Number 29 n October 26 2010

National Hospital Discharge Survey 2007 Summary by Margaret Jean Hall PhD Carol J DeFrances PhD Sonja N Williams MPH Aleksandr Golosinskiy MS

and Alexander Schwartzman Division of Health Care Statistics

Abstract ObjectivesmdashThis report presents national estimates of hospital inpatient care in

the United States during 2007 and selected trend data Numbers and rates of discharges diagnoses and procedures are shown by age and sex Average lengths of stay are presented for all discharges and for selected diagnostic categories by age and by sex

MethodsmdashThe estimates are based on data collected through the 2007 National Hospital Discharge Survey an annual national probability sample survey of discharges from nonfederal general and short-stay hospitals Sample data are weighted to produce annual estimates of inpatient care excluding newborns Diagnoses and procedures are coded using the International Classification of Diseases Ninth Revision Clinical Modification

ResultsmdashIn 2007 there were an estimated 344 million hospital discharges excluding newborns The total hospitalization rate leveled off from 1995 to 2007 after declining during the period from 1980 to 1995 Throughout the period from 1970 to 2007 the rates for those aged 65 years and over were significantly higher than the rates for the younger groups

Although those aged 65 years and over accounted for only 13 percent of the total population they comprised 37 percent of hospital discharges and 43 percent of hospital days One-quarter of inpatients under age 15 years were hospitalized for respiratory diseases There were 45 million inpatient procedures during 2007 and 15 percent of these were cardiovascular Males aged 45ndash64 and 65 years and over had higher cardiac catheterization rates than females in these age groups each year from 1997 to 2007 From 2002 to 2007 the rate of inpatient cardiac catheterization procedures declined

Keywords inpatients bull diagnoses bull procedures bull ICDndash9ndashCM

US DEPARTMENT OF HEALTH AND HUMAN SECenters for Disease Control and Prevent

National Center for Health Statistics

Introduction This report presents data from the

2007 National Hospital Discharge Survey (NHDS) The survey has been conducted continuously by the Centers for Disease Control and Preventionrsquos National Center for Health Statistics (NCHS) since 1965 NHDS is the principal source for national data on the characteristics of discharges from nonfederal short-stay hospitals National estimates of hospital use derived from NHDS are published annually by NCHS This report provides an overview of the 2007 data (Table 1) and includes the number and rate of discharges and average lengths of stay by age and by sex of patients for selected diagnoses (Tables 2ndash7) Average lengths of stay are also presented for selected diagnostic categories Estimates of the number and rate of selected procedures performed on hospital inpatients are shown by age and by sex (Tables 8ndash11) Detailed data from NHDS for earlier years have been published annually in Series 13 of Vital and Health Statistics (1) Trend data from NHDS have been included in annual Health United States reports (2) NHDS data have been used in articles examining important topics of interest in public health and health services

RVICES ion

Page 2 National Health Statistics Reports n Number 29 n October 26 2010

research (3ndash7) A list of NCHS and selected other publications using NHDS data is available at httpwwwcdcgov nchsnhdsnhds_productshtm

Estimates of the number of procedures shown in this report are for inpatients only Surgery and other medical procedures are performed in a variety of other health care settings that are covered by the National Health Care Surveys Data from these surveys have been published (8ndash12) Reports and more information about the surveys can be found at httpwwwcdcgovnchs nhcshtm

Methods

Data source

NHDS collects data from a sample of inpatient records acquired from a national sample of hospitals Because persons with multiple discharges during the year may be sampled more than once estimates are for discharges not persons Only hospitals with an average length of stay of fewer than 30 days for all patients and general hospitals and childrenrsquos general hospitals are included in the survey Federal military and Department of Veterans Affairs hospitals as well as hospital units of institutions such as prison hospitals and hospitals with fewer than six beds staffed for patient use are excluded

Prior to 1988 NHDS was based on a two-stage design The survey was redesigned in 1988 (13) and thereafter used a modified three-stage design Units selected at the first stage consist of either hospitals or geographic areas such as counties groups of counties or metropolitan statistical areas in the 50 states and the District of Columbia Within a sampled geographic area hospitals are selected Finally at the last stage systematic random sampling is used to select discharges within sampled hospitals Until 2003 the hospital sampling frame for the redesigned survey was constructed from the SMG Hospital Market Database (14) In 2003 and 2006 the sample frame was constructed from the products of Verispan LLC specifically their lsquolsquoHealthcare Market Indexrsquorsquo and their

lsquolsquoHospital Market Profiling Solutionrsquorsquo (15) These two products were formerly known as the SMG Hospital Market Database The hospital sampling frame and sample are updated every 3 years (13)

For 2007 the sample consisted of 501 hospitals of which 24 were found to be out of scope (ineligible) because they had gone out of business or otherwise failed to meet the criteria for NHDS universe Of the 477 in-scope (eligible) hospitals 422 responded to the survey for an unweighted response rate of 88 percent The weighted response rate was 82 percent Data were collected for approximately 366000 discharges

The survey includes a sample of discharges from January 1 through December 31 2007 NHDS data collection is authorized under Section 306 of the Public Health Service Act (Title 42 US Code 242k) Participation is voluntary Data collected in NHDS are consistent with the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) No personally identifying information such as patientrsquos name address or Social Security number is collected in NHDS All information collected is held in the strictest confidence according to law including the Confidential Information Protection and Statistical Efficiency Act (Title 5 of PL 107ndash347) Approval for the 2007 NHDS protocol was renewed by the NCHS Research Ethics Review Board in 2007 Waivers of the requirements to obtain informed consent of patients and patient authorization for release of patient medical record data by health care providers were granted

Two data collection procedures are used in the survey One is a manual system in which sample selection and medical transcription from the hospital records to abstract forms are performed by the hospitalrsquos staff or by staff of the US Census Bureau on behalf of NCHS The other data collection procedure is an automated system in which NCHS purchases electronic medical record data from commercial organizations state data systems hospitals or hospital associations and then systematically samples these data Whether a particular hospitalrsquos data are obtained manually or

from these electronic sources is determined in accordance with agreements with individual hospitals In 2007 approximately 45 percent of respondent hospitals provided data through the automated system A detailed report on the design and operation of NHDS has been published (13) The medical abstract form (Figure I) and the automated data contain items that relate to the personal characteristics of the patient These items include birth date (converted to age) sex race ethnicity marital status ZIP Code and expected sources of payment Administrative items such as admission and discharge dates admission type and source and discharge status are also included Admitting diagnosis and a present on admission checkbox for all of the diagnosis variables were added to the data hospitals were required to collect for billing effective in the last quarter of 2007 only Although these data items were included in the 2007 NHDS data collection they are not reported in the NHDS 2007 data file because it was not possible to make full year estimates based on 3 months of data The medical information about patients includes up to seven discharge diagnoses as many as four surgical and nonsurgical operations and procedures and dates of surgery Medical data are coded according to the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndash CM) (16) In 2002 the ICDndash9ndashCM Coordination and Maintenance Committee created Chapter 00 Procedures and Interventions Not Elsewhere Classified as a way of handling space limitations in the existing hierarchical structure For the 2003ndash2005 NHDS data this new chapter was included in the miscellaneous diagnostic and therapeutic procedures and new technologies category shown in reports for those years in Tables 8ndash11 Beginning with the 2006 NHDS report the 00 codes that had previous code assignments in other chapters were included in the categories and chapters of their previous codes to make longitudinal analyses of these conditions easier for researchers For

Page 2 National Health Statistics Reports n Number 29 n October 26 2010

research (3ndash7) A list of NCHS and selected other publications using NHDS data is available at httpwwwcdcgov nchsnhdsnhds_productshtm

Estimates of the number of procedures shown in this report are for inpatients only Surgery and other medical procedures are performed in a variety of other health care settings that are covered by the National Health Care Surveys Data from these surveys have been published (8ndash12) Reports and more information about the surveys can be found at httpwwwcdcgovnchs nhcshtm

Methods

Data source

NHDS collects data from a sample of inpatient records acquired from a national sample of hospitals Because persons with multiple discharges during the year may be sampled more than once estimates are for discharges not persons Only hospitals with an average length of stay of fewer than 30 days for all patients and general hospitals and childrenrsquos general hospitals are included in the survey Federal military and Department of Veterans Affairs hospitals as well as hospital units of institutions such as prison hospitals and hospitals with fewer than six beds staffed for patient use are excluded

Prior to 1988 NHDS was based on a two-stage design The survey was redesigned in 1988 (13) and thereafter used a modified three-stage design Units selected at the first stage consist of either hospitals or geographic areas such as counties groups of counties or metropolitan statistical areas in the 50 states and the District of Columbia Within a sampled geographic area hospitals are selected Finally at the last stage systematic random sampling is used to select discharges within sampled hospitals Until 2003 the hospital sampling frame for the redesigned survey was constructed from the SMG Hospital Market Database (14) In 2003 and 2006 the sample frame was constructed from the products of Verispan LLC specifically their lsquolsquoHealthcare Market Indexrsquorsquo and their

lsquolsquoHospital Market Profiling Solutionrsquorsquo (15) These two products were formerly known as the SMG Hospital Market Database The hospital sampling frame and sample are updated every 3 years (13)

For 2007 the sample consisted of 501 hospitals of which 24 were found to be out of scope (ineligible) because they had gone out of business or otherwise failed to meet the criteria for NHDS universe Of the 477 in-scope (eligible) hospitals 422 responded to the survey for an unweighted response rate of 88 percent The weighted response rate was 82 percent Data were collected for approximately 366000 discharges

The survey includes a sample of discharges from January 1 through December 31 2007 NHDS data collection is authorized under Section 306 of the Public Health Service Act (Title 42 US Code 242k) Participation is voluntary Data collected in NHDS are consistent with the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) No personally identifying information such as patientrsquos name address or Social Security number is collected in NHDS All information collected is held in the strictest confidence according to law including the Confidential Information Protection and Statistical Efficiency Act (Title 5 of PL 107ndash347) Approval for the 2007 NHDS protocol was renewed by the NCHS Research Ethics Review Board in 2007 Waivers of the requirements to obtain informed consent of patients and patient authorization for release of patient medical record data by health care providers were granted

Two data collection procedures are used in the survey One is a manual system in which sample selection and medical transcription from the hospital records to abstract forms are performed by the hospitalrsquos staff or by staff of the US Census Bureau on behalf of NCHS The other data collection procedure is an automated system in which NCHS purchases electronic medical record data from commercial organizations state data systems hospitals or hospital associations and then systematically samples these data Whether a particular hospitalrsquos data are obtained manually or

from these electronic sources is determined in accordance with agreements with individual hospitals In 2007 approximately 45 percent of respondent hospitals provided data through the automated system A detailed report on the design and operation of NHDS has been published (13) The medical abstract form (Figure I) and the automated data contain items that relate to the personal characteristics of the patient These items include birth date (converted to age) sex race ethnicity marital status ZIP Code and expected sources of payment Administrative items such as admission and discharge dates admission type and source and discharge status are also included Admitting diagnosis and a present on admission checkbox for all of the diagnosis variables were added to the data hospitals were required to collect for billing effective in the last quarter of 2007 only Although these data items were included in the 2007 NHDS data collection they are not reported in the NHDS 2007 data file because it was not possible to make full year estimates based on 3 months of data The medical information about patients includes up to seven discharge diagnoses as many as four surgical and nonsurgical operations and procedures and dates of surgery Medical data are coded according to the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndash CM) (16) In 2002 the ICDndash9ndashCM Coordination and Maintenance Committee created Chapter 00 Procedures and Interventions Not Elsewhere Classified as a way of handling space limitations in the existing hierarchical structure For the 2003ndash2005 NHDS data this new chapter was included in the miscellaneous diagnostic and therapeutic procedures and new technologies category shown in reports for those years in Tables 8ndash11 Beginning with the 2006 NHDS report the 00 codes that had previous code assignments in other chapters were included in the categories and chapters of their previous codes to make longitudinal analyses of these conditions easier for researchers For

National Health Statistics Reports n Number 29 n October 26 2010 Page 3

Rat

e pe

r 1

000

popu

latio

n

NOTE Rates were calculated using the US Census Bureau estimates of the civilian population Rates for 1990 and 1995 were based on population estimates adjusted for the net underenumeration in the 1990 census Rates for 2000 2005 and 2007 were calculated using 2000-based postcensal civilian population estimates SOURCE CDCNCHS National Hospital Discharge Survey

65 years and over

45ndash64 years

Under 15 years 15ndash44 years

Total

0

50

100

150

200

250

300

350

400

450

200720052000199519901985198019751970

Year

Figure 1 Hospitalization rates by age United States 1970ndash2007

example lsquolsquoBalloon angioplasty of coronary artery or coronary atherectomyrsquorsquo had been reassigned ICDndashCMndash9 code 0066 but it was included with other operations on the cardiovascular system

The NHDS contractor for coding and entry of the data from the abstracts gathered through manual data collection conducts an ongoing quality control program As part of this program approximately 10 percent of the abstracts are independently recoded with discrepancies resolved by a chief coder The overall error rate for records manually coded for the 2007 data year was 02 percent for medical (ICDndash9ndash CM) coding and keying combined and was also 02 percent for demographic coding and keying combined

Results

Patient and hospital characteristics

+ The total hospitalization rate leveled off from 1995 to 2007 after declining during the period from 1980 to 1995 Throughout the entire period from 1970 to 2007 the rates for those aged 65 years and over were significantly higher than those for the younger age groups (Figure 1)

+ In 2007 an estimated 344 million inpatients excluding newborn infants were discharged from nonfederal short-stay hospitals in the United States (Table 1)

+ The discharge rate was 11439 per 10000 population 9367 for males and 13440 for females (Table 1) This difference was largely driven by the 15ndash44 year-old femalersquos discharge rates (12477 per 10000 population) compared with malersquos discharge rates (4498 per 10000 population) in this same age group It is primarily in the 15ndash44 year-old group that most of the hospitalizations for childbirth occurred Males had an average length of stay of 53 days compared with 46 days for females (Table 1)

+ The discharge rate per 10000 population ranged from 9478 in the West to 13479 in the Northeast region The average length of stay

ranged from 43 days in the Midwest and West to 58 days in the Northeast region (Table 1)

+ In 2007 those aged 65 years and over accounted for just 13 percent of the US population but 37 percent of the hospital discharges and 43 percent of the days of care In contrast 15ndash44 year-olds comprised 42 percent of the population and 31 percent of the hospital discharges but only 24 percent of the days of care Children under age 15 years who made up 20 percent of the population were only 6 percent of the hospitalizations and used only 6 percent of the days of care (Figure 2)

+ The average length of stay for those aged 65 years and over was 56 days for those 45ndash64 years it was 51 days for those 15ndash44 years it was 37 days and for children under age 15 years it was 47 days (Table 1)

Diagnoses

+ Six diagnostic categories together accounted for 131 million or about

38 percent of all discharges These were delivery (41 million) heart disease (40 million) psychoses (17 million) malignant neoplasms (12 million) pneumonia (11 million) and fractures (10 million) (Table 2)

+ Overall the average length of stay was 48 days but it was 26 days for delivery 44 days for heart disease 50 days for pneumonia 51 days for fractures 65 days for malignant neoplasms and 75 days for psychoses (Table 4)

+ Of the 10 million discharges hospitalized for fractures more than one-half (531000) were aged 65 years and over (Table 2) Those 65 years and over had 1402 discharges per 10000 population with a first-listed diagnosis of fracture (Table 3) and the average length of stay for these discharges was 56 days (Table 4) Almost one-half of the fracture hospitalizations for this age group were for hip fractures (fractures of neck of femur)

+ Among children under age 15 years respiratory diseases were responsible for a quarter of all hospitalizations

Under 15 years 15ndash44 years 45ndash64 years 65 years and over

Population

Discharges

Days of care

0 20 40 60 80Percent

NOTE Population percentages are computed using US Census Bureau 2000-based postcensal estimates of the civilian population of the United States as of July 1 2007 SOURCE CDCNCHS National Hospital Discharge Survey

All other diagnoses 75

Respiratory diseases

25

Asthma 28

Pneumonia 26

All other respiratory diseases

21

Acute bronchitis and bronchiolitis

25

NOTE Respiratory diseases include codes 460ndash519 in the International Classification of Diseases Ninth Revision Clinical Modification SOURCE CDCNCHS National Hospital Discharge Survey

Page 4 National Health Statistics Reports n Number 29 n October 26 2010

100

Figure 2 Distribution of civilian population hospital discharges and days of care by age United States 2007

Figure 3 Hospitalization for respiratory diseases among children under age 15 years United States 2007

Asthma pneumonia and acute bronchitis and bronchiolitis were the first-listed diagnoses for over three quarters of these hospitalizations (Figure 3)

+ About one-fifth (41 million) of female discharges were for childbirth (Table 5)

+ About 15 percent (21 million) of male discharges and 9 percent (18

million) of female discharges were for heart disease (Table 5)

Procedures

+ During 2007 450 million procedures were performed on hospital inpatients (Table 8) Nationally the rate of procedures was 14974 per 10000 population (Table 9) For males this rate was 12164 per 10000 population and for females it was 17691 per 10000 population (Table 11)

+ About 4 million procedures which was over one-fifth of all procedures performed on males were cardiovascular (Table 10 Figure 4) For females about 3 million of their proceduresmdash11 percentmdashfell into this category (Table 10 and Figure 4)

+ The rate of cardiovascular procedures was also higher for males (2684 per 10000 population) than for females (1950 per 10000 population) (Table 11)

+ Over 1 million inpatient cardiac catheterization procedures were performed in 2007 and more than 90 percent of them were on patients aged 45 years and over (Table 8)

+ Males aged 65 years and over and those 45ndash64 years had higher cardiac catheterization rates than females in the same age groups for each of the years from 1997 to 2007 The rate of inpatient cardiac catheterization procedures declined during the time period from 2002 to 2007 (Figure 5)

+ About 26 percent of all procedures performed on females were obstetrical (Figure 4) Cesarean section and repair of current obstetric laceration were the most frequent obstetrical procedures performed (Table 10)

+ Females had more operations on the digestive system than males (31 million compared with 24 million) (Table 10 and Figure 4) Similarly the rate of digestive procedures was more for females (2022 per 10000 population) than for males (1615 per 10000 population) (Table 11)

References 1 DeFrances CJ Cullen KA Kozak LJ

National Hospital Discharge Survey

National Health Statistics Reports n Number 29 n October 26 2010 Page 5

NOTE The International Classification of Diseases Ninth Revision Clinical Modification codes used for each category are as follows Cardiovascular (35ndash39 0050ndash00510053ndash005500570061ndash0066) Digestive (42ndash54) Obstetrical (72ndash75) Musculoskeletal (76ndash84 0070ndash0073 0080ndash00840085ndash0087) Diagnostic and therapeutic (87ndash99 00 codes not included in the other categories) and All other (01ndash16 18ndash34 40ndash41 55ndash59 60ndash71 85ndash86) SOURCE CDCNCHS National Hospital Discharge Survey

0

5

10

15

20

25

30

FemaleMale

Num

ber

in M

illio

ns

Obstetrical

Cardiovascular

Cardiovascular

Digestive

Digestive

Musculoskeletal

Musculoskeletal

Diagnostic and therapeutic

Diagnostic and therapeutic

All other All other

Figure 4 All-listed inpatient procedures by sex United States 2007

300

250 Males 65 and over

Males 45ndash64 years

Females 45ndash64 years

Females 65 and over

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

200

Rat

e pe

r 10

000

pop

ulat

ion

150

100

50

0

NOTES Rates were calculated using the US Census Bureau estimates of the civilian population Rates for 1997 to 1999 were based on estimates adjusted for the net underenumeration in the 1990 census Rates for 2000ndash2007 were calculated using 2000-based postcensal population estimates Cardiac catheterization includes codes 3721ndash3723 of the International Classification of Diseases Ninth Revision Clinical Modification SOURCE CDCNCHS National Hospital Discharge Survey

