National Hospital Discharge Survey: 2007 summary.

National Hospital Discharge Survey: 2007 summary.
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发表时间:
2010-10
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通讯作者:
M. J. Hall;Carol DeFrances;Sonja N Williams;Aleksandr Golosinskiy;A. Schwartzman
M. J. Hall;Carol DeFrances;Sonja N Williams;Aleksandr Golosinskiy;A. Schwartzman
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作者:
M. J. Hall;Carol DeFrances;Sonja N Williams;Aleksandr Golosinskiy;A. Schwartzman

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本报告介绍了2007年美国医院住院护理的全国估计数和选定的趋势数据。出院、诊断和程序的数量和比率按年龄和性别显示。按年龄和性别列出了所有出院和选定诊断类别的平均住院时间。方法:这些估计是基于2007年国家医院出院调查收集的数据,这是一项年度国家概率抽样调查,对非联邦、综合和短期住院医院的出院情况进行调查。对样本数据进行加权,以产生不包括新生儿在内的住院护理年度估计数。诊断和程序使用国际疾病分类第九修订版临床修改进行编码。2007年,估计有3440万人出院,不包括新生儿。总住院率在1980年至1995年期间下降之后,在1995年至2007年期间趋于平稳。在1970年至2007年期间,65岁及以上人口的死亡率明显高于年轻群体。虽然65岁及以上的人只占总人口的13%,但他们占出院人数的37%和住院天数的43%。15岁以下的住院病人中有四分之一是因呼吸道疾病住院的。2007年有4500万例住院手术,其中15%是心血管手术。从1997年到2007年,45 - 64岁和65岁及以上的男性每年的心导管插入率都高于这些年龄组的女性。从2002年到2007年,住院心脏导管插入术的比率有所下降。
OBJECTIVES This report presents national estimates of hospital inpatient care in the United States during 2007 and selected trend data. Numbers and rates of discharges, diagnoses, and procedures are shown by age and sex. Average lengths of stay are presented for all discharges and for selected diagnostic categories by age and by sex. METHODS The estimates are based on data collected through the 2007 National Hospital Discharge Survey, an annual national probability sample survey of discharges from nonfederal, general, and short-stay hospitals. Sample data are weighted to produce annual estimates of inpatient care, excluding newborns. Diagnoses and procedures are coded using the International Classification of Diseases, Ninth Revision, Clinical Modification. RESULTS In 2007, there were an estimated 34.4 million hospital discharges, excluding newborns. The total hospitalization rate leveled off from 1995 to 2007 after declining during the period from 1980 to 1995. Throughout the period from 1970 to 2007 the rates for those aged 65 years and over were significantly higher than the rates for the younger groups. Although those aged 65 years and over accounted for only 13 percent of the total population, they comprised 37 percent of hospital discharges and 43 percent of hospital days. One-quarter of inpatients under age 15 years were hospitalized for respiratory diseases. There were 45 million inpatient procedures during 2007 and 15 percent of these were cardiovascular. Males aged 45-64 and 65 years and over had higher cardiac catheterization rates than females in these age groups each year from 1997 to 2007. From 2002 to 2007 the rate of inpatient cardiac catheterization procedures declined.