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2008 National Healthcare Quality & Disparities Reports

Table 10_1_1.1
Surgical discharges with postoperative pneumonia events or venous thromboembolic events, United States, 2004 and 2006a
Population group 2006 2004
Exposed Adverse events Percent SE Exposed Adverse events Percent SE
Total 5,752 155 2.69 0.2 5,752 175 3.04 0.23
Age Under 65 876 23 2.63 0.54 822 23 2.80 0.58
65–74 2,293 48 2.09 0.30 2,312 49 2.12 0.30
75–84 1,973 62 3.14 0.39 2,004 86 4.29 0.45
85 and over 610 22 3.61 0.75 614 17 2.77 0.66
Gender Male 2,569 77 3.00 0.34 2,554 95 3.72 0.37
Female 3,183 78 2.45 0.27 3,198 80 2.50 0.28
Race White 5,029 139 2.76 0.23 5,087 153 3.01 0.24
Black 433 11 2.54 0.76 399 13 3.26 0.89
Other 290 5 1.72 0.76 * * * *
Diabetes Yes 1,646 54 3.28 0.44 1,541 59 3.83 0.49
No 4,106 101 2.46 0.24 4,211 116 2.75 0.25
Obesity Yes 816 21 2.57 0.55 688 24 3.49 0.70
No 4,936 134 2.71 0.23 5,064 151 2.98 0.24
Cerebrovascular disease Yes 992 37 3.73 0.60 1,027 46 4.48 0.65
No 4,760 118 2.48 0.23 4,725 129 2.73 0.24
CHF/pulmonary edema Yes 973 53 5.45 0.73 956 64 6.69 0.81
No 4,779 102 2.13 0.21 4,796 111 2.31 0.22
COPD Yes 1,301 70 5.38 0.63 1,306 70 5.36 0.62
No 4,451 85 1.91 0.21 4,446 105 2.36 0.23
Smoking Yes 884 36 4.07 0.66 850 36 4.24 0.69
No 4,868 119 2.44 0.22 4,902 139 2.84 0.24
Corticosteroids Yes 272 15 5.51 1.38 258 11 4.26 1.26
No 5,480 140 2.55 0.21 5,494 164 2.99 0.23
Coronary artery disease Yes 2,074 62 2.99 0.37 2,133 98 4.59 0.45
No 3,678 93 2.53 0.26 3,619 77 2.13 0.24
Renal disease Yes 1,163 64 5.50 0.67 947 59 6.23 0.79
No 4,589 91 1.98 0.21 4,805 116 2.41 0.22

a Composite measure: Postoperative pneumonia events include postoperative nosocomial pneumonia and physician-ordered antibiotic to treat the post-operative pneumonia. Venous thromboembolic events include discharges with a diagnosed postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) during the index hospital stay (per medical record abstraction) or readmission to the hospital post-index hospital stay for a PE or DVT within 30 days of the surgical procedure. Data include Medicare beneficiaries discharged from January to December in the listed year.

Key: CHF: congestive heart failure; COPD: chronic obstructive pulmonary disease; SE: standard error.

Source: Centers for Medicare & Medicaid Services, Medicare Patient Safety Monitoring System.

 

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