Figure 5 Cardiac catheterization rates by sex and age United States 1997ndash2007

2005 annual summary with detailed diagnosis and procedure data National Center for Health Statistics Vital Health Stat 13(165) 2007 Available from wwwcdcgovnchs dataseriessr_13sr13_165pdf

2 National Center for Health Statistics Health United States 2009 With special feature on medical technology Hyattsville MD 2010 Available from httpwwwcdcgov nchsdatahushus09pdf

3 Branum AM Lukacs SL Food allergy among children in the United States Pediatrics 124(6)1549ndash55 December 2009

4 Saba S Ravipati LP Voigt A Recent trends in utilization of implantable cardioverter-defibrillators in survivors of cardiac arrest in the United States Pacing Clin Electrophysiol 32(11)1444ndash9 November 2009

5 Frankman EA Wang L Bunker CH Lowder JL Episiotomy in the United States has anything changed Am J Obstet Gynecol 200(5)573e1ndash7 E-pub February 24 2009 May 2009

6 Esper AM Moss M Martin GS The effect of diabetes mellitus on organ dysfunction with sepsis an epidemiological study Critical Care 13(1)R18 [E-pub ahead of print] February 13 2009

7 Whiteman MK Hillis SD Jamieson DJ et al Inpatient hysterectomy surveillance in the United States 2000ndash2004 Am J Obstet Gynecol 198(1)34elndash7 2008

8 Owings MF Kozak LJ Ambulatory and inpatient procedures in the United States 1996 National Center for Health Statistics Vital Health Stat 13(139) 1998 Available from httpwwwcdcgovnchsdataseries sr_13sr13_139pdf

9 Cullen KA Hall MJ Golosinskiy A Ambulatory Surgery in the United States 2006 National health statistics reports no 11 Revised Hyattsville MD National Center for Health Statistics 2009 Available from httpwwwcdcgovnchsdata nhsrnhsr011pdf

10 Hsiao J Cherry DK Woodwell DA Rechsteiner EA National Ambulatory Medical Care Survey 2007 summary National health statistics reports no 27 Hyattsville MD National Center for Health Statistics 2010 Forthcoming

Under 15 years 15ndash44 years 45ndash64 years 65 years and over

Population

Discharges

Days of care

0 20 40 60 80Percent

NOTE Population percentages are computed using US Census Bureau 2000-based postcensal estimates of the civilian population of the United States as of July 1 2007 SOURCE CDCNCHS National Hospital Discharge Survey

All other diagnoses 75

Respiratory diseases

25

Asthma 28

Pneumonia 26

All other respiratory diseases

21

Acute bronchitis and bronchiolitis

25

NOTE Respiratory diseases include codes 460ndash519 in the International Classification of Diseases Ninth Revision Clinical Modification SOURCE CDCNCHS National Hospital Discharge Survey

Page 4 National Health Statistics Reports n Number 29 n October 26 2010

100

Figure 2 Distribution of civilian population hospital discharges and days of care by age United States 2007

Figure 3 Hospitalization for respiratory diseases among children under age 15 years United States 2007

Asthma pneumonia and acute bronchitis and bronchiolitis were the first-listed diagnoses for over three quarters of these hospitalizations (Figure 3)

+ About one-fifth (41 million) of female discharges were for childbirth (Table 5)

+ About 15 percent (21 million) of male discharges and 9 percent (18

million) of female discharges were for heart disease (Table 5)

Procedures

+ During 2007 450 million procedures were performed on hospital inpatients (Table 8) Nationally the rate of procedures was 14974 per 10000 population (Table 9) For males this rate was 12164 per 10000 population and for females it was 17691 per 10000 population (Table 11)

+ About 4 million procedures which was over one-fifth of all procedures performed on males were cardiovascular (Table 10 Figure 4) For females about 3 million of their proceduresmdash11 percentmdashfell into this category (Table 10 and Figure 4)

+ The rate of cardiovascular procedures was also higher for males (2684 per 10000 population) than for females (1950 per 10000 population) (Table 11)

+ Over 1 million inpatient cardiac catheterization procedures were performed in 2007 and more than 90 percent of them were on patients aged 45 years and over (Table 8)

+ Males aged 65 years and over and those 45ndash64 years had higher cardiac catheterization rates than females in the same age groups for each of the years from 1997 to 2007 The rate of inpatient cardiac catheterization procedures declined during the time period from 2002 to 2007 (Figure 5)

+ About 26 percent of all procedures performed on females were obstetrical (Figure 4) Cesarean section and repair of current obstetric laceration were the most frequent obstetrical procedures performed (Table 10)

+ Females had more operations on the digestive system than males (31 million compared with 24 million) (Table 10 and Figure 4) Similarly the rate of digestive procedures was more for females (2022 per 10000 population) than for males (1615 per 10000 population) (Table 11)

References 1 DeFrances CJ Cullen KA Kozak LJ

National Hospital Discharge Survey

National Health Statistics Reports n Number 29 n October 26 2010 Page 5

NOTE The International Classification of Diseases Ninth Revision Clinical Modification codes used for each category are as follows Cardiovascular (35ndash39 0050ndash00510053ndash005500570061ndash0066) Digestive (42ndash54) Obstetrical (72ndash75) Musculoskeletal (76ndash84 0070ndash0073 0080ndash00840085ndash0087) Diagnostic and therapeutic (87ndash99 00 codes not included in the other categories) and All other (01ndash16 18ndash34 40ndash41 55ndash59 60ndash71 85ndash86) SOURCE CDCNCHS National Hospital Discharge Survey

0

5

10

15

20

25

30

FemaleMale

Num

ber

in M

illio

ns

Obstetrical

Cardiovascular

Cardiovascular

Digestive

Digestive

Musculoskeletal

Musculoskeletal

Diagnostic and therapeutic

Diagnostic and therapeutic

All other All other

Figure 4 All-listed inpatient procedures by sex United States 2007

300

250 Males 65 and over

Males 45ndash64 years

Females 45ndash64 years

Females 65 and over

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

200

Rat

e pe

r 10

000

pop

ulat

ion

150

100

50

0

NOTES Rates were calculated using the US Census Bureau estimates of the civilian population Rates for 1997 to 1999 were based on estimates adjusted for the net underenumeration in the 1990 census Rates for 2000ndash2007 were calculated using 2000-based postcensal population estimates Cardiac catheterization includes codes 3721ndash3723 of the International Classification of Diseases Ninth Revision Clinical Modification SOURCE CDCNCHS National Hospital Discharge Survey

Figure 5 Cardiac catheterization rates by sex and age United States 1997ndash2007

2005 annual summary with detailed diagnosis and procedure data National Center for Health Statistics Vital Health Stat 13(165) 2007 Available from wwwcdcgovnchs dataseriessr_13sr13_165pdf

2 National Center for Health Statistics Health United States 2009 With special feature on medical technology Hyattsville MD 2010 Available from httpwwwcdcgov nchsdatahushus09pdf

3 Branum AM Lukacs SL Food allergy among children in the United States Pediatrics 124(6)1549ndash55 December 2009

4 Saba S Ravipati LP Voigt A Recent trends in utilization of implantable cardioverter-defibrillators in survivors of cardiac arrest in the United States Pacing Clin Electrophysiol 32(11)1444ndash9 November 2009

5 Frankman EA Wang L Bunker CH Lowder JL Episiotomy in the United States has anything changed Am J Obstet Gynecol 200(5)573e1ndash7 E-pub February 24 2009 May 2009

6 Esper AM Moss M Martin GS The effect of diabetes mellitus on organ dysfunction with sepsis an epidemiological study Critical Care 13(1)R18 [E-pub ahead of print] February 13 2009

7 Whiteman MK Hillis SD Jamieson DJ et al Inpatient hysterectomy surveillance in the United States 2000ndash2004 Am J Obstet Gynecol 198(1)34elndash7 2008

8 Owings MF Kozak LJ Ambulatory and inpatient procedures in the United States 1996 National Center for Health Statistics Vital Health Stat 13(139) 1998 Available from httpwwwcdcgovnchsdataseries sr_13sr13_139pdf

9 Cullen KA Hall MJ Golosinskiy A Ambulatory Surgery in the United States 2006 National health statistics reports no 11 Revised Hyattsville MD National Center for Health Statistics 2009 Available from httpwwwcdcgovnchsdata nhsrnhsr011pdf

10 Hsiao J Cherry DK Woodwell DA Rechsteiner EA National Ambulatory Medical Care Survey 2007 summary National health statistics reports no 27 Hyattsville MD National Center for Health Statistics 2010 Forthcoming

National Health Statistics Reports n Number 29 n October 26 2010 Page 5

NOTE The International Classification of Diseases Ninth Revision Clinical Modification codes used for each category are as follows Cardiovascular (35ndash39 0050ndash00510053ndash005500570061ndash0066) Digestive (42ndash54) Obstetrical (72ndash75) Musculoskeletal (76ndash84 0070ndash0073 0080ndash00840085ndash0087) Diagnostic and therapeutic (87ndash99 00 codes not included in the other categories) and All other (01ndash16 18ndash34 40ndash41 55ndash59 60ndash71 85ndash86) SOURCE CDCNCHS National Hospital Discharge Survey

0

5

10

15

20

25

30

FemaleMale

Num

ber

in M

illio

ns

Obstetrical

Cardiovascular

Cardiovascular

Digestive

Digestive

Musculoskeletal

Musculoskeletal

Diagnostic and therapeutic

Diagnostic and therapeutic

All other All other

Figure 4 All-listed inpatient procedures by sex United States 2007

300

250 Males 65 and over

Males 45ndash64 years

Females 45ndash64 years

Females 65 and over

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

200

Rat

e pe

r 10

000

pop

ulat

ion

150

100

50

0

NOTES Rates were calculated using the US Census Bureau estimates of the civilian population Rates for 1997 to 1999 were based on estimates adjusted for the net underenumeration in the 1990 census Rates for 2000ndash2007 were calculated using 2000-based postcensal population estimates Cardiac catheterization includes codes 3721ndash3723 of the International Classification of Diseases Ninth Revision Clinical Modification SOURCE CDCNCHS National Hospital Discharge Survey

Figure 5 Cardiac catheterization rates by sex and age United States 1997ndash2007

2005 annual summary with detailed diagnosis and procedure data National Center for Health Statistics Vital Health Stat 13(165) 2007 Available from wwwcdcgovnchs dataseriessr_13sr13_165pdf

2 National Center for Health Statistics Health United States 2009 With special feature on medical technology Hyattsville MD 2010 Available from httpwwwcdcgov nchsdatahushus09pdf

3 Branum AM Lukacs SL Food allergy among children in the United States Pediatrics 124(6)1549ndash55 December 2009

4 Saba S Ravipati LP Voigt A Recent trends in utilization of implantable cardioverter-defibrillators in survivors of cardiac arrest in the United States Pacing Clin Electrophysiol 32(11)1444ndash9 November 2009

5 Frankman EA Wang L Bunker CH Lowder JL Episiotomy in the United States has anything changed Am J Obstet Gynecol 200(5)573e1ndash7 E-pub February 24 2009 May 2009

6 Esper AM Moss M Martin GS The effect of diabetes mellitus on organ dysfunction with sepsis an epidemiological study Critical Care 13(1)R18 [E-pub ahead of print] February 13 2009

7 Whiteman MK Hillis SD Jamieson DJ et al Inpatient hysterectomy surveillance in the United States 2000ndash2004 Am J Obstet Gynecol 198(1)34elndash7 2008

8 Owings MF Kozak LJ Ambulatory and inpatient procedures in the United States 1996 National Center for Health Statistics Vital Health Stat 13(139) 1998 Available from httpwwwcdcgovnchsdataseries sr_13sr13_139pdf

9 Cullen KA Hall MJ Golosinskiy A Ambulatory Surgery in the United States 2006 National health statistics reports no 11 Revised Hyattsville MD National Center for Health Statistics 2009 Available from httpwwwcdcgovnchsdata nhsrnhsr011pdf

10 Hsiao J Cherry DK Woodwell DA Rechsteiner EA National Ambulatory Medical Care Survey 2007 summary National health statistics reports no 27 Hyattsville MD National Center for Health Statistics 2010 Forthcoming

Page 6 National Health Statistics Reports n Number 29 n October 26 2010

11 Hing E Hall MJ Ashman JJ Xu J National Hospital Ambulatory Medical Care Survey 2007 outpatient department summary National health statistics reports no 28 Hyattsville MD National Center for Health Statistics 2010 Available from httpwwwcdcgovnchsdata nhsrnhsr028pdf

12 Niska RW Bhuiya FA Xu J National Hospital Ambulatory Medical Care Survey 2007 emergency department summary National health statistics reports no 26 Hyattsville MD National Center for Health Statistics 2010 Available from httpwwwcdcgovnchsdata nhsrnhsr026pdf

13 Dennison CF Pokras R Design and operation of the National Hospital Discharge Survey 1988 redesign National Center for Health Statistics Vital Health Stat 1(39) 2000 Available from httpwwwcdcgov nchsdataseriessr_01sr01_039pdf

14 SMG Marketing Group Inc Hospital Market Database Chicago Healthcare Information Specialists 1342 North LaSalle Drive Chicago IL April 1987 April 1991 April 1994 April 1997 April 2000

15 Verispan LLC 2003 and 2006 Releases of the Healthcare Market Index and Hospital Market Profiling Solution

16 US Department of Health and Human Services Centers for Disease Control and Prevention Centers for Medicare amp Medicaid Services Official version International Classification of Diseases Ninth Revision Clinical Modification sixth edition DHHS Pub No (PHS) 06ndash1260CDndashROM issued October 2006

17 Research Triangle Institute SUDAAN Language Manual Release 90 Research Triangle Park NC Research Triangle Institute 2004

18 Gillum BS Graves EJ Kozak LJ Trends in hospitalization United States 1988ndash92 National Center for Health Statistics Vital Health Stat 13(124) 1996 Available from httpwwwcdcgovnchsdataseriessr 13sr13_124pdf

National Health Statistics Reports n Number 29 n October 26 2010 Page 7

Table 1 Hospital discharges by age region and sex (number rate and average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants]

Both sexes Male Female

Standard Standard Standard Selected characteristic Number error Number error Number error

Number in thousands

Total 34369 1378 13834 623 20535 785

Age

Under 15 years 2181 394 1221 224 960 171 15ndash44 years 10571 417 2845 137 7727 316 45ndash64 years 8753 356 4316 185 4437 180 65 years and over 12863 573 5453 264 7411 317

Region

Northeast 7361 743 3196 377 4165 373 Midwest 7706 774 3021 310 4685 472 South 12689 641 4945 266 7744 397 West 6612 569 2672 279 3940 306

Rate per 10000 population1

Total 11439 458 9367 422 13440 514

Age

Under 15 years 3582 648 3918 719 3230 576 15ndash44 years 8446 333 4498 216 12477 511 45ndash64 years 11439 465 11566 495 11317 460 65 years and over 33951 1513 34129 1654 33821 1446

Region

Northeast 13479 1360 12040 1419 14839 1328 Midwest 11628 1167 9265 950 13916 1402 South 11555 584 9206 496 13805 707 West 9478 815 7675 800 11274 876

Average length of stay in days

Total 48 01 53 01 46 01

Age

Under 15 years 47 03 47 04 48 03 15ndash44 years 37 01 49 01 33 01 45ndash64 years 51 01 53 01 50 01 65 years and over 56 01 56 01 56 01

Region

Northeast 58 03 61 03 55 03 Midwest 43 01 46 01 41 01 South 49 01 54 01 46 01 West 43 02 48 02 40 01

1Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007

Page 8 National Health Statistics Reports n Number 29 n October 26 2010

Table 2 Hospital discharges (number) by first-listed diagnosis and age United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 2181 394 10571 417 8753 356 12863 573

Infectious and parasitic diseases 001ndash139 1215 63 131 27 225 11 295 15 565 32 Septicemia 038 592 37 12 3 52 5 136 11 392 27

Neoplasms 140ndash239 1598 77 38 10 242 16 649 38 670 32 Malignant neoplasms 140ndash208230ndash234 1225 64 116 11 484 33 596 29

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 10 2 45 5 90 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 64 8 107 9

Benign neoplasms 210ndash229 332 18 6 2 118 8 154 11 54 4 Benign neoplasm of uterus 218ndash219 174 13 85 7 87 8

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 154 29 364 19 545 27 753 41 Diabetes mellitus 250 626 32 22 5 156 10 220 13 228 19 Volume depletion 2765 469 31 102 19 44 6 79 6 244 16

Diseases of the blood and blood-forming organs 280ndash289 527 50 127 12 116 11 226 28 Anemias 280ndash285 382 43 24 5 98 11 79 9 181 27

Mental disorders 290ndash319 2386 310 148 32 1251 185 743 85 244 27 Psychoses 290ndash299 1690 253 89 24 883 149 526 72 193 19

Schizophrenic disorders 295 324 40 167 22 131 18 23 4 Major depressive disorder 2962ndash2963 430 77 228 44 136 23 44 7

Diseases of the nervous system and sense organs 320ndash389 794 73 101 25 174 13 224 25 295 36 Diseases of the circulatory system 390ndash459 5890 236 33 8 435 21 1808 76 3615 153

Essential hypertension 401 349 20 51 6 148 10 148 12 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 17 5 250 15 1205 55 2493 107

Acute myocardial infarction 410 577 33 33 5 198 13 346 22 Coronary atherosclerosis 41404142 812 54 32 3 329 21 451 33 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 14 2 81 9 88 7 Cardiac dysrhythmias 427 827 39 51 4 207 13 562 28 Congestive heart failure 42804282ndash4284 982 43 40 4 227 14 713 33

Cerebrovascular disease 430ndash438 829 42 5 1 44 5 223 14 558 30 Diseases of the respiratory system 460ndash519 3300 162 547 92 332 16 781 37 1641 88

Acute bronchitis and bronchiolitis 466 196 24 138 22 12 2 16 3 31 4 Pneumonia 480ndash486 1056 56 141 18 89 6 217 13 610 43 Chronic bronchitis 491 476 27 18 4 141 10 316 20 Asthma 493 456 39 151 32 86 7 123 10 96 8

Diseases of the digestive system 520ndash579 3290 134 203 35 819 38 1040 46 1229 52 Appendicitis 540ndash543 300 22 71 12 149 10 53 5 27 4 Noninfectious enteritis and colitis 555ndash558 304 19 40 8 86 8 74 6 104 9 Intestinal obstruction 560 315 18 12 2 44 5 100 8 159 11 Diverticula of intestine 562 276 17 39 6 97 7 139 10 Cholelithiasis 574 310 16 2 1 110 8 88 6 109 7 Acute pancreatitis 5770 235 13 77 6 101 8 55 5

Diseases of the genitourinary system 580ndash629 2092 85 71 14 523 28 550 28 947 45 Calculus of kidney and ureter 592 135 8 50 5 54 4 31 3 Urinary tract infection 5990 517 34 23 5 40 5 85 10 370 28

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 490 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 83 20 192 11 240 15 236 15

Cellulitis and abscess 681ndash682 554 28 52 10 152 10 189 13 161 11 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 28 7 270 16 702 43 880 61

Osteoarthrosis and allied disorders 715 718 56 18 3 271 23 429 34 Intervertebral disc disorders 722 320 22 99 8 145 10 76 8

Congenital anomalies 740ndash759 185 42 29 4 29 8 14 4 Certain conditions originating in the perinatal period 760ndash779 171 34 169 34 Symptoms signs and ill-defined conditions 780ndash799 188 23 44 11 52 6 46 7 46 10 Injury and poisoning 800ndash999 2855 154 190 31 796 44 768 40 1102 67

Fractures all sites3 800ndash829 1045 68 60 11 249 21 205 15 531 35 Fracture of neck of femur3 820 297 22 9 2 25 3 264 21

