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Healthgrades Mortality and Complications Outcomes

2018 Methodology

Contents

Introduction ................................................................................................................................................ 2

Data Acquisition ........................................................................................................................................ 2

Cohort Definitions and Outcomes ......................................................................................................... 3

Defining In-Hospital Complications........................................................................................................ 4

Diagnosis Records With Unknown or Empty POA Indicator .............................................................. 5

Diagnosis Records With POA Indicators ................................................................................................ 5

Independent vs. Dependent Complications ....................................................................................... 5

Multivariate Logistic Regression Models ................................................................................................ 6

Limitations of the Data Models ............................................................................................................... 8

Appendix A. Patient Cohort Definitions ................................................................................................ 9

Appendix B. Coefficient Summary Table – Mortality Cohorts ......................................................... 17

Appendix C. Coefficient Summary Table – Complication Cohorts ............................................... 77

Appendix D. Model Fit Statistics ......................................................................................................... 106

Appendix E. Hospital Ratings Removal Policy.................................................................................. 107

Healthgrades Mortality and Complication Outcomes 2018 Methodology

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Introduction To help consumers evaluate and compare hospital performance for care provided during a hospital stay for specific conditions or procedures, Healthgrades analyzed clinical outcomes data for virtually every hospital in the country. Analyses included Medicare-patient care records for nearly 4,500 short-term, acute care hospitals nationwide, assessing hospital performance relative to each of 32 common conditions and procedures (cohorts), plus two cohorts using all-payer data. The Healthgrades methodology uses multivariate logistic regression to risk adjust for patient demographic and clinical risk factors that influence patient outcomes in significant and systematic ways.

The purpose of risk adjustment is to obtain fair statistical comparisons of mortality and complication rates between hospitals while accounting for differences in underlying risk factors observed in the data among disparate populations or groups. Significant differences in demographic and clinical risk factors are found among patients treated in different hospitals; thus, it is necessary to make accurate and valid comparisons of clinical outcomes with a methodology using risk-adjustment techniques. Risk factors may include age, gender, specific procedure performed, and comorbid conditions, such as hypertension and diabetes.

Individual risk models are constructed and tailored for each of the 34 conditions or procedures relative to each specific outcome. Model clinical outcomes reflect clinical-based measures of patient status during and after care (during the episode of care in a hospital stay) and include: in-hospital complications, in-hospital mortality, and 30-day post-admission mortality. In cases where Medicare data do not adequately represent the population with a specific condition or having a specific procedure, such as appendectomy and bariatric surgery, Healthgrades evaluated hospitals using all-payer data from 17 states.

Data Acquisition Healthgrades used the following data sources in the analysis of hospital patient records:

Medicare inpatient data from the Medicare Provider Analysis and Review (MedPAR) file purchased from the Centers for Medicare and Medicaid Services (CMS) for years 2014 through 2016. The MedPAR data were selected for several reasons:

Almost every hospital in the country is included in the database, with the exception of military and Veterans Administration hospitals.

Accuracy is regulated. Hospitals are required by law to submit complete and accurate information for fee-for-service Medicare patient hospital care with substantial penalties for those that report inaccurate or incomplete data.

The Medicare population represents a majority of the patients for virtually all of the clinical categories studied.

Inpatient data for the appendectomy and bariatric surgery cohorts were provided by 17 states that provide all-payer state data.

California Maryland Oregon Virginia Colorado Nevada Pennsylvania Washington Florida New Jersey Rhode Island West Virginia Illinois New York Texas Wisconsin Iowa

Since the appendectomy and bariatric surgery cohorts include very few patients older than 65 years of age, all-payer state data were used to rate hospitals in those states where state data were available. Consequently, appendectomy and bariatric surgery cohorts were based exclusively on state data from years 2013 through 2015 (one year behind MedPAR data years).


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Healthgrades conducted a series of data quality checks to preserve the integrity of the analyses. Based on the applied integrity checks, up to 50% of patient records were excluded from the MedPAR 2014-2016 and all-payer 2013-2015 analysis, depending on the cohort. Patient records were identified for exclusion because, for example, they were determined to be miscoded or were otherwise inappropriate for inclusion in the data sets used for analyses.

Examples of Healthgrades standard rules used to exclude patient records are:

Patients under the age of 65.

Patients who left the hospital against medical advice or who were transferred to another acute care hospital.

Patients discharged alive with a length of stay that is inconsistent with the reason for admission (e.g., a patient discharged alive with a one-day length of stay for valve surgery would be excluded because this procedure requires several days for in-hospital recovery).

Patients who were still in the hospital when the claim was filed.

Patients with an invalid gender (e.g., a prostatectomy related to a female patient).

Patients with an invalid age.

Patients who have had any organ transplant.

Patients in medical cohorts who were discharged to hospice.*

Patients in medical cohorts with metastatic cancers.* * Medical cohorts include non-surgical cohorts: bowel obstruction, chronic obstructive pulmonary disease, diabetic emergencies, gastrointestinal bleed, heart attack, heart failure, hip fracture treatment, pancreatitis, pneumonia, pulmonary embolism, respiratory failure, sepsis, and stroke.

Cohort Definitions and Outcomes Healthgrades analyzed clinical outcomes (mortality and complications) for each of 34 condition or procedure cohorts. For each, a list of specific procedures and diagnoses that define the cohort as well as a list of exclusions representing rare and/or clinically complex diagnoses and procedures that cannot be adequately risk-adjusted were developed. A full list of ICD-9 and ICD-10 codes can be found in Healthgrades ICD-10 Mapping Tool at https://icd10mappingtool.healthgrades.com/.

Inclusion criteria for cohort analyses required at least 30 cases across three years of data and at least five cases in the most current year per hospital. As a result, the number of hospitals that qualified and received a rating ranged from a low of 526 rated for bariatric surgery to a high of 4,098 rated for pneumonia.

For 19 of the cohorts, clinical outcomes evaluated were in-hospital and 30-day post-admission mortality (see Table 1).

For 15 of the cohorts, the clinical outcome evaluated was the occurrence of one or more in-hospital complications (see Table 1). Clinical and coding experts define the complications for these 15 cohorts. A list of in-hospital complications by cohort can be found in Healthgrades ICD-10 Mapping Tool at https://icd10mappingtool.healthgrades.com/.

For the analyses, clinical outcomes were dichotomous:

Complications were documented in the patient record as either present or not present.

Mortality was documented in the patient record as either recorded as alive or deceased.

In cohorts where the clinical outcome was complications, mortality was considered a complication.


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Table 1. Mortality and Complication Cohorts Mortality Cohorts Bowel Obstruction Heart Failure Chronic Obstructive Pulmonary Disease (COPD) Pancreatitis Colorectal Surgeries Pneumonia Coronary Artery Bypass Graft (CABG) Surgery Pulmonary Embolism Coronary Interventional Procedures Respiratory Failure Cranial Neurosurgery Sepsis Diabetic Emergencies Small Intestine Surgeries Esophageal/Stomach Surgeries Stroke Gastrointestinal Bleed Valve Surgery Heart Attack In-Hospital Complication Cohorts Abdominal Aortic Aneurysm Repair Hip Replacement Appendectomy Pacemaker Procedures Back and Neck Surgeries (Without Spinal Fusion) Peripheral Vascular Bypass Bariatric Surgery Prostate Removal Surgery Carotid Surgery Spinal Fusion Defibrillator Procedures Total Knee Replacement Gallbladder Removal Surgery Transurethral Prostate Resection Surgery Hip Fracture Treatment

Defining In-Hospital Complications For some procedures and treatments, Healthgrades evaluates in-hospital complications—if patients experience one or more complications during their hospital stay for a procedure or treatment.

While complications sometimes occur during a patient's hospital stay, Healthgrades pinpoints complications that should not occur with a typical patient. Many of these complications are preventable and usually cause a prolonged hospital stay, additional and costly medical treatments, harm, and sometimes even death.

In October of 2007 (fiscal year 2008), CMS began requiring most hospitals to provide a present on admission (POA) indicator for every diagnosis submitted. This indicator is intended to distinguish complications that occur during a patient’s hospital stay from those present at the time the patient was admitted to the hospital.

Hospitals excluded from the POA requirement included: critical access hospital, long-term care hospitals, cancer hospitals, children’s inpatient facilities, rural health clinics, inpatient rehabilitation or psychiatric hospitals, and federal healthcare facilities. Hospitals in Maryland generally operated under a waiver in section 1814(b)(3) of the Deficit Reduction Act of 2005 and were exempt from POA reporting until October 2014. CMS began requiring Maryland hospitals to report POA status beginning in the 2015 fiscal year.

Table 2 shows the POA indicators listed in the 2016 MedPAR file layout document* and how they were used by Healthgrades in determining in-hospital complications in the current 2018 award year analyses. These indicators are identical to those in the all-payer state data file.


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Table 2. Present On Admission Indicators POA Indicator (Interpretation)

CMS Description*

Use by Healthgrades

Y (Yes, Present)

Present at the time of inpatient admission

Utilized in the risk-adjustment process

N (No, Not Present)

Not present at the time of inpatient admission

Used to identify in-hospital complications

U, [blank], Other (Unknown)

Documentation is insufficient to determine if condition was present on admission Unreported/not used—exempt from POA reporting

May require the co-occurrence of other codes to be a complication, see Records with No POA Indicator section below. If not considered a complication, it may be used in risk adjustment.

W (Clinically Undetermined)

Provider is unable to clinically determine whether condition was present on admission or not.

Not considered a complication nor used in risk adjustment

* MedPAR Limited Data Set – Hospital (National) File Layout. Also known as, Expanded Modified MedPAR File Layout. March 2015. Available from the Centers for Medicare and Medicaid Services. www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/Downloads/2014_MedPAR_Version_R2K_Layout.zip

Diagnosis Records With Unknown or Empty POA Indicator When utilizing administrative patient records, Healthgrades identifies diagnosed conditions as either pre-existing or hospital-acquired. Only the hospital-acquired conditions are considered as in-hospital complications in our analyses.

