Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission...

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Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** * Excludes transplant and post-transplant ** Preliminary USRDS 1999 IX - 1 8.6 8.3 7.9 7.7 7.6 12.3 12.0 11.6 11.3 10.8 1.41 1.47 1.47 1.45 1.43 0 5 10 15 1993 1994 1995 1996 1997 1 2 3 Hospital Days Hospital Admissions Hospital Days per Patient Hospital Admissions per Patient Days per Admission

Transcript of Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission...

Page 1: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per

Admission for Medicare Dialysis Patients*, 1993-97

Year**

* Excludes transplant and post-transplant ** Preliminary USRDS 1999

IX - 1

8.6 8.3 7.9 7.7 7.6

12.3 12.0 11.6 11.3 10.8

1.411.471.471.451.43

0

5

10

15

1993 1994 1995 1996 1997

1

2

3Hospital Days Hospital Admissions

Hospital Days per Patient

Hospital Admissions per Patient

Days per Admission

Page 2: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

43

23

14

85

3 2 1 2

26

15

95

3 1 1 1

39

0

10

20

30

40

50

0 1 2 3 4 5 6 7 8+

Distribution of Medicare Dialysis Patients by Number of Hospital Admissions During 1997*, by Age

Percent of Patients

Under 65Mean=1.4Median=1

65 PlusMean=1.4Median=1

Number of Hospital Admissions During the Year

USRDS 1999

IX - 2* Preliminary; excludes transplant and post-transplant

Page 3: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

42

31

11

63 2

5

37

31

14

74 2

4

0

10

20

30

40

50

0 1-10 11-20 21-30 31-40 41-50 50+

Distribution of Medicare Dialysis Patients by Number of Hospital Days During 1997*, by Age

Percent of Patients

65 PlusMean=11.3Median=4

Under 65Mean=10.3Median=2

USRDS 1999

IX - 3

Number of Hospital Days During the Year

* Preliminary; excludes transplant and post-transplant

Page 4: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5All Dialysis

HemodialysisCAPD/CCPD

All ESRD

Hospital Admissions per Year at Risk for MedicareESRD Patients, by Modality and Age, 1995-97

Admissions / Yr at Risk

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

Age Group USRDS 1999

IX - 4

Page 5: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5WhiteBlackNative AmericanAsian

Hospital Admissions per Year at Risk for Male Medicare Dialysis Patients by Race and Age, 1995-97

Admissions / Yr at Risk

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

Age Group USRDS 1999

IX - 5

Page 6: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5WhiteBlackNative AmericanAsian

Hospital Admissions per Year at Risk for Female Medicare Dialysis Patients by Race and Age, 1995-97

Admissions / Yr at Risk

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

Age Group USRDS 1999

IX - 6

Page 7: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

Hospital Days per Year at Risk for Male Medicare Dialysis Patients by Race and Age, 1995-97

Days / Yr at Risk

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

0

5

10

15

20

25

30

35WhiteBlackNative AmericanAsian

Age Group USRDS 1999

IX - 7

Page 8: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

Hospital Days per Year at Risk for Female Medicare Dialysis Patients by Race and Age, 1995-97

Days / Yr at Risk

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

0

5

10

15

20

25

30

35WhiteBlackNative AmericanAsian

Age Group USRDS 1999

IX - 8

Page 9: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

Hospital Admissions per Year at Risk for Medicare Dialysis Patients by Diabetes, Sex, and Age, 1995-97

Admissions / Yr at Risk

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5Diabetes-femaleDiabetes-maleNondiabetes-femaleNondiabetes-male

Age Group USRDS 1999

IX - 9

Page 10: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

Hospital Days per Year at Risk for Medicare Dialysis Patients by Diabetes, Sex, and Age, 1995-97

15-19 25-29 35-39 45-49 55-59 65-69 75-79 85+ 0-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84

0

5

10

15

20

25

30Diabetes-femaleDiabetes-maleNondiabetes-femaleNondiabetes-male

Days / Yr at Risk

Age Group USRDS 1999

IX - 10

Page 11: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

SHR > 1.09 SHR 1.02 -1.08 SHR 0.94 -1.01 SHR < 0.93

Standardized Hospitalization Ratios by State (quartiles), Medicare Dialysis Patients Only, 1995-97

MI

NJPA + DE

NYMNND + SD

IA

MO

NE

KS

TX

OKAR

LA

KY

TN

MS AL

CA + HI

WA

OR

CO

NMAZ

IN OH

WI

WVVA

NC

SC

GA

FL

MD

CTRIMA

NH + ME + VT

UT

MT + ID + WY + NV + AK

DC

IL

USRDS 1999

IX - 11* Excludes patients who died of AIDS

Page 12: Number of Hospital Admissions and Days in the Hospital per Patient, and Number of Days per Admission for Medicare Dialysis Patients*, 1993-97 Year ** *

1.047 1.044 1.045 1.035

1.000

0.8

0.9

1.0

1.1

1993 1994 1995 1996 1997

REF.

National SHRs of First Admissionsby Year with 95% Confidence Intervals,

Medicare Dialysis Patients 1993-97

SHR First Admissions

SHR*

* Relative to 1997 first hospital admission rates** 1997 data preliminary

**

USRDS 1999

IX - 12


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