T12_3_6_2

2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 12_3_6.2
Admissions with stage III or IV pressure ulcer per 1,000 medical and surgical admissions of length 5 or more days,^a age 18 and over,^b by race/ethnicity, United States, 2008
				Non-Hispanic
		Total		White		Black		API		Hispanic, all races
Population group		Rate	SE	Rate	SE	Rate	SE	Rate	SE	Rate	SE
Total		29.9	0.1	28.0	0.1	40.8	0.2	27.1	0.4	29.5	0.2
Age	18-44	7.4	0.1	7.2	0.1	8.1	0.1	8.4	0.5	6.6	0.2
	45-64	19.7	0.1	19.7	0.1	21.3	0.2	14.0	0.6	16.9	0.3
	65 and over	52.5	0.1	49.2	0.1	73.7	0.3	50.4	0.6	51.9	0.4
	65-69	27.3	0.2	25.8	0.2	35.0	0.5	21.5	1.3	25.5	0.7
	70-74	36.3	0.2	33.4	0.2	51.8	0.5	33.8	1.3	36.9	0.8
	75-79	23.6	0.1	21.7	0.2	35.5	0.4	22.2	1.0	25.6	0.6
	80-84	38.5	0.2	34.9	0.2	66.1	0.6	32.4	1.3	42.5	0.8
	85 and over	114.6	0.3	104.4	0.3	193.2	1.0	119.1	2.0	137.1	1.4
Gender	Male	34.6	0.1	36.1	0.1	32.2	0.2	33.3	0.6	25.4	0.3
Gender	Female	36.9	0.1	35.9	0.1	42.3	0.2	34.1	0.5	30.9	0.3
Median income of patient's ZIP Code	First quartile (lowest income)	30.7	0.1	27.6	0.1	39.4	0.2	28.8	0.9	29.2	0.3
	Second quartile	28.8	0.1	26.8	0.1	41.5	0.3	30.2	0.8	29.5	0.5
	Third quartile	29.3	0.1	27.5	0.1	43.3	0.4	26.2	0.8	31.5	0.5
	Fourth quartile (highest income)	30.9	0.1	30.3	0.1	42.2	0.5	25.0	0.7	27.3	0.6
Location of patient residence	Large central metropolitan	36.1	0.1	34.3	0.1	43.3	0.2	30.5	0.5	32.2	0.3
	Large fringe metropolitan	30.3	0.1	28.9	0.1	41.6	0.3	21.7	0.9	26.5	0.6
	Medium metropolitan	27.0	0.1	26.0	0.2	34.9	0.5	26.0	0.9	27.5	0.5
	Small metropolitan	25.9	0.2	24.9	0.2	34.2	0.6	17.0	2.4	25.3	0.9
	Micropolitan	24.4	0.2	23.3	0.2	37.5	0.6	19.1	1.8	23.3	1.0
	Noncore	25.2	0.2	24.0	0.2	39.8	0.8	23.2	3.0	24.7	1.4
Expected payment source	Private insurance	22.5	0.2	22.0	0.2	26.7	0.4	20.9	1.1	20.1	0.6
	Medicare	31.2	0.1	28.8	0.1	45.5	0.2	29.6	0.5	32.4	0.3
	Medicaid	37.1	0.2	38.2	0.4	39.9	0.5	24.8	1.1	33.5	0.6
	Other insurance	21.7	0.4	22.6	0.5	24.2	1.1	11.1	3.2	15.5	1.3
	Uninsured/self-pay/no charge	18.5	0.4	20.9	0.5	16.2	0.8	13.6	2.6	14.7	1.0
Region of inpatient treatment	Northeast	32.9	0.1	31.8	0.1	40.8	0.4	29.4	0.9	30.9	0.6
	Midwest	26.5	0.1	24.3	0.1	40.3	0.3	16.0	1.8	21.9	1.2
	South	28.7	0.1	26.4	0.1	39.3	0.2	23.6	1.0	26.5	0.3
	West	33.7	0.1	32.6	0.2	51.5	0.5	28.1	0.5	33.1	0.4
Ownership/control of hospital	Private, not for profit	30.5	0.1	28.5	0.1	41.8	0.2	26.8	0.5	29.8	0.3
	Private, for profit	29.4	0.1	27.5	0.2	39.9	0.4	32.3	1.0	29.4	0.5
	Public	27.3	0.2	25.1	0.2	36.4	0.4	24.1	1.0	28.5	0.5
Teaching status of hospital	Teaching	34.4	0.1	32.3	0.1	41.8	0.2	28.9	0.6	32.3	0.4
Teaching status of hospital	Nonteaching	28.1	0.1	26.4	0.1	40.0	0.2	26.0	0.5	27.9	0.3
Location of hospital	Large central metropolitan	34.6	0.1	32.6	0.1	42.9	0.2	29.9	0.5	31.8	0.3
	Large fringe metropolitan	30.9	0.1	29.2	0.1	42.1	0.3	22.4	1.0	27.0	0.6
	Medium metropolitan	27.3	0.1	26.4	0.1	35.6	0.4	26.0	0.8	28.0	0.5
	Small metropolitan	25.5	0.2	24.5	0.2	34.6	0.5	17.3	2.4	24.6	0.9
	Micropolitan	23.7	0.2	22.7	0.2	36.3	0.7	18.1	1.9	20.5	1.2
	Noncore	26.1	0.3	24.7	0.3	43.6	1.0	26.0	3.3	22.4	2.9
Bed size of hospital	Less than 100	24.9	0.2	23.7	0.2	41.0	0.7	24.5	1.2	27.2	0.9
	100-299	30.1	0.1	28.3	0.1	42.6	0.3	28.2	0.6	29.6	0.4
	300-499	31.7	0.1	29.4	0.1	43.0	0.3	27.3	0.6	31.7	0.4
	500 or more	29.8	0.1	28.2	0.1	35.9	0.3	25.7	1.0	27.5	0.4

^a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the pressure ulcer be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. Consistent with the AHRQ PSI software, the following cases are excluded: transfers from other institutions; admissions from long-term care facilities; admissions with diseases of the skin, subcutaneous tissue, or breast; admissions for hemiplegia, paraplegia, quadriplegia, spina bifida, or anoxic brain damage; and admissions in which debridement or pedicle graft is the only operating room procedure.

^b. Rates are adjusted by age, comorbidities, major diagnostic category (MDC), and diagnosis-related group (DRG). When reporting is by age, the adjustment is by comorbidities, MDC, and DRG. The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2007, and AHRQ Quality Indicators, modified version 4.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Missouri, New Hampshire, New Jersey, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

Page last reviewed October 2014

Internet Citation: T12_3_6_2: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_3_6_2.html