To differentiate between pre-existing and hospital-acquired conditions when there is no POA indicator or the POA indicator is U (unknown), Healthgrades uses the presence of a postoperative complication code to identify a documented occurrence of a complication. For example, in the case where a patient record contains ICD-9 427.31 or ICD-10 I48.0 (Atrial Fibrillation) without a POA indicator, that code is considered a comorbid risk factor if it occurs by itself and an in-hospital complication if there is an ICD 997.1 Cardiac Complications code or one of several ICD-10 cardiac complication codes, including I97.89 (Other Post-Procedural Complications and Disorder of Circulatory System, NEC), also present in the patient record.

Healthgrades does not require the presence of a postoperative complication code for diagnoses that were clearly hospital-acquired (e.g., heart attack in an elective procedure such as total knee replacement).

Diagnosis Records With POA Indicators When there is a POA indicator present, a diagnosis is only considered an in-hospital complication if the POA indicator is set to No. This means that the condition was not present at the time of admission and was acquired during the hospitalization episode of care.

Independent vs. Dependent Complications Complications are “independent” if the condition clearly occurred during a patient’s hospital stay or if the condition is defined as postoperative by the coding definition. These conditions only require a single code to be present in order to be counted as a complication. They are not counted as a complication if the POA indicator was “Yes” or “Clinically Undetermined”. Complications described as “dependent” are conditions that must either have POA indicator set to “No” or if the POA indicator is


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set to “Unknown” or is missing, there must also be the listed the ICD-9 900 postoperative complication code or its ICD-10 equivalent present in the patient record. These conditions require two codes (the condition ICD code and the 900 complication code or its ICD-10 equivalent) to be considered a complication. A full list of ICD-9 and ICD-10 codes can be found in Healthgrades ICD-10 Mapping Tool at https://icd10mappingtool.healthgrades.com/.

Multivariate Logistic Regression Models For each of the 34 cohorts, individual risk models were constructed and tailored for each condition or procedure relative to the specific clinical outcome; including, in-hospital complications, in-hospital mortality or 30-day post-admission mortality.

Healthgrades methodology uses multivariate logistic regression to adjust for patient risk factors that influence patient outcomes in significant and systematic ways. Risk factors may include age, gender, specific procedure performed, comorbid conditions. Examples of comorbid conditions that may be evaluated include hypertension, chronic renal failure, heart failure, and diabetes.

Statistically Significant Risk Factors For each cohort, comorbid diagnoses (e.g., hypertension, chronic renal failure, anemia, and diabetes), demographic characteristics (age and gender), source of patient admission, and specific procedures (e.g., percutaneous coronary intervention in heart bypass surgery) were classified as potential risk factors. Healthgrades used logistic regression to determine which of these potential risk factors were statistically significant in predicting the outcome measure (e.g., mortality). All risk factors that remained in the final model were statistically significant at the p ≤0.05 level in predicting the clinical outcome.

Risk factors with an odds ratio less than 1.0 were removed from the final model. There were occasional exceptions to this rule, determined by statistical and clinical expert review. For example, risk factors that have been documented in the medical literature to be associated with lower risk of mortality or complications and risk factors that are part of the cohort definition remained in the model even if the odds ratio was less than one (e.g., clipping of aneurysm in stroke).

Appendix B lists the coefficient summary table for each of the 19 mortality-based cohorts. Appendix C lists the coefficient summary table for each of the 15 complication-based cohorts. Included in the summary tables are the risk factor descriptions, the model coefficients, standard errors, z-statistics, and odds ratios.

The statistical models were checked for predictive ability and finalized. All of the models were predictive of the outcome being measured, with c-statistics ranging from 0.666 to 0.953. These cohort-specific and outcome-specific models were then used to estimate the probability of the outcome for each patient in the cohort (predicted probability of mortality and complications). Appendix D, Model Fit Statistics contains the c-stat with a 95% confidence interval for each risk-adjustment model by cohort.

Model Coefficient Summary and Fit Statistics Tables (See Appendix B and Appendix C for coefficient summary tables for 34 logistic regression models. For each model, tables include the following items:

Model (factor) Coefficient – This represents the increase or decrease to the patient level log odds when the patient has the associated factor.

Standard Error – This is a measure of variation for the coefficient.

Z-Statistic – This is a test statistic which provides a measure of the strength of the relationship between the factor and the outcome.

Odds Ratio – This is the most commonly interpreted component of a logistic regression model. This indicates the relative increase in the likelihood of a negative outcome (mortality or complication) when a patient has the risk factor relative to a patient who does not.


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Adjustment for POA Fill Rate as an Additional Model Variable POA fill rates were included as an additional independent variable for each year of data. The POA fill rate was calculated as the percent of diagnosis codes having a known POA indicator value of Yes, No or Clinically Undetermined among patients in that cohort at that hospital.

This additional risk adjustment was necessary because critical access hospitals and some Maryland hospitals were exempt from POA reporting until 2015. Thus, these hospitals had lower rates of detectable in-hospital complications and conversely, more conditions potentially factored into the acuity adjustment. Testing verified that the inclusion of POA fill rates in the logistic regression model adequately adjusted for the differing overall rates of complications between hospitals reporting POA and the exempt hospitals.

Hospital Performance Once the regression models were developed, Healthgrades stratified hospital performance for each of the 34 conditions or procedures into three categories:

Better Than Expected ‒ Actual performance was better than predicted and the difference was statistically significant at alpha = 0.1.

As Expected ‒ Actual performance was not statistically significantly different from what was predicted at alpha = 0.1.

Worse Than Expected ‒ Actual performance was worse than predicted and the difference was statistically significant at alpha = 0.1.

Developing the Healthgrades hospital performance categories involved four steps:

1. The hospital predicted value (predicted number of deaths or complications at each hospital) was calculated by summing the individual patient record predicted values determined from logistic regression models discussed above.

2. The hospital predicted value was compared with the actual or observed value (e.g., actual number of deaths or complications at each hospital).

3. A test was conducted to determine whether the difference between the predicted and actual values was statistically significant. This test was performed to make sure that differences were very unlikely to be caused by chance alone. A z-score was used to establish an approximate 90% confidence interval.*

4. Hospital performance star-levels were determined based upon the outcome of the test for statistical significance.

*In stratifying hospital performance categories, Healthgrades establishes a 90% confidence interval for z-score distribution with cut-offs of 1.645 standard deviations above and below the mean. The 5-star hospital performance category for a specific condition or procedure includes scores more than 1.645 standard deviations above the mean. The 1-star hospital performance category for a specific condition or procedure includes scores more than 1.645 standard deviations below the mean. Additionally, the Hosmer-Lemeshow patient level variance estimates were used to calculate hospital specific standard deviations for test of statistical significance.


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Limitations of the Data Models While logistic regression models may be valuable in identifying hospitals that perform better than others for care provided during a hospital stay, one should not use this information alone to determine the quality of care provided at each hospital. The models are limited by the following factors:

Cases may have been coded incorrectly or incompletely by the hospital.

The models can only account for risk factors that are coded into medical claims record. If a particular risk factor was not coded into the billing data, such as a patient’s socioeconomic status and health behavior, then it was not accounted for with these models.

Please note that hospitals grouped into the 5-star category for performance in a specific cohort do not serve as a recommendation or endorsement by Healthgrades for a particular hospital; it means that the data associated with a particular hospital have met the foregoing qualifications. Individual patients should decide, in conjunction with their doctor, whether a particular hospital is suited for their unique needs.

Also note that if more than one hospital reported to CMS under a single provider ID, Healthgrades analyzed patient outcomes data for those hospitals as a single unit. Throughout this document, therefore, “hospital” refers to one hospital or a group of hospitals reporting under a single provider ID. Some hospitals that operate as a single unit submit data under multiple provider IDs. In this case, the data from the multiple provider IDs are combined and reported under the parent hospital provider ID.

Healthgrades Mortality and Complication Outcomes 2018 Methodology Appendix A. Patient Cohort Definitions

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Appendix A. Patient Cohort Definitions

Appendectomy Cohort Inclusions Notable Exclusions Appendectomy Primary Procedure Evaluated on in-hospital complication rates

Laparoscopic Open procedures

None

Bariatric Surgery Cohort Inclusions Notable Exclusions Bariatric Surgery

Diagnosis of obesity or morbid obesity

Open and laparoscopic gastric bypass, banding, or restriction

Revision of gastric restriction procedures

Primary or metastatic malignancies

Duodenal, gastric, or peptic ulcers

Patients undergoing a non-bariatric (not for weight loss) GI procedure

Cardiac Service Line Cohort Inclusions Notable Exclusions Coronary Artery Bypass Graft (CABG) Surgery (Isolated) Primary Procedure May have a PCI in this stay Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Coronary bypass of one or more arteries

Patient discharged alive with a length of stay < 1 day

Cases with accompanying: o Valve repair and

replacement, including catheter-based valve procedures

o Aortic aneurysm repair o Carotid endarterectomy

Coronary Interventional Procedures (PCI) - Inpatient Primary Procedure is PCI or Principal Procedure of Intra-aortic balloon pump with PCI in a subsequent coded position Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Removal of coronary artery obstruction

Single or multi-vessel Balloon angioplasty with or

without thrombolytic agent Stent may be bare metal or drug

eluting

CABG or valve surgery during the same stay


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Cardiac Service Line (continued)

Defibrillator Procedures Defined by Diagnosis-Related Group (DRG) Evaluated on in-hospital complication rates

Defibrillator implants CABG or valve surgery during the same stay

Coronary angioplasty/stent during the same stay

Heart Attack Primary Diagnosis Includes patients who receive thrombolytics, PCI, CABG, Valve Surgery, or medical management only during the hospital stay Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

All myocardial infarctions

Respirator-dependent status Heart assist device Metastatic cancers Discharge to hospice

Heart Failure Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Systolic, diastolic, combined, left, or rheumatic

Acute or chronic Decompensated or

compensated

Dialysis during the same stay Respirator-dependent status Heart assist device Metastatic cancers Discharge to hospice

Pacemaker Procedures Diagnosis-Related Group (DRG) Evaluated on in-hospital complication rates

