EXHIBIT 5.8 Growth in Discharges for Selected Conditions: Medicare
PDFNumber of Discharges and Cumulative Growth for Principal CCS Conditions Contributing to Body System Change, Medicare, 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 |
3,971 |
3,851‡ |
100.0% |
100.0% |
-3% |
| Coronary atherosclerosis (coronary artery disease) |
776 |
526 |
19.5 |
13.6 |
-32 |
| Non-specific chest pain |
188 |
308 |
4.7 |
8.0 |
64 |
| Cardiac dysrhythmias (irregular heartbeat) |
376 |
473 |
9.5 |
12.3 |
26 |
| Acute cerebrovascular disease (stroke) |
434 |
338 |
10.9 |
8.8 |
-22 |
| Acute myocardial infarction (heart attack) |
418 |
352 |
10.5 |
9.1 |
-16 |
| Digestive |
1,253 |
1,480 |
100.0 |
100.0 |
18 |
| Intestinal infection |
38 |
115 |
3.0 |
7.8 |
205 |
| Respiratory |
1,630 |
1,809 |
100.0 |
100.0 |
11 |
| Respiratory failure |
134 |
254 |
8.2 |
14.0 |
90 |
| Asthma |
69 |
110 |
4.2 |
6.1 |
59 |
| Injury and poisoning |
1,095 |
1,338 |
100.0 |
100.0 |
22 |
| Complication of device, implant or graft |
293 |
362 |
26.7 |
27.1 |
24 |
| Complication of surgical procedures or medical care |
158 |
214 |
14.4 |
16.0 |
35 |
| Musculoskeletal |
645 |
940 |
100.0 |
100.0 |
46 |
| Osteoarthritis (degenerative joint disease) |
279 |
455 |
43.3 |
48.4 |
63 |
| Disorders of intervertebral discs and bones in spinal column (back problems) |
163 |
234 |
25.3 |
24.9 |
44 |
| Genitourinary |
602 |
865 |
100.0 |
100.0 |
44 |
| Acute renal failure |
67 |
279 |
11.2 |
32.3 |
315 |
| Urinary tract infections |
227 |
330 |
37.7 |
38.2 |
46 |
| Endocrine |
509 |
621 |
100.0 |
100.0 |
22 |
| Diabetes mellitus with complications |
183 |
222 |
35.9 |
35.7 |
21 |
| Fluid and electrolyte disorders (primarily dehydration or fluid overload) |
260 |
295 |
51.0 |
47.5 |
14 |
| Symptoms |
579 |
669 |
100.0 |
100.0 |
16 |
| Syncope |
119 |
167 |
20.6 |
25.0 |
40 |
| Rehabilitation care, fitting of prostheses, and adjustment of devices |
265 |
311‡ |
45.8 |
46.5 |
17 |
| Infectious and parasitic |
341 |
535 |
100.0 |
100.0 |
57 |
| Septicemia (blood infection) |
276 |
464 |
81.2 |
86.8 |
68 |
| Skin and subcutaneous tissue |
188 |
267 |
100.0 |
100.0 |
42 |
| Skin and subcutaneous tissue infections |
131 |
213 |
69.7 |
79.6 |
62 |
| Blood |
121 |
188 |
100.0 |
100.0 |
56 |
| Anemia |
56 |
117 |
46.6 |
61.9 |
107 |
‡ 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 Medicare discharges for selected conditions with important contributions to growth within each body system.
Hospital stays for some conditions billed to Medicare more than doubled from 1997 to 2007:
- Acute renal failure more than quadrupled (315-percent growth).
- Intestinal infection more than tripled (205-percent growth).
- Anemia more than doubled (107-percent growth).
Hospital stays for several conditions grew at least 50 percent:
- There was rapid growth in stays for two respiratory conditions: respiratory failure (90 percent) and asthma (59 percent).
- Septicemia (blood infection) grew 68 percent.
- Non-specific chest pain increased 64 percent.
- Osteoarthritis stays (degenerative joint disease) rose by 63 percent.
- Skin and subcutaneous tissue infections grew 62 percent.
The number of hospital stays for three circulatory conditions decreased rapidly:
- Coronary artherosclerosis (coronary artery disease) dropped by 32 percent.
- Acute cerebrovascular disease (stroke) fell by 22 percent.
- Acute myocardial infarction (heart attack) declined by 16 percent.
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