EXHIBIT 5.11 Growth in Discharges for Selected Conditions: Uninsured
PDFNumber of Discharges and Cumulative Growth for Principal CCS Conditions Contributing to Body System Change, Uninsured, 1997-2007
| PRINCIPAL CCS CONDITIONS CONTRIBUTING TO BODY SYSTEM CHANGE |
NUMBER OF DISCHARGES IN THOUSANDS |
PERCENT OF BODY SYSTEM TOTAL |
CUMULATIVE GROWTH |
| 1997 |
2007 |
1997 |
2007 |
1997-2007 |
| Circulatory |
205 |
320 |
100.0% |
100.0% |
56% |
| Non-specific chest pain |
39 |
77 |
19.2 |
24.1 |
96 |
| Congestive heart failure |
19 |
36 |
19.4 |
11.3 |
88 |
| Pregnancy and childbirth |
184 |
224‡ |
100.0 |
100.0 |
21 |
| Previous C-section |
9 |
22 |
4.7 |
10.0 |
156 |
| Prolonged pregnancy |
4 |
14 |
1.9 |
6.1 |
282 |
| Normal pregnancy and/or delivery |
24 |
16 |
13.2 |
7.1 |
-35 |
| Fetal distress and abnormal forces of labor |
16 |
10 |
8.9 |
4.4 |
-40 |
| Perinatal (newborns) |
196 |
260 |
100.0 |
100.0 |
33 |
| Liveborn (newborn infant) |
191 |
252 |
97.2 |
96.9 |
32 |
| Digestive |
168 |
261 |
100.0 |
100.0 |
56 |
| Biliary tract disease |
25 |
41 |
14.8 |
15.8 |
66 |
| Pancreatic disorders (not diabetes) |
23 |
39 |
13.6 |
14.9 |
71 |
| Respiratory |
143 |
161‡ |
100.0 |
100.0 |
12 |
| Respiratory failure |
5 |
14 |
3.7 |
9.0 |
175 |
| Chronic obstructive pulmonary disease |
14 |
20 |
9.9 |
12.7 |
43 |
| Injury and poisoning |
204 |
243‡ |
100.0 |
100.0 |
19 |
| Complication of surgical procedures or medical care |
9 |
16 |
4.4 |
6.7 |
80 |
| Crushing injury or internal injury |
17 |
23 |
8.4 |
9.4 |
34 |
| Musculoskeletal |
29 |
44 |
100.0 |
100.0 |
53 |
| Osteoarthritis (degenerative joint disease) |
2 |
5 |
6.8 |
11.6 |
163 |
| Mental |
202 |
276 |
100.0 |
100.0 |
37 |
| Mood disorders (depression and bipolar disorders) |
55 |
94 |
27.2 |
34.1 |
75 |
| Genitourinary |
71 |
94 |
100.0 |
100.0 |
32 |
| Acute renal failure |
3 |
14 |
4.0 |
14.7 |
387 |
| Urinary tract infections |
19 |
25 |
26.3 |
26.3 |
32 |
| Endocrine |
56 |
93 |
100.0 |
100.0 |
67 |
| Diabetes mellitus with complications |
31 |
54 |
55.7 |
58.4 |
75 |
| Symptoms |
41 |
55 |
100.0 |
100.0 |
34 |
| Syncope |
7 |
12 |
17.2 |
22.5 |
75 |
| Infectious and parasitic |
34 |
44 |
100.0 |
100.0 |
30 |
| Septicemia (blood infection) |
11 |
20 |
31.3 |
45.4 |
88 |
| Skin and subcutaneous tissue |
33 |
79 |
100.0 |
100.0 |
136 |
| Skin and subcutaneous tissue infections |
28 |
73 |
83.9 |
93.2 |
162 |
| Blood |
11 |
23 |
100.0 |
100.0 |
112 |
| Anemia |
4 |
12 |
37.0 |
52.5 |
200 |
| Sickle cell anemia |
3 |
5 |
24.2 |
21.5 |
88 |
‡ 2007 discharges are not statistically different from 1997 discharges at p‹0.05.
Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997 and 2007 |
This exhibit displays uninsured discharges for selected conditions with important contributions to growth within each body system.
The large growth in the number of uninsured hospitalizations for several conditions was, in part, due to the increase in the number of uninsured individuals from 1997 to 2007.
Hospital stays for several conditions billed to the uninsured more than doubled from 1997 to 2007:
- Acute renal failure more than quadrupled (387 percent).
- Prolonged pregnancy (up 282 percent) and anemia (up 200 percent) at least tripled.
- Several conditions more than doubled:
- Respiratory failure (up 175 percent).
- Osteoarthritis (degenerative joint disease; up 163 percent).
- Skin and subcutaneous tissue infections (up 162 percent).
- Previous C-section (up 156 percent).
Hospital stays for several conditions grew at least 50 percent:
- Stays for two circulatory conditions grew rapidly: non-specific chest pain (96 percent) and congestive heart failure (88 percent).
- Septicemia (blood infection) and sickle cell anemia each increased 88 percent.
- Complication of surgical procedures or medical care rose 80 percent.
- Mood disorders (depression and bipolar disorders), diabetes mellitus, and syncope each increased 75 percent.
- The number of stays for two digestive conditions increased: pancreatic disorders (71 percent) and biliary tract disease (66 percent).
There was a decline for some conditions in the number of hospital stays billed to the uninsured:
- Stays for two pregnancy and childbirth conditions fell:
- Fetal distress and abnormal forces of labor (40-percent decline).
- Normal pregnancy (35-percent decline).
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