Pacemaker implants and/or leads

Replacement of pacemaker implant and/or leads

Revision of pacemaker implants and/or leads

Pacemaker and/or lead removal

CABG or valve surgery during the same stay

Coronary angioplasty/stenting during the same stay

Valve Surgery Procedure at any position May have CABG during the same hospital stay Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Replacement with repair Open or endoscopic repair Aortic, mitral, pulmonary, or

tricuspid, including TAVR

Aortic dissections and repairs Patients discharged alive with

a length of stay < 1 day


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Critical Care Service Line Cohort Inclusions Notable Exclusions Diabetic Emergencies Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Diabetic ketoacidosis HHNK (Hyperosmolar

Hyperglycemic Non-Ketotic Coma)

Hypoglycemic shock

Metastatic cancers Heart assist device Respirator-dependent status Patients discharged alive with

a length of stay < 1 day Discharge to hospice

Pulmonary Embolism Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Pulmonary embolism and infarction

Septic or other Without acute cor pulmonale

Metastatic cancers Heart assist device Patients discharged alive with


Respiratory Failure Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Acute respiratory failure Acute and chronic respiratory

failure

Metastatic cancers Heart assist device Discharge to hospice

Sepsis Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Sepsis o Bacterial o Viral o Unspecified organism

Severe sepsis Septic shock

Metastatic cancers Heart assist device Patients discharged alive with


Gastrointestinal Service Line Cohort Inclusions Notable Exclusions Bowel Obstruction Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Pyloric stenosis Gastrojejunal ulcer with

obstruction Intestinal obstruction without

hernia Duodenal ulcer with obstruction Other obstruction of duodenum Hernia with obstruction Gallstone ileus Intussusception

Metastatic cancers Heart assist device Discharge to hospice Patients deceased with a

length of stay <1 day

Colorectal Surgeries Primary Procedure Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Resection of colon Resection of rectum Hemicolectomy (Open and

laparoscopic) Sigmoidectomy (Open and

laparoscopic) Cecectomy (Open and

laparoscopic) Large-to-Large intestine

anastomosis Colostomy procedure

Metastatic cancers


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Gastrointestinal Service Line (continued)

Esophageal/Stomach Surgeries Primary Procedure Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Gastrostomy Gastrectomy Procedures for control of

bleeding Sutures of ulcer sites Repairs of stomach or esophagus

Metastatic cancers Patients undergoing a bariatric

(weight loss) procedure

Gallbladder Removal Surgery (Cholecystectomy) Primary Procedure Evaluated on in-hospital complication rates

Open or laparoscopic Total or partial

Does not include primary procedure of gallbladder stenting

Gastrointestinal Bleed Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Bleeding/hemorrhage from any of the following:

o Esophageal varices o Esophageal ulcer o Gastric ulcer o Duodenal ulcer o Peptic ulcer o Gastrojejunal ulcer o Gastritis or duodenitis o Angiodysplasia of stomach

and duodenum o Diverticulosis o Rectum or anus o Dieulafoy lesion of intestine

Hematemesis Melena Hemorrhage of GI tract,

unspecified

Metastatic cancers Heart assist device Respirator-dependent status Discharge to hospice Patients deceased with a

length of stay <1 day

Small Intestine Surgeries Primary Procedure Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Resection of small intestine Small-to-small intestine

anastomosis Small-to-large intestine

anastomosis Creation, revision, or closure of

stoma of small intestine Repair of small intestine

Metastatic cancers Patients undergoing a bariatric

(weight loss) procedure

Pancreatitis Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Acute Chronic Cyst and pseudocyst of pancreas

Metastatic cancers Heart assist device Respirator-dependent status Discharge to hospice


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Neurosciences Service Line Cohort Inclusions Notable Exclusions Cranial Neurosurgery Primary Procedure Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Intracranial vascular procedures for hemorrhage:

o Aneurysm repairs o Clippings o Coilings o Intracranial angioplasties

Craniotomies Ventricular shunts

Head trauma Patients deceased with a

length of stay <1 day Discharge to hospice

Stroke Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Subarachnoid hemorrhage Intracerebral hemorrhage Intracranial hemorrhage,

unspecified Occlusion and stenosis of basilar,

carotid, or vertebral artery Cerebral thrombosis, embolism, or

occlusion

Hospitals transferring more than 10% of their population

Subdural bleeds Extradural bleeds Patients deceased with a

length of stay <1 day Patients discharged alive with

a length of stay < 1 day Metastatic cancers Heart assist device Respirator-dependent status Discharge to hospice


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Orthopedic Service Line Cohort Inclusions Notable Exclusions Hip Fracture Treatment Primary Diagnosis and Diagnosis-Related Group (DRG) May be treated with total hip replacement Evaluated on in-hospital complication rates

Closed femur neck fractures Closed trochanteric and

subtrochanteric fractures Closed intertrochanteric fractures

Injuries associated with major trauma

Open fractures of the femur neck

Closed fracture of the epiphysis of the neck of the femur

Femur shaft fractures Knee replacement during

same hospital stay Patients discharged alive with


Hip Replacement Primary Procedure and Diagnosis-Related Group (DRG) Evaluated on in-hospital complication rates

Primary hip replacement Bilateral cases Partial and total hip resurfacing


Hip fracture diagnosis Revisions Removal of hardware Knee replacement during the

same stay

Total Knee Replacement Primary Procedure and Diagnosis-Related Group (DRG) Evaluated on in-hospital complication rates

Primary total knee replacement [bicompartmental, tricompartmental, unicompartmental (hemi-joint)]

Bilateral cases


Revisions Removal of hardware Hip replacement (total or

partial) or hip resurfacing during the same stay

Prostatectomy Cohort Inclusions Notable Exclusions Prostate Removal Surgery Primary Procedure Evaluated on in-hospital complication rates

Radical prostatectomy – suprapubic, retropubic, and perineal approaches

Local excision of lesion of prostate

None

Transurethral Prostate Resection Surgery Primary Procedure Evaluated on in-hospital complication rates

Transurethral guided laser induced prostatectomy (TULIP)

Other transurethral prostatectomies (including TURP)

None


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Pulmonary Service Line Cohort Inclusions Notable Exclusions Chronic Obstructive Pulmonary Disease Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Chronic bronchitis Simple and obstructive bronchitis

with and without exacerbation Chronic airway obstruction, not

elsewhere classified Chronic obstructive asthma Emphysema Bronchiectasis

Respirator-dependent status Metastatic cancers Heart assist device Discharge to hospice

Pneumonia Primary Diagnosis Evaluated on mortality rates at two time periods: In-hospital Within 30 days of

admission

Pneumonia o Bacterial o Fungal o Viral o Unspecified organism

Respirator-dependent status Metastatic cancers Heart assist device SARS-related Discharge to hospice

Spine Surgery Service Line Cohort Inclusions Notable Exclusions Back & Neck Surgeries (Without Spinal Fusion) Primary Procedure and DRG Evaluated on in-hospital complication rates

Cervical, thoracic, and/or lumbar spine laminectomy, laminoplasty, foraminotomy

Repair or reduction of vertebral fracture Removal on bony spicules

Elevation of spinal bone fragments

Excision or destruction of intervertebral disc

Removal of herniated nucleus pulposus

Insertion of motion preservation devices


Post-laminectomy syndrome: cervical, thoracic, or lumbar

Patients with secondary bone cancer

Spinal Fusion Primary Procedure and DRG Evaluated on in-hospital complication rates

2-7 level fusion Performed within 3rd cervical

vertebrae to lumbosacral spine Single incision approach


C1-C2 fusions 8+ level fusions Refusions or removal of

previously placed material Post-laminectomy syndrome:

cervical, thoracic, or lumbar Insertion of spinal disc

prosthetics Spinal column malignancies


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Vascular Service Line Cohort Inclusions Notable Exclusions Abdominal Aortic Aneurysm Repair Primary Procedure Evaluated on in-hospital complication rates

Excision of aneurysm and resection with anastomosis with and without replacement of the aorta

Endovascular implantation of a graft in the abdominal aorta

Rupture of abdominal aortic aneurysm

Aortic dissection During the same stay:

o CABG and/or Valve surgery

o Resection of thoracic vessel

Combination of stenting/anastomosis procedures

Incision of vessel for embolectomy or thrombectomy

Carotid Surgery Primary Procedure Evaluated on in-hospital complication rates

Carotid endarterectomy Carotid stent placement Percutaneous angioplasty of pre-

cerebral vessels

Presence of subarachnoid, intracerebral and subdural hemorrhage

CABG during the same stay Resection of other peripheral

vessel with anastomosis

Peripheral Vascular Bypass Primary Procedure Evaluated on in-hospital complication rates

Peripheral vascular shunt or bypass:

o Axillary-brachial o Axillary-femoral o Brachial o Femoral-femoral o Femoroperoneal o Femoropopliteal o Femorotibial o Popliteal o Vascular bypass not

otherwise specified

Revisions Upper extremity embolism

Healthgrades Mortality and Complication Outcomes 2018 Methodology Appendix B. Coefficient Summary Tables – Mortality Cohorts

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Appendix B. Coefficient Summary Table – Mortality Cohorts

Bowel Obstruction In-Hospital Mortality In-Hospital + 30-Day Mortality

Factor List Coefficient Standard

Error Z-Stat Odds Ratio Coefficient

Standard Error Z-Stat

Odds Ratio

ACIDOSIS 0.595 0.04 15.049 1.814 0.385 0.033 11.68 1.47

ACUTE MYOCARDIAL INFARCTION, SUBENDOCARDIAL INFARCTION, INITIAL EPISODE OF CARE 0.446 0.121 3.695 1.562 0.504 0.098 5.136 1.655

