EXHIBIT 5.9 Growth in Discharges for Selected Conditions: Medicaid
PDF Number of Discharges and Cumulative Growth for Principal CCS Conditions Contributing to Body System Change, Medicaid, 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 |
353 |
447 |
100.0% |
100.0% |
27% |
| Non-specific chest pain |
48 |
91 |
13.4 |
20.3 |
91 |
| Congestive heart failure |
58 |
75 |
16.4 |
16.8 |
30 |
| Pregnancy and childbirth |
1,440 |
2,114 |
100.0 |
100.0 |
47 |
| Previous C-section |
84 |
233 |
5.8 |
11.0 |
177 |
| Perinatal (newborns) |
1,274 |
1,974 |
100.0 |
100.0 |
55 |
| Liveborn (newborn infant) |
1,224 |
1,899 |
96.1 |
96.2 |
55 |
| Digestive |
309 |
411 |
100.0 |
100.0 |
33 |
| Appendicitis |
27 |
46 |
8.8 |
11.1 |
68 |
| Respiratory |
527 |
537‡ |
100.0 |
100.0 |
2 |
| Respiratory failure |
19 |
42 |
3.5 |
7.8 |
125 |
| Pneumonia |
166 |
155‡ |
31.5 |
28.8 |
-7 |
| Asthma |
125 |
116‡ |
23.7 |
21.5 |
-8 |
| Chronic obstructive pulmonary disease |
47 |
57 |
9.0 |
10.5 |
20 |
| Injury and poisoning |
248 |
318 |
100.0 |
100.0 |
28 |
| Complication of surgical procedures or medical care |
32 |
51 |
12.8 |
16.0 |
60 |
| Complication of device, implant or graft |
41 |
59 |
16.7 |
18.4 |
42 |
| Musculoskeletal |
75 |
107 |
100.0 |
100.0 |
43 |
| Osteoarthritis (degenerative joint disease) |
8 |
19 |
10.5 |
17.5 |
137 |
| Disorders of intervertebral discs and bones in spinal column (back problems) |
22 |
31 |
30.0 |
29.1 |
39 |
| Mental |
473 |
533‡ |
100.0 |
100.0 |
13 |
| Mood disorders (depression and bipolar disorders) |
147 |
193 |
31.0 |
36.3 |
32 |
| Genitourinary |
152 |
195 |
100.0 |
100.0 |
28 |
| Acute renal failure |
7 |
30 |
4.9 |
15.5 |
306 |
| Urinary tract infections |
52 |
68 |
34.2 |
34.8 |
30 |
| Endocrine |
145 |
201 |
100.0 |
100.0 |
38 |
| Diabetes mellitus with complications |
61 |
88 |
41.8 |
44.0 |
46 |
| Fluid and electrolyte disorders (primarily dehydration or fluid overload) |
61 |
75 |
41.7 |
37.4 |
24 |
| Symptoms |
86 |
117 |
100.0 |
100.0 |
35 |
| Abdominal pain |
20 |
30 |
23.4 |
25.4 |
47 |
| Infectious and parasitic |
127 |
128‡ |
100.0 |
100.0 |
1 |
| Septicemia (blood infection) |
39 |
64 |
30.8 |
49.8 |
62 |
| HIV infection |
45 |
27 |
35.3 |
21.1 |
-40 |
| Nervous |
112 |
143 |
100.0 |
100.0 |
28 |
| Epilepsy, convulsions |
52 |
65 |
46.7 |
45.6 |
25 |
| Skin and subcutaneous tissue |
61 |
117 |
100.0 |
100.0 |
92 |
| Skin and subcutaneous tissue infections |
48 |
103 |
78.7 |
88.2 |
115 |
| Blood |
69 |
83‡ |
100.0 |
100.0 |
21 |
| Anemia |
10 |
22 |
14.9 |
26.9 |
118 |
‡ 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 Medicaid discharges for selected conditions with important contributions to growth within each body system.
Medicaid hospital stays for some conditions more than doubled from 1997 to 2007:
- Acute renal failure more than quadrupled (306-percent growth).
- Stays for several conditions more than doubled:
- Previous C-section (up 177 percent).
- Osteoarthritis (degenerative joint disease; up 137 percent).
- Respiratory failure (up 125 percent).
- Anemia (up 118 percent).
- Skin and subcutaneous tissue infections (up 115 percent).
Hospital stays for several conditions grew at least 50 percent:
- Non-specific chest pain increased 91 percent.
- Appendicitis rose 68 percent.
- Septicemia (blood infection) grew 62 percent.
- Complication of surgical procedures or medical care increased 60 percent.
- Liveborn (newborn infant) discharges grew 55 percent.
There was a 40-percent decline in the number of hospital stays for HIV infection.
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