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HCUP Facts and Figures

TABLE OF CONTENTS

HIGHLIGHTS

INTRODUCTION

HCUP PARTNERS

1. OVERVIEW

2. DIAGNOSES

3. PROCEDURES

4. COSTS

5. WOMEN'S HEALTH

SOURCES/METHODS

DEFINITIONS

FOR MORE INFO

ACKNOWLEDGMENTS

CITATION

FACTS & FIGURES 2009 PDF
EXHIBIT 2.4 Most Frequent Principal Diagnoses by Age (PDF)

Number of Stays, Stays per 10,000 Population, and Growth of the Most Frequent Principal Diagnoses for Hospital Stays by Age, 1997 and 2009
AGE GROUP AND PRINCIPAL CCS DIAGNOSIS NUMBER OF STAYS IN THOUSANDS STAYS PER 10,000 POPULATION CUMULATIVE GROWTH IN RATE
1997 2009 1997 2009 1997-2009
All ages, total stays* 34,679 39,435 1,278 1,284 1%‡
< 1 year, total stays 4,426 4,678 11,799 10,977 -7%‡
Liveborn (newborn infant) 3,776 4,155 10,067 9,751 -3%‡
Acute bronchitis 108 85 288 201 -30%
Hemolytic jaundice and perinatal jaundice 33 44 88 102 16%
Pneumonia 55 33 148 77 -48%
Short gestation, low birth weight, and fetal growth retardation 22 21 59 49 -17%‡
1-17 years, total stays 1,821 1,611 271 229 -15%‡
Asthma 159 126 24 18 -24%
Pneumonia 135 125 20 18 -12%‡
Mood disorders 64 86 10 12 29%‡
Appendicitis and other appendiceal conditions 65 81 10 12 19%
Fluid and electrolyte disorders 64 63 10 9 -6%‡
18-44 years, total stays 9,444 9,922 860 874 2%‡
Trauma to vulva and perineum due to childbirth 676 721 62 64 3%‡
Maternal stay with previous C-section 270 539 25 47 93%
Mood disorders 335 436 30 38 26%
Prolonged pregnancy 99 265 9 23 159%
Normal pregnancy and/or delivery 511 256 47 23 -51%
45-64 years, total stays 6,496 9,629 1,155 1,213 5%‡
Osteoarthritis 105 372 19 47 151%
Coronary atherosclerosis 526 348 94 44 -53%
Non-specific chest pain 242 345 43 43 1%‡
Spondylosis, intervertebral disc disorders, and other back problems 190 286 34 36 6%‡
Pneumonia 199 271 35 34 -3%‡
65-84 years, total stays 10,121 10,468 3,319 3,084 -7%
Congestive heart failure 581 507 191 149 -22%
Osteoarthritis 281 494 92 146 58%
Pneumonia 514 432 168 127 -25%
Cardiac dysrhythmias 333 417 109 123 13%
Coronary atherosclerosis 741 405 243 119 -51%
85+ years, total stays 2,362 3,076 6,047 5,463 -10%
Congestive heart failure 202 244 517 433 -16%
Pneumonia 197 183 504 325 -36%
Septicemia 76 148 196 263 35%
Urinary tract infections 75 137 191 243 27%
Cardiac dysrhythmias 70 126 179 224 25%
* Includes a small number of stays (50,000 or 0.1 percent) with missing age.
‡ 2009 stays per 10,000 population are not statistically different from 1997 stays per 10,000 population at p<0.05.
Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997 and 2009.

 

Infants, children and young adults:

  • Overall, the rate of stays for infants, children 1-17, and adults 18-44 remained relatively stable from 1997 to 2009.
  • Pregnancy, childbirth, and liveborn infants:
    • In 2009, most stays for children under one year old were for liveborn (newborn infants).
    • Among 18-44 year olds, previous C-sections increased 93 percent between 1997 and 2009, while normal pregnancy and/or delivery fell 51 percent.
  • The rate of asthma stays declined 24 percent among children 1-17 years between 1997 and 2009, while the rate of stays for appendicitis increased 19 percent.
  • Mood disorders was the third most common diagnosis for children 1-17 and adults 18-44 years.

Older adults:

  • Musculoskeletal conditions:
    • Osteoarthritis was the most common condition for adults 45-64 with an increase of 151 percent in the rate of stays per 10,000 population.
    • Between 1997 and 2009, osteoarthritis increased by 58 percent among adults aged 65-84 and was the second most common condition.
    • Spondylosis, intervertebral disc disorders, and other back problems—the fourth most common condition among 45-64 year olds—remained relatively stable from 1997 to 2009.
  • Cardiovascular conditions were common diagnoses for adults 45 years and older. However, specific diagnoses differed between age groups for older adults:
    • Coronary atherosclerosis was the second most common condition for adults 45-64; the rate of these stays declined by 53 percent between 1997 and 2009. This condition ranked fifth for 65-84 year olds, with the rate of stays declining 51 percent between 1997 and 2009.
    • Congestive heart failure (CHF) was the most common condition for adults 65-84 and 85 and older. In 2009, CHF accounted for 149 hospital stays per 10,000 population among all adults in the U.S. aged 65-84 and 433 stays per 10,000 population among all adults 85 and older.
    • Congestive heart failure decreased per 10,000 population for both 65-84 year olds and those 85 and older, by 22 and 16 percent, respectively.
    • Cardiac dysrhythmias was the reason for 224 hospitalizations per 10,000 population in 2009 among adults age 85 years and older, an increase of 25 percent since 1997.
  • Among adults 85 and older, hospitalizations for septicemia (up 35 percent) and urinary tract infections (up 27 percent) increased at more than twice the rate of all hospitalizations for this age group between 1997 and 2009.

All patients:

  • Pneumonia was a top five condition for all groups except 18-44 year olds and declined for most ages:
    • Hospital stays for pneumonia declined for infants (down 48 percent).
    • In 2009, stays for pneumonia remained relatively stable among children 1-17 years and adults 45-64 years old.
    • Stays for pneumonia fell among 65-84 year olds (down 25 percent) and for adults aged 85 and older (36 percent).


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Internet Citation: Facts and Figures 2009. Healthcare Cost and Utilization Project (HCUP). October 2011. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit2_4.jsp.
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Last modified 10/19/11