Poisonings 960ndash989 239 16 13 3 123 9 76 7 28 4 Certain complications of surgical and medical care 996ndash999 908 54 32 7 186 13 336 20 355 27

Supplementary classifications V01ndashV86 4930 234 65 14 4249 209 217 19 400 42 Females with deliveries V27 4136 206 7 2 4121 206 8 1

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 9

Table 3 Hospital discharges (rate) by first-listed diagnosis and age United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 3582 648 8446 333 11439 465 33951 1513

Infectious and parasitic diseases 001ndash139 404 21 214 45 180 09 385 20 1490 85 Septicemia 038 197 12 19 05 42 04 178 14 1036 70

Neoplasms 140ndash239 532 26 62 17 193 13 848 50 1768 85 Malignant neoplasms 140ndash208230ndash234 408 21 93 09 632 43 1572 77

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 08 01 59 07 237 17 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 84 10 282 23

Benign neoplasms 210ndash229 111 06 11 03 94 06 201 14 143 12 Benign neoplasm of uterus 218ndash219 58 04 68 05 114 11

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 252 47 291 16 713 35 1988 108 Diabetes mellitus 250 208 11 36 08 125 08 288 17 602 50 Volume depletion 2765 156 10 168 31 35 04 103 08 643 42

Diseases of the blood and blood-forming organs 280ndash289 175 17 102 10 152 15 597 74 Anemias 280ndash285 127 14 39 08 79 08 103 12 478 72

Mental disorders 290ndash319 794 103 243 52 1000 148 971 112 645 72 Psychoses 290ndash299 563 84 146 40 705 119 687 94 509 51

Schizophrenic disorders 295 108 13 133 18 171 23 61 10 Major depressive disorder 2962ndash2963 143 26 182 35 177 30 117 19

Diseases of the nervous system and sense organs 320ndash389 264 24 167 42 139 11 292 33 779 94 Diseases of the circulatory system 390ndash459 1960 78 53 14 347 17 2363 99 9540 405

Essential hypertension 401 116 07 41 05 193 13 390 31 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 28 08 199 12 1574 72 6581 284

Acute myocardial infarction 410 192 11 26 04 258 17 914 57 Coronary atherosclerosis 41404142 270 18 26 03 430 27 1191 87 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 11 02 105 12 231 19 Cardiac dysrhythmias 427 275 13 41 04 270 17 1483 74 Congestive heart failure 42804282ndash4284 327 14 32 03 296 18 1883 87

Cerebrovascular disease 430ndash438 276 14 08 02 35 04 291 19 1472 80 Diseases of the respiratory system 460ndash519 1098 54 898 151 265 13 1020 49 4332 232

Acute bronchitis and bronchiolitis 466 65 08 226 36 10 02 21 03 81 11 Pneumonia 480ndash486 352 19 231 30 71 05 283 17 1610 115 Chronic bronchitis 491 158 09 14 03 185 13 834 52 Asthma 493 152 13 248 53 69 05 160 14 254 20

Diseases of the digestive system 520ndash579 1095 45 333 58 654 30 1359 60 3242 136 Appendicitis 540ndash543 100 07 116 20 119 08 69 06 72 11 Noninfectious enteritis and colitis 555ndash558 101 06 66 14 69 06 97 07 274 23 Intestinal obstruction 560 105 06 20 04 35 04 131 10 419 29 Diverticula of intestine 562 92 06 31 05 127 10 366 26 Cholelithiasis 574 103 05 04 01 88 06 115 08 289 18 Acute pancreatitis 5770 78 04 61 05 132 11 145 13

Diseases of the genitourinary system 580ndash629 696 28 117 23 418 22 718 36 2500 119 Calculus of kidney and ureter 592 45 03 40 04 70 05 81 09 Urinary tract infection 5990 172 11 37 09 32 04 110 13 976 74

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 391 25 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 137 34 153 09 314 20 623 40

Cellulitis and abscess 681ndash682 184 09 85 16 121 08 247 17 426 29 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 47 12 216 12 917 57 2323 160

Osteoarthrosis and allied disorders 715 239 19 15 03 354 30 1131 89 Intervertebral disc disorders 722 106 07 79 07 189 14 200 20

Congenital anomalies 740ndash759 62 14 23 03 38 11 38 10 Certain conditions originating in the perinatal period 760ndash779 57 11 278 56 Symptoms signs and ill-defined conditions 780ndash799 63 08 73 18 42 05 60 09 122 26 Injury and poisoning 800ndash999 950 51 312 51 636 35 1004 52 2908 178

Fractures all sites4 800ndash829 348 23 98 17 199 17 268 20 1402 92 Fracture of neck of femur4 820 99 07 07 01 32 04 696 55

Poisonings 960ndash989 80 05 21 04 98 07 100 09 73 09 Certain complications of surgical and medical care 996ndash999 302 18 52 12 148 10 439 26 936 70 Supplementary classifications V01ndashV86 1641 78 106 23 3394 167 284 25 1056 112 Females with deliveries V27 1377 69 11 03 3292 164 11 02

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 10 National Health Statistics Reports n Number 29 n October 26 2010

Table 4 Hospital discharges by first-listed diagnosis and age (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 47 03 37 01 51 01 56 01

Infectious and parasitic diseases 001ndash139 72 02 34 03 63 04 84 05 79 02 Septicemia 038 94 03 71 11 101 13 113 09 86 03

Neoplasms 140ndash239 58 01 63 11 42 02 54 02 67 02 Malignant neoplasms 140ndash208230ndash234 65 01 67 12 59 04 62 02 69 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 72 07 87 12 85 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 61 08 60 04 73 05

Benign neoplasms 210ndash229 34 01 33 04 26 01 30 01 60 07 Benign neoplasm of uterus 218ndash219 24 01 24 01 25 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 29 02 32 01 42 02 49 02 Diabetes mellitus 250 51 03 31 08 38 03 53 03 62 05 Volume depletion 2765 34 01 21 01 27 02 32 02 41 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 33 02 54 04 53 06 52 05 Anemias 280ndash285 51 06 36 04 58 05 49 08 50 07

Mental disorders 290ndash319 71 03 133 32 62 02 71 03 80 04 Psychoses 290ndash299 75 02 97 13 66 02 82 04 86 04

Schizophrenic disorders 295 111 05 98 05 126 08 128 10 Major depressive disorder 2962ndash2963 63 02 71 07 54 02 67 03 98 05

Diseases of the nervous system and sense organs 320ndash389 59 09 39 03 47 04 63 12 69 11 Diseases of the circulatory system 390ndash459 45 01 59 10 44 02 41 01 47 01

Essential hypertension 401 26 01 23 02 25 01 29 02 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 56 13 38 02 39 01 47 01

Acute myocardial infarction 410 51 01 35 03 42 02 58 01 Coronary atherosclerosis 41404142 34 01 24 01 32 01 36 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 27 05 21 01 27 02 Cardiac dysrhythmias 427 36 01 35 09 23 01 32 01 39 01 Congestive heart failure 42804282ndash4284 51 01 52 07 49 02 51 01

Cerebrovascular disease 430ndash438 53 02 83 17 54 04 50 02 Diseases of the respiratory system 460ndash519 51 01 33 02 43 02 54 02 57 01

Acute bronchitis and bronchiolitis 466 31 01 29 01 24 03 37 04 38 02 Pneumonia 480ndash486 50 01 32 02 46 03 51 02 54 01 Chronic bronchitis 491 47 01 44 05 46 03 47 01 Asthma 493 34 01 24 01 31 02 40 02 46 02

Diseases of the digestive system 520ndash579 46 01 43 04 37 01 47 01 53 01 Appendicitis 540ndash543 31 02 35 03 23 01 29 02 66 14 Noninfectious enteritis and colitis 555ndash558 44 02 29 05 43 03 45 03 50 04 Intestinal obstruction 560 60 02 55 12 45 03 59 04 65 03 Diverticula of intestine 562 48 01 44 03 45 02 50 02 Cholelithiasis 574 39 01 27 02 27 01 35 02 55 02 Acute pancreatitis 5770 61 05 41 06 49 03 71 12 59 05

Diseases of the genitourinary system 580ndash629 41 01 29 01 28 01 40 02 50 01 Calculus of kidney and ureter 592 25 01 22 01 27 02 27 02 Urinary tract infection 5990 46 01 26 01 36 04 45 03 49 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 28 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 28 02 47 03 50 02 55 02

Cellulitis and abscess 681ndash682 45 01 26 01 40 02 47 02 52 02 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 42 04 37 03 39 02 44 03

Osteoarthrosis and allied disorders 715 37 01 31 01 34 01 39 01 Intervertebral disc disorders 722 31 01 26 02 29 01 41 04

Congenital anomalies 740ndash759 61 13 53 09 35 03 Certain conditions originating in the perinatal period 760ndash779 78 10 79 10 Symptoms signs and ill-defined conditions 780ndash799 31 03 29 05 27 04 30 04 38 03 Injury and poisoning 800ndash999 53 01 42 04 44 02 57 02 58 02

Fractures all sites4 800ndash829 51 02 25 02 43 02 57 04 56 02 Fracture of neck of femur4 820 61 02 62 12 62 06 61 02

Poisonings 960ndash989 30 02 16 01 25 01 30 02 54 12 Certain complications of surgical and medical care 996ndash999 62 02 79 17 54 03 61 02 65 03

Supplementary classifications V01ndashV86 37 01 49 06 27 00 85 06 108 04 Females with deliveries V27 26 00 33 06 26 00 38 04

Figure does not meet standards of reliability or precision Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 11

Table 5 Hospital discharges by first-listed diagnosis and sex (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 13834 623 20535 785

Infectious and parasitic diseases 001ndash139 1215 63 570 34 645 34 Septicemia 038 592 37 271 19 321 20

Neoplasms 140ndash239 1598 77 648 37 950 48 Malignant neoplasms 140ndash208230ndash234 1225 64 580 34 644 35

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 70 5 76 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 87 9 93 10

Benign neoplasms 210ndash229 332 18 51 5 281 16 Benign neoplasm of uterus 218ndash219 174 13 174 13

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 771 41 1045 50 Diabetes mellitus 250 626 32 322 17 304 18 Volume depletion 2765 469 31 188 17 281 19

Diseases of the blood and blood-forming organs 280ndash289 527 50 216 23 311 29 Anemias 280ndash285 382 43 146 19 236 26

Mental disorders 290ndash319 2386 310 1261 157 1125 160 Psychoses 290ndash299 1690 253 852 121 838 137

Schizophrenic disorders 295 324 40 180 23 144 21 Major depressive disorder 2962ndash2963 430 77 180 31 250 47

Diseases of the nervous system and sense organs 320ndash389 794 73 353 41 441 33 Diseases of the circulatory system 390ndash459 5890 236 3016 135 2873 107

Essential hypertension 401 349 20 138 11 211 13 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 2121 97 1844 74

Acute myocardial infarction 410 577 33 341 22 236 14 Coronary atherosclerosis 41404142 812 54 527 39 285 18 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 96 8 86 8 Cardiac dysrhythmias 427 827 39 421 24 407 20 Congestive heart failure 42804282ndash4284 982 43 464 25 518 24

Cerebrovascular disease 430ndash438 829 42 371 23 458 22 Diseases of the respiratory system 460ndash519 3300 162 1536 83 1765 88

Acute bronchitis and bronchiolitis 466 196 24 101 15 95 10 Pneumonia 480ndash486 1056 56 502 27 554 36 Chronic bronchitis 491 476 27 217 13 259 17 Asthma 493 456 39 182 22 274 20

Diseases of the digestive system 520ndash579 3290 134 1510 68 1781 72 Appendicitis 540ndash543 300 22 179 15 121 9 Noninfectious enteritis and colitis 555ndash558 304 19 121 11 183 12 Intestinal obstruction 560 315 18 147 11 168 10 Diverticula of intestine 562 276 17 116 8 160 12 Cholelithiasis 574 310 16 104 7 206 12 Acute pancreatitis 5770 235 13 122 8 114 8

Diseases of the genitourinary system 580ndash629 2092 85 673 30 1419 62 Calculus of kidney and ureter 592 135 8 71 6 64 5 Urinary tract infection 5990 517 34 149 12 368 26

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 498 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 396 24 355 19

Cellulitis and abscess 681ndash682 554 28 294 17 260 14 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 804 49 1077 67

Osteoarthrosis and allied disorders 715 718 56 283 25 435 34 Intervertebral disc disorders 722 320 22 161 12 159 13

Congenital anomalies 740ndash759 185 42 96 25 90 19 Certain conditions originating in the perinatal period 760ndash779 171 34 94 18 77 17 Symptoms signs and ill-defined conditions 780ndash799 188 23 82 10 106 14 Injury and poisoning 800ndash999 2855 154 1441 81 1415 79

Fractures all sites3 800ndash829 1045 68 472 35 573 37 Fracture of neck of femur3 820 297 22 89 8 208 17

Poisonings 960ndash989 239 16 113 10 126 9 Certain complications of surgical and medical care 996ndash999 908 54 441 27 467 30

Supplementary classifications V01ndashV86 4930 234 367 40 4564 219 Females with deliveries V27 4136 206 4136 206

Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

Page 12 National Health Statistics Reports n Number 29 n October 26 2010

Table 6 Hospital discharges by first-listed diagnosis and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 9367 422 13440 514

Infectious and parasitic diseases 001ndash139 404 21 386 23 422 22 Septicemia 038 197 12 184 13 210 13

Neoplasms 140ndash239 532 26 439 25 622 31 Malignant neoplasms 140ndash208230ndash234 408 21 393 23 422 23

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 48 04 50 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 59 06 61 06

Benign neoplasms 210ndash229 111 06 34 03 184 10 Benign neoplasm of uterus 218ndash219 58 04 114 09

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 522 28 684 33 Diabetes mellitus 250 208 11 218 12 199 12 Volume depletion 2765 156 10 127 11 184 12

Diseases of the blood and blood-forming organs 280ndash289 175 17 146 15 203 19 Anemias 280ndash285 127 14 99 13 155 17

Mental disorders 290ndash319 794 103 854 106 736 105 Psychoses 290ndash299 563 84 577 82 549 90

Schizophrenic disorders 295 108 13 122 16 94 14 Major depressive disorder 2962ndash2963 143 26 122 21 164 31

Diseases of the nervous system and sense organs 320ndash389 264 24 239 28 289 22 Diseases of the circulatory system 390ndash459 1960 78 2042 92 1881 70

Essential hypertension 401 116 07 93 07 138 09 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 1436 66 1207 48

Acute myocardial infarction 410 192 11 231 15 154 09 Coronary atherosclerosis 41404142 270 18 357 26 186 12 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 65 06 57 05 Cardiac dysrhythmias 427 275 13 285 16 266 13 Congestive heart failure 42804282ndash4284 327 14 314 17 339 16

Cerebrovascular disease 430ndash438 276 14 251 16 300 15 Diseases of the respiratory system 460ndash519 1098 54 1040 56 1155 58

Acute bronchitis and bronchiolitis 466 65 08 68 10 63 07 Pneumonia 480ndash486 352 19 340 18 363 23 Chronic bronchitis 491 158 09 147 09 170 11 Asthma 493 152 13 123 15 179 13

Diseases of the digestive system 520ndash579 1095 45 1022 46 1165 47 Appendicitis 540ndash543 100 07 121 10 79 06 Noninfectious enteritis and colitis 555ndash558 101 06 82 07 120 08 Intestinal obstruction 560 105 06 100 07 110 07 Diverticula of intestine 562 92 06 79 05 105 08 Cholelithiasis 574 103 05 70 05 135 08 Acute pancreatitis 5770 78 04 82 06 75 05

Diseases of the genitourinary system 580ndash629 696 28 456 20 929 41 Calculus of kidney and ureter 592 45 03 48 04 42 03 Urinary tract infection 5990 172 11 101 08 241 17

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 326 21 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 268 17 233 13

Cellulitis and abscess 681ndash682 184 09 199 12 170 09 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 544 33 705 44

Osteoarthrosis and allied disorders 715 239 19 192 17 284 22 Intervertebral disc disorders 722 106 07 109 08 104 09

Congenital anomalies 740ndash759 62 14 65 17 59 12 Certain conditions originating in the perinatal period 760ndash779 57 11 64 12 50 11 Symptoms signs and ill-defined conditions 780ndash799 63 08 56 07 69 09 Injury and poisoning 800ndash999 950 51 975 55 926 52

Fractures all sites4 800ndash829 348 23 320 23 375 24 Fracture of neck of femur4 820 99 07 61 06 136 11

Poisonings 960ndash989 80 05 77 07 83 06 Certain complications of surgical and medical care 996ndash999 302 18 299 18 305 19

Supplementary classifications V01ndashV86 1641 78 248 27 2987 143 Females with deliveries V27 1377 69 2707 135

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

Page 8 National Health Statistics Reports n Number 29 n October 26 2010

Table 2 Hospital discharges (number) by first-listed diagnosis and age United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 2181 394 10571 417 8753 356 12863 573

Infectious and parasitic diseases 001ndash139 1215 63 131 27 225 11 295 15 565 32 Septicemia 038 592 37 12 3 52 5 136 11 392 27

Neoplasms 140ndash239 1598 77 38 10 242 16 649 38 670 32 Malignant neoplasms 140ndash208230ndash234 1225 64 116 11 484 33 596 29

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 10 2 45 5 90 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 64 8 107 9

Benign neoplasms 210ndash229 332 18 6 2 118 8 154 11 54 4 Benign neoplasm of uterus 218ndash219 174 13 85 7 87 8

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 154 29 364 19 545 27 753 41 Diabetes mellitus 250 626 32 22 5 156 10 220 13 228 19 Volume depletion 2765 469 31 102 19 44 6 79 6 244 16

Diseases of the blood and blood-forming organs 280ndash289 527 50 127 12 116 11 226 28 Anemias 280ndash285 382 43 24 5 98 11 79 9 181 27

Mental disorders 290ndash319 2386 310 148 32 1251 185 743 85 244 27 Psychoses 290ndash299 1690 253 89 24 883 149 526 72 193 19

Schizophrenic disorders 295 324 40 167 22 131 18 23 4 Major depressive disorder 2962ndash2963 430 77 228 44 136 23 44 7

Diseases of the nervous system and sense organs 320ndash389 794 73 101 25 174 13 224 25 295 36 Diseases of the circulatory system 390ndash459 5890 236 33 8 435 21 1808 76 3615 153

Essential hypertension 401 349 20 51 6 148 10 148 12 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 17 5 250 15 1205 55 2493 107

Acute myocardial infarction 410 577 33 33 5 198 13 346 22 Coronary atherosclerosis 41404142 812 54 32 3 329 21 451 33 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 14 2 81 9 88 7 Cardiac dysrhythmias 427 827 39 51 4 207 13 562 28 Congestive heart failure 42804282ndash4284 982 43 40 4 227 14 713 33

Cerebrovascular disease 430ndash438 829 42 5 1 44 5 223 14 558 30 Diseases of the respiratory system 460ndash519 3300 162 547 92 332 16 781 37 1641 88

Acute bronchitis and bronchiolitis 466 196 24 138 22 12 2 16 3 31 4 Pneumonia 480ndash486 1056 56 141 18 89 6 217 13 610 43 Chronic bronchitis 491 476 27 18 4 141 10 316 20 Asthma 493 456 39 151 32 86 7 123 10 96 8

Diseases of the digestive system 520ndash579 3290 134 203 35 819 38 1040 46 1229 52 Appendicitis 540ndash543 300 22 71 12 149 10 53 5 27 4 Noninfectious enteritis and colitis 555ndash558 304 19 40 8 86 8 74 6 104 9 Intestinal obstruction 560 315 18 12 2 44 5 100 8 159 11 Diverticula of intestine 562 276 17 39 6 97 7 139 10 Cholelithiasis 574 310 16 2 1 110 8 88 6 109 7 Acute pancreatitis 5770 235 13 77 6 101 8 55 5