ACUTE RESPIRATORY FAILURE - INCLUSIVE 0.825 0.071 11.59 2.283 0.658 0.061 10.776 1.931

ACUTE VASCULAR INSUFFICIENCY OF INTESTINE 0.275 0.053 5.191 1.316 0.247 0.046 5.36 1.28

AdmitSourceXferHospital 0.145 0.043 3.359 1.156 0.239 0.033 7.28 1.27

AdmitSourceXferNonHospital * * * * 0.147 0.072 2.04 1.159

AdmitSourceXferSkilledNursing 0.142 0.057 2.493 1.152 0.375 0.04 9.276 1.455

Age70To74 0.237 0.047 5.01 1.268 0.183 0.036 5.147 1.201

Age75To79 0.488 0.045 10.828 1.63 0.422 0.034 12.398 1.525

Age80To84 0.76 0.044 17.39 2.139 0.67 0.033 20.266 1.954

Age85To89 1.005 0.044 22.943 2.732 0.963 0.033 29.198 2.619

Age90AndOver 1.185 0.045 26.056 3.27 1.277 0.034 37.715 3.587

ALL SENILE DEMENTIA, UNCOMPLICATED 0.15 0.035 4.291 1.162 0.437 0.025 17.364 1.548

ANEMIA, UNSPECIFIED * * * * 0.12 0.025 4.882 1.127

AORTIC VALVE DISORDERS * * * * 0.103 0.043 2.423 1.109

ATRIAL FIBRILLATION - INCLUSIVE 0.335 0.024 13.724 1.397 0.317 0.019 17.059 1.374

BODY MASS INDEX LESS THAN 19, ADULT 0.168 0.051 3.326 1.183 0.264 0.039 6.742 1.302

CACHEXIA 0.691 0.065 10.575 1.995 0.679 0.052 12.985 1.972

CHOLECYSTECTOMY 0.756 0.108 7.027 2.13 0.675 0.095 7.121 1.963

CHRONIC AIRWAY OBSTRUCTION, NOT ELSEWHERE CLASSIFIED 0.33 0.028 11.783 1.391 0.311 0.021 14.539 1.365

CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) 0.096 0.036 2.635 1.101 0.076 0.028 2.703 1.078

CHRONIC KIDNEY DISEASE, STAGE IV (SEVERE) 0.396 0.061 6.488 1.485 0.397 0.047 8.384 1.488

CHRONIC KIDNEY DISEASE, UNSPECIFIED 0.302 0.039 7.653 1.353 0.277 0.03 9.196 1.32

CIRRHOSIS OF LIVER WITHOUT MENTION OF ALCOHOL 0.548 0.085 6.43 1.73 0.722 0.063 11.482 2.058

COLONOSCOPY AND FLEXIBLE SIGMOIDOSCOPY 0.247 0.062 4.005 1.281 0.237 0.047 4.998 1.267

COLOSTOMY, NOT OTHERWISE SPECIFIED 0.756 0.071 10.701 2.129 0.516 0.06 8.634 1.676

CONGESTIVE HEART FAILURE, UNSPECIFIED - INCLUSIVE 0.259 0.03 8.648 1.296 0.301 0.023 13.167 1.352

Constant -7.037 0.146 -48.092 0.001 -5.567 0.099 -56.01 0.004

CORONARY ATHEROSCLEROSIS OF NATIVE OR UNSPECIFIED CORONARY VESSEL 0.109 0.025 4.413 1.116 0.058 0.019 3.088 1.06

DELIRIUM * * * * 0.355 0.074 4.773 1.427

DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITHOUT BEHAVIORAL DISTURBANCE * * * * 0.441 0.042 10.549 1.555

DEPENDENCE ON SUPPLEMENTAL OXYGEN 0.237 0.053 4.424 1.267 0.267 0.041 6.524 1.306

Diabetes Mellitus (type II, or unspecified, or Secondary), without mention of complication, uncontrolled OR not stated as uncontrolled_RA * * * * 0.047 0.021 2.251 1.048


18


Bowel Obstruction (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

DILATION OF INTESTINE 0.211 0.075 2.796 1.235 0.187 0.057 3.283 1.206

DO NOT RESUSCITATE STATUS 0.51 0.031 16.383 1.666 0.661 0.023 28.253 1.936

END STAGE RENAL DISEASE 1.023 0.146 7.003 2.781 0.943 0.116 8.149 2.567

Endoscopic insertion of colonic stent(s) -0.548 0.265 -2.066 0.578 * * * *

EXPLORATORY LAPAROTOMY 0.711 0.07 10.228 2.036 0.425 0.063 6.768 1.529

GASTROSTOMY STATUS * * * * 0.224 0.074 3.051 1.252

HD107_CVG NON-MALIGNANT RENAL DISEASE WITH FAILURE 0.427 0.146 2.93 1.533 0.461 0.115 4.004 1.586

HD114_CVG CHRONIC ISCHEMIC HEART DISEASE 0.466 0.059 7.873 1.593 0.35 0.048 7.363 1.419

HD115_CVG PULMONARY HYPERTENSION 0.302 0.045 6.651 1.353 0.205 0.037 5.59 1.227

HD116_CVG CARDIOMYOPATHY 0.395 0.051 7.754 1.485 0.272 0.041 6.588 1.312

HD119_CVG CHRONIC BRONCHITIS 0.481 0.072 6.65 1.617 0.563 0.055 10.188 1.755

HD127_CVG MALNUTRITION 0.458 0.03 15.097 1.581 0.507 0.024 21.133 1.661

HD142_CVG SEPSIS 0.68 0.081 8.391 1.973 0.665 0.068 9.787 1.944

HD146_CVG ACUTE RENAL FAILURE 0.336 0.028 12.17 1.399 0.289 0.022 13.242 1.336

HD150_CVG OTHER/UNSPEC PERIPH VASC DISEASE 0.208 0.042 4.936 1.231 0.197 0.032 6.122 1.218

HD151_CVG ENCEPHALOPATHY 0.423 0.065 6.515 1.527 0.445 0.051 8.805 1.56

HD152_CVG HYPOTENSION, UNSP OR NEC 0.218 0.063 3.449 1.243 0.303 0.049 6.24 1.354

HD154_CVG DEHYDRATION * * * * 0.069 0.022 3.125 1.072

HD156_CVG DYSPHAGIA * * * * 0.208 0.045 4.608 1.231

HD170_CVG ACUTE SYSTOLIC HEART FAILURE 0.5 0.098 5.117 1.649 0.567 0.079 7.209 1.763

HD172_CVG ACUTE DIASTOLIC HEART FAILURE 0.207 0.091 2.284 1.23 0.18 0.072 2.496 1.198

HD174_CVG ACUTE COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 0.41 0.153 2.683 1.507 0.407 0.124 3.285 1.503

HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED 0.64 0.083 7.663 1.896 0.582 0.065 8.995 1.79

HP179_CVG Other Colon Procedures 0.583 0.077 7.602 1.791 0.357 0.068 5.285 1.429

HYDRONEPHROSIS * * * * 0.241 0.058 4.132 1.272

HYPEROSMOLALITY AND/OR HYPERNATREMIA 0.285 0.057 4.963 1.329 0.377 0.044 8.538 1.458

HYPERPOTASSEMIA 0.213 0.055 3.866 1.237 0.264 0.042 6.244 1.302

HYPOSMOLALITY AND/OR HYPONATREMIA 0.2 0.034 5.837 1.222 0.224 0.026 8.536 1.251

INCISIONAL HERNIA WITH OBSTRUCTION 0.184 0.046 3.965 1.202 * * * *

INTESTINAL OR PERITONEAL ADHESIONS WITH OBSTRUCTION (POSTOPERATIVE) (POSTINFECTION) * * * * -0.212 0.025 -8.585 0.809

OBESITY HYPOVENTILATION SYNDROME 0.679 0.156 4.341 1.972 0.585 0.128 4.569 1.795

OPEN AND OTHER CECECTOMY 0.636 0.112 5.669 1.888 0.485 0.098 4.955 1.624

OPEN AND OTHER RESECTION OF TRANSVERSE COLON 0.801 0.145 5.525 2.229 0.749 0.13 5.771 2.114

OPEN AND OTHER RIGHT HEMICOLECTOMY 0.863 0.064 13.403 2.371 0.656 0.054 12.141 1.927

OPEN AND OTHER SIGMOIDECTOMY 0.453 0.077 5.85 1.573 0.229 0.065 3.548 1.258

OTHER AND UNSPECIFIED VENTRAL HERNIA WITH OBSTRUCTION 0.139 0.056 2.477 1.149 * * * *

OTHER COLOSTOMY AND ENTEROSTOMY COMPLICATION 0.323 0.12 2.692 1.382 0.237 0.097 2.446 1.267


19


Bowel Obstruction (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

OTHER EMPHYSEMA 0.353 0.089 3.955 1.423 0.361 0.069 5.231 1.434

OTHER ENDOSCOPY OF SMALL INTESTINE 0.413 0.067 6.208 1.512 0.231 0.054 4.26 1.26

OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY 0.82 0.202 4.053 2.271 * * * *

OTHER LYSIS OF PERITONEAL ADHESIONS 0.609 0.027 22.227 1.838 0.377 0.027 14.108 1.459

OTHER PARTIAL RESECTION OF SMALL INTESTINE 0.787 0.032 24.392 2.198 0.56 0.028 20.113 1.751

OTHER PERSISTENT MENTAL DISORDERS DUE TO CONDITIONS CLASSIFIED ELSEWHERE 0.543 0.192 2.829 1.721 0.79 0.132 5.985 2.202

OTHER SMALL-TO-LARGE INTESTINAL ANASTOMOSIS 0.227 0.094 2.416 1.255 * * * *

OTHER SPECIFIED INTESTINAL OBSTRUCTION 0.134 0.041 3.246 1.143 0.151 0.031 4.93 1.163

PARALYSIS AGITANS * * * * 0.141 0.051 2.775 1.151

PARALYTIC ILEUS * * * * 0.058 0.02 2.833 1.059

PAROXYSMAL VENTRICULAR TACHYCARDIA 0.233 0.114 2.047 1.263 0.205 0.091 2.242 1.227

PATHOLOGIC FRACTURE OF VERTEBRAE 0.344 0.126 2.743 1.411 0.358 0.094 3.821 1.431

PERFORATION OF INTESTINE 0.752 0.069 10.943 2.122 0.653 0.062 10.517 1.921

POSTINFLAMMATORY PULMONARY FIBROSIS 0.432 0.09 4.812 1.541 0.389 0.07 5.558 1.476

PrimaryFacilityPresentOnAdmissionKnownPercent 1.497 0.176 8.505 4.468 0.743 0.119 6.248 2.103

RECURRENT UNILATERAL OR UNSPECIFIED INGUINAL HERNIA WITH OBSTRUCTION, WITHOUT MENTION OF GANGRENE -0.285 0.129 -2.211 0.752 * * * *

