Hennen J, Krumholz H M, Radford M J
Connecticut Peer Review Organization, Inc., Middletown, USA.
Conn Med. 1995 Mar;59(3):137-42.
This report presents mortality rates following inpatient admissions for the 20 most frequent DRG categories among Medicare inpatients aged > or = 65 years at Connecticut acute-care hospitals during the three-year period from fiscal year 1991 to fiscal year 1993. We provide frequency distributions of the 30-day and 365-day mortality rates among these 20 DRG categories. Among the 199,680 discharges of elderly Medicare beneficiaries within the 20 most frequent DRG categories in the three-year study period, the crude 30-day mortality rate was 9.51%; the crude 365-day mortality rate was 28.40%. By gender, the crude 30-day mortality rate for women was 8.78%; the corresponding rate for men was 10.48%. This gender mortality differential occurred despite a significant age differential; on average, the females were 2.5 years older than the males. By age group, the crude mortality rates were: age 65-74 years, 6.66%; age 75-84 years, 9.80%; age > or = 85 years, 15.25%. The crude mortality rates for the DRG categories were found to be stable over the three-year study period.
本报告呈现了1991财年至1993财年这三年期间,康涅狄格州急症医院65岁及以上医疗保险住院患者中20种最常见诊断相关分组(DRG)类别的住院死亡率。我们提供了这20种DRG类别中30天和365天死亡率的频率分布情况。在三年研究期内,20种最常见DRG类别中的199,680例老年医疗保险受益人的出院病例中,30天粗死亡率为9.51%;365天粗死亡率为28.40%。按性别划分,女性的30天粗死亡率为8.78%;男性的相应死亡率为10.48%。尽管存在显著的年龄差异(平均而言,女性比男性大2.5岁),但这种性别死亡率差异依然存在。按年龄组划分,粗死亡率分别为:65 - 74岁,6.66%;75 - 84岁,9.80%;85岁及以上,15.25%。在三年研究期内,发现DRG类别的粗死亡率保持稳定。