Diseases of the genitourinary system 580ndash629 2092 85 71 14 523 28 550 28 947 45 Calculus of kidney and ureter 592 135 8 50 5 54 4 31 3 Urinary tract infection 5990 517 34 23 5 40 5 85 10 370 28

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 490 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 83 20 192 11 240 15 236 15

Cellulitis and abscess 681ndash682 554 28 52 10 152 10 189 13 161 11 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 28 7 270 16 702 43 880 61

Osteoarthrosis and allied disorders 715 718 56 18 3 271 23 429 34 Intervertebral disc disorders 722 320 22 99 8 145 10 76 8

Congenital anomalies 740ndash759 185 42 29 4 29 8 14 4 Certain conditions originating in the perinatal period 760ndash779 171 34 169 34 Symptoms signs and ill-defined conditions 780ndash799 188 23 44 11 52 6 46 7 46 10 Injury and poisoning 800ndash999 2855 154 190 31 796 44 768 40 1102 67

Fractures all sites3 800ndash829 1045 68 60 11 249 21 205 15 531 35 Fracture of neck of femur3 820 297 22 9 2 25 3 264 21

Poisonings 960ndash989 239 16 13 3 123 9 76 7 28 4 Certain complications of surgical and medical care 996ndash999 908 54 32 7 186 13 336 20 355 27

Supplementary classifications V01ndashV86 4930 234 65 14 4249 209 217 19 400 42 Females with deliveries V27 4136 206 7 2 4121 206 8 1

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 9

Table 3 Hospital discharges (rate) by first-listed diagnosis and age United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 3582 648 8446 333 11439 465 33951 1513

Infectious and parasitic diseases 001ndash139 404 21 214 45 180 09 385 20 1490 85 Septicemia 038 197 12 19 05 42 04 178 14 1036 70

Neoplasms 140ndash239 532 26 62 17 193 13 848 50 1768 85 Malignant neoplasms 140ndash208230ndash234 408 21 93 09 632 43 1572 77

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 08 01 59 07 237 17 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 84 10 282 23

Benign neoplasms 210ndash229 111 06 11 03 94 06 201 14 143 12 Benign neoplasm of uterus 218ndash219 58 04 68 05 114 11

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 252 47 291 16 713 35 1988 108 Diabetes mellitus 250 208 11 36 08 125 08 288 17 602 50 Volume depletion 2765 156 10 168 31 35 04 103 08 643 42

Diseases of the blood and blood-forming organs 280ndash289 175 17 102 10 152 15 597 74 Anemias 280ndash285 127 14 39 08 79 08 103 12 478 72

Mental disorders 290ndash319 794 103 243 52 1000 148 971 112 645 72 Psychoses 290ndash299 563 84 146 40 705 119 687 94 509 51

Schizophrenic disorders 295 108 13 133 18 171 23 61 10 Major depressive disorder 2962ndash2963 143 26 182 35 177 30 117 19

Diseases of the nervous system and sense organs 320ndash389 264 24 167 42 139 11 292 33 779 94 Diseases of the circulatory system 390ndash459 1960 78 53 14 347 17 2363 99 9540 405

Essential hypertension 401 116 07 41 05 193 13 390 31 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 28 08 199 12 1574 72 6581 284

Acute myocardial infarction 410 192 11 26 04 258 17 914 57 Coronary atherosclerosis 41404142 270 18 26 03 430 27 1191 87 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 11 02 105 12 231 19 Cardiac dysrhythmias 427 275 13 41 04 270 17 1483 74 Congestive heart failure 42804282ndash4284 327 14 32 03 296 18 1883 87

Cerebrovascular disease 430ndash438 276 14 08 02 35 04 291 19 1472 80 Diseases of the respiratory system 460ndash519 1098 54 898 151 265 13 1020 49 4332 232

Acute bronchitis and bronchiolitis 466 65 08 226 36 10 02 21 03 81 11 Pneumonia 480ndash486 352 19 231 30 71 05 283 17 1610 115 Chronic bronchitis 491 158 09 14 03 185 13 834 52 Asthma 493 152 13 248 53 69 05 160 14 254 20

Diseases of the digestive system 520ndash579 1095 45 333 58 654 30 1359 60 3242 136 Appendicitis 540ndash543 100 07 116 20 119 08 69 06 72 11 Noninfectious enteritis and colitis 555ndash558 101 06 66 14 69 06 97 07 274 23 Intestinal obstruction 560 105 06 20 04 35 04 131 10 419 29 Diverticula of intestine 562 92 06 31 05 127 10 366 26 Cholelithiasis 574 103 05 04 01 88 06 115 08 289 18 Acute pancreatitis 5770 78 04 61 05 132 11 145 13

Diseases of the genitourinary system 580ndash629 696 28 117 23 418 22 718 36 2500 119 Calculus of kidney and ureter 592 45 03 40 04 70 05 81 09 Urinary tract infection 5990 172 11 37 09 32 04 110 13 976 74

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 391 25 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 137 34 153 09 314 20 623 40

Cellulitis and abscess 681ndash682 184 09 85 16 121 08 247 17 426 29 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 47 12 216 12 917 57 2323 160

Osteoarthrosis and allied disorders 715 239 19 15 03 354 30 1131 89 Intervertebral disc disorders 722 106 07 79 07 189 14 200 20

Congenital anomalies 740ndash759 62 14 23 03 38 11 38 10 Certain conditions originating in the perinatal period 760ndash779 57 11 278 56 Symptoms signs and ill-defined conditions 780ndash799 63 08 73 18 42 05 60 09 122 26 Injury and poisoning 800ndash999 950 51 312 51 636 35 1004 52 2908 178

Fractures all sites4 800ndash829 348 23 98 17 199 17 268 20 1402 92 Fracture of neck of femur4 820 99 07 07 01 32 04 696 55

Poisonings 960ndash989 80 05 21 04 98 07 100 09 73 09 Certain complications of surgical and medical care 996ndash999 302 18 52 12 148 10 439 26 936 70 Supplementary classifications V01ndashV86 1641 78 106 23 3394 167 284 25 1056 112 Females with deliveries V27 1377 69 11 03 3292 164 11 02

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 10 National Health Statistics Reports n Number 29 n October 26 2010

Table 4 Hospital discharges by first-listed diagnosis and age (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 47 03 37 01 51 01 56 01

Infectious and parasitic diseases 001ndash139 72 02 34 03 63 04 84 05 79 02 Septicemia 038 94 03 71 11 101 13 113 09 86 03

Neoplasms 140ndash239 58 01 63 11 42 02 54 02 67 02 Malignant neoplasms 140ndash208230ndash234 65 01 67 12 59 04 62 02 69 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 72 07 87 12 85 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 61 08 60 04 73 05

Benign neoplasms 210ndash229 34 01 33 04 26 01 30 01 60 07 Benign neoplasm of uterus 218ndash219 24 01 24 01 25 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 29 02 32 01 42 02 49 02 Diabetes mellitus 250 51 03 31 08 38 03 53 03 62 05 Volume depletion 2765 34 01 21 01 27 02 32 02 41 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 33 02 54 04 53 06 52 05 Anemias 280ndash285 51 06 36 04 58 05 49 08 50 07

Mental disorders 290ndash319 71 03 133 32 62 02 71 03 80 04 Psychoses 290ndash299 75 02 97 13 66 02 82 04 86 04

Schizophrenic disorders 295 111 05 98 05 126 08 128 10 Major depressive disorder 2962ndash2963 63 02 71 07 54 02 67 03 98 05

Diseases of the nervous system and sense organs 320ndash389 59 09 39 03 47 04 63 12 69 11 Diseases of the circulatory system 390ndash459 45 01 59 10 44 02 41 01 47 01

Essential hypertension 401 26 01 23 02 25 01 29 02 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 56 13 38 02 39 01 47 01

Acute myocardial infarction 410 51 01 35 03 42 02 58 01 Coronary atherosclerosis 41404142 34 01 24 01 32 01 36 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 27 05 21 01 27 02 Cardiac dysrhythmias 427 36 01 35 09 23 01 32 01 39 01 Congestive heart failure 42804282ndash4284 51 01 52 07 49 02 51 01

Cerebrovascular disease 430ndash438 53 02 83 17 54 04 50 02 Diseases of the respiratory system 460ndash519 51 01 33 02 43 02 54 02 57 01

Acute bronchitis and bronchiolitis 466 31 01 29 01 24 03 37 04 38 02 Pneumonia 480ndash486 50 01 32 02 46 03 51 02 54 01 Chronic bronchitis 491 47 01 44 05 46 03 47 01 Asthma 493 34 01 24 01 31 02 40 02 46 02

Diseases of the digestive system 520ndash579 46 01 43 04 37 01 47 01 53 01 Appendicitis 540ndash543 31 02 35 03 23 01 29 02 66 14 Noninfectious enteritis and colitis 555ndash558 44 02 29 05 43 03 45 03 50 04 Intestinal obstruction 560 60 02 55 12 45 03 59 04 65 03 Diverticula of intestine 562 48 01 44 03 45 02 50 02 Cholelithiasis 574 39 01 27 02 27 01 35 02 55 02 Acute pancreatitis 5770 61 05 41 06 49 03 71 12 59 05

Diseases of the genitourinary system 580ndash629 41 01 29 01 28 01 40 02 50 01 Calculus of kidney and ureter 592 25 01 22 01 27 02 27 02 Urinary tract infection 5990 46 01 26 01 36 04 45 03 49 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 28 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 28 02 47 03 50 02 55 02

Cellulitis and abscess 681ndash682 45 01 26 01 40 02 47 02 52 02 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 42 04 37 03 39 02 44 03

Osteoarthrosis and allied disorders 715 37 01 31 01 34 01 39 01 Intervertebral disc disorders 722 31 01 26 02 29 01 41 04

Congenital anomalies 740ndash759 61 13 53 09 35 03 Certain conditions originating in the perinatal period 760ndash779 78 10 79 10 Symptoms signs and ill-defined conditions 780ndash799 31 03 29 05 27 04 30 04 38 03 Injury and poisoning 800ndash999 53 01 42 04 44 02 57 02 58 02

Fractures all sites4 800ndash829 51 02 25 02 43 02 57 04 56 02 Fracture of neck of femur4 820 61 02 62 12 62 06 61 02

Poisonings 960ndash989 30 02 16 01 25 01 30 02 54 12 Certain complications of surgical and medical care 996ndash999 62 02 79 17 54 03 61 02 65 03

Supplementary classifications V01ndashV86 37 01 49 06 27 00 85 06 108 04 Females with deliveries V27 26 00 33 06 26 00 38 04

Figure does not meet standards of reliability or precision Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 11

Table 5 Hospital discharges by first-listed diagnosis and sex (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 13834 623 20535 785

Infectious and parasitic diseases 001ndash139 1215 63 570 34 645 34 Septicemia 038 592 37 271 19 321 20

Neoplasms 140ndash239 1598 77 648 37 950 48 Malignant neoplasms 140ndash208230ndash234 1225 64 580 34 644 35

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 70 5 76 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 87 9 93 10

Benign neoplasms 210ndash229 332 18 51 5 281 16 Benign neoplasm of uterus 218ndash219 174 13 174 13

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 771 41 1045 50 Diabetes mellitus 250 626 32 322 17 304 18 Volume depletion 2765 469 31 188 17 281 19

Diseases of the blood and blood-forming organs 280ndash289 527 50 216 23 311 29 Anemias 280ndash285 382 43 146 19 236 26

Mental disorders 290ndash319 2386 310 1261 157 1125 160 Psychoses 290ndash299 1690 253 852 121 838 137

Schizophrenic disorders 295 324 40 180 23 144 21 Major depressive disorder 2962ndash2963 430 77 180 31 250 47

Diseases of the nervous system and sense organs 320ndash389 794 73 353 41 441 33 Diseases of the circulatory system 390ndash459 5890 236 3016 135 2873 107

Essential hypertension 401 349 20 138 11 211 13 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 2121 97 1844 74

Acute myocardial infarction 410 577 33 341 22 236 14 Coronary atherosclerosis 41404142 812 54 527 39 285 18 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 96 8 86 8 Cardiac dysrhythmias 427 827 39 421 24 407 20 Congestive heart failure 42804282ndash4284 982 43 464 25 518 24

Cerebrovascular disease 430ndash438 829 42 371 23 458 22 Diseases of the respiratory system 460ndash519 3300 162 1536 83 1765 88

Acute bronchitis and bronchiolitis 466 196 24 101 15 95 10 Pneumonia 480ndash486 1056 56 502 27 554 36 Chronic bronchitis 491 476 27 217 13 259 17 Asthma 493 456 39 182 22 274 20

Diseases of the digestive system 520ndash579 3290 134 1510 68 1781 72 Appendicitis 540ndash543 300 22 179 15 121 9 Noninfectious enteritis and colitis 555ndash558 304 19 121 11 183 12 Intestinal obstruction 560 315 18 147 11 168 10 Diverticula of intestine 562 276 17 116 8 160 12 Cholelithiasis 574 310 16 104 7 206 12 Acute pancreatitis 5770 235 13 122 8 114 8

Diseases of the genitourinary system 580ndash629 2092 85 673 30 1419 62 Calculus of kidney and ureter 592 135 8 71 6 64 5 Urinary tract infection 5990 517 34 149 12 368 26

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 498 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 396 24 355 19

Cellulitis and abscess 681ndash682 554 28 294 17 260 14 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 804 49 1077 67

Osteoarthrosis and allied disorders 715 718 56 283 25 435 34 Intervertebral disc disorders 722 320 22 161 12 159 13

Congenital anomalies 740ndash759 185 42 96 25 90 19 Certain conditions originating in the perinatal period 760ndash779 171 34 94 18 77 17 Symptoms signs and ill-defined conditions 780ndash799 188 23 82 10 106 14 Injury and poisoning 800ndash999 2855 154 1441 81 1415 79

Fractures all sites3 800ndash829 1045 68 472 35 573 37 Fracture of neck of femur3 820 297 22 89 8 208 17

Poisonings 960ndash989 239 16 113 10 126 9 Certain complications of surgical and medical care 996ndash999 908 54 441 27 467 30

Supplementary classifications V01ndashV86 4930 234 367 40 4564 219 Females with deliveries V27 4136 206 4136 206

Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

Page 12 National Health Statistics Reports n Number 29 n October 26 2010

Table 6 Hospital discharges by first-listed diagnosis and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 9367 422 13440 514

Infectious and parasitic diseases 001ndash139 404 21 386 23 422 22 Septicemia 038 197 12 184 13 210 13

Neoplasms 140ndash239 532 26 439 25 622 31 Malignant neoplasms 140ndash208230ndash234 408 21 393 23 422 23

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 48 04 50 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 59 06 61 06

Benign neoplasms 210ndash229 111 06 34 03 184 10 Benign neoplasm of uterus 218ndash219 58 04 114 09

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 522 28 684 33 Diabetes mellitus 250 208 11 218 12 199 12 Volume depletion 2765 156 10 127 11 184 12

Diseases of the blood and blood-forming organs 280ndash289 175 17 146 15 203 19 Anemias 280ndash285 127 14 99 13 155 17

Mental disorders 290ndash319 794 103 854 106 736 105 Psychoses 290ndash299 563 84 577 82 549 90

Schizophrenic disorders 295 108 13 122 16 94 14 Major depressive disorder 2962ndash2963 143 26 122 21 164 31

Diseases of the nervous system and sense organs 320ndash389 264 24 239 28 289 22 Diseases of the circulatory system 390ndash459 1960 78 2042 92 1881 70

Essential hypertension 401 116 07 93 07 138 09 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 1436 66 1207 48

Acute myocardial infarction 410 192 11 231 15 154 09 Coronary atherosclerosis 41404142 270 18 357 26 186 12 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 65 06 57 05 Cardiac dysrhythmias 427 275 13 285 16 266 13 Congestive heart failure 42804282ndash4284 327 14 314 17 339 16

Cerebrovascular disease 430ndash438 276 14 251 16 300 15 Diseases of the respiratory system 460ndash519 1098 54 1040 56 1155 58

Acute bronchitis and bronchiolitis 466 65 08 68 10 63 07 Pneumonia 480ndash486 352 19 340 18 363 23 Chronic bronchitis 491 158 09 147 09 170 11 Asthma 493 152 13 123 15 179 13

Diseases of the digestive system 520ndash579 1095 45 1022 46 1165 47 Appendicitis 540ndash543 100 07 121 10 79 06 Noninfectious enteritis and colitis 555ndash558 101 06 82 07 120 08 Intestinal obstruction 560 105 06 100 07 110 07 Diverticula of intestine 562 92 06 79 05 105 08 Cholelithiasis 574 103 05 70 05 135 08 Acute pancreatitis 5770 78 04 82 06 75 05

Diseases of the genitourinary system 580ndash629 696 28 456 20 929 41 Calculus of kidney and ureter 592 45 03 48 04 42 03 Urinary tract infection 5990 172 11 101 08 241 17

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 326 21 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 268 17 233 13

Cellulitis and abscess 681ndash682 184 09 199 12 170 09 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 544 33 705 44

Osteoarthrosis and allied disorders 715 239 19 192 17 284 22 Intervertebral disc disorders 722 106 07 109 08 104 09

Congenital anomalies 740ndash759 62 14 65 17 59 12 Certain conditions originating in the perinatal period 760ndash779 57 11 64 12 50 11 Symptoms signs and ill-defined conditions 780ndash799 63 08 56 07 69 09 Injury and poisoning 800ndash999 950 51 975 55 926 52

Fractures all sites4 800ndash829 348 23 320 23 375 24 Fracture of neck of femur4 820 99 07 61 06 136 11

Poisonings 960ndash989 80 05 77 07 83 06 Certain complications of surgical and medical care 996ndash999 302 18 299 18 305 19

Supplementary classifications V01ndashV86 1641 78 248 27 2987 143 Females with deliveries V27 1377 69 2707 135

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 9

Table 3 Hospital discharges (rate) by first-listed diagnosis and age United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 3582 648 8446 333 11439 465 33951 1513

Infectious and parasitic diseases 001ndash139 404 21 214 45 180 09 385 20 1490 85 Septicemia 038 197 12 19 05 42 04 178 14 1036 70

Neoplasms 140ndash239 532 26 62 17 193 13 848 50 1768 85 Malignant neoplasms 140ndash208230ndash234 408 21 93 09 632 43 1572 77

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 08 01 59 07 237 17 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 84 10 282 23

Benign neoplasms 210ndash229 111 06 11 03 94 06 201 14 143 12 Benign neoplasm of uterus 218ndash219 58 04 68 05 114 11

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 252 47 291 16 713 35 1988 108 Diabetes mellitus 250 208 11 36 08 125 08 288 17 602 50 Volume depletion 2765 156 10 168 31 35 04 103 08 643 42

Diseases of the blood and blood-forming organs 280ndash289 175 17 102 10 152 15 597 74 Anemias 280ndash285 127 14 39 08 79 08 103 12 478 72

Mental disorders 290ndash319 794 103 243 52 1000 148 971 112 645 72 Psychoses 290ndash299 563 84 146 40 705 119 687 94 509 51

Schizophrenic disorders 295 108 13 133 18 171 23 61 10 Major depressive disorder 2962ndash2963 143 26 182 35 177 30 117 19

Diseases of the nervous system and sense organs 320ndash389 264 24 167 42 139 11 292 33 779 94 Diseases of the circulatory system 390ndash459 1960 78 53 14 347 17 2363 99 9540 405

Essential hypertension 401 116 07 41 05 193 13 390 31 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 28 08 199 12 1574 72 6581 284

Acute myocardial infarction 410 192 11 26 04 258 17 914 57 Coronary atherosclerosis 41404142 270 18 26 03 430 27 1191 87 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 11 02 105 12 231 19 Cardiac dysrhythmias 427 275 13 41 04 270 17 1483 74 Congestive heart failure 42804282ndash4284 327 14 32 03 296 18 1883 87