SEPTIC SHOCK 1.189 0.128 9.26 3.285 0.984 0.118 8.321 2.675

SexFemale -0.161 0.023 -7.081 0.851 -0.165 0.017 -9.569 0.848

SLDV667_CVG PALLIATIVE CARE RISK REGARDLESS OF POA 3.834 0.03 129.572 46.239 3.485 0.028 123.398 32.629

TACHYCARDIA, UNSPECIFIED 0.405 0.092 4.402 1.499 0.357 0.072 4.965 1.429

THROMBOCYTOPENIA, UNSPECIFIED 0.271 0.055 4.91 1.312 0.216 0.043 4.996 1.241

UNSPECIFIED PLEURAL EFFUSION 0.497 0.057 8.642 1.643 0.608 0.044 13.868 1.838

UNSPECIFIED VASCULAR INSUFFICIENCY OF INTESTINE 0.57 0.049 11.548 1.769 0.432 0.044 9.917 1.541

VOLVULUS 0.123 0.046 2.651 1.131 0.117 0.038 3.104 1.124

CHRONIC DUODENAL ILEUS AND OTHER OBSTRUCTION OF DUODENUM * * * * 0.394 0.1 3.955 1.483

HERNIA OF OTHER SPECIFIED SITES, WITH OBSTRUCTION * * * * -0.18 0.06 -3.011 0.835

INTUSSUSCEPTION * * * * -0.328 0.135 -2.436 0.72

Laparoscopic repair of inguinal hernia with graft or prosthesis, not otherwise specified * * * * -0.647 0.182 -3.558 0.524

Other and open repair of direct inguinal hernia with graft or prosthesis * * * * -0.188 0.052 -3.596 0.829

UNILATERAL OR UNSPECIFIED FEMORAL HERNIA WITH OBSTRUCTION (NOT SPECIFIED AS RECURRENT) * * * * -0.209 0.071 -2.96 0.811


20


Chronic Obstructive Pulmonary Disease (COPD) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ABDOMINAL ANEURYSM WITHOUT MENTION OF RUPTURE * * * * 0.12 0.036 3.334 1.127

ACIDOSIS 0.697 0.033 21.209 2.008 0.42 0.022 19.537 1.522

ACUTE AND CHRONIC RESPIRATORY FAILURE - INCLUSIVE 0.738 0.025 29.738 2.091 0.499 0.015 33.071 1.647






ADULT FAILURE TO THRIVE 0.381 0.058 6.558 1.464 0.603 0.033 18.034 1.827

Age70To74 0.281 0.033 8.394 1.325 0.271 0.019 14.628 1.312

Age75To79 0.348 0.034 10.35 1.417 0.403 0.019 21.725 1.496

Age80To84 0.467 0.034 13.638 1.595 0.553 0.019 29.252 1.739

Age85To89 0.439 0.037 11.757 1.552 0.672 0.02 33.226 1.957

Age90AndOver 0.351 0.044 8.022 1.42 0.841 0.023 36.984 2.319

ALL SENILE DEMENTIA, UNCOMPLICATED * * * * 0.162 0.019 8.537 1.176

ALZHEIMER'S DISEASE * * * * 0.147 0.035 4.144 1.158

ANEMIA OF OTHER CHRONIC DISEASE * * * * 0.153 0.026 6.003 1.166

ANEMIA, UNSPECIFIED 0.104 0.028 3.691 1.11 0.199 0.015 13.17 1.221

ANXIETY STATE, UNSPECIFIED * * * * 0.075 0.014 5.375 1.078


ATRIAL FLUTTER 0.389 0.058 6.687 1.476 0.188 0.036 5.276 1.206

BODY MASS INDEX LESS THAN 19, ADULT * * * * 0.14 0.029 4.86 1.151

CACHEXIA 0.473 0.049 9.58 1.605 0.53 0.031 17.141 1.7






Constant -6.099 0.032 -

188.667 0.002 -4.49 0.018 -

251.872 0.011

DEPENDENCE ON SUPPLEMENTAL OXYGEN * * * * 0.173 0.012 14.261 1.189


EDEMA * * * * 0.135 0.034 3.915 1.145







21


Chronic Obstructive Pulmonary Disease (COPD) (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

HD142_CVG SEPSIS 1.378 0.085 16.246 3.967 0.778 0.066 11.72 2.177


HD150_CVG OTHER/UNSPEC PERIPH VASC DISEASE * * * * 0.057 0.018 3.073 1.058



HD154_CVG DEHYDRATION 0.127 0.037 3.437 1.135 0.11 0.021 5.324 1.116

HD156_CVG DYSPHAGIA * * * * 0.27 0.026 10.431 1.31

HD158_CVG PNEUMONIA Bacterial and Unspecified 0.398 0.023 17.409 1.49 0.173 0.013 13.403 1.189







LONG-TERM (CURRENT) USE OF STEROIDS * * * * 0.134 0.019 6.897 1.143

MALIGNANT NEOPLASM OF BRONCHUS AND LUNG, UNSPECIFIED 0.622 0.058 10.809 1.863 1.065 0.03 35.709 2.9

MALIGNANT NEOPLASM OF UPPER LOBE, BRONCHUS OR LUNG * * * * 0.642 0.064 9.999 1.9

OTHER CONVULSIONS 0.521 0.138 3.77 1.684 * * * *

OTHER DYSPNEA AND RESPIRATORY ABNORMALITY * * * * 0.231 0.048 4.86 1.26

OTHER EMPHYSEMA 0.301 0.075 4.015 1.351 0.206 0.043 4.774 1.229

OTHER MALAISE AND FATIGUE * * * * 0.211 0.02 10.68 1.235

OTHER PULMONARY INSUFFICIENCY, NOT ELSEWHERE CLASSIFIED 0.368 0.133 2.764 1.445 0.153 0.078 1.969 1.165

PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA * * * * 0.186 0.053 3.517 1.205



SexFemale -0.183 0.02 -9.204 0.832 -0.307 0.011 -28.307 0.736

SINOATRIAL NODE DYSFUNCTION 0.22 0.043 5.069 1.246 0.106 0.025 4.282 1.112


TACHYCARDIA, UNSPECIFIED * * * * 0.13 0.035 3.699 1.139


UNSPECIFIED DISORDER OF KIDNEY AND URETER - INCLUSIVE * * * * 0.117 0.037 3.147 1.124


URINARY TRACT INFECTION, SITE NOT SPECIFIED * * * * 0.15 0.021 7.274 1.161

ALKALOSIS * * * * 0.221 0.044 5.044 1.248

BRONCHIECTASIS WITH ACUTE EXACERBATION * * * * -0.309 0.048 -6.477 0.734


22


Chronic Obstructive Pulmonary Disease (COPD) (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

BRONCHIECTASIS WITHOUT ACUTE EXACERBATION * * * * -0.116 0.046 -2.544 0.89

CANDIDIASIS OF MOUTH * * * * 0.222 0.042 5.233 1.249

CHRONIC RESPIRATORY FAILURE * * * * 0.039 0.019 2.084 1.04

LOSS OF WEIGHT * * * * 0.121 0.043 2.793 1.128

METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS IN CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE * * * * 0.233 0.067 3.46 1.263

PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BRONCHUS AND LUNG * * * * 0.27 0.026 10.213 1.31


23


Colorectal Surgeries In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


ACIDOSIS 0.617 0.032 19.201 1.853 0.558 0.03 18.857 1.747


ACUTE AND SUBACUTE NECROSIS OF LIVER 1.017 0.098 10.382 2.766 1.019 0.099 10.263 2.77

ACUTE MYOCARDIAL INFARCTION, SUBENDOCARDIAL INFARCTION, INITIAL OR SUBSEQUENT EPISODE OF CARE 0.394 0.091 4.346 1.483 0.382 0.083 4.624 1.465

ACUTE PANCREATITIS 0.438 0.143 3.067 1.549 0.352 0.132 2.662 1.421



AdmitSourceXferHospital * * * * 0.079 0.036 2.161 1.082


ADULT FAILURE TO THRIVE * * * * 0.399 0.07 5.711 1.49

Age70To74 0.264 0.037 7.211 1.302 0.34 0.032 10.57 1.405

Age75To79 0.45 0.036 12.419 1.569 0.598 0.032 18.914 1.818

Age80To84 0.711 0.037 19.393 2.036 0.887 0.032 27.77 2.428

Age85To89 0.909 0.039 23.522 2.481 1.174 0.033 35.13 3.235

Age90AndOver 1.086 0.045 23.928 2.961 1.509 0.038 39.63 4.524

ALCOHOLIC CIRRHOSIS OF LIVER 0.93 0.145 6.416 2.534 0.88 0.129 6.802 2.411



ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, UNSPECIFIED 0.472 0.14 3.371 1.602 0.364 0.126 2.89 1.44



CACHEXIA 0.302 0.081 3.717 1.352 0.505 0.07 7.226 1.657


CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) 0.143 0.036 3.973 1.154 * * * *



CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE, WITHOUT MENTION OF OBSTRUCTION 0.812 0.207 3.932 2.254 0.72 0.177 4.056 2.054

CHRONIC VASCULAR INSUFFICIENCY OF INTESTINE 0.526 0.087 6.08 1.693 0.416 0.081 5.122 1.516


CONGESTIVE HEART FAILURE, UNSPECIFIED - INCLUSIVE [DX7937 / RISK] 0.321 0.03 10.59 1.378 0.323 0.026 12.491 1.382

Constant -7.215 0.179 -40.223 0.001 -6.227 0.147 -42.473 0.002


DEFIBRINATION SYNDROME 1.312 0.126 10.445 3.713 1.266 0.127 9.933 3.548


24


Colorectal Surgeries (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


EPILEPSY, UNSPECIFIED, WITHOUT MENTION OF INTRACTABLE EPILEPSY 0.269 0.074 3.639 1.308 0.221 0.063 3.477 1.247

FECAL IMPACTION 0.301 0.081 3.718 1.351 0.292 0.071 4.087 1.339

GLUCOCORTICOID DEFICIENCY 0.409 0.097 4.219 1.506 0.431 0.088 4.895 1.538






HD121_CVG ASTHMA WITH ACUTE EXACERBATION 0.463 0.159 2.916 1.589 * * * *

HD127_CVG MALNUTRITION * * * * 0.178 0.025 7.254 1.195

HD142_CVG SEPSIS 0.094 0.042 2.242 1.099 0.123 0.037 3.299 1.131


HD148_CVG DIAB W UNSPECIFIED MANIFESTATIONS 0.24 0.088 2.72 1.271 0.228 0.076 2.998 1.256


HD151_CVG ENCEPHALOPATHY * * * * 0.226 0.045 5.018 1.254




HD170_CVG ACUTE SYSTOLIC HEART FAILURE * * * * 0.212 0.083 2.559 1.236

HD176_CVG BODY MASS INDEX 40 AND OVER 0.191 0.055 3.474 1.21 0.192 0.048 3.975 1.212

HP129_CVG Incisions of Small Intestine 0.477 0.19 2.517 1.612 0.484 0.174 2.775 1.623

