Table 12_3_5-3a

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_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		Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	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
Gender	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
Teaching status	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.

Current as of March 2010

Internet Citation: Table 12_3_5-3a: 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_3_5-3a.html