Cerebrovascular disease 430ndash438 276 14 08 02 35 04 291 19 1472 80 Diseases of the respiratory system 460ndash519 1098 54 898 151 265 13 1020 49 4332 232

Acute bronchitis and bronchiolitis 466 65 08 226 36 10 02 21 03 81 11 Pneumonia 480ndash486 352 19 231 30 71 05 283 17 1610 115 Chronic bronchitis 491 158 09 14 03 185 13 834 52 Asthma 493 152 13 248 53 69 05 160 14 254 20

Diseases of the digestive system 520ndash579 1095 45 333 58 654 30 1359 60 3242 136 Appendicitis 540ndash543 100 07 116 20 119 08 69 06 72 11 Noninfectious enteritis and colitis 555ndash558 101 06 66 14 69 06 97 07 274 23 Intestinal obstruction 560 105 06 20 04 35 04 131 10 419 29 Diverticula of intestine 562 92 06 31 05 127 10 366 26 Cholelithiasis 574 103 05 04 01 88 06 115 08 289 18 Acute pancreatitis 5770 78 04 61 05 132 11 145 13

Diseases of the genitourinary system 580ndash629 696 28 117 23 418 22 718 36 2500 119 Calculus of kidney and ureter 592 45 03 40 04 70 05 81 09 Urinary tract infection 5990 172 11 37 09 32 04 110 13 976 74

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 391 25 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 137 34 153 09 314 20 623 40

Cellulitis and abscess 681ndash682 184 09 85 16 121 08 247 17 426 29 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 47 12 216 12 917 57 2323 160

Osteoarthrosis and allied disorders 715 239 19 15 03 354 30 1131 89 Intervertebral disc disorders 722 106 07 79 07 189 14 200 20

Congenital anomalies 740ndash759 62 14 23 03 38 11 38 10 Certain conditions originating in the perinatal period 760ndash779 57 11 278 56 Symptoms signs and ill-defined conditions 780ndash799 63 08 73 18 42 05 60 09 122 26 Injury and poisoning 800ndash999 950 51 312 51 636 35 1004 52 2908 178

Fractures all sites4 800ndash829 348 23 98 17 199 17 268 20 1402 92 Fracture of neck of femur4 820 99 07 07 01 32 04 696 55

Poisonings 960ndash989 80 05 21 04 98 07 100 09 73 09 Certain complications of surgical and medical care 996ndash999 302 18 52 12 148 10 439 26 936 70 Supplementary classifications V01ndashV86 1641 78 106 23 3394 167 284 25 1056 112 Females with deliveries V27 1377 69 11 03 3292 164 11 02

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 10 National Health Statistics Reports n Number 29 n October 26 2010

Table 4 Hospital discharges by first-listed diagnosis and age (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 47 03 37 01 51 01 56 01

Infectious and parasitic diseases 001ndash139 72 02 34 03 63 04 84 05 79 02 Septicemia 038 94 03 71 11 101 13 113 09 86 03

Neoplasms 140ndash239 58 01 63 11 42 02 54 02 67 02 Malignant neoplasms 140ndash208230ndash234 65 01 67 12 59 04 62 02 69 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 72 07 87 12 85 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 61 08 60 04 73 05

Benign neoplasms 210ndash229 34 01 33 04 26 01 30 01 60 07 Benign neoplasm of uterus 218ndash219 24 01 24 01 25 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 29 02 32 01 42 02 49 02 Diabetes mellitus 250 51 03 31 08 38 03 53 03 62 05 Volume depletion 2765 34 01 21 01 27 02 32 02 41 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 33 02 54 04 53 06 52 05 Anemias 280ndash285 51 06 36 04 58 05 49 08 50 07

Mental disorders 290ndash319 71 03 133 32 62 02 71 03 80 04 Psychoses 290ndash299 75 02 97 13 66 02 82 04 86 04

Schizophrenic disorders 295 111 05 98 05 126 08 128 10 Major depressive disorder 2962ndash2963 63 02 71 07 54 02 67 03 98 05

Diseases of the nervous system and sense organs 320ndash389 59 09 39 03 47 04 63 12 69 11 Diseases of the circulatory system 390ndash459 45 01 59 10 44 02 41 01 47 01

Essential hypertension 401 26 01 23 02 25 01 29 02 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 56 13 38 02 39 01 47 01

Acute myocardial infarction 410 51 01 35 03 42 02 58 01 Coronary atherosclerosis 41404142 34 01 24 01 32 01 36 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 27 05 21 01 27 02 Cardiac dysrhythmias 427 36 01 35 09 23 01 32 01 39 01 Congestive heart failure 42804282ndash4284 51 01 52 07 49 02 51 01

Cerebrovascular disease 430ndash438 53 02 83 17 54 04 50 02 Diseases of the respiratory system 460ndash519 51 01 33 02 43 02 54 02 57 01

Acute bronchitis and bronchiolitis 466 31 01 29 01 24 03 37 04 38 02 Pneumonia 480ndash486 50 01 32 02 46 03 51 02 54 01 Chronic bronchitis 491 47 01 44 05 46 03 47 01 Asthma 493 34 01 24 01 31 02 40 02 46 02

Diseases of the digestive system 520ndash579 46 01 43 04 37 01 47 01 53 01 Appendicitis 540ndash543 31 02 35 03 23 01 29 02 66 14 Noninfectious enteritis and colitis 555ndash558 44 02 29 05 43 03 45 03 50 04 Intestinal obstruction 560 60 02 55 12 45 03 59 04 65 03 Diverticula of intestine 562 48 01 44 03 45 02 50 02 Cholelithiasis 574 39 01 27 02 27 01 35 02 55 02 Acute pancreatitis 5770 61 05 41 06 49 03 71 12 59 05

Diseases of the genitourinary system 580ndash629 41 01 29 01 28 01 40 02 50 01 Calculus of kidney and ureter 592 25 01 22 01 27 02 27 02 Urinary tract infection 5990 46 01 26 01 36 04 45 03 49 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 28 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 28 02 47 03 50 02 55 02

Cellulitis and abscess 681ndash682 45 01 26 01 40 02 47 02 52 02 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 42 04 37 03 39 02 44 03

Osteoarthrosis and allied disorders 715 37 01 31 01 34 01 39 01 Intervertebral disc disorders 722 31 01 26 02 29 01 41 04

Congenital anomalies 740ndash759 61 13 53 09 35 03 Certain conditions originating in the perinatal period 760ndash779 78 10 79 10 Symptoms signs and ill-defined conditions 780ndash799 31 03 29 05 27 04 30 04 38 03 Injury and poisoning 800ndash999 53 01 42 04 44 02 57 02 58 02

Fractures all sites4 800ndash829 51 02 25 02 43 02 57 04 56 02 Fracture of neck of femur4 820 61 02 62 12 62 06 61 02

Poisonings 960ndash989 30 02 16 01 25 01 30 02 54 12 Certain complications of surgical and medical care 996ndash999 62 02 79 17 54 03 61 02 65 03

Supplementary classifications V01ndashV86 37 01 49 06 27 00 85 06 108 04 Females with deliveries V27 26 00 33 06 26 00 38 04

Figure does not meet standards of reliability or precision Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 11

Table 5 Hospital discharges by first-listed diagnosis and sex (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 13834 623 20535 785

Infectious and parasitic diseases 001ndash139 1215 63 570 34 645 34 Septicemia 038 592 37 271 19 321 20

Neoplasms 140ndash239 1598 77 648 37 950 48 Malignant neoplasms 140ndash208230ndash234 1225 64 580 34 644 35

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 70 5 76 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 87 9 93 10

Benign neoplasms 210ndash229 332 18 51 5 281 16 Benign neoplasm of uterus 218ndash219 174 13 174 13

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 771 41 1045 50 Diabetes mellitus 250 626 32 322 17 304 18 Volume depletion 2765 469 31 188 17 281 19

Diseases of the blood and blood-forming organs 280ndash289 527 50 216 23 311 29 Anemias 280ndash285 382 43 146 19 236 26

Mental disorders 290ndash319 2386 310 1261 157 1125 160 Psychoses 290ndash299 1690 253 852 121 838 137

Schizophrenic disorders 295 324 40 180 23 144 21 Major depressive disorder 2962ndash2963 430 77 180 31 250 47

Diseases of the nervous system and sense organs 320ndash389 794 73 353 41 441 33 Diseases of the circulatory system 390ndash459 5890 236 3016 135 2873 107

Essential hypertension 401 349 20 138 11 211 13 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 2121 97 1844 74

Acute myocardial infarction 410 577 33 341 22 236 14 Coronary atherosclerosis 41404142 812 54 527 39 285 18 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 96 8 86 8 Cardiac dysrhythmias 427 827 39 421 24 407 20 Congestive heart failure 42804282ndash4284 982 43 464 25 518 24

Cerebrovascular disease 430ndash438 829 42 371 23 458 22 Diseases of the respiratory system 460ndash519 3300 162 1536 83 1765 88

Acute bronchitis and bronchiolitis 466 196 24 101 15 95 10 Pneumonia 480ndash486 1056 56 502 27 554 36 Chronic bronchitis 491 476 27 217 13 259 17 Asthma 493 456 39 182 22 274 20

Diseases of the digestive system 520ndash579 3290 134 1510 68 1781 72 Appendicitis 540ndash543 300 22 179 15 121 9 Noninfectious enteritis and colitis 555ndash558 304 19 121 11 183 12 Intestinal obstruction 560 315 18 147 11 168 10 Diverticula of intestine 562 276 17 116 8 160 12 Cholelithiasis 574 310 16 104 7 206 12 Acute pancreatitis 5770 235 13 122 8 114 8

Diseases of the genitourinary system 580ndash629 2092 85 673 30 1419 62 Calculus of kidney and ureter 592 135 8 71 6 64 5 Urinary tract infection 5990 517 34 149 12 368 26

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 498 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 396 24 355 19

Cellulitis and abscess 681ndash682 554 28 294 17 260 14 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 804 49 1077 67

Osteoarthrosis and allied disorders 715 718 56 283 25 435 34 Intervertebral disc disorders 722 320 22 161 12 159 13

Congenital anomalies 740ndash759 185 42 96 25 90 19 Certain conditions originating in the perinatal period 760ndash779 171 34 94 18 77 17 Symptoms signs and ill-defined conditions 780ndash799 188 23 82 10 106 14 Injury and poisoning 800ndash999 2855 154 1441 81 1415 79

Fractures all sites3 800ndash829 1045 68 472 35 573 37 Fracture of neck of femur3 820 297 22 89 8 208 17

Poisonings 960ndash989 239 16 113 10 126 9 Certain complications of surgical and medical care 996ndash999 908 54 441 27 467 30

Supplementary classifications V01ndashV86 4930 234 367 40 4564 219 Females with deliveries V27 4136 206 4136 206

Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

Page 12 National Health Statistics Reports n Number 29 n October 26 2010

Table 6 Hospital discharges by first-listed diagnosis and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 9367 422 13440 514

Infectious and parasitic diseases 001ndash139 404 21 386 23 422 22 Septicemia 038 197 12 184 13 210 13

Neoplasms 140ndash239 532 26 439 25 622 31 Malignant neoplasms 140ndash208230ndash234 408 21 393 23 422 23

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 48 04 50 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 59 06 61 06

Benign neoplasms 210ndash229 111 06 34 03 184 10 Benign neoplasm of uterus 218ndash219 58 04 114 09

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 522 28 684 33 Diabetes mellitus 250 208 11 218 12 199 12 Volume depletion 2765 156 10 127 11 184 12

Diseases of the blood and blood-forming organs 280ndash289 175 17 146 15 203 19 Anemias 280ndash285 127 14 99 13 155 17

Mental disorders 290ndash319 794 103 854 106 736 105 Psychoses 290ndash299 563 84 577 82 549 90

Schizophrenic disorders 295 108 13 122 16 94 14 Major depressive disorder 2962ndash2963 143 26 122 21 164 31

Diseases of the nervous system and sense organs 320ndash389 264 24 239 28 289 22 Diseases of the circulatory system 390ndash459 1960 78 2042 92 1881 70

Essential hypertension 401 116 07 93 07 138 09 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 1436 66 1207 48

Acute myocardial infarction 410 192 11 231 15 154 09 Coronary atherosclerosis 41404142 270 18 357 26 186 12 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 65 06 57 05 Cardiac dysrhythmias 427 275 13 285 16 266 13 Congestive heart failure 42804282ndash4284 327 14 314 17 339 16

Cerebrovascular disease 430ndash438 276 14 251 16 300 15 Diseases of the respiratory system 460ndash519 1098 54 1040 56 1155 58

Acute bronchitis and bronchiolitis 466 65 08 68 10 63 07 Pneumonia 480ndash486 352 19 340 18 363 23 Chronic bronchitis 491 158 09 147 09 170 11 Asthma 493 152 13 123 15 179 13

Diseases of the digestive system 520ndash579 1095 45 1022 46 1165 47 Appendicitis 540ndash543 100 07 121 10 79 06 Noninfectious enteritis and colitis 555ndash558 101 06 82 07 120 08 Intestinal obstruction 560 105 06 100 07 110 07 Diverticula of intestine 562 92 06 79 05 105 08 Cholelithiasis 574 103 05 70 05 135 08 Acute pancreatitis 5770 78 04 82 06 75 05

Diseases of the genitourinary system 580ndash629 696 28 456 20 929 41 Calculus of kidney and ureter 592 45 03 48 04 42 03 Urinary tract infection 5990 172 11 101 08 241 17

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 326 21 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 268 17 233 13

Cellulitis and abscess 681ndash682 184 09 199 12 170 09 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 544 33 705 44

Osteoarthrosis and allied disorders 715 239 19 192 17 284 22 Intervertebral disc disorders 722 106 07 109 08 104 09

Congenital anomalies 740ndash759 62 14 65 17 59 12 Certain conditions originating in the perinatal period 760ndash779 57 11 64 12 50 11 Symptoms signs and ill-defined conditions 780ndash799 63 08 56 07 69 09 Injury and poisoning 800ndash999 950 51 975 55 926 52

Fractures all sites4 800ndash829 348 23 320 23 375 24 Fracture of neck of femur4 820 99 07 61 06 136 11

Poisonings 960ndash989 80 05 77 07 83 06 Certain complications of surgical and medical care 996ndash999 302 18 299 18 305 19

Supplementary classifications V01ndashV86 1641 78 248 27 2987 143 Females with deliveries V27 1377 69 2707 135

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

Page 10 National Health Statistics Reports n Number 29 n October 26 2010

Table 4 Hospital discharges by first-listed diagnosis and age (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 47 03 37 01 51 01 56 01

Infectious and parasitic diseases 001ndash139 72 02 34 03 63 04 84 05 79 02 Septicemia 038 94 03 71 11 101 13 113 09 86 03

Neoplasms 140ndash239 58 01 63 11 42 02 54 02 67 02 Malignant neoplasms 140ndash208230ndash234 65 01 67 12 59 04 62 02 69 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 72 07 87 12 85 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 61 08 60 04 73 05

Benign neoplasms 210ndash229 34 01 33 04 26 01 30 01 60 07 Benign neoplasm of uterus 218ndash219 24 01 24 01 25 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 29 02 32 01 42 02 49 02 Diabetes mellitus 250 51 03 31 08 38 03 53 03 62 05 Volume depletion 2765 34 01 21 01 27 02 32 02 41 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 33 02 54 04 53 06 52 05 Anemias 280ndash285 51 06 36 04 58 05 49 08 50 07

Mental disorders 290ndash319 71 03 133 32 62 02 71 03 80 04 Psychoses 290ndash299 75 02 97 13 66 02 82 04 86 04

Schizophrenic disorders 295 111 05 98 05 126 08 128 10 Major depressive disorder 2962ndash2963 63 02 71 07 54 02 67 03 98 05

Diseases of the nervous system and sense organs 320ndash389 59 09 39 03 47 04 63 12 69 11 Diseases of the circulatory system 390ndash459 45 01 59 10 44 02 41 01 47 01

Essential hypertension 401 26 01 23 02 25 01 29 02 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 56 13 38 02 39 01 47 01

Acute myocardial infarction 410 51 01 35 03 42 02 58 01 Coronary atherosclerosis 41404142 34 01 24 01 32 01 36 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 27 05 21 01 27 02 Cardiac dysrhythmias 427 36 01 35 09 23 01 32 01 39 01 Congestive heart failure 42804282ndash4284 51 01 52 07 49 02 51 01

Cerebrovascular disease 430ndash438 53 02 83 17 54 04 50 02 Diseases of the respiratory system 460ndash519 51 01 33 02 43 02 54 02 57 01

Acute bronchitis and bronchiolitis 466 31 01 29 01 24 03 37 04 38 02 Pneumonia 480ndash486 50 01 32 02 46 03 51 02 54 01 Chronic bronchitis 491 47 01 44 05 46 03 47 01 Asthma 493 34 01 24 01 31 02 40 02 46 02

Diseases of the digestive system 520ndash579 46 01 43 04 37 01 47 01 53 01 Appendicitis 540ndash543 31 02 35 03 23 01 29 02 66 14 Noninfectious enteritis and colitis 555ndash558 44 02 29 05 43 03 45 03 50 04 Intestinal obstruction 560 60 02 55 12 45 03 59 04 65 03 Diverticula of intestine 562 48 01 44 03 45 02 50 02 Cholelithiasis 574 39 01 27 02 27 01 35 02 55 02 Acute pancreatitis 5770 61 05 41 06 49 03 71 12 59 05

Diseases of the genitourinary system 580ndash629 41 01 29 01 28 01 40 02 50 01 Calculus of kidney and ureter 592 25 01 22 01 27 02 27 02 Urinary tract infection 5990 46 01 26 01 36 04 45 03 49 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 28 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 28 02 47 03 50 02 55 02

Cellulitis and abscess 681ndash682 45 01 26 01 40 02 47 02 52 02 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 42 04 37 03 39 02 44 03

Osteoarthrosis and allied disorders 715 37 01 31 01 34 01 39 01 Intervertebral disc disorders 722 31 01 26 02 29 01 41 04

Congenital anomalies 740ndash759 61 13 53 09 35 03 Certain conditions originating in the perinatal period 760ndash779 78 10 79 10 Symptoms signs and ill-defined conditions 780ndash799 31 03 29 05 27 04 30 04 38 03 Injury and poisoning 800ndash999 53 01 42 04 44 02 57 02 58 02

Fractures all sites4 800ndash829 51 02 25 02 43 02 57 04 56 02 Fracture of neck of femur4 820 61 02 62 12 62 06 61 02

Poisonings 960ndash989 30 02 16 01 25 01 30 02 54 12 Certain complications of surgical and medical care 996ndash999 62 02 79 17 54 03 61 02 65 03

Supplementary classifications V01ndashV86 37 01 49 06 27 00 85 06 108 04 Females with deliveries V27 26 00 33 06 26 00 38 04

Figure does not meet standards of reliability or precision Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 11

Table 5 Hospital discharges by first-listed diagnosis and sex (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 13834 623 20535 785

Infectious and parasitic diseases 001ndash139 1215 63 570 34 645 34 Septicemia 038 592 37 271 19 321 20

Neoplasms 140ndash239 1598 77 648 37 950 48 Malignant neoplasms 140ndash208230ndash234 1225 64 580 34 644 35

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 70 5 76 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 87 9 93 10

Benign neoplasms 210ndash229 332 18 51 5 281 16 Benign neoplasm of uterus 218ndash219 174 13 174 13

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 771 41 1045 50 Diabetes mellitus 250 626 32 322 17 304 18 Volume depletion 2765 469 31 188 17 281 19

Diseases of the blood and blood-forming organs 280ndash289 527 50 216 23 311 29 Anemias 280ndash285 382 43 146 19 236 26

Mental disorders 290ndash319 2386 310 1261 157 1125 160 Psychoses 290ndash299 1690 253 852 121 838 137

Schizophrenic disorders 295 324 40 180 23 144 21 Major depressive disorder 2962ndash2963 430 77 180 31 250 47