HP130_CVG Resection or Removal of Small Intestine 0.552 0.036 15.252 1.737 0.497 0.033 15.002 1.644

HP131_CVG Small Intestine Anastamosis Procedures 0.991 0.187 5.302 2.695 0.729 0.177 4.121 2.073

HP132_CVG Exteriorization of Small Intestine 0.332 0.08 4.176 1.394 0.326 0.069 4.692 1.385

HP133_CVG Ileostomies 0.669 0.031 21.57 1.952 0.673 0.028 23.991 1.96

HP134_CVG Other Enterostomies 0.713 0.118 6.042 2.04 0.679 0.112 6.072 1.972

HP174_CVG Anal-Rectal Procedures -0.379 0.062 -6.077 0.684 -0.216 0.047 -4.603 0.806

HP175_CVG Colon Resection and Anastomosis - Low Mortality -0.252 0.047 -5.361 0.778 -0.377 0.04 -9.493 0.686

HP176_CVG Colon Resection and Anastomosis and Large-to-Large Anastomosis - Moderate Mortality 0.585 0.032 18.415 1.796 0.369 0.029 12.72 1.446

HP177_CVG Colon Resection Anastomosis – High Mortality 0.556 0.034 16.162 1.744 0.332 0.031 10.749 1.394


HP180_CVG Other Rectal Procedures -0.572 0.078 -7.36 0.565 -0.277 0.054 -5.121 0.758

HP183_CVG Stoma 0.439 0.028 15.899 1.552 0.422 0.024 17.609 1.525


25






Odds Ratio


INTESTINAL INFECTION DUE TO CLOSTRIDIUM DIFFICILE 0.317 0.054 5.815 1.373 0.264 0.05 5.246 1.303

INTESTINAL OR PERITONEAL ADHESIONS WITH OBSTRUCTION (POSTOPERATIVE) (POSTINFECTION) 0.236 0.061 3.858 1.266 0.173 0.054 3.193 1.189

LAPAROSCOPIC ROBOTIC ASSISTED PROCEDURE -0.425 0.109 -3.888 0.654 -0.416 0.086 -4.847 0.66

LATE EFFECT OF CEREBROVASCULAR DISEASE, HEMIPLEGIA AFFECTING UNSPECIFIED SIDE * * * * 0.243 0.089 2.733 1.275


OTHER AND UNSPECIFIED COAGULATION DEFECTS 0.712 0.077 9.25 2.038 0.577 0.072 7.966 1.781

OTHER AND UNSPECIFIED VENTRAL HERNIA WITH OBSTRUCTION 0.286 0.135 2.109 1.331 * * * *

OTHER ASCITES 0.215 0.05 4.331 1.24 0.23 0.045 5.097 1.258

OTHER DISORDERS OF PLASMA PROTEIN METABOLISM * * * * 0.141 0.061 2.323 1.151

OTHER EMPHYSEMA 0.292 0.089 3.273 1.339 0.328 0.076 4.32 1.388

OTHER LAPAROTOMY 0.383 0.077 4.946 1.466 0.329 0.07 4.698 1.39

OTHER SHOCK WITHOUT MENTION OF TRAUMA 0.261 0.087 3.019 1.299 0.279 0.078 3.59 1.322

OTHER SPECIFIED DISORDERS OF PERITONEUM * * * * 0.204 0.06 3.387 1.227

OTHER SPECIFIED INTESTINAL OBSTRUCTION 0.144 0.045 3.185 1.155 * * * *

OTHER SPECIFIED PERITONITIS 0.25 0.063 3.947 1.284 0.287 0.059 4.889 1.332

P4641_CVG Revision of Stoma of Small Intestine * * * * -0.22 0.107 -2.051 0.803

P4674_CVG Closure of Fistula of Small Intestine, Except Duodenum 0.604 0.091 6.674 1.83 0.443 0.084 5.283 1.557

PANCYTOPENIA 0.469 0.094 4.996 1.598 0.623 0.08 7.755 1.864


PARAPLEGIA * * * * 0.484 0.137 3.533 1.623





SEPTIC SHOCK 0.866 0.039 22.272 2.376 0.831 0.036 22.843 2.297

SEVERE SEPSIS 0.349 0.038 9.077 1.417 0.288 0.036 8.049 1.334

SexFemale -0.191 0.022 -8.827 0.826 -0.234 0.018 -12.686 0.791



ULCERATIVE COLITIS, UNSPECIFIED 0.248 0.086 2.875 1.281 0.209 0.078 2.672 1.232

UNSPECIFIED INTESTINAL OBSTRUCTION 0.308 0.043 7.188 1.361 0.322 0.037 8.754 1.38

UNSPECIFIED PERITONITIS 0.157 0.043 3.665 1.17 0.19 0.039 4.885 1.21




26






Odds Ratio

VOLVULUS 0.164 0.044 3.716 1.178 0.192 0.038 5.115 1.212

CARDIOMEGALY * * * * 0.268 0.119 2.254 1.307

HP181_CVG Rectal Resection and Anastomosis * * * * -0.131 0.041 -3.169 0.877

METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS IN CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE * * * * 0.268 0.119 2.251 1.307


27


Coronary Artery Bypass Graft (CABG) Surgery In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ABDOMINAL ANEURYSM WITHOUT MENTION OF RUPTURE 0.23 0.1 2.294 1.259 * * * *



ADHESIVE PERICARDITIS 0.589 0.145 4.061 1.802 0.436 0.136 3.204 1.547


AdmitSourceXferNonHospital 0.294 0.105 2.799 1.342 0.32 0.092 3.494 1.378

Age70To74 0.35 0.046 7.628 1.419 0.361 0.04 8.989 1.434

Age75To79 0.638 0.046 13.833 1.893 0.632 0.041 15.587 1.882

Age80To84 0.959 0.05 19.344 2.61 0.977 0.043 22.479 2.657

Age85To89 1.233 0.064 19.322 3.433 1.267 0.056 22.608 3.551

Age90AndOver 1.454 0.148 9.806 4.279 1.587 0.127 12.523 4.89

ANOXIC BRAIN DAMAGE 0.706 0.23 3.067 2.026 0.8 0.207 3.857 2.225

AORTOCORONARY BYPASS STATUS 0.216 0.097 2.221 1.242 * * * *

ATHEROSCLEROSIS OF AORTA 0.19 0.076 2.492 1.209 0.145 0.068 2.122 1.156


ATHEROSCLEROSIS OF RENAL ARTERY 0.337 0.136 2.485 1.401 0.308 0.123 2.506 1.36


CARDIAC ARREST 0.511 0.129 3.971 1.668 0.557 0.117 4.742 1.745

CARDIOGENIC SHOCK 0.452 0.06 7.557 1.571 0.436 0.056 7.743 1.546




Constant -4.809 0.058 -83.001 0.008 -4.464 0.051 -87.408 0.012

DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITHOUT BEHAVIORAL DISTURBANCE 0.76 0.177 4.307 2.139 0.806 0.154 5.242 2.238



hd109_CVG NON-MALIG HYPERTEN & REN WITH CHF 0.626 0.109 5.728 1.871 0.556 0.101 5.497 1.744




HD143_CVG INFERIOR WALL AMI * * * * 0.222 0.073 3.045 1.249

HD144_CVG ANTERIOR/LATERAL WALL AMI 0.354 0.055 6.388 1.425 0.365 0.051 7.111 1.441

HD146_CVG ACUTE RENAL FAILURE 0.248 0.054 4.608 1.282 * * * *



IMPLANT OF PULSATION BALLOON 1.738 0.034 50.52 5.688 1.507 0.032 47.661 4.513


28


Coronary Artery Bypass Graft (CABG) Surgery (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

INSERTION OF PERCUTANEOUS EXTERNAL HEART ASSIST DEVICE 3.029 0.115 26.347 20.686 2.818 0.112 25.138 16.745

LEFT HEART FAILURE * * * * 0.598 0.224 2.672 1.819

MULTIPLE CORONARY TO MAMMARY OR THORACIC ARTERY BYPASS -0.49 0.095 -5.145 0.612 -0.52 0.086 -6.076 0.594


OTHER EMPHYSEMA 0.331 0.117 2.828 1.393 0.278 0.104 2.66 1.32

PARALYSIS AGITANS 0.329 0.159 2.07 1.389 0.357 0.137 2.609 1.428

PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY [PTCA] - BYP-VLV Specific 0.359 0.065 5.55 1.432 0.368 0.06 6.125 1.444

SexFemale 0.417 0.032 13.227 1.517 0.332 0.028 11.912 1.394

SINGLE CORONARY TO MAMMARY OR THORACIC ARTERY BYPASS -0.587 0.044 -13.455 0.556 -0.527 0.039 -13.427 0.59


29


Coronary Interventional Procedures In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


ACIDOSIS 0.951 0.029 32.666 2.587 0.827 0.026 32.331 2.287




Age70To74 0.382 0.03 12.647 1.465 0.314 0.024 13.059 1.369

Age75To79 0.632 0.03 20.875 1.881 0.571 0.024 23.716 1.77

Age80To84 0.845 0.031 27.39 2.329 0.815 0.025 33.256 2.259

Age85To89 1.122 0.032 34.537 3.07 1.123 0.026 43.544 3.074

Age90AndOver 1.5 0.039 38.638 4.48 1.546 0.031 49.978 4.691

ALZHEIMER'S DISEASE 0.427 0.07 6.066 1.533 0.614 0.054 11.385 1.849


AORTIC VALVE DISORDERS 0.186 0.035 5.271 1.205 0.236 0.027 8.801 1.266



ATRIOVENTRICULAR BLOCK, COMPLETE 0.27 0.052 5.194 1.31 0.256 0.046 5.58 1.292

CARDIAC ARREST 1.302 0.039 33.693 3.677 1.186 0.032 36.816 3.274



CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) * * * * 0.134 0.022 5.964 1.143



