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2004 National Healthcare Quality Report

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Table 2.3: Failure to rescue or deaths per 1000 discharges having developed specified complications of care during hospitalizationa, trends 1994-2001 and by patient and hospital characteristics, 2001, United States

  Adjusted rateb
Trends Estimate Standard error
     
    Total United States, 2001 136.630 0.837
    Total United States, 2000 139.445 0.853
    Total United States, 1997 139.414 0.929
    Total United States, 1994c 151.294 0.998
     
2001 adjusted rateb
Population group Estimate Standard error
     
Patient characteristic    
Age groups for conditions affecting any age    
    0-17 117.295 3.412
    18-44 148.784 1.594
    45-64 197.622 1.299
    65-74 229.772 1.325
     
Age croups for conditions affecting primarily elderly    
    65-69 222.391 1.726
    70-74 235.450 1.579
     
Gender    
    Male 135.594 1.191
    Female 132.621 1.172
     
Median income of patient ZIP Code    
    Less than $25,000 146.337 2.503
    $25,000-$34,999 136.608 1.509
    $35,000-$44,999 136.265 1.467
    $45,000 or more 134.865 1.245
     
Location of patient residence    
    Metropolitan 138.361 0.901
    Micropolitan 128.740 2.368
    Noncore 126.087 2.841
     
Expected payment source    
    Private insurance 129.161 1.345
    Medicare 137.919 1.256
    Medicaid 143.939 1.843
    Other insurance 129.564 4.141
    Uninsured / self pay / no charge 154.076 3.112
     
Hospital characteristic    
Location of inpatient treatment    
    Northeast 147.626 1.743
    Midwest 124.020 1.629
    South 134.200 1.188
    West 146.765 1.835
     
Ownership/control    
    Private, not-for-profit 135.816 0.959
    Private, for-profit 138.470 1.955
    Public 139.161 1.976
     
Teaching status    
    Teaching 139.122 1.287
    Non-teaching 135.132 1.003
     
Location of hospital    
    Metropolitan 138.202 0.882
    Micropolitan 124.778 2.661
    Noncore 124.118 3.542
     
Bedsize    
    Less than 100 122.196 2.375
    100 - 299 134.801 1.243
    300 - 499 138.560 1.385
    500+ 143.091 1.665
     

aDenominator excludes patients transferred in or out, patients admitted from long-term-care facilities, neonates, and patients over 74 years old.

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 codes used to exclude discharges (diagnoses 569.61, 574.80, 574.81, 998.11, procedures 52.85, 52.86) 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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