2005 National Hospital Discharge Survey.

OBJECTIVES This report presents national estimates of the use of nonfederal short-stay hospitals in the United States during 2005 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. METHODS The estimates are based on data collected through the 2005 National Hospital Discharge Survey (NHDS). The survey has been conducted annually by NCHS since 1965. Diagnoses and procedures presented are coded using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). RESULTS Trends in the utilization of nonfederal short-stay hospitals show that the overall average length of a hospital stay has declined significantly. In 2005, the average length of stay for all inpatients was 4.8 days compared with 7.8 days in 1970. Stays for discharges aged 15-44, 45-64 and 65 years and over also declined, but the average lengths of stay for those under 15 years of age were the same in 1970 and 2005. In 2005, there were an estimated 34.7 million hospital discharges, excluding newborn infants. Persons aged 65 years and over comprised 38 percent of all inpatients. One notable trend for elderly people is that their rate of hospitalization for septicemia increased 47 percent from 2000 to 2005. There were 45 million procedures performed on inpatients during 2005. Obstetrical procedures (6.9 million) comprised 25 percent of all procedures performed on females. Cesarean section (18 percent), repair of current obstetric laceration (18 percent), and artificial rupture of membranes (14 percent) accounted for one-half of all obstetrical procedures. Males had more cardiovascular procedures than females (4.1 million compared with 2.9 million), whereas females had more operations on the digestive system than males (3.2 million compared with 2.4 million).

[1]  L. Kozak,et al.  National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data. , 2006, Vital and health statistics. Series 13, Data from the National Health Survey.

[2]  M. J. Hall,et al.  Inpatient care in rural hospitals at the beginning of the 21st century. , 2006, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[3]  E. Hing,et al.  National Ambulatory Medical Care Survey: 2004 summary. , 2006, Advance data.

[4]  E. Hing,et al.  National Hospital Ambulatory Medical Care Survey: 2004 outpatient department summary. , 2006, Advance data.

[5]  Kevin B Weiss,et al.  The widening black/white gap in asthma hospitalizations and mortality. , 2006, The Journal of allergy and clinical immunology.

[6]  L. Kozak,et al.  Gastric bypass as treatment for obesity: trends, characteristics, and complications. , 2005, Obesity research.

[7]  Usdhhs.  Health, United States 2003: With Chartbook on Trends in the Health of Americans , 2003 .

[8]  L. McCaig,et al.  National Hospital Ambulatory Medical Care Survey: 2001 emergency department summary. , 2003, Advance data.

[9]  R. Pokras,et al.  Design and operation of the National Hospital Discharge Survey: 1988 redesign. , 2000, Vital and health statistics. Ser. 1, Programs and collection procedures.

[10]  K. Lumsdon,et al.  New surgical technologies reshape hospital strategies. , 1992, Hospitals.

[11]  T. Adams.  Medical induction of labor , 1929 .

[12]  L. Kozak,et al.  Use and in-hospital mortality associated with two cardiac procedures, by sex and age: national trends, 1990-2004. , 2007, Health affairs.

[13]  S. E. Jorsal,et al.  Diseases of the respiratory system , 2006 .

[14]  Amy. Bernstein.  Health care in America; trends in utilization , 2004 .

[15]  A. Osborn.  Artificial rupture of membranes. , 1992, Midwifery today and childbirth education.