CHRONIC TOTAL OCCLUSION OF CORONARY ARTERY 0.246 0.023 10.906 1.279 0.224 0.018 12.332 1.252


Constant -6.359 0.156 -40.735 0.002 -5.89 0.121 -48.574 0.003

Diabetes Mellitus (type II, or unspecified, or Secondary), with neurological manifestations/peripheral circulatory disorders, uncontrolled OR not stated as uncontrolled_RA * * * * 0.091 0.035 2.579 1.096

Diabetes Mellitus (type II, or unspecified, or Secondary), with Ophthalmic/Renal Manifestations, uncontrolled OR not stated as uncontrolled_RA * * * * 0.052 0.025 2.047 1.053


DISSECTION OF CORONARY ARTERY 0.53 0.118 4.482 1.7 0.449 0.1 4.508 1.566



HD115_CVG PULMONARY HYPERTENSION * * * * 0.117 0.026 4.583 1.124


30


Coronary Interventional Procedures (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

HD116_CVG CARDIOMYOPATHY * * * * 0.163 0.027 5.998 1.177



HD143_CVG INFERIOR WALL AMI 0.968 0.029 33.087 2.633 0.851 0.024 35.94 2.341







HD176_CVG BODY MASS INDEX 40 AND OVER * * * * 0.087 0.042 2.103 1.091



HYPOTHERMIA (CENTRAL) (LOCAL) 1.429 0.09 15.96 4.174 1.386 0.087 15.978 3.999


INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT(S) -0.447 0.021 -21.015 0.639 -0.397 0.017 -23.451 0.672


LATE EFFECT OF CEREBROVASCULAR DISEASE, HEMIPLEGIA AFFECTING UNSPECIFIED SIDE 0.506 0.1 5.036 1.658 0.519 0.079 6.534 1.68

OTHER EMPHYSEMA 0.361 0.085 4.24 1.435 0.324 0.067 4.805 1.383

PARALYSIS AGITANS 0.212 0.079 2.673 1.236 0.223 0.061 3.63 1.25



PROCEDURE ON FOUR OR MORE VESSELS - INCLUSIVE * * * * 0.246 0.069 3.588 1.279

PROCEDURE ON SINGLE CORONARY AND NON CORONARY VESSEL -0.222 0.027 -8.102 0.801 -0.092 0.017 -5.414 0.912

PROCEDURE ON THREE VESSELS - INCLUSIVE * * * * 0.073 0.026 2.782 1.075

PROCEDURE ON TWO VESSELS - INCLUSIVE -0.144 0.03 -4.727 0.866 * * * *

RHEUMATOID ARTHRITIS - INCLUSIVE * * * * 0.173 0.047 3.652 1.189

RIGHT BUNDLE BRANCH BLOCK 0.113 0.05 2.246 1.119 * * * *

SEPTIC SHOCK 0.974 0.068 14.285 2.649 0.856 0.062 13.813 2.353

SexFemale 0.252 0.018 13.878 1.286 0.133 0.014 9.257 1.143

SLP3606_CVG INSERTION OF NON-DRUG-ELUTING CORONARY ARTERY STENT(S) 0.139 0.024 5.806 1.149 0.174 0.019 9.077 1.189

UNSPECIFIED DISORDER OF KIDNEY AND URETER - INCLUSIVE 0.139 0.064 2.164 1.149 0.116 0.05 2.296 1.123


VENTRICULAR FIBRILLATION 0.101 0.043 2.357 1.106 * * * *


31


Cranial Neurosurgery (formerly Neurosurgery)

In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ABDOMINAL ANEURYSM WITHOUT MENTION OF RUPTURE 0.47 0.131 3.578 1.599 0.269 0.108 2.494 1.308

ACIDOSIS 0.353 0.076 4.632 1.423 0.32 0.068 4.712 1.377


AdmitSourceXferHospital -0.123 0.035 -3.479 0.884 -0.064 0.029 -2.213 0.938

AdmitSourceXferSkilledNursing * * * * 0.289 0.099 2.913 1.335

Age70To74 0.152 0.046 3.315 1.164 0.139 0.038 3.684 1.149

Age75To79 0.327 0.047 6.971 1.386 0.352 0.038 9.202 1.422

Age80To84 0.434 0.05 8.637 1.543 0.531 0.041 13 1.701

Age85To89 0.567 0.057 9.983 1.763 0.761 0.046 16.555 2.14

Age90AndOver 0.6 0.077 7.757 1.821 1.047 0.06 17.418 2.848




CEREBRAL EMBOLISM WITH CEREBRAL INFARCTION 0.35 0.127 2.762 1.419 0.315 0.114 2.77 1.37

CEREBRAL THROMBOSIS WITH CEREBRAL INFARCTION - INCLUSIVE 0.208 0.078 2.648 1.231 0.184 0.065 2.813 1.202




CLIPPING OF ANEURYSM -0.492 0.1 -4.928 0.611 -0.637 0.089 -7.163 0.529

COMA 0.935 0.062 15.094 2.548 0.957 0.059 16.336 2.603

COMPRESSION OF BRAIN 0.16 0.039 4.062 1.173 0.097 0.032 2.984 1.102


Constant -6.698 0.317 -21.154 0.001 -4.696 0.246 -19.117 0.009


DECOMPRESSION OF TRIGEMINAL NERVE ROOT -3.004 0.799 -3.759 0.05 -2.663 0.478 -5.566 0.07


Diabetes Mellitus (type II, or unspecified, or Secondary), without mention of complication, uncontrolled OR not stated as uncontrolled_RA 0.115 0.037 3.138 1.122 0.155 0.029 5.25 1.167


ENDOVASCULAR (TOTAL) EMBOLIZATION OR OCCLUSION OF HEAD AND NECK VESSELS -0.262 0.073 -3.603 0.77 -0.437 0.063 -6.925 0.646

ENDOVASCULAR EMBOLIZATION OR OCCLUSION OF VESSEL(S) OF HEAD OR NECK USING BIOACTIVE COILS -0.609 0.224 -2.718 0.544 -0.639 0.197 -3.252 0.528

ENDOVASCULAR REMOVAL OF OBSTRUCTION FROM HEAD AND NECK VESSEL(S) 0.387 0.062 6.219 1.473 0.28 0.049 5.761 1.323

FORMATION OF CRANIAL BONE FLAP -0.712 0.234 -3.04 0.491 -0.624 0.179 -3.493 0.536


32


Cranial Neurosurgery (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

HD117_CVG NARROWING OF PRECEREBRAL ARTERY 0.27 0.069 3.888 1.31 0.179 0.059 3.064 1.196




HEART VALVE REPLACED BY OTHER MEANS 0.26 0.098 2.654 1.296 * * * *


IMPLANTATION OR REPLACEMENT OF INTRACRANIAL NEUROSTIMULATOR LEAD(S) -1.789 0.396 -4.523 0.167 -1.453 0.226 -6.437 0.234

INCISION OF CEREBRAL MENINGES 0.219 0.044 4.964 1.245 * * * *

INFARCTION OF A CEREBRAL ARTERY - INCLUSIVE 0.482 0.074 6.541 1.619 0.346 0.064 5.39 1.414

INFUSION OF VASOPRESSOR AGENT 1.082 0.089 12.179 2.95 0.868 0.083 10.445 2.381

INSERTION OF SKULL PLATE -0.654 0.154 -4.262 0.52 -0.36 0.106 -3.387 0.698

INTRACEREBRAL HEMORRHAGE 0.414 0.044 9.372 1.513 0.359 0.037 9.838 1.432

INTRACRANIAL PRESSURE MONITORING 0.46 0.096 4.783 1.585 0.416 0.088 4.717 1.516

INTRACRANIAL VENTRICULAR SHUNT OR ANASTOMOSIS 0.867 0.09 9.606 2.38 0.642 0.077 8.372 1.9

LONG-TERM (CURRENT) USE OF ANTICOAGULANTS 0.124 0.048 2.567 1.132 0.12 0.04 3.031 1.127



OBSTRUCTIVE HYDROCEPHALUS 0.155 0.05 3.082 1.167 0.202 0.044 4.606 1.224

OPEN BIOPSY OF BRAIN -0.517 0.105 -4.927 0.596 * * * *


OTHER CRANIECTOMY 0.298 0.081 3.667 1.347 * * * *

OTHER EXCISION OR DESTRUCTION OF LESION OR TISSUE OF BRAIN -0.391 0.057 -6.919 0.676 -0.272 0.045 -6.074 0.762

OTHER INCISION OF BRAIN 0.182 0.055 3.287 1.2 * * * *

OTHER MALIGNANT LYMPHOMAS, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES - INCLUSIVE 0.83 0.168 4.936 2.294 0.728 0.13 5.597 2.072

PERSONAL HISTORY OF TRANSIENT ISCHEMIC ATTACK (TIA), AND CEREBRAL INFARCTION WITHOUT RESIDUAL DEFICITS * * * * 0.112 0.04 2.818 1.119

PNEUMONITIS DUE TO INHALATION OF FOOD OR VOMITUS * * * * 0.119 0.042 2.87 1.127


PROCEDURE ON TWO VESSELS - INCLUSIVE 0.309 0.128 2.409 1.362 * * * *

REMOVAL OR REPLACEMENT OF VENTRICULAR SHUNT -0.65 0.123 -5.294 0.522 -0.529 0.093 -5.672 0.589

SECONDARY MALIGNANT NEOPLASM OF BONE AND BONE MARROW 0.357 0.117 3.046 1.429 0.489 0.09 5.421 1.631

SexFemale * * * * -0.129 0.026 -5.053 0.879


33


Cranial Neurosurgery (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


STATUS POST ADMINISTRATION OF TPA (RTPA) IN A DIFFERENT FACILITY WITHIN THE LAST 24 HOURS PRIOR TO ADMISSION TO CURRENT FACILITY 0.183 0.087 2.096 1.2 * * * *

