Diagnosis and Procedure Combinations in Hospital Inpatient Data

摘要

The Research Note contains information on the most frequent combinations ofdiagnoses and procedures for hospital inpatients. It helps to answer the questions 'What is this procedure used for' and 'How is the diagnosis managed'. The analysis is based on data from the 1992 Nationwide Inpatient Sample, a component of AHCPR's Healthcare Cost and Utilization Program. For each of the 100 most frequently performed principal procedures, the 5 principal diagnoses most commonly recorded on discharge abstracts of patients who had that procedure during the hospitalization are listed. For each of the 100 most frequent diagnoses, the 5 principal procedures most commonly performed are listed. Median charges and length of stay for each diagnosis-procedure combination are also provided, along with estimates of standard errors. The information can be used as a starting point for many purposes. The medical professionals can compare their own practices with a nationwide sample. Thirty-party payers and managed care organizations can use this information as a starting point for examining the impact of payment policies on practice patterns. Health services researchers can use this information to generate hypotheses for future research on the treatment of specific conditions.