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Show General Health Status Hospital Discharges by Major Disease Category Compiled by Rick Henriksen, Angie Finlinson, and Kristien McDonald The following data demonstrate trends in hospital discharges for patients in Utah. Table 1 presents the number of hospital discharges by major disease category (MDC) in 52 Utah hospitals from 1993-2001. Patients were categorized by MDC of the International Classification of Diseases (ICD). These data are useful in recognizing trends in hospital discharges in Utah. For example, patients discharged after being treated for diseases of the nervous system increased every year from 1992-1998. but have since declined during the last two years. This trend is in contrast to the discharge trend for eye diseases for which there were 1,375 discharges in 1992 compared to 265 discharges in 2000, which may be due to increased outpatient treatment replacing hospitalizations. If these data are examined in conjunction with the next page, which deals with cost, then these data are also useful to evaluate health care costs in Utah. For example, in 2001 there were 5,020 discharges for people with problems related to the hepatobiliary system and pancreas, hi contrast, although 36% more people were discharged for mental diseases and disorders, it cost over 4 million dollars more to treat those with problems related to the hepatobiliary system and pancreas. These data can affect how policy makers will decide upon which diseases our health policy programs and resources will be focused. Table 18. Number of Hospital Discharges by Major Disease Category, Utah, 1993-2001. Year % Change Major Disease Category (MDC) 1993 1994 1995 1996 1997 1998 1999 2000 2001 1993-2001 1. Nervous System 7,115 7,285 7,693 7,999 8,342 8,904 8,548 8,856 8,941 20 2. Eye 832 586 549 438 379 332 268 229 190 -338 3. Ear, Nose, Throat & Mouth 2,636 2,352 2,219 2,197 2.093 2,077 2,226 2,103 2,078 -27 4. Respiratory System 12,833 12,205 14,340 13,338 14,786 14,844 16,581 15,488 15,115 15 5. Circulatory System 18,314 18,337 18,658 19,899 20,267 20,938 20,203 21,179 21,572 15 6. Digestive System 13,675 13,705 13,338 13,329 13,999 14,400 14,697 15,219 15,467 12 7. Hepatobiliary System & Pancreas 4,569 4,483 4,362 4,484 4,530 4,517 4,535 4,896 5,020 9 8. Musculoskeletal System & Conn Tv 17,264 16,853 16,645 17,128 17,972 17,905 18,186 18,446 19,449 11 9. Skin, Subcutaneous Tissue & Brea: 2,864 2,982 2,729 2,647 2,677 2,855 2,776 2,994 3,017 5 10. Endocrine, Nutritional & Meta Sys 4,525 4,271 4,574 4,344 4,340 4,852 4,989 5,361 6,336 29 11. Kidney& Urinary Tract 4,241 4,244 4,177 4,165 4,167 4,470 4,750 5,026 5,227 19 12. Male Reproductive System 1,786 1,463 1,371 1,299 1,370 1,329 1,501 1,491 1,526 -17 13. Female Reproductive System 7,663 7,112 7,308 7,510 7,233 7,327 7,395 7,597 7,987 4 14. Pregnancy, Childbirth & Puerperii 37,998 39,268 40,635 42,880 43,777 46,018 47,251 48,516 49,152 23 15. Newborn & Perinatal Period 35,412 37,504 38,740 41,628 42,550 44,772 46,195 47,188 47,917 26 16. Blood & Blood Forming Disorder? 933 986 999 1,037 1,149 1,094 1,174 1,384 1,428 35 17. Myeloproliferative Disorders 1,899 1,640 1,740 1,754 1,674 1,624 1,660 1,609 1,537 -24 18. Infectious & Parasitic Diseases 2,439 2,355 2,581 2,753 2,637 2,777 2,770 2,747 2,993 19 19. Mental Diseases & Disorders 8,651 8,114 7,285 7,219 7,317 7,384 7,283 7,343 7,808 -11 20. Alcohol/Drug Use or Induced Mer 2,693 2,748 2,742 2,590 2,115 2,189 2,055 1,969 2,143 -26 21. Injuries, Poison & Toxic Eff of Dru 2,399 2,410 2,346 2,202 2,266 2,512 2,453 2,691 2,947 19 22. Burns 222 179 189 179 185 179 129 170 181 -23 23. Factors Influencing Health Status 2,364 2,492 2,895 2,689 2,124 2,231 1,894 2,564 1,686 -40 24.Multiple SignificantTrama 450 471 482 609 602 607 616 556 509 12 25. HIV Infection 257 232 224 187 121 114 131 100 83 -210 Ungroupablea Total 1,026 1,692 681 1,031 529 500 490 575 490 -109 195,060 195,969 199,502 205,535 209,201 216,751 220,756 226,297 230,799 15 a. Includes ICD-9 patient diagnostic codes that could not be grouped into any of the 25 MDCs. Sources: Utah Department of Health, Office of Health Care Statistics (2001). Utah Hospital Discharge Query System-Descriptive Statistics [On-line] hit o " ¦- n' Accessed 5/03. Utah's Health: An Annual Review Volume DC 75 |
