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2004 National Healthcare Quality Report

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Table 2.19a: Reclosure of postoperative disruption of abdominal wall (postoperative abdominal wound dehiscence) per 1000 abdominopelvic-surgery dischargesa, trends 1994-2001 and by patient and hospital characteristics, 2001, United States

  Adjusted rateb
Trends Estimate Standard error
     
    Total United States, 2001 2.282 0.078
    Total United States, 2000 2.055 0.078
    Total United States, 1997 2.293 0.082
    Total United States, 1994c 2.584 0.096
     
2001 adjusted rateb
Population group Estimate Standard error
     
Patient characteristic    
Age groups for conditions affecting any age    
    0-17 1.534 0.271
    18-44 1.883 0.127
    45-64 2.536 0.150
    65 and over 4.069 0.214
     
Age groups for conditions affecting primarily elderly    
    65-69 3.726 0.292
    70-74 3.661 0.306
    75-79 4.848 0.327
    80-84 4.077 0.382
    85 and over 4.140 0.427
     
Gender    
    Male 2.646 0.168
    Female 0.705 0.124
     
Median income of patient ZIP Code    
    Less than $25,000 2.820 0.313
    $25,000-$34,999 2.348 0.156
    $35,000-$44,999 2.311 0.141
    $45,000 or more 2.178 0.104
     
Location of patient residence    
    Metropolitan 2.288 0.084
    Micropolitan 2.224 0.217
    Noncore 2.304 0.272
     
Expected payment source    
    Private insurance 1.883 0.084
    Medicare 2.886 0.180
    Medicaid 2.931 0.200
    Other insurance 1.868 0.341
    Uninsured / self pay / no charge 2.010 0.283
     
Hospital characteristic    
Location of inpatient treatment    
    Northeast 2.192 0.164
    Midwest 2.357 0.152
    South 2.233 0.117
    West 2.376 0.151
     
Ownership/control    
    Private, not-for-profit 2.206 0.088
    Private, for-profit 2.292 0.192
    Public 2.752 0.198
     
Teaching status    
    Teaching 2.274 0.121
    Non-teaching 2.286 0.093
     
Location of hospital    
    Metropolitan 2.291 0.082
    Micropolitan 1.968 0.237
    Noncore 2.825 0.355
     
Bedsize    
    Less than 100 2.100 0.196
    100 - 299 2.142 0.117
    300 - 499 2.337 0.131
    500+ 2.574 0.162
     

aDenominator exclude obstetric conditionsa, admissions specifically for such wound dehiscence, such as cases from earlier admissions or from other hospitals.

bRates are adjusted by age, gender, age-gender interactions, comorbidities, and 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.

cFor 1994, rate biased in unknown direction because some procedure codes used to include discharges (47.09, 47.19, 51.21, 54.59, 65.09, 65.39, 65.49, 65.89) in the numerator and denominator became effective after 1994 and before 1997.

Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample.

 

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