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HCUP Facts and Figures
Statistics on Hospital-Based Care in the United States, 2009
TABLE OF CONTENTS

HIGHLIGHTS

INTRODUCTION

HCUP PARTNERS

1. OVERVIEW

2. DIAGNOSES

3. PROCEDURES

4. COSTS

5. WOMEN'S HEALTH

SOURCES/METHODS

DEFINITIONS

FOR MORE INFO

ACKNOWLEDGMENTS

CITATION

FACTS & FIGURES 2009 PDF
EXHIBIT 3.1 Most Frequent All-listed Procedures (PDF)

3.1a

Number of Stays, Stays per 10,000 Population, and Growth of the Most Frequent All-listed Procedures for Hospital Stays, 1997 and 2009
ALL-LISTED CCS PROCEDURES NUMBER OF STAYS WITH THE PROCEDURE IN THOUSANDS STAYS PER 10,000 POPULATION WITH THE PROCEDURE CUMULATIVE GROWTH IN RATE
1997 2009 1997 2009 1997-2009
All stays (with and without procedures) 34,679 39,435 1,278 1,284 1%‡
All stays with any procedure 21,257 24,730 783 806 3%‡
Percent of all stays with a procedure 61% 63% - -  
Blood transfusion 1,097 2,829 40 92 128%
Prophylactic vaccinations and inoculations 567 1,796 21 59 180%
Respiratory intubation and mechanical ventilation 919 1,498 34 49 44%
Diagnostic cardiac catheterization, coronary arteriography 1,461 1,476 54 48 -11%‡
Cesarean section 800 1,382 29 45 53%
Repair of obstetric laceration 1,137 1,343 42 44 4%‡
Upper gastrointestinal endoscopy 1,105 1,242 41 40 -1%‡
Circumcision 1,164 1,174 43 38 -11%
Artificial rupture of membranes to assist delivery 747 932 28 30 10%‡
Fetal monitoring 1,002 860 37 28 -24%‡
Hemodialysis 473 837 17 27 56%
Echocardiogram 632 813 23 26 14%‡
Percutaneous transluminal coronary angioplasty (PTCA) 581 693 21 23 5%‡
Knee arthroplasty 329 686 12 22 84%
Enteral and parenteral nutrition 277 576 10 19 84%
Colonoscopy and biopsy 531 564 20 18 -6%‡
Laminectomy, excision intervertebral disc 425 504 16 16 5%‡
Hysterectomy 587 483 22 16 -27%
Incision of pleura, thoracentesis, chest drainage 349 476 13 16 20%
Cholecystectomy and common duct exploration 448 460 16 15 -9%
‡ 2009 stays per 10,000 population are not statistically different from 1997 stays per 10,000 population at p<0.05.
Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997 and 2009.


The rate of stays with procedures remained relatively stable at about 1,300 stays per 10,000 population from 1997 to 2009. About two-thirds of hospital stays involved at least one procedure.

  • Blood transfusion occurred in over ten percent of all hospital stays that included a procedure and was the most frequently performed procedure in 2009. The rate of blood transfusion more than doubled from 1997 to 2009.
  • Vaccinations were the second most frequent procedure performed in 2009. The rate of stays with vaccinations, typically hepatitis B immunizations for liveborn infants, increased by 180 percent from 1997 to 2009.
  • The rate of stays with cardiac catheterization, the fourth most common procedure in 2009, remained relatively stable from 1997 to 2009, at about 50 per 10,000 population.
  • Cesarean section was the most frequent major operating room procedure—performed on 1.4 million females in 2009.
  • The rate of stays with knee arthroplasty increased 84 percent from 12 per 10,000 population in 1997 to 22 per 10,000 population in 2009. Knee arthroplasty was the fourteenth most common inpatient procedure in 2009.


3.1b

Number of Stays, Stays per 10,000 Population, and Growth of Selected All-listed Procedures for Hospital Stays, 1997 and 2009
ALL-LISTED CCS PROCEDURES NUMBER OF STAYS WITH THE PROCEDURE IN THOUSANDS STAYS PER 10,000 POPULATION WITH THE PROCEDURE CUMULATIVE GROWTH IN RATE
1997 2009 1997 2009 1997-2009
Procedures with most rapid growth in stays per population*
Indwelling catheter 60 203 2 7 198%
Prophylactic vaccinations and inoculations 567 1,796 21 59 180%
Blood transfusion 1,097 2,829 40 92 128%
Spinal fusion 202 448 7 15 96%
Incision and drainage, skin and subcutaneous tissue 118 248 4 8 85%
Knee arthroplasty 329 686 12 22 84%
Enteral and parenteral nutrition 277 576 10 19 84%
Hemodialysis 473 837 17 27 56%
Cesarean section 800 1,382 29 45 53%
Respiratory intubation and mechanical ventilation 919 1,498 34 49 44%
Hip replacement 291 438 11 14 33%
* Includes only procedures with at least 100,000 stays in either 2009 or 1997. 2009 stays per 10,000 population are statistically different from 1997 stays per 10,000 population at p<0.05.
Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997 and 2009.

The majority of the top ten most rapidly growing all-listed procedures were also among the most frequent procedures.

  • Stays with indwelling catheter approximately tripled from 1997 to 2009, increasing from 2 stays per 10,000 population in 1997 to 7 stays per population in 2009.
  • The rate of hospitalizations with spinal fusion doubled from 7 stays per 10,000 population in 1997 to 15 stays per 10,000 population in 2009.
  • The rate of stays with hip replacement grew 33 percent, from 11 stays per 10,000 population in 1997 to 14 stays per 10,000 population in 2009.


3.1c

Hospital stays per 10,000 population with all-listed blood transfusion, 1997 through 2009. Line chart. Stays per 10,000 population. 1997: 40; 1998: 45; 1999: 44; 2000: 49; 2001: 60; 2002: 61; 2003: 68; 2004: 76; 2005: 80; 2006: 80; 2007: 87; 2008: 90; 2009: 92. Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997-2009.
  • The rate of stays with all-listed blood transfusion has increased at a relatively steady rate from 40 stays per 10,000 population in 1997 to 92 stays per 10,000 population in 2009.


Hospital stays per 10,000 population with all-listed spinal fusion, 1997 through 2009. Line chart. Stays per 10,000 population. 1997: 7; 1998: 8; 1999: 8; 2000: 9; 2001: 10; 2002: 11; 2003: 11; 2004: 11; 2005: 12; 2006: 12; 2007: 12; 2008: 14; 2009: 15. Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997-2009.
  • The rate of stays with all-listed spinal fusion increased at a relatively steady rate from 7 stays per 10,000 population in 1997 to 15 stays per 10,000 population in 2009.


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Internet Citation: Facts and Figures 2009. Healthcare Cost and Utilization Project (HCUP). February 2012. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit3_1.jsp.
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