Kozak Lola J, Owings Maria F, Hall Margaret J
Centers for Disease Control and Prevention, National Center for Health Statistics, Division of Health Care Statistics, Hyattsville, MD 20782, USA.
Vital Health Stat 13. 2005 Mar(158):1-199.
This report presents 2002 national estimates and selected trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.
The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2002, data were collected for approximately 327,000 discharges. Of the 474 eligible non-Federal short-stay hospitals in the sample, 445 (94 percent) responded to the survey.
An estimated 33.7 million inpatients were discharged from non-Federal short-stay hospitals in 2002. They used 164.2 million days of care and had an average length of stay of 4.9 days. Common first-listed discharge diagnoses included delivery, ischemic heart disease, psychoses, pneumonia, and malignant neoplasms. Inpatients had 6.8 million cardiovascular procedures and 6.6 million obstetric procedures. Males had higher rates for cardiac procedures such as cardiac catheterization and coronary artery bypass graft, but males and females had similar rates of pacemaker procedures. The number and rate of all cesarean deliveries, primary and repeat, rose from 1995 to 2002; the rate of vaginal birth after cesarean delivery dropped from 35.5 in 1995 to 15.8 in 2002.
本报告提供了2002年美国非联邦短期住院医院使用情况的全国估计数及部分趋势数据。估计数按选定的患者和医院特征、诊断以及所实施的手术和非手术程序列出。诊断和程序的估计数根据《国际疾病分类》第九版临床修订本（ICD-9-CM）编码列出。
这些估计数基于通过全国医院出院调查（NHDS）收集的数据。该调查自1965年起每年进行。2002年，收集了约32.7万例出院病例的数据。在样本中的474家符合条件的非联邦短期住院医院中，445家（94%）对调查做出了回应。
2002年，估计有3370万住院患者从非联邦短期住院医院出院。他们接受了1.642亿天的护理，平均住院天数为4.9天。常见的首要出院诊断包括分娩、缺血性心脏病、精神病、肺炎和恶性肿瘤。住院患者进行了680万例心血管手术和660万例产科手术。男性进行心脏导管插入术和冠状动脉搭桥术等心脏手术的比例较高，但男性和女性起搏器手术的比例相似。1995年至2002年，所有剖宫产（初产和经产）的数量和比例均有所上升；剖宫产术后阴道分娩的比例从1995年的35.5降至2002年的15.8。