Diseases of the nervous system and sense organs 320ndash389 794 73 353 41 441 33 Diseases of the circulatory system 390ndash459 5890 236 3016 135 2873 107

Essential hypertension 401 349 20 138 11 211 13 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 2121 97 1844 74

Acute myocardial infarction 410 577 33 341 22 236 14 Coronary atherosclerosis 41404142 812 54 527 39 285 18 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 96 8 86 8 Cardiac dysrhythmias 427 827 39 421 24 407 20 Congestive heart failure 42804282ndash4284 982 43 464 25 518 24

Cerebrovascular disease 430ndash438 829 42 371 23 458 22 Diseases of the respiratory system 460ndash519 3300 162 1536 83 1765 88

Acute bronchitis and bronchiolitis 466 196 24 101 15 95 10 Pneumonia 480ndash486 1056 56 502 27 554 36 Chronic bronchitis 491 476 27 217 13 259 17 Asthma 493 456 39 182 22 274 20

Diseases of the digestive system 520ndash579 3290 134 1510 68 1781 72 Appendicitis 540ndash543 300 22 179 15 121 9 Noninfectious enteritis and colitis 555ndash558 304 19 121 11 183 12 Intestinal obstruction 560 315 18 147 11 168 10 Diverticula of intestine 562 276 17 116 8 160 12 Cholelithiasis 574 310 16 104 7 206 12 Acute pancreatitis 5770 235 13 122 8 114 8

Diseases of the genitourinary system 580ndash629 2092 85 673 30 1419 62 Calculus of kidney and ureter 592 135 8 71 6 64 5 Urinary tract infection 5990 517 34 149 12 368 26

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 498 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 396 24 355 19

Cellulitis and abscess 681ndash682 554 28 294 17 260 14 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 804 49 1077 67

Osteoarthrosis and allied disorders 715 718 56 283 25 435 34 Intervertebral disc disorders 722 320 22 161 12 159 13

Congenital anomalies 740ndash759 185 42 96 25 90 19 Certain conditions originating in the perinatal period 760ndash779 171 34 94 18 77 17 Symptoms signs and ill-defined conditions 780ndash799 188 23 82 10 106 14 Injury and poisoning 800ndash999 2855 154 1441 81 1415 79

Fractures all sites3 800ndash829 1045 68 472 35 573 37 Fracture of neck of femur3 820 297 22 89 8 208 17

Poisonings 960ndash989 239 16 113 10 126 9 Certain complications of surgical and medical care 996ndash999 908 54 441 27 467 30

Supplementary classifications V01ndashV86 4930 234 367 40 4564 219 Females with deliveries V27 4136 206 4136 206

Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

Page 12 National Health Statistics Reports n Number 29 n October 26 2010

Table 6 Hospital discharges by first-listed diagnosis and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 9367 422 13440 514

Infectious and parasitic diseases 001ndash139 404 21 386 23 422 22 Septicemia 038 197 12 184 13 210 13

Neoplasms 140ndash239 532 26 439 25 622 31 Malignant neoplasms 140ndash208230ndash234 408 21 393 23 422 23

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 48 04 50 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 59 06 61 06

Benign neoplasms 210ndash229 111 06 34 03 184 10 Benign neoplasm of uterus 218ndash219 58 04 114 09

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 522 28 684 33 Diabetes mellitus 250 208 11 218 12 199 12 Volume depletion 2765 156 10 127 11 184 12

Diseases of the blood and blood-forming organs 280ndash289 175 17 146 15 203 19 Anemias 280ndash285 127 14 99 13 155 17

Mental disorders 290ndash319 794 103 854 106 736 105 Psychoses 290ndash299 563 84 577 82 549 90

Schizophrenic disorders 295 108 13 122 16 94 14 Major depressive disorder 2962ndash2963 143 26 122 21 164 31

Diseases of the nervous system and sense organs 320ndash389 264 24 239 28 289 22 Diseases of the circulatory system 390ndash459 1960 78 2042 92 1881 70

Essential hypertension 401 116 07 93 07 138 09 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 1436 66 1207 48

Acute myocardial infarction 410 192 11 231 15 154 09 Coronary atherosclerosis 41404142 270 18 357 26 186 12 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 65 06 57 05 Cardiac dysrhythmias 427 275 13 285 16 266 13 Congestive heart failure 42804282ndash4284 327 14 314 17 339 16

Cerebrovascular disease 430ndash438 276 14 251 16 300 15 Diseases of the respiratory system 460ndash519 1098 54 1040 56 1155 58

Acute bronchitis and bronchiolitis 466 65 08 68 10 63 07 Pneumonia 480ndash486 352 19 340 18 363 23 Chronic bronchitis 491 158 09 147 09 170 11 Asthma 493 152 13 123 15 179 13

Diseases of the digestive system 520ndash579 1095 45 1022 46 1165 47 Appendicitis 540ndash543 100 07 121 10 79 06 Noninfectious enteritis and colitis 555ndash558 101 06 82 07 120 08 Intestinal obstruction 560 105 06 100 07 110 07 Diverticula of intestine 562 92 06 79 05 105 08 Cholelithiasis 574 103 05 70 05 135 08 Acute pancreatitis 5770 78 04 82 06 75 05

Diseases of the genitourinary system 580ndash629 696 28 456 20 929 41 Calculus of kidney and ureter 592 45 03 48 04 42 03 Urinary tract infection 5990 172 11 101 08 241 17

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 326 21 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 268 17 233 13

Cellulitis and abscess 681ndash682 184 09 199 12 170 09 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 544 33 705 44

Osteoarthrosis and allied disorders 715 239 19 192 17 284 22 Intervertebral disc disorders 722 106 07 109 08 104 09

Congenital anomalies 740ndash759 62 14 65 17 59 12 Certain conditions originating in the perinatal period 760ndash779 57 11 64 12 50 11 Symptoms signs and ill-defined conditions 780ndash799 63 08 56 07 69 09 Injury and poisoning 800ndash999 950 51 975 55 926 52

Fractures all sites4 800ndash829 348 23 320 23 375 24 Fracture of neck of femur4 820 99 07 61 06 136 11

Poisonings 960ndash989 80 05 77 07 83 06 Certain complications of surgical and medical care 996ndash999 302 18 299 18 305 19

Supplementary classifications V01ndashV86 1641 78 248 27 2987 143 Females with deliveries V27 1377 69 2707 135

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 11

Table 5 Hospital discharges by first-listed diagnosis and sex (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1

Number in thousands

All conditions 34369 1378 13834 623 20535 785

Infectious and parasitic diseases 001ndash139 1215 63 570 34 645 34 Septicemia 038 592 37 271 19 321 20

Neoplasms 140ndash239 1598 77 648 37 950 48 Malignant neoplasms 140ndash208230ndash234 1225 64 580 34 644 35

Malignant neoplasm of large intestine and rectum 153ndash1541975 146 9 70 5 76 6 Malignant neoplasm of trachea bronchus and lung 162176419701973 179 16 87 9 93 10

Benign neoplasms 210ndash229 332 18 51 5 281 16 Benign neoplasm of uterus 218ndash219 174 13 174 13

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 1816 87 771 41 1045 50 Diabetes mellitus 250 626 32 322 17 304 18 Volume depletion 2765 469 31 188 17 281 19

Diseases of the blood and blood-forming organs 280ndash289 527 50 216 23 311 29 Anemias 280ndash285 382 43 146 19 236 26

Mental disorders 290ndash319 2386 310 1261 157 1125 160 Psychoses 290ndash299 1690 253 852 121 838 137

Schizophrenic disorders 295 324 40 180 23 144 21 Major depressive disorder 2962ndash2963 430 77 180 31 250 47

Diseases of the nervous system and sense organs 320ndash389 794 73 353 41 441 33 Diseases of the circulatory system 390ndash459 5890 236 3016 135 2873 107

Essential hypertension 401 349 20 138 11 211 13 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 3965 165 2121 97 1844 74

Acute myocardial infarction 410 577 33 341 22 236 14 Coronary atherosclerosis 41404142 812 54 527 39 285 18 Other ischemic heart disease 411ndash41341414143ndash4149 182 14 96 8 86 8 Cardiac dysrhythmias 427 827 39 421 24 407 20 Congestive heart failure 42804282ndash4284 982 43 464 25 518 24

Cerebrovascular disease 430ndash438 829 42 371 23 458 22 Diseases of the respiratory system 460ndash519 3300 162 1536 83 1765 88

Acute bronchitis and bronchiolitis 466 196 24 101 15 95 10 Pneumonia 480ndash486 1056 56 502 27 554 36 Chronic bronchitis 491 476 27 217 13 259 17 Asthma 493 456 39 182 22 274 20

Diseases of the digestive system 520ndash579 3290 134 1510 68 1781 72 Appendicitis 540ndash543 300 22 179 15 121 9 Noninfectious enteritis and colitis 555ndash558 304 19 121 11 183 12 Intestinal obstruction 560 315 18 147 11 168 10 Diverticula of intestine 562 276 17 116 8 160 12 Cholelithiasis 574 310 16 104 7 206 12 Acute pancreatitis 5770 235 13 122 8 114 8

Diseases of the genitourinary system 580ndash629 2092 85 673 30 1419 62 Calculus of kidney and ureter 592 135 8 71 6 64 5 Urinary tract infection 5990 517 34 149 12 368 26

Complications of pregnancy childbirth and the puerperium2 630ndash677 498 31 498 31 Diseases of the skin and subcutaneous tissue 680ndash709 752 41 396 24 355 19

Cellulitis and abscess 681ndash682 554 28 294 17 260 14 Diseases of the musculoskeletal system and connective tissue 710ndash739 1881 112 804 49 1077 67

Osteoarthrosis and allied disorders 715 718 56 283 25 435 34 Intervertebral disc disorders 722 320 22 161 12 159 13

Congenital anomalies 740ndash759 185 42 96 25 90 19 Certain conditions originating in the perinatal period 760ndash779 171 34 94 18 77 17 Symptoms signs and ill-defined conditions 780ndash799 188 23 82 10 106 14 Injury and poisoning 800ndash999 2855 154 1441 81 1415 79

Fractures all sites3 800ndash829 1045 68 472 35 573 37 Fracture of neck of femur3 820 297 22 89 8 208 17

Poisonings 960ndash989 239 16 113 10 126 9 Certain complications of surgical and medical care 996ndash999 908 54 441 27 467 30

Supplementary classifications V01ndashV86 4930 234 367 40 4564 219 Females with deliveries V27 4136 206 4136 206

Category not applicable 1SE is standard error 2First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 3Excludes fractures coded as 7331 pathologic fracture

Page 12 National Health Statistics Reports n Number 29 n October 26 2010

Table 6 Hospital discharges by first-listed diagnosis and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 9367 422 13440 514

Infectious and parasitic diseases 001ndash139 404 21 386 23 422 22 Septicemia 038 197 12 184 13 210 13

Neoplasms 140ndash239 532 26 439 25 622 31 Malignant neoplasms 140ndash208230ndash234 408 21 393 23 422 23

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 48 04 50 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 59 06 61 06

Benign neoplasms 210ndash229 111 06 34 03 184 10 Benign neoplasm of uterus 218ndash219 58 04 114 09

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 522 28 684 33 Diabetes mellitus 250 208 11 218 12 199 12 Volume depletion 2765 156 10 127 11 184 12

Diseases of the blood and blood-forming organs 280ndash289 175 17 146 15 203 19 Anemias 280ndash285 127 14 99 13 155 17

Mental disorders 290ndash319 794 103 854 106 736 105 Psychoses 290ndash299 563 84 577 82 549 90

Schizophrenic disorders 295 108 13 122 16 94 14 Major depressive disorder 2962ndash2963 143 26 122 21 164 31

Diseases of the nervous system and sense organs 320ndash389 264 24 239 28 289 22 Diseases of the circulatory system 390ndash459 1960 78 2042 92 1881 70

Essential hypertension 401 116 07 93 07 138 09 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 1436 66 1207 48

Acute myocardial infarction 410 192 11 231 15 154 09 Coronary atherosclerosis 41404142 270 18 357 26 186 12 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 65 06 57 05 Cardiac dysrhythmias 427 275 13 285 16 266 13 Congestive heart failure 42804282ndash4284 327 14 314 17 339 16

Cerebrovascular disease 430ndash438 276 14 251 16 300 15 Diseases of the respiratory system 460ndash519 1098 54 1040 56 1155 58

Acute bronchitis and bronchiolitis 466 65 08 68 10 63 07 Pneumonia 480ndash486 352 19 340 18 363 23 Chronic bronchitis 491 158 09 147 09 170 11 Asthma 493 152 13 123 15 179 13

Diseases of the digestive system 520ndash579 1095 45 1022 46 1165 47 Appendicitis 540ndash543 100 07 121 10 79 06 Noninfectious enteritis and colitis 555ndash558 101 06 82 07 120 08 Intestinal obstruction 560 105 06 100 07 110 07 Diverticula of intestine 562 92 06 79 05 105 08 Cholelithiasis 574 103 05 70 05 135 08 Acute pancreatitis 5770 78 04 82 06 75 05

Diseases of the genitourinary system 580ndash629 696 28 456 20 929 41 Calculus of kidney and ureter 592 45 03 48 04 42 03 Urinary tract infection 5990 172 11 101 08 241 17

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 326 21 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 268 17 233 13

Cellulitis and abscess 681ndash682 184 09 199 12 170 09 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 544 33 705 44

Osteoarthrosis and allied disorders 715 239 19 192 17 284 22 Intervertebral disc disorders 722 106 07 109 08 104 09

Congenital anomalies 740ndash759 62 14 65 17 59 12 Certain conditions originating in the perinatal period 760ndash779 57 11 64 12 50 11 Symptoms signs and ill-defined conditions 780ndash799 63 08 56 07 69 09 Injury and poisoning 800ndash999 950 51 975 55 926 52

Fractures all sites4 800ndash829 348 23 320 23 375 24 Fracture of neck of femur4 820 99 07 61 06 136 11

Poisonings 960ndash989 80 05 77 07 83 06 Certain complications of surgical and medical care 996ndash999 302 18 299 18 305 19

Supplementary classifications V01ndashV86 1641 78 248 27 2987 143 Females with deliveries V27 1377 69 2707 135

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

Page 12 National Health Statistics Reports n Number 29 n October 26 2010

Table 6 Hospital discharges by first-listed diagnosis and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All conditions 11439 458 9367 422 13440 514

Infectious and parasitic diseases 001ndash139 404 21 386 23 422 22 Septicemia 038 197 12 184 13 210 13

Neoplasms 140ndash239 532 26 439 25 622 31 Malignant neoplasms 140ndash208230ndash234 408 21 393 23 422 23

Malignant neoplasm of large intestine and rectum 153ndash1541975 49 03 48 04 50 04 Malignant neoplasm of trachea bronchus and lung 162176419701973 60 05 59 06 61 06

Benign neoplasms 210ndash229 111 06 34 03 184 10 Benign neoplasm of uterus 218ndash219 58 04 114 09

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 604 29 522 28 684 33 Diabetes mellitus 250 208 11 218 12 199 12 Volume depletion 2765 156 10 127 11 184 12

Diseases of the blood and blood-forming organs 280ndash289 175 17 146 15 203 19 Anemias 280ndash285 127 14 99 13 155 17

Mental disorders 290ndash319 794 103 854 106 736 105 Psychoses 290ndash299 563 84 577 82 549 90

Schizophrenic disorders 295 108 13 122 16 94 14 Major depressive disorder 2962ndash2963 143 26 122 21 164 31

Diseases of the nervous system and sense organs 320ndash389 264 24 239 28 289 22 Diseases of the circulatory system 390ndash459 1960 78 2042 92 1881 70

Essential hypertension 401 116 07 93 07 138 09 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 1319 55 1436 66 1207 48

Acute myocardial infarction 410 192 11 231 15 154 09 Coronary atherosclerosis 41404142 270 18 357 26 186 12 Other ischemic heart disease 411ndash41341414143ndash4149 61 04 65 06 57 05 Cardiac dysrhythmias 427 275 13 285 16 266 13 Congestive heart failure 42804282ndash4284 327 14 314 17 339 16

Cerebrovascular disease 430ndash438 276 14 251 16 300 15 Diseases of the respiratory system 460ndash519 1098 54 1040 56 1155 58

Acute bronchitis and bronchiolitis 466 65 08 68 10 63 07 Pneumonia 480ndash486 352 19 340 18 363 23 Chronic bronchitis 491 158 09 147 09 170 11 Asthma 493 152 13 123 15 179 13

Diseases of the digestive system 520ndash579 1095 45 1022 46 1165 47 Appendicitis 540ndash543 100 07 121 10 79 06 Noninfectious enteritis and colitis 555ndash558 101 06 82 07 120 08 Intestinal obstruction 560 105 06 100 07 110 07 Diverticula of intestine 562 92 06 79 05 105 08 Cholelithiasis 574 103 05 70 05 135 08 Acute pancreatitis 5770 78 04 82 06 75 05

Diseases of the genitourinary system 580ndash629 696 28 456 20 929 41 Calculus of kidney and ureter 592 45 03 48 04 42 03 Urinary tract infection 5990 172 11 101 08 241 17

Complications of pregnancy childbirth and the puerperium3 630ndash677 166 10 326 21 Diseases of the skin and subcutaneous tissue 680ndash709 250 13 268 17 233 13

Cellulitis and abscess 681ndash682 184 09 199 12 170 09 Diseases of the musculoskeletal system and connective tissue 710ndash739 626 37 544 33 705 44

Osteoarthrosis and allied disorders 715 239 19 192 17 284 22 Intervertebral disc disorders 722 106 07 109 08 104 09

Congenital anomalies 740ndash759 62 14 65 17 59 12 Certain conditions originating in the perinatal period 760ndash779 57 11 64 12 50 11 Symptoms signs and ill-defined conditions 780ndash799 63 08 56 07 69 09 Injury and poisoning 800ndash999 950 51 975 55 926 52

Fractures all sites4 800ndash829 348 23 320 23 375 24 Fracture of neck of femur4 820 99 07 61 06 136 11

Poisonings 960ndash989 80 05 77 07 83 06 Certain complications of surgical and medical care 996ndash999 302 18 299 18 305 19

Supplementary classifications V01ndashV86 1641 78 248 27 2987 143 Females with deliveries V27 1377 69 2707 135

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 13

Table 7 Hospital discharges by first-listed diagnosis and sex (average length of stay) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Diagnostic groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Both sexes Male Female

Category of first-listed diagnosis and ICDndash9ndashCM code ALOS1 SE2 ALOS1 SE2 ALOS1 SE2

All conditions 48 01 53 01 46 01

Infectious and parasitic diseases 001ndash139 72 02 74 03 71 02 Septicemia 038 94 03 97 06 91 04

Neoplasms 140ndash239 58 01 67 02 52 01 Malignant neoplasms 140ndash208230ndash234 65 01 69 02 61 02

Malignant neoplasm of large intestine and rectum 153ndash1541975 85 04 86 06 84 05 Malignant neoplasm of trachea bronchus and lung 162176419701973 68 03 73 04 64 04

Benign neoplasms 210ndash229 34 01 45 04 32 02 Benign neoplasm of uterus 218ndash219 24 01 24 01

Endocrine nutritional and metabolic diseases and immunity disorders 240ndash279 42 01 43 02 41 02 Diabetes mellitus 250 51 03 50 02 52 04 Volume depletion 2765 34 01 31 01 36 01

Diseases of the blood and blood-forming organs 280ndash289 51 04 53 05 49 04 Anemias 280ndash285 51 06 53 07 49 06

Mental disorders 290ndash319 71 03 71 04 72 03 Psychoses 290ndash299 75 02 74 03 77 03

Schizophrenic disorders 295 111 05 106 06 118 07 Major depressive disorder 2962ndash2963 63 02 64 02 63 02

Diseases of the nervous system and sense organs 320ndash389 59 09 62 09 56 08 Diseases of the circulatory system 390ndash459 45 01 44 01 46 01

