Characteristics of Short-Term Acute Care Hospitalizations in Oklahoma, 1998
Preliminary Data - Not for Public Release

The Data

Overall

Region # Discharges Average LOS Patient Days Total Charges

Average Charge per

Died Average Age
Hospital-
ization
Patient Day # %
Oklahoma      403,282 4.9      1,975,002 $3,996,157,603 $9,935 $2,023    11,169 2.8% 49.2
US  35,406,187 4.9  173,490,316 $399,877,475,978 $11,294 $2,305  867,614 2.5% 47.1

 

Discharge Characteristics by:
  

Patient Sex
  • 61% of hospitalizations were female

    • 19% of female hospitalizations were pregnancy-related.

Patient Race
  • 86% of hospitalizations were white.  

  • 8% of hospitalizations were African American.  

  • 3% of hospitalizations were Native American.  

Patient Age
  • 61% of hospitalizations were less than 65 years of age

Patient Discharge Status
  • 82% of discharges were to home

  • 12% of discharges were to other types of facilities (e.g. skilled nursing, long term care, etc)

  • 2.8% of discharges died in-hospital

  • 2.7% of discharges were to other short term acute care hospitals

  • Less than one percent of discharges left against medical advice.

Length of Stay
  • The average hospital stay was 4.9 days.
    • 58% of discharges, stayed in the hospital 3 days or less.
    • 84% of discharges, stayed in the hospital one week or less.  
    • 11% of discharges, stayed in the hospital 8 to 14 days. 
    • 5% of discharges, stayed in the hospital longer than 14 days.  

Primary Payer 

  • Commercial insurance was the primary payer for 41% of discharges, accounting 38% of total charges (almost $1.5 billion).

  • Medicare was the primary payer for 38% of discharges, accounting for 46% of total charges (over $1.8 billion).

  • Medicaid was the primary payer for 15% of discharges, accounting for 10% of total charges (over $400 million).

The Most Frequent Reasons for Hospitalization were:
  1. Pneumonia (4.7% of admissions)

  2. Clogging of the heart arteries (3.9% of admissions)

  3. Congestive heart failure (2.8% of admissions)

  4. Rehabilitation care, fitting of prostheses, and adjustment of devices (2.7% of admissions)

  5. Heart Attack (2.4% of admissions)

Conditions Resulting in the Longest Stays in the Hospital were:
  1. Preadult mental disorders (21.7 days)
  2. Spinal cord injury (14.8 days)
  3. Rehabilitation care, fitting of prostheses, and adjustment of devices (14.8 days)
  4. Leukemias (13.8 days)
  5. Stomach cancer (13.5 days)
Conditions Resulting in the Most Patient Days in the Hospital were:
  1. Rehabilitation care, fitting of prostheses, and adjustment of devices (162,988 patient days)
  2. Pneumonia (115,541 patient days)
  3. Mood disorders (65,790 patient days)
  4. Congestive heart failure (60,126 patient days)
  5. Clogging of the heart arteries (58,192 patient days)
Conditions Resulting in the Highest Charges per Stay in the Hospital were:
  1. Spinal cord injury ($62,865)
  2. Heart valve disorders ($47,149)
  3. Leukemias ($41,366)
  4. Cystic fibrosis ($41,062)
  5. Stomach cancer ($38,901)
Conditions Resulting in the Overall Highest Total Charges were:
  1. Clogging of the heart arteries ($295,903,219)
  2. Heart Attack ($207,148,577)
  3. Pneumonia ($188,557,897)
  4. Rehabilitation care, fitting of prostheses, and adjustment of devices ($166,489,386)
  5. Congestive heart failure ($109,128,514)
Conditions from which Patients were Most Likely to Die from were:
  1. Cardiac arrest and ventricular fibrillation (56.7% of hospitalizations died)
  2. Shock (55.6% of hospitalizations died)
  3. Liver and intrahepatic bile duct cancer (25.2% of hospitalizations died)
  4. Cancer site not specified (24.4% of hospitalizations died)
  5. Respiratory failure, insufficiency, arrest (23.9% of hospitalizations died)
Conditions Resulting in the Most Patient Deaths were:
  1. Pneumonia (1,253 deaths)
  2. Heart Attack (913 deaths)
  3. Stroke (851 deaths)
  4. Blood infections except in labor (Septicemia) (731 deaths)
  5. Congestive heart failure (637 deaths)
The Most Frequent Principal Procedures were:
  1. Circumcision (14,547 procedures)
  2. Other procedures to assist delivery (12,718 procedures)
  3. Cesarean section (9,616 procedures)
  4. Diagnostic cardiac catheterization, coronary arteriography (7,668 procedures)
  5. Upper gastrointestinal endoscopy, biopsy (7,596 procedures)

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