T12_2_5_1

2011 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_5.1
Postoperative pulmonary embolism or deep vein thrombosis per 1,000 surgical admissions,a age 18 and over,b United States, 2000, 2004, 2005, 2007, and 2008
  20082007200520042000
Population groupRateSERateSERateSERateSERateSE
Total 15.10.0415.30.0414.10.0413.90.049.30.04
Age18-449.30.079.50.087.80.077.70.075.10.07
45-6413.30.0613.60.0611.90.0712.00.077.80.07
65 and over19.60.0720.00.0719.40.0818.80.0812.80.07
  65-6915.80.1215.60.1315.20.1414.40.1410.00.13
  70-7418.50.1418.20.1517.60.1517.70.1511.10.14
  75-7919.50.1520.20.1618.90.1619.00.1612.70.15
  80-8424.90.1926.10.2025.10.2123.90.2117.30.22
  85 and over22.60.2023.10.2223.60.2322.30.2416.40.24
GenderMale16.80.0617.20.0715.30.0715.00.079.50.07
Female13.90.0514.00.0513.30.0613.00.069.20.06
Median income of patient's ZIP CodeFirst quartile (lowest income)15.00.0815.90.0813.80.0913.30.089.50.09
Second quartile14.40.0814.40.0813.50.0913.50.089.00.08
Third quartile15.10.0814.70.0914.10.0913.80.099.10.09
Fourth quartile (highest income)16.00.0816.30.0915.00.0915.10.099.70.09
Location of patient residenceLarge central metropolitan17.30.0718.60.0816.80.0816.10.0810.80.08
Large fringe metropolitan16.10.0816.40.0914.60.0914.90.099.70.09
Medium metropolitan14.50.0913.60.1012.60.1012.80.108.50.11
Small metropolitan12.90.1312.60.1411.90.1511.80.148.10.14
Micropolitan11.80.1212.40.1311.80.1311.60.127.80.13
Noncore12.20.1511.60.1611.70.1511.40.157.70.15
Expected payment sourcePrivate insurance13.60.0713.20.0712.10.0812.80.088.10.07
Medicare16.00.0516.30.0615.40.0614.60.0610.20.06
Medicaid16.90.1518.60.1615.90.1615.50.1611.00.18
Other insurance14.00.2115.10.2210.90.2412.20.237.50.23
Uninsured/self-pay/no charge12.90.2113.50.2111.40.2210.80.227.40.23
Region of inpatient treatmentNortheast15.50.0916.70.0915.90.1015.20.1010.30.09
Midwest14.60.0814.80.0913.80.0914.90.099.50.09
South15.30.0715.30.0713.00.0712.70.078.80.07
West15.00.0914.60.1014.60.1013.50.109.00.10
Ownership/control of hospitalPrivate, not for profit14.80.0515.20.0514.00.0514.10.059.40.05
Private, for profit13.90.1215.00.1213.40.1212.10.139.00.14
Public17.80.1116.10.1215.10.1214.20.128.60.13
Teaching status of hospitalTeaching17.30.0617.30.0616.40.0716.50.0710.20.07
Nonteaching13.50.0513.90.0612.70.0612.20.068.80.05
Location of hospitalLarge central metropolitan16.80.0618.10.0716.20.0716.50.079.90.07
Large fringe metropolitan16.40.1016.20.1014.40.1013.50.1010.40.09
Medium metropolitan14.50.0813.20.0912.40.0913.00.098.30.10
Small metropolitan11.00.1311.50.1211.10.1410.80.138.20.13
Micropolitan10.00.1510.80.1611.10.169.80.167.40.18
Noncore6.30.4210.10.3710.70.376.70.357.50.35
Bed size of hospitalLess than 1009.50.1510.10.169.80.169.00.177.40.17
100-29913.40.0713.40.0712.80.0711.90.088.70.07
300-49915.70.0715.50.0713.70.0815.10.089.50.07
500 or more17.60.0719.10.0817.50.0915.80.0810.40.09

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the pulmonary embolism or deep vein thrombosis be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. In addition, the interruption of vena cava is not verifiable as following surgery. Consistent with the AHRQ PSI software, the following cases are excluded: obstetric conditions and admissions in which the interruption of vena cava is the only operating room procedure.

b. Rates are adjusted by age, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital. When reporting is by age, the adjustment is by comorbidities, MDC, DRG, and transfers into the hospital. The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).

Key: SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.

 

Current as of March 2012
Internet Citation: T12_2_5_1: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_2_5_1.html