Essential hypertension 401 26 01 27 02 26 01 Heart disease 391ndash3920393ndash398402404410ndash416420ndash429 44 01 43 01 45 01

Acute myocardial infarction 410 51 01 50 02 53 02 Coronary atherosclerosis 41404142 34 01 34 01 34 01 Other ischemic heart disease 411ndash41341414143ndash4149 24 01 23 02 25 01 Cardiac dysrhythmias 427 36 01 36 01 37 01 Congestive heart failure 42804282ndash4284 51 01 51 01 51 01

Cerebrovascular disease 430ndash438 53 02 53 03 54 03 Diseases of the respiratory system 460ndash519 51 01 50 01 52 01

Acute bronchitis and bronchiolitis 466 31 01 31 01 31 02 Pneumonia 480ndash486 50 01 48 01 52 01 Chronic bronchitis 491 47 01 45 02 48 01 Asthma 493 34 01 31 01 37 01

Diseases of the digestive system 520ndash579 46 01 47 01 46 01 Appendicitis 540ndash543 31 02 34 03 27 01 Noninfectious enteritis and colitis 555ndash558 44 02 39 02 47 03 Intestinal obstruction 560 60 02 57 03 62 03 Diverticula of intestine 562 48 01 46 02 49 02 Cholelithiasis 574 39 01 44 02 37 01 Acute pancreatitis 5770 61 05 62 09 59 05

Diseases of the genitourinary system 580ndash629 41 01 45 01 39 01 Calculus of kidney and ureter 592 25 01 23 01 28 02 Urinary tract infection 5990 46 01 44 01 47 02

Complications of pregnancy childbirth and the puerperium3 630ndash677 29 01 29 01 Diseases of the skin and subcutaneous tissue 680ndash709 48 01 49 02 48 01

Cellulitis and abscess 681ndash682 45 01 43 01 47 01 Diseases of the musculoskeletal system and connective tissue 710ndash739 41 02 40 02 42 02

Osteoarthrosis and allied disorders 715 37 01 36 02 37 01 Intervertebral disc disorders 722 31 01 27 01 35 02

Congenital anomalies 740ndash759 61 13 47 07 77 22 Certain conditions originating in the perinatal period 760ndash779 78 10 79 11 78 09 Symptoms signs and ill-defined conditions 780ndash799 31 03 33 04 29 03 Injury and poisoning 800ndash999 53 01 52 02 53 02

Fractures all sites4 800ndash829 51 02 52 02 51 02 Fracture of neck of femur4 820 61 02 65 03 59 02

Poisonings 960ndash989 30 02 32 03 27 01 Certain complications of surgical and medical care 996ndash999 62 02 62 02 62 02

Supplementary classifications V01-V86 37 01 97 05 32 01 Females with deliveries V27 26 00 26 00

Category not applicable 00 Quantity more than zero but less than 005 1ALOS is average length of stay 2SE is standard error of average length of stay 3First-listed diagnosis for females with deliveries is coded V27 shown under lsquolsquoSupplementary classificationsrsquorsquo 4Excludes fractures coded as 7331 pathologic fracture

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

Page 14 National Health Statistics Reports n Number 29 n October 26 2010

Table 8 All-listed procedures for hospital discharges by procedure category and age (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)]

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 1882 380 14684 611 12398 540 16029 717

Operations on the nervous system 01ndash05 1197 92 190 52 335 34 322 24 350 27 Spinal tap 0331 338 41 133 37 80 7 68 6 57 5

Operations on the endocrine system 06ndash07 118 15 34 7 50 6 30 5 Operations on the eye 08ndash16 79 12 9 3 18 3 20 4 32 8 Operations on the ear 18ndash20 41 6 21 5 10 2 7 1 Operations on the nose mouth and pharynx 21ndash29 257 26 55 15 90 10 61 7 52 5 Operations on the respiratory system 30ndash34 1109 61 155 12 363 25 535 31

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 33 4 94 9 117 10 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 6942 342 726 40 2517 125 3526 195 Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 35 5 263 19 320 30 Insertion of coronary artery stent(s) 3606ndash3607 560 45 31 5 238 18 290 30 Coronary artery bypass graft3 361 405 34 9 2 165 17 231 20 Cardiac catheterization 3721ndash3723 1061 64 82 8 453 27 517 35 Insertion replacement removal and revision of pacemaker leads

or device 377ndash378005000530057 358 22 11 3 59 7 288 19 Hemodialysis 3995 679 50 115 14 271 21 291 26

Operations on the hemic and lymphatic system 40ndash41 370 30 16 5 51 7 155 17 146 11 Operations on the digestive system 42ndash54 5474 231 221 49 1243 56 1743 86 2267 99

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 14 4 151 10 296 19 545 29 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 74 7 145 9 285 15 Partial excision of large intestine 457 258 15 33 4 94 7 129 9 Appendectomy excluding incidental 470 326 23 69 12 169 11 59 5 29 4 Cholecystectomy 512 403 18 137 8 128 8 134 9 Lysis of peritoneal adhesions 545 357 19 6 2 120 8 128 10 103 7

Operations on the urinary system 55ndash59 995 61 26 6 212 18 346 22 410 32 Cystoscopy with or without biopsy 5731ndash5733 125 9 24 4 44 4 55 6

Operations on the male genital organs 60ndash64 230 21 21 6 17 3 90 11 102 9 Prostatectomy 602ndash606 156 17 74 10 80 8

Operations on the female genital organs 65ndash71 1785 102 11 3 1024 63 553 33 197 19 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 144 12 172 11 47 5 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 323 23 Hysterectomy 683ndash687689 517 33 250 20 216 14 51 5

Obstetrical procedures 72ndash75 7003 343 6977 342 14 3 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 442 33 Artificial rupture of membranes 730 887 68 884 68 Medical induction of labor 734 670 47 666 47 Cesarean section 740ndash7427447499 1339 73 1333 73 4 1 Repair of current obstetric laceration 755ndash756 1261 65 1257 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 144 28 922 65 1550 95 1683 106 Partial excision of bone 762ndash763776ndash778 184 13 47 5 81 7 51 4 Reduction of fracture 767790ndash793 677 43 44 8 208 19 163 13 263 17

Open reduction of fracture with internal fixation 793 453 29 15 3 132 14 115 9 190 12 Excision or destruction of intervertebral disc 805 310 24 92 8 151 12 67 8 Total hip replacement 81510085 230 18 13 2 91 9 125 10 Total knee replacement 8154 543 43 11 3 213 17 316 27

Operations on the integumentary system 85ndash86 1558 118 468 41 510 31 435 33 Debridement of wound infection or burn 86228628 377 42 100 15 122 12 120 11 Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 778 135 2400 147 4094 205 6245 313

Computerized axial tomography 87038741877188018838 632 118 135 24 180 32 287 61 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 174 14 759 44 915 51 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 25 6 116 15 268 27 458 61 Physical therapy procedures 931ndash933 368 63 40 9 80 14 236 43 Respiratory therapy 9399670012 1093 65 132 23 160 11 308 21 493 34 Insertion of endotracheal tube 9604 511 28 35 7 75 6 144 9 257 17 Transfusion of blood and blood components 990 2058 115 70 18 255 20 521 32 1211 72 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 39 10 36 5 84 10 52 6

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 15

Table 9 All-listed procedures for hospital discharges by procedure category and age (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Under 15ndash44 45ndash64 65 years All ages 15 years years years and over

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1 Number SE1 Number SE1

Rate per 10000 population2

All procedures3 14974 615 3092 624 11732 488 16201 706 42305 1892

Operations on the nervous system 01ndash05 398 31 312 86 267 27 421 32 924 70 Spinal tap 0331 113 14 218 61 64 05 90 08 150 13

Operations on the endocrine system 06ndash07 39 05 27 05 66 08 80 12 Operations on the eye 08ndash16 26 04 15 04 15 02 26 05 83 21 Operations on the ear 18ndash20 14 02 35 09 08 02 17 04 Operations on the nose mouth and pharynx 21ndash29 86 09 90 25 72 08 79 10 138 14 Operations on the respiratory system 30ndash34 369 20 124 10 474 32 1413 83

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 27 03 122 12 309 26 Operations on the cardiovascular system 35ndash390050ndash0051

0053ndash005500570061ndash0066 2310 114 580 32 3289 163 9308 514 Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 28 04 344 25 844 80 Insertion of coronary artery stent(s) 3606ndash3607 186 15 25 04 312 23 766 78 Coronary artery bypass graft4 361 135 11 07 01 216 22 609 53 Cardiac catheterization 3721ndash3723 353 21 66 06 593 36 1365 94 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 09 02 76 09 759 50

Hemodialysis 3995 226 17 92 11 354 27 768 67 Operations on the hemic and lymphatic system 40ndash41 123 10 27 08 41 06 203 22 386 29 Operations on the digestive system 42ndash54 1822 77 364 81 993 45 2278 112 5983 263

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 23 06 121 08 386 25 1438 77 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 11 03 59 06 189 12 752 40 Partial excision of large intestine 457 86 05 26 03 123 10 340 24 Appendectomy excluding incidental 470 109 08 113 19 135 09 77 07 77 11 Cholecystectomy 512 134 06 110 07 167 10 354 23 Lysis of peritoneal adhesions 545 119 06 10 03 96 06 167 13 272 19

Operations on the urinary system 55ndash59 331 20 43 10 170 14 453 28 1083 83 Cystoscopy with or without biopsy 5731ndash5733 42 03 04 01 19 03 58 06 144 15

Operations on the male genital organs 60ndash64 76 07 34 09 14 03 117 14 269 25 Prostatectomy 602ndash606 52 06 97 13 212 21

Operations on the female genital organs 65ndash71 594 34 19 05 818 50 722 43 519 50 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 115 10 225 14 124 13 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 258 18 Hysterectomy 683ndash687689 172 11 200 16 282 18 133 14

Obstetrical procedures 72ndash75 2331 114 20 06 5574 273 18 04 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 353 26 Artificial rupture of membranes 730 295 23 706 54 Medical induction of labor 734 223 16 532 38 Cesarean section 740ndash7427447499 446 24 1065 58 06 01 Repair of current obstetric laceration 755ndash756 420 22 1004 52

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 237 45 737 52 2026 124 4442 279 Partial excision of bone 762ndash763776ndash778 61 04 10 03 37 04 105 09 134 11 Reduction of fracture 767790ndash793 225 14 72 12 166 15 213 16 694 45

Open reduction of fracture with internal fixation 793 151 09 25 05 106 11 151 11 501 33 Excision or destruction of intervertebral disc 805 103 08 73 07 198 16 176 21 Total hip replacement 81510085 77 06 10 02 120 12 330 27 Total knee replacement 8154 181 14 09 02 279 23 834 71

Operations on the integumentary system 85ndash86 518 39 374 33 666 40 1148 86 Debridement of wound infection or burn 86228628 126 14 80 12 160 16 317 28

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 1277 222 1917 117 5349 268 16482 825 Computerized axial tomography 87038741877188018838 210 39 108 19 235 42 757 162 Arteriography and angiocardiography using contrast material 884ndash885 619 34 139 11 992 58 2414 135 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 41 09 92 12 350 36 1208 160 Physical therapy procedures 931ndash933 122 21 32 07 104 19 622 115 Respiratory therapy 9399670012 364 22 217 37 128 09 402 27 1303 89 Insertion of endotracheal tube 9604 170 09 58 11 60 05 188 12 678 45 Transfusion of blood and blood components 990 685 38 115 30 204 16 681 41 3196 191 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 64 16 29 04 110 13 137 16

Figure does not meet standards of reliability or precision Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

Page 16 National Health Statistics Reports n Number 29 n October 26 2010

Table 10 All-listed procedures for hospital discharges by procedure category and sex (number) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Both sexes Male Female

Procedure category and ICDndash9ndashCM code Number SE1 Number SE1 Number SE1

Number in thousands

All procedures2 44993 1846 17963 818 27030 1083

Operations on the nervous system 01ndash05 1197 92 565 47 632 53 Spinal tap 0331 338 41 177 26 161 16

Operations on the endocrine system 06ndash07 118 15 27 4 91 12 Operations on the eye 08ndash16 79 12 41 6 37 7 Operations on the ear 18ndash20 41 6 28 5 14 3 Operations on the nose mouth and pharynx 21ndash29 257 26 155 15 102 13 Operations on the respiratory system 30ndash34 1109 61 577 38 531 28

Bronchoscopy with or without biopsy 3321ndash33243327 259 19 137 12 122 10 Operations on the cardiovascular system 35ndash390050ndash00510053ndash005500570061ndash0066 6942 342 3963 205 2979 146

Balloon angioplasty of coronary artery or coronary atherectomy 0066 618 48 410 34 208 16 Insertion of coronary artery stent(s) 3606ndash3607 560 45 376 32 183 15 Coronary artery bypass graft3 361 405 34 291 24 114 12 Cardiac catheterization 3721ndash3723 1061 64 639 42 422 25 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 358 22 180 13 178 15

Hemodialysis 3995 679 50 349 28 331 31 Operations on the hemic and lymphatic system 40ndash41 370 30 181 19 189 15 Operations on the digestive system 42ndash54 5474 231 2385 108 3089 133

Endoscopy of small intestine with or without biopsy 4511ndash45144516 1006 51 438 23 568 30 Endoscopy of large intestine with or without biopsy 4521ndash4525 510 23 212 13 298 15 Partial excision of large intestine 457 258 15 117 8 141 10 Appendectomy excluding incidental 470 326 23 186 15 140 10 Cholecystectomy 512 403 18 142 8 261 13 Lysis of peritoneal adhesions 545 357 19 93 8 264 15

Operations on the urinary system 55ndash59 995 61 451 31 544 36 Cystoscopy with or without biopsy 5731ndash5733 125 9 55 5 70 7

Operations on the male genital organs 60ndash64 230 21 230 21 Prostatectomy 602ndash606 156 17 156 17

Operations on the female genital organs 65ndash71 1785 102 1785 102 Oophorectomy and salpingo-oophorectomy 653ndash656 366 23 366 23 Bilateral destruction or occlusion of fallopian tubes 662ndash663 325 23 325 23 Hysterectomy 683ndash687689 517 33 517 33

Obstetrical procedures 72ndash75 7003 343 7003 343 Episiotomy with or without forceps or vacuum extraction 721722172317271736 443 33 443 33 Artificial rupture of membranes 730 887 68 887 68 Medical induction of labor 734 670 47 670 47 Cesarean section 740ndash7427447499 1339 73 1339 73 Repair of current obstetric laceration 755ndash756 1261 65 1261 65

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 4300 256 2042 119 2257 145 Partial excision of bone 762ndash763776ndash778 184 13 99 8 85 7 Reduction of fracture 767790ndash793 677 43 325 24 352 23

Open reduction of fracture with internal fixation 793 453 29 208 15 244 17 Excision or destruction of intervertebral disc 805 310 24 158 14 152 13 Total hip replacement 81510085 230 18 108 10 122 10 Total knee replacement 8154 543 43 202 18 341 27

Operations on the integumentary system 85ndash86 1558 118 738 73 820 51 Debridement of wound infection or burn 86228628 377 42 210 30 167 16

Miscellaneous diagnostic and therapeutic procedures and new technologies4 87ndash9900 13516 669 6573 335 6942 348 Computerized axial tomography 87038741877188018838 632 118 297 57 335 63 Arteriography and angiocardiography using contrast material 884ndash885 1861 102 1034 62 827 46 Diagnostic ultrasound 8870021ndash00250028ndash0029 866 97 383 40 482 60 Physical therapy procedures 931ndash933 368 63 162 28 206 37 Respiratory therapy 9399670012 1093 65 553 35 540 34 Insertion of endotracheal tube 9604 511 28 259 15 252 16 Transfusion of blood and blood components 990 2058 115 890 54 1168 64 Injection or infusion of cancer chemotherapeutic substance 99250010 210 19 107 12 103 10

Category not applicable 1SE is standard error 2In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 3The number of discharges with a coronary artery bypass graft was 232000 4Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

National Health Statistics Reports n Number 29 n October 26 2010 Page 17

Table 11 All-listed procedures for hospital discharges by procedure category and sex (rate) United States 2007

[Discharges of inpatients from short-stay nonfederal hospitals Excludes newborn infants Procedure groupings and code numbers are based on the International Classification of Diseases Ninth Revision Clinical Modification (ICDndash9ndashCM)

Both sexes Male Female

Procedure category and ICDndash9ndashCM code Rate SE1 Rate SE1 Rate SE1

Rate per 10000 population2

All procedures3 14974 615 12164 554 17691 709

Operations on the nervous system 01ndash05 398 31 382 32 414 35 Spinal tap 0331 113 14 120 18 105 11

Operations on the endocrine system 06ndash07 39 05 18 03 60 08 Operations on the eye 08ndash16 26 04 28 04 24 05 Operations on the ear 18ndash20 14 02 19 03 09 02 Operations on the nose mouth and pharynx 21ndash29 86 09 105 10 67 08 Operations on the respiratory system 30ndash34 369 20 391 26 348 18

Bronchoscopy with or without biopsy 3321ndash33243327 86 06 93 08 80 06 Operations on the cardiovascular system 35ndash390050ndash00510053ndash005500570061ndash0066 2310 114 2684 139 1950 95

Balloon angioplasty of coronary artery or coronary atherectomy 0066 206 16 278 23 136 11 Insertion of coronary artery stent(s) 3606ndash3607 186 15 255 22 120 10 Coronary artery bypass graft4 361 135 11 197 16 75 08 Cardiac catheterization 3721ndash3723 353 21 433 28 276 17 Insertion replacement removal and revision of pacemaker leads or device 377ndash378005000530057 119 07 122 09 117 10 Hemodialysis 3995 226 17 236 19 216 21

Operations on the hemic and lymphatic system 40ndash41 123 10 122 13 124 10 Operations on the digestive system 42ndash54 1822 77 1615 73 2022 87

Endoscopy of small intestine with or without biopsy 4511ndash45144516 335 17 296 16 372 20 Endoscopy of large intestine with or without biopsy 4521ndash4525 170 08 143 09 195 10 Partial excision of large intestine 457 86 05 79 06 92 06 Appendectomy excluding incidental 470 109 08 126 10 92 06 Cholecystectomy 512 134 06 96 05 171 08 Lysis of peritoneal adhesions 545 119 06 63 05 173 10

Operations on the urinary system 55ndash59 331 20 305 21 356 24 Cystoscopy with or without biopsy 5731ndash5733 42 03 37 04 46 05

Operations on the male genital organs 60ndash64 76 07 156 14 Prostatectomy 602ndash606 52 06 105 11

Operations on the female genital organs 65ndash71 594 34 1169 67 Oophorectomy and salpingo-oophorectomy 653ndash656 122 07 239 15 Bilateral destruction or occlusion of fallopian tubes 662ndash663 108 08 213 15 Hysterectomy 683ndash687689 172 11 338 22

Obstetrical procedures 72ndash75 2331 114 4584 225 Episiotomy with or without forceps or vacuum extraction 721722172317271736 147 11 290 21 Artificial rupture of membranes 730 295 23 580 45 Medical induction of labor 734 223 16 439 31 Cesarean section 740ndash7427447499 446 24 876 48 Repair of current obstetric laceration 755ndash756 420 22 825 42

Operations on the musculoskeletal system 76ndash840070ndash00730080ndash00840085ndash0087 1431 85 1383 80 1478 95 Partial excision of bone 762ndash763776ndash778 61 04 67 05 56 05 Reduction of fracture 767790ndash793 225 14 220 16 231 15

Open reduction of fracture with internal fixation 793 151 09 141 10 160 11 Excision or destruction of intervertebral disc 805 103 08 107 09 100 09 Total hip replacement 81510085 77 06 73 07 80 07 Total knee replacement 8154 181 14 137 12 223 18

Operations on the integumentary system 85ndash86 518 39 499 50 537 33 Debridement of wound infection or burn 86228628 126 14 142 20 110 10

