Section 3: Inpatient Hospital Stays by Procedure PDF

EXHIBIT 3.1 Most Frequent All-listed Procedures PDF
EXHIBIT 3.2 Most Frequent All-listed Procedures by Age PDF
EXHIBIT 3.3 Most Frequent All-listed Procedures by Gender PDF

• During almost two out of every three hospital stays in 2007, at least one procedure was performed.
• Six of the top procedures in 2007 were associated with giving birth or newborns.
• C-section was the most frequent major operating room procedure—performed on 1.5 million women in 2007. Growth in C-sections, up 85 percent between 1997 and 2007, outpaced increases in most other frequently performed maternal procedures and was among the fastest growing procedures for women 18-44 years old.
• The use of artificial rupture of membrane to assist delivery increased by 56 percent.
• Episiotomies declined at a faster rate (56 percent from 1997 to 2007) than any of the most frequent procedures.
• Blood transfusions occurred in one out of every 10 hospital stays that included a procedure. There were 1.1 million stays with this procedure in 1997 and 2.6 million in 2007, for a cumulative growth of 140 percent.
• Blood transfusion was one of the fastest growing top five procedures across many age groups: 72-percent increase for 1-17 year olds, 187-percent increase for 45-64 year olds, 127-percent increase for 65-84 year olds, and 156-percent increase for patients 85 years and older.
• Discharges for respiratory intubation rose steadily, increasing 48 percent over the 1997-2007 period.
• Respiratory intubation almost doubled in the 45-64 age group and was up 24 percent for infants, 31 percent for 65-84 year olds, and 66 percent for persons 85 and older.
• From 1997 to 2007, arthroplasty of the knee increased by 86 percent.
• Hemodialysis procedures for renal failure grew by 66 percent.
• The use of tube feeding during infant hospitalizations increased 219 percent, compared with a 16-percent growth in all infant discharges.
• Diagnostic cardiac catheterization was performed on 890,000 males and 581,000 females in 2007 and ranked as the 2nd most frequent procedure in men and the 4th most frequent procedure in women.
• PTCAs were performed on 477,000 males and 244,000 females and ranked as the 5th most common procedure for men and the 16th most common for women.
• Males also received more respiratory intubation and mechanical ventilation procedures—727,000 for men compared with 631,000 for women. The procedure ranked 3rd for both genders.
• For alcohol and drug rehabilitation/detoxification, there were more discharges for males (261,000 procedures) than for females (118,000 procedures). Alcohol and drug rehabilitation/detoxification ranked 9th for males and 35th for females.
• Females received blood transfusions, upper gastrointestinal endoscopy, colonoscopy and biopsy, and arthroplasty of the knee more often than males.
• Hysterectomy (removal of the uterus) and oophorectomy (removal of an ovary or ovaries) were the 5th and 6th most common procedures for females.

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