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Ambulatory and Inpatient Procedures in the United States, 1994 Cdc-Pdf Series 13 No. 132 Vital and Health Statistics From the CENTERS FOR DISEASE CONTROL AND PREVENTION / National Center for Health Statistics Ambulatory and Inpatient Procedures in the United States, 1994 December 1997 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics 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. Suggested citation Pokras R, Kozak LJ, and McCarthy E. Ambulatory and inpatient procedures in the United States, 1994. National Center for Health Statistics. Vital Health Stat 13(132). 1997. Library of Congress Catalog Card Number 97-42743 For sale by the U.S. Government Printing Office Superintendent of Documents Mail Stop: SSOP Washington, DC 20402-9328 Printed on acid-free paper. Vital and Health Statistics Ambulatory and Inpatient Procedures in the United States, 1994 Series 13: Data From the National Health Survey No. 132 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland December 1997 DHHS Publication No. (PHS) 98-1793 National Center for Health Statistics Edward J. Sondik, Ph.D., Director Jack R. Anderson, Deputy Director Jack R. Anderson, Acting Associate Director for International Statistics Lester R. Curtin, Ph.D., Acting Associate Director for Research and Methodology Jacob J. Feldman, Ph.D., Associate Director for Analysis, Epidemiology, and Health Promotion Gail F. Fisher, Ph.D., Associate Director for Data Standards, Program Development, and Extramural Programs Edward L. Hunter, Associate Director for Planning, Budget, and Legislation Jennifer H. Madans, Ph.D., Acting Associate Director for Vital and Health Statistics Systems Stephen E. Nieberding, Associate Director for Management Charles J. Rothwell, Associate Director for Data Processing and Services Division of Health Care Statistics W. Edward Bacon, Ph.D., Division Director Thomas McLemore, Deputy Director Robert Pokras, Chief, Hospital Care Statistics Branch Cooperation of the U.S. Bureau of the Census Under the legislation establishing the National Health Survey, the Public Health Service is authorized to use, insofar as possible, the services or facilities of other Federal, State, or private agencies. In accordance with specifications established by the National Center for Health Statistics, the U.S. Bureau of the Census, under a contractual arrangement, participated in planning the survey and collecting the data. Contents Abstract ............................................................................................... 1 Introduction ............................................................................................ 1 Methods ............................................................................................... 2 Sources of Data ....................................................................................... 2 Sample Designs ....................................................................................... 2 Data Collection ....................................................................................... 3 Estimation and Reliability of Estimates .................................................................... 3 Definitions and Limitations .............................................................................. 3 Tests of Significance ................................................................................... 4 Results................................................................................................. 4 Discharges and Procedures .............................................................................. 4 Selected Procedures .................................................................................... 6 Selected Procedures by Sex and Age ...................................................................... 8 References............................................................................................. 10 Appendix............................................................................................. 108 Technical Notes ..................................................................................... 108 Abstract Forms.................................................................................... 108 Classification of Procedures ......................................................................... 108 Population Estimates ............................................................................... 108 Reliability of Estimates ............................................................................. 108 Text Tables A. Number of ambulatory and inpatient discharges and procedures by sex, age, and region: United States, 1994 ......... 5 B. Rate of ambulatory and inpatient discharges and procedures by sex, age, and region: United States, 1994............ 6 C. Number and rate of ambulatory and inpatient procedures by selected procedure categories: United States, 1994 .............................................................................................. 7 D. Number and rate of ambulatory and inpatient surgical and nonsurgical procedures by selected procedure categories: United States, 1994.................................................................................. 8 E. Number and rate of ambulatory and inpatient procedures by sex and selected procedure categories: United States, 1994 .............................................................................................. 9 F. Number and rate of ambulatory and inpatient procedures by age and selected procedure categories: United States, 1994 ............................................................................................. 11 Text Figures 1. Number of ambulatory and inpatient discharges and procedures: United States, 1994............................. 5 2. Rates of ambulatory and inpatient procedures by sex: United States, 1994 ..................................... 6 3. Rates of ambulatory and inpatient procedures by age: United States, 1994 ..................................... 6 4. Number of leading ambulatory and inpatient procedures combined: United States, 1994 ......................... 7 Detailed Tables 1. Number of ambulatory and inpatient discharges and procedures by sex and age: United States, 1994............... 13 iii 2. Rate of ambulatory and inpatient discharges and procedures by sex and age: United States, 1994 ................. 14 3. Number of ambulatory and inpatient discharges and procedures by age and region: United States, 1994 ........... 15 4. Rate of ambulatory and inpatient discharges and procedures by age and region: United States, 1994 ............... 16 5. Number of ambulatory and inpatient procedures by procedure category and location: United States, 1994........... 17 6. Number of ambulatory and inpatient procedures by ICD–9–CM code, sex and age of patient, and geographic region of facility: United States, 1994 ....................................................................... 22 Appendix Tables I. Code numbers for procedures considered nonsurgical in the National Survey of Ambulatory Surgery and the National Hospital Discharge Survey by ICD–9–CM category, 1994 ................................................ 108 II. Civilian population by age, region, and sex: United States, 1994 ........................................... 112 III. Estimated parameters for relative standard error equations for estimates of ambulatory and inpatient discharges and procedures by selected characteristics, 1994 ........................................................... 113 Appendix Figures I. Medical abstract for the National Survey of Ambulatory Surgery, 1994 ...................................... 109 II. Medical abstract for the National Hospital Discharge Survey, 1994 ......................................... 111 iv Objectives This report presents estimates of Ambulatory and Inpatient surgical and nonsurgical procedures performed in the United States during Procedures in the United States, 1994. Data are presented by characteristics of patients, region of the country, and procedure categories for 1994 ambulatory and inpatient procedures separately and combined. by Robert Pokras, Lola Jean Kozak, and Eileen McCarthy, Division of Health Care Statistics Methods Estimates in this report are based on data collected from the National Hospital Discharge Survey (NHDS) and Data from the NHDS have been the National Survey of Ambulatory Introduction published annually by NCHS in several Surgery (NSAS). The NHDS provides data on hospital inpatient care, and the reports (3–5). The first publication using NSAS provides data on ambulatory his report provides information on data from the NSAS was published by surgery in hospitals and in freestanding surgical and nonsurgical NCHS in March 1997 (6). This is the ambulatory surgery centers. For the T procedures performed in the first NCHS publication that combines NHDS, data were collected for United States by combining data from data on procedures from the NHDS and approximately 277,000 discharges from two surveys: the National Hospital NSAS, although data from both surveys 478 non-Federal short-stay hospitals Discharge Survey (NHDS) and the have been included in recent journal (93 percent response rate). For the National Survey of Ambulatory Surgery articles. One article was a description of NSAS, data were
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