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2009 National Healthcare Quality & Disparities Reports

Table 12_3_5.3a
Iatrogenic pneumothorax per 1,000 discharges (excluding obstetric admissions and patients with chest trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery),a age 18 and over, by race/ethnicity, United States, 2006
        Non-Hispanic    
    Total White Black API Hispanic, all races
Population group Rateb SE Rateb SE Rateb SE Rateb SE Rateb SE
Total   0.64 0.01 0.65 0.01 0.62 0.01 0.74 0.04 0.52 0.02
Age 18–44 0.48 0.01 0.51 0.01 0.46 0.02 0.48 0.07 0.36 0.03
45–64 0.59 0.01 0.60 0.01 0.60 0.02 0.65 0.06 0.45 0.03
65 and over 0.76 0.01 0.78 0.01 0.65 0.02 0.90 0.06 0.61 0.03
  65–69 0.71 0.02 0.76 0.02 0.50 0.05 0.51 0.13 0.56 0.07
  70–74 0.67 0.02 0.70 0.02 0.58 0.05 0.91 0.13 0.51 0.07
  75–79 0.86 0.02 0.88 0.02 0.78 0.06 1.00 0.13 0.82 0.08
  80–84 0.82 0.02 0.85 0.02 0.74 0.06 0.74 0.14 0.52 0.08
  85 and over 0.71 0.02 0.70 0.02 0.70 0.05 1.27 0.12 0.64 0.07
Gender Male 0.56 0.01 0.57 0.01 0.58 0.02 0.74 0.05 0.44 0.02
Female 0.72 0.01 0.77 0.01 0.57 0.02 0.73 0.05 0.52 0.03
Median income of patient's ZIP code First quartile (lowest income) 0.61 0.01 0.60 0.01 0.65 0.02 0.71 0.10 0.53 0.03
Second quartile 0.66 0.01 0.69 0.01 0.59 0.03 0.65 0.08 0.49 0.04
Third quartile 0.65 0.01 0.66 0.01 0.54 0.03 0.72 0.07 0.55 0.04
Fourth quartile (highest income) 0.66 0.01 0.66 0.01 0.63 0.04 0.80 0.06 0.48 0.05
Location of patient residence Large central metropolitan 0.65 0.01 0.67 0.01 0.70 0.02 0.70 0.05 0.51 0.03
Large fringe metropolitan 0.65 0.01 0.67 0.01 0.60 0.03 0.89 0.09 0.47 0.05
Medium metropolitan 0.64 0.01 0.65 0.01 0.54 0.04 0.88 0.09 0.52 0.04
Small metropolitan 0.64 0.02 0.67 0.02 0.39 0.06 DSU DSU 0.54 0.08
Micropolitan (nonmetro) 0.69 0.02 0.70 0.02 0.65 0.06 DSU DSU 0.58 0.08
Noncore (nonmetro) 0.51 0.02 0.52 0.02 0.36 0.06 DSU DSU 0.80 0.11
Expected payment source Private insurance 0.66 0.01 0.68 0.01 0.70 0.03 0.63 0.07 0.46 0.04
Medicare 0.62 0.01 0.64 0.01 0.58 0.02 0.74 0.05 0.48 0.03
Medicaid 0.76 0.02 0.84 0.03 0.70 0.03 0.78 0.10 0.67 0.04
Other insurance 0.64 0.03 0.55 0.04 0.77 0.08 0.94 0.22 0.74 0.09
Uninsured/self-pay/no charge 0.57 0.03 0.63 0.03 0.46 0.05 1.02 0.18 0.44 0.06
Region of inpatient treatment Northeast 0.63 0.01 0.65 0.01 0.59 0.03 0.70 0.09 0.49 0.04
Midwest 0.68 0.01 0.66 0.01 0.79 0.03 0.80 0.16 0.59 0.10
South 0.61 0.01 0.64 0.01 0.53 0.02 0.58 0.09 0.48 0.03
West 0.67 0.01 0.67 0.01 0.71 0.05 0.78 0.05 0.57 0.03
Ownership/control of hospital Private, not for profit 0.65 0.01 0.67 0.01 0.64 0.02 0.74 0.04 0.46 0.02
Private, for profit 0.56 0.01 0.59 0.02 0.47 0.04 0.56 0.09 0.45 0.04
Public 0.68 0.01 0.66 0.02 0.67 0.04 0.88 0.09 0.82 0.05
Teaching status Teaching 0.75 0.01 0.78 0.01 0.69 0.02 0.70 0.06 0.61 0.03
Nonteaching 0.59 0.01 0.60 0.01 0.56 0.02 0.75 0.05 0.46 0.02
Location of hospital Large central metropolitan 0.71 0.01 0.74 0.01 0.69 0.02 0.70 0.05 0.52 0.03
Large fringe metropolitan 0.61 0.01 0.61 0.01 0.60 0.03 0.92 0.10 0.49 0.05
Medium metropolitan 0.66 0.01 0.69 0.01 0.57 0.03 0.83 0.09 0.53 0.04
Small metropolitan 0.65 0.02 0.67 0.02 0.48 0.05 DSU DSU 0.67 0.09
Micropolitan (nonmetro) 0.55 0.02 0.56 0.02 0.44 0.06 DSU DSU DSU DSU
Noncore (nonmetro) 0.22 0.03 0.22 0.03 DSU DSU DSU DSU DSU DSU
Bed size of hospital Less than 100 0.43 0.02 0.42 0.02 0.50 0.05 0.51 0.14 0.44 0.07
100–299 0.59 0.01 0.61 0.01 0.55 0.02 0.63 0.05 0.41 0.03
300–499 0.66 0.01 0.68 0.01 0.59 0.02 1.06 0.08 0.57 0.04
500 or more 0.80 0.01 0.83 0.01 0.75 0.02 0.71 0.09 0.62 0.03

a Also excludes admissions specifically for iatrogenic pneumothorax, such as cases from earlier admissions or from other hospitals. Includes barotrauma (including acute respiratory distress syndrome) and central line placement.

b Rates are adjusted by age, gender, age-gender interactions, comorbidities, and diagnosis-related group (DRG) clusters. When reporting is by age, the adjustment is by gender, comorbidities, and DRG clusters; when reporting is by gender, the adjustment is by age, comorbidities, and DRG clusters.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2006, and AHRQ Quality Indicators, version 3.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 25 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, UT, VA, VT, and WI.

 

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