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Central Distributor SID: Description of Data Elements

 
DIED - Died during hospitalization
 
Documentation Sections:
General Notes
Uniform Values
State Specific Notes
General Notes
 

Died during hospitalization (DIED) is coded from the discharge disposition of patient. The coding varies across years of data.

Beginning with 2001 HCUP data, the coding of DIED is assigned as follows:

  • If DISPUniform indicates that a patient was discharged alive (values 1-7, 21 (starting in 2010), 99), then DIED is coded as 0.
    • If a patient had discharge status of died outside the hospital, then DISPuniform is set to 99 (discharged from the hospital alive, destination unknown) and DIED was set to alive (0).
  • If DISPUniform indicates that a patient died in the hospital (value 20), then DIED is coded as 1.
  • If DISPUniform is missing (.) or invalid (.A), then DIED is also coded as missing (.) or invalid (.A).

In 2010 only, DIED was incorrectly set to missing (.) instead of alive (0) for records in 10 States with DISPuniform equal 21 indicating Court/Law Enforcement. States affected include AZ, IA, KY, MD, MN, MO, MT, OR, SC, and SD. This was corrected in all other 2010 State databases and in all HCUP databases for 2011 forward.

From 1998-2000 data, the coding of DIED varied for patients with a disposition of died outside of the hospital.

  • If DISPUniform indicates that a patient was discharged alive (values 1-7), then DIED is coded as 0.
  • If DISPUniform indicates that a patient died in the hospital (value 20), then DIED is coded as 1.
  • If DISPUniform is missing (.), then DIED is set to invalid (.A).
    • If a patient had discharge status of died outside the hospital, then DISPuniform is set to missing (.) and DIED is set to invalid (.A).

From 1988-1997 data, the HCUP data element DISP is used to code DIED.

  • If DISP indicates that a patient was discharged alive (values 1-7), then DIED is coded as 0.
  • If DISP indicates that a patient died in or out of the hospital (value 20), then DIED is coded as 1.
    • If a patient had a discharge status of died outside of the hospital, then DISP is set to died (20) and DIED is coded as 1.
  • If DISP is missing (.), invalid (.A), or unavailable from the source (.B), then DIED is also missing (.), invalid (.A), or unavailable from the source (.B).
 
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Uniform Values
 
VariableDescriptionValueValue Description
DIEDDied during hospitalization0Did not die
1Died
.Missing
.AInvalid
.BUnavailable from source (coded in 1988-1997 data only)
 
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State Specific Notes

Hawaii

In the 2003 Hawaii SID, one hospital (DSHOSPID "120022") reported incorrect information on the patient's discharge disposition. Too many discharges are reported as "Died in the Hospital" (DIED=1).



New Jersey

In 1994, New Jersey reported that Englewood Hospital and Medical Center (DSHOSPID = 00450) incorrectly reported transfers to other hospitals as deaths.



North Carolina

The North Carolina SID for 2007-2008 contain problems with the coding of discharge disposition in one hospital.

  • In both the 2007 and 2008 SID, the coding discrepancy is confined to:
    • One specialty hospital (DSHOSPID=106370060)
    • Four data elements that are used to identify discharge disposition (DIED, DISPUB04, DISPuniform, and DISP_X).
  • The discrepancy results in implausibly high mortality rates for this hospital.

The discharges from this one hospital represent less than 0.15% of the total discharges from North Carolina hospitals in each data year. Consequently, there is very little impact on estimates of state-level mortality rates. However, researchers who are estimating mortality rates for specific hospitals or for specific procedures, for example, hip replacement, should exclude this hospital from their analyses.


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Internet Citation: HCUP Central Distributor SID Description of Data Elements - All States. Healthcare Cost and Utilization Project (HCUP). August 2008. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/vars/siddistnote.jsp?var=died.
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Last modified 8/12/08