Miscellaneous diagnostic and therapeutic procedures and new technologies5 87ndash9900 4498 223 4451 227 4544 228 Computerized axial tomography 87038741877188018838 210 39 201 38 219 41 Arteriography and angiocardiography using contrast material 884ndash885 619 34 700 42 541 30 Diagnostic ultrasound 8870021ndash00250028ndash0029 288 32 259 27 316 39 Physical therapy procedures 931ndash933 122 21 110 19 135 24 Respiratory therapy 9399670012 364 22 374 23 354 22 Insertion of endotracheal tube 9604 170 09 175 10 165 11 Transfusion of blood and blood components 990 685 38 602 37 764 42 Injection or infusion of cancer chemotherapeutic substance 99250010 70 06 72 08 68 06

Category not applicable 1SE is standard error of rate 2Rates were calculated using US Census Bureau 2000-based postcensal estimates of the civilian population as of July 1 2007 3In 2002 the Chapter 00 codes were established For reporting purposes between 2003 and 2005 all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category Beginning in 2006 the 00 codes are included in the categories and chapters of their previous codes where applicable See Data source 4The rate per 10000 population of discharges with a coronary artery bypass graft was 77 5Chapter 00 codes included in this category 0001ndash0003 0009 0010ndash0018 0021ndash0025 0028ndash0029 0031ndash0035 0039 0040ndash0043 0045ndash0048 0052 0056 0074ndash0076 0091ndash0093

Page 18 National Health Statistics Reports n Number 29 n October 26 2010

Technical Notes

Estimation

Because of the complex multistage design of NHDS the survey data must be inflated or weighted in order to produce national estimates The estimation procedure produces essentially unbiased national estimates and has three basic components inflation by reciprocals of the probabilities of sample selection adjustment for nonresponse and population weighting ratio adjustments These three components of the final weight are described in more detail in another report (13)

The standard error is primarily a measure of sampling variability that occurs by chance because only a sample rather than the entire universe is surveyed Estimates of the sampling variability for this report were calculated with SUDAAN software which takes into account the complex sample design A description of the software and the approach it uses has been published (17) The standard errors of statistics presented in this report are included in each of the tables

Use of tables

Discharges are reported by first-listed diagnosis which is the one specified as the principal diagnosis on the face sheet or discharge summary of the medical record or if a principal diagnosis is not specified the first one listed on the face sheet or discharge summary of the medical record It is usually the main cause of the hospitalization The number of first-listed diagnoses is the same as the number of discharges

Estimates of procedures include surgical or nonsurgical operations diagnostic procedures and special treatments reported on the medical record Up to four procedures are coded for each discharge All-listed procedures include all occurrences of the procedure coded regardless of the order on the medical record Definitions of the terms used in this report have been published (1)

The diagnoses and procedures appear in separate tables of this report presented by chapter of the ICDndash9ndashCM Within these chapters subcategories of diagnoses or procedures are shown These specific categories were selected primarily because of the large number of discharges or because they are of special interest Data for newborn infants defined as patients admitted to a hospital by birth are excluded from this report

Because of low reliability estimates with a relative standard error of more than 30 percent or those based on a sample of fewer than 30 records are replaced by asterisks () The estimates that are based on 30ndash59 patient records are preceded by an asterisk () to indicate that they also have low reliability

Estimates are rounded to the nearest thousand Therefore figures within tables do not always add to the totals Rates and average lengths of stay are calculated from unrounded figures and may not precisely agree with rates or average lengths of stay calculated from rounded data

Discharge rates were calculated by dividing the number of discharges by the US civilian population and then multiplying by the unit reported for example when reporting rate per 10000 population multiply by 10000 Rates are computed using adjustments made after the 2000 census (postcensal estimates) of the civilian population of the United States as of July 1 2007 The data are from unpublished tabulations provided by the US Census Bureau

This is the seventh year that NHDS publications have used rates calculated from the 2000 census The rates for NHDS reports on 1991ndash2000 data were computed using postcensal estimates of the civilian population based on the 1990 census Population estimates for the civilian population from the 2000 census were not available until after the 2000 NHDS reports were prepared

A weighted least squares regression method (18) was used to test the significance of time trends shown in Figures 1 and 5 or mentioned in the text Differences mentioned between

2007 NHDS estimates were tested using the two-sided t-test Terms that express differences such as higher lower largest smallest leading increased or decreased were only used when the differences were statistically significant at the 005 level

National Health Statistics Reports n Number 29 n October 26 2010 Page 19

OMB No 0920-0212

FORM HDS-1 (3-20-2008)

US DEPARTMENT OF COMMERCE Economics and Statistics Administration

US CENSUS BUREAU

MEDICAL ABSTRACT NATIONAL HOSPITAL DISCHARGE SURVEY

1 Hospital number

A PATIENT IDENTIFICATION

3

4 Date of admission

Month Day Year

B PATIENT CHARACTERISTICS 7 Date of birth

8 Age ndash Completeonly if date ofbirth not given

Month Day Year

Years Months Days

Units 1

2

3

9 Sex ndash Mark (X) one

11 Race ndash Mark all that apply

10 Ethnicity ndash Mark (X) one 12 Marital status ndash Mark (X) one 1 Male 2 Female 3 Not stated

1 White 2

1 Hispanicor Latino

1 Married 2 Single

2 Not Hispanicor Latino

3

4

Widowed Divorced

6 Other ndash Specify

3 Not stated 5

6

Separated Not stated

16 Expected source(s) of payment

No source of payment indicated

Principal Other

additional sources

15 StatusDisposition of patient ndash Mark (X) appropriate box(es)

Disposition

Alive Routine dischargedischarged home Left against medical advice

Died Status not stated

2

3

1 a b c

d

e

ndash ndash

ndash ndash

ndash ndash2 HDS number

6 Residence ZIP Code

5 Date of discharge

7 Not stated

Notice ndash All information which would permit identification of an individual or anestablishment will be held confidential will be used only by persons engaged in andfor the purposes of the survey and will not be disclosed or released to other personsor used for any other purpose Public reporting burden of this collection of informationis estimated to average 4 minutes per response including the time for reviewinginstructions searching existing data sources gathering and maintaining the dataneeded and completing and reviewing the collection of information An agency maynot conduct or sponsor and a person is not required to respond to a collection ofinformation unless it displays a currently valid OMB control number Send commentsregarding this burden estimate or any other aspect of this collection of informationincluding suggestions for reducing this burden to CDCATSDR Reports ClearanceOfficer 1600 Clifton Road MS D-74 Atlanta GA 30333 ATTN PRA (0920-0212)

1 Workerrsquos compensation

ACTING AS COLLECTING AGENT FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES

CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL CENTER FOR HEALTH STATISTICS

Asian4

American Indian or Alaska Native

3

5 Native Hawaiian or Other Pacific Islander

13 Type of Admission ndash Mark (X) one 1 Emergency

Urgent2 4

3 5

C ADMINISTRATIVE INFORMATION

14 Source of Admission ndash Mark (X) one 1 Physician referral

Clinical referral HMO referral Transfer from a hospital Transfer from SNF

2

4

3

5

6

7

8

9

10 Item not available

Discharged transferred tolong-term care institution

Discharged transferred to anothershort-term hospital

Other dispositionnot stated

Transfer from other health facility

Emergency room CourtLaw enforcement Other ndash Specify

Status

2 Medicare 3 Medicaid 4 Other government payments 5 Blue CrossBlue Shield 6 HMOPPO 7 Other private or

commercial insurance 8 Self pay 9 No charge

10 Other ndashSpecify

Mark all that

apply

Mark one only

Newborn Elective Items not available

unknown

Black or African American

(Item deleted)

(Over)

Figure I Medical abstract National Hospital Dishcarge Survey 2007

Page 20 National Health Statistics Reports n Number 29 n October 26 2010

Completed by Date

No procedures

Month Day Year

Admitting diagnosis

18 Final diagnoses (up to 7 diagnoses including E-codes) (Enter ICD-9-CM codes as well as narrative if available)

Diagnosis ICD-9-CM Code Description Present on admission

Yes No Unknown Clinically undetermined No information on face sheetPrincipal diagnosis

Diagnosis 2

Diagnosis 3

Diagnosis 4

Diagnosis 5

Diagnosis 6

Diagnosis 7

19 Surgical and Diagnostic Procedures (up to 4 procedures) (Enter ICD-9-CM codes as well as narrative if available)

Procedure ICD-9-CM Code

Principal procedure

Description Date of Procedure(s)

Procedure 2

Procedure 3

Procedure 4

Comments

DescriptionICD-9-CM Code

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

D MEDICAL INFORMATION

17 ADMITTING DIAGNOSIS

Page 2 FORM HDS-1 (3-20-2008)

Figure I Medical abstract National Hospital Dishcarge Survey 2007mdashCon

Page 24 National Health Statistics Reports n Number 29 n October 26 2010

Acknowledgments

This report was prepared in the Division of Health Care Statistics (DHCS) This report was edited by Demarius V Miller CDCNCHMDivision of Creative Services Writer-Editor Services Branch typeset by Annette F Holman and graphics produced by Zorica Tomic-Whalen (Contractor) CDCOSELSNCHSODOffice of Information Services Information Design and Publishing Staff

Suggested citation

Hall MJ DeFrances CJ Williams SN Golosinskiy A Schwartzman A National Hospital Discharge Survey 2007 summary National health statistics reports no 29 Hyattsville MD National Center for Health Statistics 2010

Copyright information

All material appearing in this report is in the public domain and may be reproduced or copied without permission citation as to source however is appreciated

National Center for Health Statistics

Edward J Sondik PhD Director Jennifer H Madans PhD Associate Director

for Science

Division of Health Care Statistics Jane E Sisk PhD Director

US DEPARTMENT OF HEALTH amp HUMAN SERVICES

Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road Hyattsville MD 20782

FIRST CLASS POSTAGE amp FEES PAID

CDCNCHS PERMIT NO G-284

OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300

To receive this publication regularly contact the National Center for Health Statistics by calling 1ndash800ndash232ndash4636 E-mail cdcinfocdcgov Internet httpwwwcdcgovnchs

DHHS Publication No (PHS) 2011ndash1250 CS215431 T37834 (102010)

National Health Statistics Reports n Number 29 n October 26 2010 Page 19

OMB No 0920-0212

FORM HDS-1 (3-20-2008)

US DEPARTMENT OF COMMERCE Economics and Statistics Administration

US CENSUS BUREAU

MEDICAL ABSTRACT NATIONAL HOSPITAL DISCHARGE SURVEY

1 Hospital number

A PATIENT IDENTIFICATION

3

4 Date of admission

Month Day Year

B PATIENT CHARACTERISTICS 7 Date of birth

8 Age ndash Completeonly if date ofbirth not given

Month Day Year

Years Months Days

Units 1

2

3

9 Sex ndash Mark (X) one

11 Race ndash Mark all that apply

10 Ethnicity ndash Mark (X) one 12 Marital status ndash Mark (X) one 1 Male 2 Female 3 Not stated

1 White 2

1 Hispanicor Latino

1 Married 2 Single

2 Not Hispanicor Latino

3

4

Widowed Divorced

6 Other ndash Specify

3 Not stated 5

6

Separated Not stated

16 Expected source(s) of payment

No source of payment indicated

Principal Other

additional sources

15 StatusDisposition of patient ndash Mark (X) appropriate box(es)

Disposition

Alive Routine dischargedischarged home Left against medical advice

Died Status not stated

2

3

1 a b c

d

e

ndash ndash

ndash ndash

ndash ndash2 HDS number

6 Residence ZIP Code

5 Date of discharge

7 Not stated

Notice ndash All information which would permit identification of an individual or anestablishment will be held confidential will be used only by persons engaged in andfor the purposes of the survey and will not be disclosed or released to other personsor used for any other purpose Public reporting burden of this collection of informationis estimated to average 4 minutes per response including the time for reviewinginstructions searching existing data sources gathering and maintaining the dataneeded and completing and reviewing the collection of information An agency maynot conduct or sponsor and a person is not required to respond to a collection ofinformation unless it displays a currently valid OMB control number Send commentsregarding this burden estimate or any other aspect of this collection of informationincluding suggestions for reducing this burden to CDCATSDR Reports ClearanceOfficer 1600 Clifton Road MS D-74 Atlanta GA 30333 ATTN PRA (0920-0212)

1 Workerrsquos compensation

ACTING AS COLLECTING AGENT FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES

CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL CENTER FOR HEALTH STATISTICS

Asian4

American Indian or Alaska Native

3

5 Native Hawaiian or Other Pacific Islander

13 Type of Admission ndash Mark (X) one 1 Emergency

Urgent2 4

3 5

C ADMINISTRATIVE INFORMATION

14 Source of Admission ndash Mark (X) one 1 Physician referral

Clinical referral HMO referral Transfer from a hospital Transfer from SNF

2

4

3

5

6

7

8

9

10 Item not available

Discharged transferred tolong-term care institution

Discharged transferred to anothershort-term hospital

Other dispositionnot stated

Transfer from other health facility

Emergency room CourtLaw enforcement Other ndash Specify

Status

2 Medicare 3 Medicaid 4 Other government payments 5 Blue CrossBlue Shield 6 HMOPPO 7 Other private or

commercial insurance 8 Self pay 9 No charge

10 Other ndashSpecify

Mark all that

apply

Mark one only

Newborn Elective Items not available

unknown

Black or African American

(Item deleted)

(Over)

Figure I Medical abstract National Hospital Dishcarge Survey 2007

Page 20 National Health Statistics Reports n Number 29 n October 26 2010

Completed by Date

No procedures

Month Day Year

Admitting diagnosis

18 Final diagnoses (up to 7 diagnoses including E-codes) (Enter ICD-9-CM codes as well as narrative if available)

Diagnosis ICD-9-CM Code Description Present on admission

Yes No Unknown Clinically undetermined No information on face sheetPrincipal diagnosis

Diagnosis 2

Diagnosis 3

Diagnosis 4

Diagnosis 5

Diagnosis 6

Diagnosis 7

19 Surgical and Diagnostic Procedures (up to 4 procedures) (Enter ICD-9-CM codes as well as narrative if available)

Procedure ICD-9-CM Code

Principal procedure

Description Date of Procedure(s)

Procedure 2

Procedure 3

Procedure 4

Comments

DescriptionICD-9-CM Code

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

D MEDICAL INFORMATION

17 ADMITTING DIAGNOSIS

Page 2 FORM HDS-1 (3-20-2008)

Figure I Medical abstract National Hospital Dishcarge Survey 2007mdashCon

Page 24 National Health Statistics Reports n Number 29 n October 26 2010

Acknowledgments

This report was prepared in the Division of Health Care Statistics (DHCS) This report was edited by Demarius V Miller CDCNCHMDivision of Creative Services Writer-Editor Services Branch typeset by Annette F Holman and graphics produced by Zorica Tomic-Whalen (Contractor) CDCOSELSNCHSODOffice of Information Services Information Design and Publishing Staff

Suggested citation

Hall MJ DeFrances CJ Williams SN Golosinskiy A Schwartzman A National Hospital Discharge Survey 2007 summary National health statistics reports no 29 Hyattsville MD National Center for Health Statistics 2010

Copyright information

All material appearing in this report is in the public domain and may be reproduced or copied without permission citation as to source however is appreciated

National Center for Health Statistics

Edward J Sondik PhD Director Jennifer H Madans PhD Associate Director

for Science

Division of Health Care Statistics Jane E Sisk PhD Director

US DEPARTMENT OF HEALTH amp HUMAN SERVICES

Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road Hyattsville MD 20782

FIRST CLASS POSTAGE amp FEES PAID

CDCNCHS PERMIT NO G-284

OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300

To receive this publication regularly contact the National Center for Health Statistics by calling 1ndash800ndash232ndash4636 E-mail cdcinfocdcgov Internet httpwwwcdcgovnchs

DHHS Publication No (PHS) 2011ndash1250 CS215431 T37834 (102010)

Page 20 National Health Statistics Reports n Number 29 n October 26 2010

Completed by Date

No procedures

Month Day Year

Admitting diagnosis

18 Final diagnoses (up to 7 diagnoses including E-codes) (Enter ICD-9-CM codes as well as narrative if available)

Diagnosis ICD-9-CM Code Description Present on admission

Yes No Unknown Clinically undetermined No information on face sheetPrincipal diagnosis

Diagnosis 2

Diagnosis 3

Diagnosis 4

Diagnosis 5

Diagnosis 6

Diagnosis 7

19 Surgical and Diagnostic Procedures (up to 4 procedures) (Enter ICD-9-CM codes as well as narrative if available)

Procedure ICD-9-CM Code

Principal procedure

Description Date of Procedure(s)

Procedure 2

Procedure 3

Procedure 4

Comments

DescriptionICD-9-CM Code

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

Yes No Unknown Clinically undetermined No information on face sheet

1

3

4

5

2

D MEDICAL INFORMATION

17 ADMITTING DIAGNOSIS

Page 2 FORM HDS-1 (3-20-2008)

Figure I Medical abstract National Hospital Dishcarge Survey 2007mdashCon

Page 24 National Health Statistics Reports n Number 29 n October 26 2010

Acknowledgments

This report was prepared in the Division of Health Care Statistics (DHCS) This report was edited by Demarius V Miller CDCNCHMDivision of Creative Services Writer-Editor Services Branch typeset by Annette F Holman and graphics produced by Zorica Tomic-Whalen (Contractor) CDCOSELSNCHSODOffice of Information Services Information Design and Publishing Staff

Suggested citation

Hall MJ DeFrances CJ Williams SN Golosinskiy A Schwartzman A National Hospital Discharge Survey 2007 summary National health statistics reports no 29 Hyattsville MD National Center for Health Statistics 2010

Copyright information

All material appearing in this report is in the public domain and may be reproduced or copied without permission citation as to source however is appreciated

National Center for Health Statistics

Edward J Sondik PhD Director Jennifer H Madans PhD Associate Director

for Science

Division of Health Care Statistics Jane E Sisk PhD Director

US DEPARTMENT OF HEALTH amp HUMAN SERVICES

Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road Hyattsville MD 20782

FIRST CLASS POSTAGE amp FEES PAID

CDCNCHS PERMIT NO G-284

OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300

To receive this publication regularly contact the National Center for Health Statistics by calling 1ndash800ndash232ndash4636 E-mail cdcinfocdcgov Internet httpwwwcdcgovnchs

DHHS Publication No (PHS) 2011ndash1250 CS215431 T37834 (102010)

Page 24 National Health Statistics Reports n Number 29 n October 26 2010

Acknowledgments

This report was prepared in the Division of Health Care Statistics (DHCS) This report was edited by Demarius V Miller CDCNCHMDivision of Creative Services Writer-Editor Services Branch typeset by Annette F Holman and graphics produced by Zorica Tomic-Whalen (Contractor) CDCOSELSNCHSODOffice of Information Services Information Design and Publishing Staff

Suggested citation

Hall MJ DeFrances CJ Williams SN Golosinskiy A Schwartzman A National Hospital Discharge Survey 2007 summary National health statistics reports no 29 Hyattsville MD National Center for Health Statistics 2010

Copyright information

All material appearing in this report is in the public domain and may be reproduced or copied without permission citation as to source however is appreciated

National Center for Health Statistics

Edward J Sondik PhD Director Jennifer H Madans PhD Associate Director

for Science

Division of Health Care Statistics Jane E Sisk PhD Director

US DEPARTMENT OF HEALTH amp HUMAN SERVICES

Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road Hyattsville MD 20782

FIRST CLASS POSTAGE amp FEES PAID

CDCNCHS PERMIT NO G-284

OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300

To receive this publication regularly contact the National Center for Health Statistics by calling 1ndash800ndash232ndash4636 E-mail cdcinfocdcgov Internet httpwwwcdcgovnchs

DHHS Publication No (PHS) 2011ndash1250 CS215431 T37834 (102010)