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1995年美国的门诊和住院手术

Ambulatory and inpatient procedures in the United States, 1995.

作者信息

Kozak L J, Owings M F

机构信息

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland, USA.

出版信息

Vital Health Stat 13. 1998 Mar(135):1-116.

PMID:9540438
Abstract

OBJECTIVES

This report presents estimates of surgical and nonsurgical procedures performed in the United States during 1995. Data are presented by characteristics of patients, region of the country, and procedure categories for ambulatory and inpatient procedures separately and combined.

METHODS

Estimates in this report are based on data collected from the National Hospital Discharge Survey (NHDS) and the National Survey of Ambulatory Surgery (NSAS). NHDS provides data on hospital inpatient care, and NSAS provides data on ambulatory surgery in hospitals and in freestanding ambulatory surgery centers. For NHDS, data were collected for approximately 263,000 discharges from 466 non-Federal short-stay hospitals (92 percent response rate). For NSAS, data were collected for approximately 122,000 ambulatory surgery discharges from 489 hospitals and freestanding ambulatory surgery centers (80 percent response rate).

RESULTS

An estimated 69.2 million procedures were performed on 38.7 million discharges from hospitals and freestanding ambulatory surgery centers during 1995: 39.8 million procedures were for inpatients, and 29.4 million were for ambulatory patients. Females had more procedures than males, and the rate of procedures increased with age in ambulatory and inpatient settings. The leading procedures for ambulatory surgery patients and inpatients combined were endoscopy of small intestine, arteriography and angiocardiography, extraction of lens, and endoscopy of large intestine.

摘要

目的

本报告展示了1995年美国进行的外科手术和非外科手术的估计数据。数据按患者特征、美国地区以及门诊和住院手术的手术类别分别呈现,并进行了合并。

方法

本报告中的估计数据基于从国家医院出院调查(NHDS)和国家门诊手术调查(NSAS)收集的数据。NHDS提供医院住院护理数据,NSAS提供医院和独立门诊手术中心的门诊手术数据。对于NHDS,从466家非联邦短期住院医院收集了约263,000例出院数据(回应率为92%)。对于NSAS,从489家医院和独立门诊手术中心收集了约122,000例门诊手术出院数据(回应率为80%)。

结果

1995年,估计在医院和独立门诊手术中心的3870万例出院患者中进行了6920万例手术:3980万例手术是针对住院患者,2940万例是针对门诊患者。女性接受的手术比男性多,在门诊和住院环境中,手术率均随年龄增长而上升。门诊手术患者和住院患者合并后的主要手术包括小肠内镜检查、动脉造影和心血管造影、晶状体摘除术以及大肠内镜检查。

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