Table 12_2_8-2a

2009 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 12_2_8.2a
Postoperative hip fracture per 1,000 surgical patients age 18 and over who were not susceptible to falling^a (excluding obstetric admissions), by race/ethnicity, United States, 2006
				Non-Hispanic
		Total		White		Black		API		Hispanic, all races
Population group		Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE
Total		0.32	0.01	0.33	0.01	0.25	0.02	0.28	0.06	0.31	0.03
Age	18–44	0.05	0.01	0.06	0.01	0.05	0.01	DSU	DSU	DSU	DSU
	45–64	0.16	0.01	0.17	0.01	0.12	0.02	DSU	DSU	0.24	0.03
	65 and over	0.67	0.02	0.73	0.02	0.45	0.05	0.73	0.13	0.49	0.07
	65–69	0.21	0.02	0.21	0.03	DSU	DSU	0.59	0.17	0.29	0.08
	70–74	0.32	0.02	0.34	0.03	0.35	0.07	DSU	DSU	DSU	DSU
	75–79	0.75	0.04	0.85	0.04	0.44	0.12	DSU	DSU	DSU	DSU
	80–84	0.72	0.05	0.74	0.05	0.65	0.15	DSU	DSU	0.74	0.20
	85 and over	2.27	0.10	2.41	0.11	1.38	0.30	3.56	0.75	2.29	0.43
Gender	Male	0.28	0.01	0.28	0.01	0.20	0.03	0.40	0.08	0.33	0.03
Gender	Female	0.40	0.01	0.50	0.01	0.19	0.02	DSU	DSU	0.15	0.03
Median income of patient's ZIP code	First quartile (lowest income)	0.35	0.01	0.37	0.02	0.27	0.03	DSU	DSU	0.43	0.05
	Second quartile	0.31	0.02	0.35	0.02	0.21	0.05	DSU	DSU	DSU	DSU
	Third quartile	0.27	0.02	0.28	0.02	0.29	0.06	DSU	DSU	DSU	DSU
	Fourth quartile (highest income)	0.33	0.02	0.33	0.02	DSU	DSU	0.35	0.10	0.49	0.08
Location of patient residence	Large central metropolitan	0.35	0.01	0.38	0.02	0.29	0.03	DSU	DSU	0.37	0.04
	Large fringe metropolitan	0.28	0.02	0.30	0.02	0.16	0.05	0.67	0.16	DSU	DSU
	Medium metropolitan	0.29	0.02	0.31	0.02	0.24	0.06	DSU	DSU	0.22	0.06
	Small metropolitan	0.27	0.03	0.27	0.03	DSU	DSU	DSU	DSU	0.62	0.12
	Micropolitan (nonmetro)	0.33	0.02	0.34	0.03	0.41	0.09	DSU	DSU	DSU	DSU
	Noncore (nonmetro)	0.39	0.03	0.40	0.03	DSU	DSU	2.60	0.53	DSU	DSU
Expected payment source	Private insurance	0.26	0.02	0.28	0.03	0.26	0.07	DSU	DSU	DSU	DSU
	Medicare	0.31	0.01	0.33	0.01	0.24	0.02	0.30	0.07	0.27	0.04
	Medicaid	0.64	0.05	0.63	0.07	0.56	0.09	DSU	DSU	0.82	0.10
	Other insurance	0.29	0.07	0.42	0.09	DSU	DSU	DSU	DSU	DSU	DSU
	Uninsured/self-pay/no charge	0.40	0.07	0.39	0.08	DSU	DSU	DSU	DSU	0.76	0.17
Region of inpatient treatment	Northeast	0.34	0.02	0.33	0.02	0.39	0.05	0.93	0.16	0.40	0.07
	Midwest	0.28	0.02	0.30	0.02	DSU	DSU	DSU	DSU	0.88	0.16
	South	0.34	0.01	0.36	0.01	0.28	0.03	DSU	DSU	0.24	0.05
	West	0.30	0.02	0.32	0.02	0.25	0.07	DSU	DSU	0.28	0.05
Ownership/control of hospital	Private, not for profit	0.31	0.01	0.32	0.01	0.25	0.03	0.35	0.07	0.36	0.04
	Private, for profit	0.29	0.02	0.31	0.02	0.21	0.05	DSU	DSU	0.26	0.06
	Public	0.38	0.03	0.43	0.03	0.30	0.07	DSU	DSU	DSU	DSU
Teaching status	Teaching	0.36	0.01	0.37	0.02	0.32	0.03	0.52	0.11	0.35	0.05
Teaching status	Nonteaching	0.29	0.01	0.31	0.01	0.20	0.03	DSU	DSU	0.29	0.04
Location of hospital	Large central metropolitan	0.35	0.01	0.38	0.02	0.27	0.03	0.28	0.07	0.36	0.04
	Large fringe metropolitan	0.26	0.02	0.27	0.02	0.21	0.05	DSU	DSU	DSU	DSU
	Medium metropolitan	0.28	0.02	0.30	0.02	0.26	0.06	DSU	DSU	DSU	DSU
	Small metropolitan	0.34	0.02	0.36	0.03	DSU	DSU	DSU	DSU	0.65	0.12
	Micropolitan (nonmetro)	0.34	0.03	0.33	0.03	0.45	0.11	DSU	DSU	DSU	DSU
	Noncore (nonmetro)	0.33	0.07	0.34	0.07	DSU	DSU	DSU	DSU	DSU	DSU
Bed size of hospital	Less than 100	0.29	0.03	0.33	0.03	DSU	DSU	DSU	DSU	DSU	DSU
	100–299	0.35	0.01	0.36	0.02	0.24	0.04	DSU	DSU	0.46	0.05
	300–499	0.28	0.01	0.30	0.02	0.18	0.04	DSU	DSU	0.25	0.06
	500 or more	0.33	0.02	0.34	0.02	0.36	0.04	0.90	0.14	0.24	0.06

^a That is, excluding patients with musculoskeletal disease; those admitted for seizures, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium, psychoses, or anoxic brain injury; and patients with metastatic cancer, lymphoid malignancy, bone malignancy, and self-inflicted injury.

^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.

Current as of March 2010

Internet Citation: Table 12_2_8-2a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/12_patientsafety/T12_2_8-2a.html