1.69 0.04
  2002 1.42 0.02 1.52 0.04 1.42 0.04 1.46 0.04 1.25 0.04
  2001 1.33 0.02 1.35 0.04 1.31 0.04 1.36 0.04 1.28 0.04
  2000 1.35 0.02 1.45 0.04 1.38 0.04 1.32 0.04 1.23 0.04

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the physiologic and metabolic derangements 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 derangement is not verifiable as following surgery.  Obstetric admissions and admissions for ketoacidosis, hyperosmolarity, diabetic coma, acute renal failure, chronic renal failure, acute myocardial infarction, cardiac arrhythmia, cardiac arrest, shock, hemorrhage, or gastrointestinal hemorrhage are excluded.

b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), and diagnosis-related group (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.

 

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