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Show Hospital Discharge Data The following data have been included to increase our understanding of disease incidence in Utah as compared to the nation. These types of data have not been commonly reported in the past and are new to this journal. Because of their newness, methods of summarizing hospital discharge data are not standardized; therefore, variations may appear when comparing this summary with future reports. Also, data are only available for two years in Utah and one year in the U.S. In the future, the data may be more relevant in increasing our understanding of various diseases and hospital discharges in Utah. For three of the discharge codes reported here, comparable U.S. rates are not available. Finally, as with any data, one must be cautioned before interpreting the data too freely. (1) There is variability in admission to hospitals, depending on socioeconomic status or age group. For example an elderly person without support networks may be more likely to be admitted for a condition than one with strong support. Hospital discharge data could underreport disease rates. (2) Some physicians may admit patients for a condition for which another physician would not. This reflects differences in practice and referral patterns, insurance coverage, and resource availability. (3) Patients often have multiple conditions, but only primary discharge codes are reported here. Only discharges for Utah residents hospitalized in-state are included here, thereby excluding discharges of out-of-state individuals hospitalized in Utah. Except for hospitalizations due to childbirth, Utahns are not as likely to be hospitalized as those in the U.S. as a whole. Table 68. Total Hospital Discharges* Child- birth Total Men Women related Utah Discharges 151,471 53,180 98,292 30,443 Utah Rate 832.3 586.9 1,075.6 333.1 U.S. Rate 1,221.0 1,008.0 1,442.0 299.8 Utah:U.S. Ratio 0.78:1 0.67:1 0.85:1 1.09:1 *Not age-adjusted: rates per 10,000. Much of the following data is considered to be influenced by lifestyle and behavior. Tobacco use, lack of exercise and/or misuse of alcohol and illicit drugs increase risk of disease. Those hospital discharges thought to be more closely tied to these risk factors have been asterisked. These data reflect the trends shown elsewhere in this journal: Utahns are generally less likely to suffer from diseases than the U.S. population as a whole. In a few cases, rates are higher than the U.S.: prostate cancer, prostatectomy, mastectomy and hysterectomy. The reasons for these higher rates are unclear. Table 69. Hospital Discharges for Specific Diseases, Utah: 1992-1993 U.S.1 Utah2 Utah2 Disease or Procedures (Principal Diagnosis or Procedure ICD-9 Codes) 1992 1992 1993 ?Ischemic heart disease (410-414) 61.8 37.0 37.9 ?Cerebro vascular disease (430-438) 23.3 12.9 12.7 *Chronic obstructive pulmonary disease, except asthma (490-2, 494-6) 11.7 4.0 5.1 ?Malignant neoplasms (140-208, 230-234) 47.8 29.6 27.0 Trachea, bronchus, and lung cancer (162) 5.3 1.5 1.6 *HIV (042-044) 1.0 0.3 0.2 ?Chronic liver disease, cirrhosis, etc. (571, 572.2-.4, 456.0-.2, 789.5, 535.3) _ 2.3 2.3 Hip Fracture (820) 7.7 6.8 6.9 Spinal cord/head injury (806, 952, 800-801, 803-804, 850-854, 870-873, 925) - 8.7 7.5 Asthma (493) 19.5 7.9 8.7 ?Diabetes (250.0, 250.1-.3, 250.8-.9) 15.5 6.3 6.2 ?Pneumonia (481,482.2, 482.9,483, 485,486) 29.5 19.3 21.9 Severe ENT (382,462, 463,465,472.1) 5.9 1.5 1.4 Cholecystectomy, gall bladder (51.2) - 17.9 14.1 ?Acute myocardial infarction (410) 21.6 14.5 14.9 Prostate Cancer (185) 7.5 11.3 8.5 Prostatectomy, transuretheral prostatectomy [TURP] (60.2- 20.8 20.4 15.8 Mastectomy (85.4) 8.9 5.2 5.0 Hysterectomy, vaginal & abdominal (68.3-68.7) 40.2 59.7 54.0 1 Rates for the U.S. are age-sex-adjusted to the Utah 1992 population. 2 Rates for Utah for 1992 and 1993 have been adjusted to the 1990 Utah population. * Diseases associated with behavioral risk factors. 76 Health Status |