SUBARACHNOID HEMORRHAGE 0.531 0.058 9.228 1.7 0.424 0.052 8.208 1.528


UNSPECIFIED CEREBRAL ARTERY OCCLUSION WITH CEREBRAL INFARCTION - INCLUSIVE 0.547 0.067 8.182 1.728 0.485 0.06 8.127 1.624

UNSPECIFIED INTRACRANIAL HEMORRHAGE 0.651 0.109 5.969 1.918 0.605 0.097 6.247 1.832

VENTRICULAR SHUNT TO ABDOMINAL CAVITY AND ORGANS -1.731 0.096 -18.067 0.177 -1.172 0.064 -18.313 0.31

VENTRICULAR SHUNT TO CIRCULATORY SYSTEM -1.47 0.674 -2.181 0.23 -0.939 0.458 -2.053 0.391

VENTRICULOSTOMY 0.9 0.048 18.624 2.459 0.591 0.042 14.129 1.805

COMMUNICATING HYDROCEPHALUS * * * * 0.277 0.114 2.434 1.319

EXCISION OF ACOUSTIC NEUROMA * * * * -0.94 0.342 -2.744 0.391

EXCISION OF LESION OR TISSUE OF CEREBRAL MENINGES * * * * -0.451 0.07 -6.438 0.637

Malignant neoplasm of brain, unspecified site * * * * 0.627 0.119 5.282 1.872

Malignant neoplasm of frontal lobe of brain * * * * 0.313 0.095 3.3 1.367

MALIGNANT NEOPLASM OF LIVER, SPECIFIED AS SECONDARY * * * * 0.566 0.113 5.022 1.762

Malignant neoplasm of other parts of brain * * * * 0.653 0.17 3.845 1.921

OTHER CRANIAL OSTEOPLASTY * * * * -0.258 0.1 -2.58 0.773

OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF HEAD, FACE, AND NECK * * * * 0.538 0.236 2.279 1.712

Other malignant neoplasm of unspecified site * * * * 0.435 0.149 2.927 1.545

REOPENING OR OTHER CRANIOTOMY SITE * * * * -0.162 0.05 -3.208 0.851

SECONDARY MALIGNANT NEOPLASM OF BRAIN AND SPINAL CORD * * * * 0.2 0.061 3.253 1.221

SECONDARY MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM * * * * 0.727 0.14 5.174 2.068


34


Diabetic Emergencies In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.481 0.076 6.325 1.617 0.211 0.051 4.15 1.235




ACUTE VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED DEEP VESSELS OF LOWER EXTREMITY * * * * 0.525 0.204 2.576 1.69

AdmitSourceXferHospital * * * * 0.137 0.064 2.157 1.147




Age70To74 0.204 0.073 2.797 1.227 0.295 0.044 6.77 1.343

Age75To79 0.371 0.073 5.062 1.45 0.454 0.044 10.376 1.575

Age80To84 0.46 0.076 6.053 1.585 0.686 0.044 15.492 1.987

Age85To89 0.615 0.08 7.648 1.85 0.889 0.047 19.032 2.433

Age90AndOver 0.647 0.094 6.877 1.91 1.189 0.052 23.021 3.284



ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE 0.452 0.144 3.143 1.571 * * * *


CACHEXIA 0.6 0.144 4.162 1.821 0.514 0.092 5.568 1.672

CARDIAC ARREST 3.522 0.155 22.774 33.864 2.766 0.146 18.912 15.888

CHRONIC AIRWAY OBSTRUCTION, NOT ELSEWHERE CLASSIFIED * * * * 0.18 0.034 5.298 1.197

CHRONIC KIDNEY DISEASE, STAGE IV (SEVERE) * * * * 0.211 0.048 4.378 1.235

CHRONIC KIDNEY DISEASE, STAGE V * * * * 0.663 0.125 5.322 1.941

CHRONIC LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION * * * * 0.491 0.172 2.856 1.634

CIRRHOSIS OF LIVER WITHOUT MENTION OF ALCOHOL * * * * 0.418 0.098 4.28 1.519

CLOSED [ENDOSCOPIC] BIOPSY OF BRONCHUS 1.572 0.215 7.307 4.818 0.939 0.176 5.338 2.557


Constant -5.869 0.065 -90.343 0.003 -4.794 0.054 -89.142 0.008

DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITH BEHAVIORAL DISTURBANCE * * * * 0.378 0.152 2.491 1.459


Diabetes Mellitus (type II, or unspecified, or Secondary), with other coma, uncontrolled OR not stated as uncontrolled_RA 1.512 0.099 15.235 4.536 1.049 0.083 12.658 2.854

Diabetes with ketoacidosis, type I [juvenile type], uncontrolled 0.42 0.091 4.592 1.522 0.245 0.068 3.581 1.277


35


Diabetic Emergencies (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio



ENTERAL INFUSION OF CONCENTRATED NUTRITIONAL SUBSTANCES 1.134 0.138 8.225 3.108 0.676 0.108 6.287 1.967

GANGRENE 0.717 0.096 7.438 2.049 0.322 0.061 5.237 1.38


GLUCOCORTICOID DEFICIENCY * * * * 0.5 0.143 3.496 1.648

hd109_CVG NON-MALIG HYPERTEN & REN WITH CHF 0.579 0.168 3.453 1.784 * * * *





HD142_CVG SEPSIS 0.861 0.128 6.738 2.365 0.332 0.097 3.416 1.394



HD156_CVG DYSPHAGIA * * * * 0.198 0.057 3.485 1.219



HD172_CVG ACUTE DIASTOLIC HEART FAILURE * * * * 0.249 0.082 3.02 1.282

HD174_CVG ACUTE COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE * * * * 0.412 0.118 3.483 1.51

HD175_CVG CHRONIC COMBINED DIASTOLIC AND SYSTOLIC HEART FAILURE * * * * 0.302 0.088 3.432 1.352

HD176_CVG BODY MASS INDEX 40 AND OVER 0.239 0.102 2.342 1.27 * * * *




HYPOXEMIA * * * * 0.229 0.089 2.57 1.258

INSERTION OF OTHER (NASO-)GASTRIC TUBE 1.45 0.231 6.287 4.264 1.102 0.192 5.734 3.011

INTERMEDIATE CORONARY SYNDROME AND OTHER AND UNSPECIFIED ANGINA PECTORIS * * * * 0.068 0.026 2.583 1.07


MALIGNANT NEOPLASM OF BRONCHUS AND LUNG, UNSPECIFIED * * * * 1.092 0.14 7.81 2.981

MALIGNANT NEOPLASM OF COLON, UNSPECIFIED * * * * 0.926 0.258 3.589 2.524

MIXED ACID-BASE BALANCE DISORDER 0.809 0.221 3.669 2.246 0.406 0.171 2.383 1.501


OTHER ALTERATION OF CONSCIOUSNESS 0.545 0.204 2.664 1.724 * * * *



36


Diabetic Emergencies (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

OTHER ASCITES 1.143 0.153 7.482 3.137 0.939 0.105 8.974 2.558

OTHER MALAISE AND FATIGUE * * * * 0.153 0.048 3.182 1.166

OTHER MALIGNANT LYMPHOMAS, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES - INCLUSIVE * * * * 0.718 0.176 4.07 2.05

OTHER PERSISTENT MENTAL DISORDERS DUE TO CONDITIONS CLASSIFIED ELSEWHERE * * * * 0.474 0.174 2.727 1.606

OTHER PULMONARY EMBOLISM AND INFARCTION 0.866 0.34 2.548 2.378 0.572 0.231 2.471 1.771


PARALYTIC ILEUS 1.515 0.168 9.028 4.551 0.714 0.138 5.193 2.043

PAROXYSMAL VENTRICULAR TACHYCARDIA * * * * 0.355 0.113 3.151 1.427

PNEUMONITIS DUE TO INHALATION OF FOOD OR VOMITUS 0.438 0.126 3.464 1.549 0.471 0.089 5.323 1.602


Pressure Ulcer Stage IV 0.93 0.267 3.479 2.534 0.786 0.161 4.891 2.194

Pressure Ulcer Unstageable * * * * 0.401 0.161 2.492 1.493

PRESSURE ULCER, STAGE II * * * * 0.429 0.105 4.08 1.536

PULMONARY CONGESTION AND HYPOSTASIS * * * * 0.512 0.185 2.776 1.669

RENAL FAILURE, UNSPECIFIED 1.635 0.342 4.782 5.131 0.687 0.286 2.399 1.988

SEPTIC SHOCK 0.985 0.241 4.091 2.679 0.883 0.208 4.248 2.419

SexFemale -0.201 0.045 -4.471 0.818 -0.184 0.026 -7.089 0.832

SHOCK, UNSPECIFIED 1.085 0.264 4.114 2.958 0.759 0.217 3.502 2.136


THORACENTESIS 0.744 0.187 3.98 2.104 0.272 0.129 2.113 1.313

THROMBOCYTOPENIA, UNSPECIFIED * * * * 0.239 0.056 4.238 1.27

ULCER OF LOWER LIMB, UNSPECIFIED * * * * 0.404 0.105 3.831 1.497

ULCER OF OTHER PART OF LOWER LIMB * * * * 0.31 0.103 3.01 1.363




CEREBRAL ATHEROSCLEROSIS * * * * 0.269 0.113 2.385 1.308

Diabetes Mellitus (type II, or unspecified, or Secondary), with other specified manifestations/ketoacidosis, uncontrolled OR not stated as uncontrolled_RA * * * * 0.108 0.041 2.677 1.115

MALIGNANT NEOPLASM OF BREAST (FEMALE), UNSPECIFIED * * * * 0.676 0.212 3.198 1.967

ULCER OF HEEL AND MIDFOOT * * * * 0.137 0.052 2.62 1.147


37


Esophageal/Stomach Surgeries In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.44 0.034 13.111 1.553 0.229 0.024 9.662 1.258



ACUTE DUODENAL ULCER WITH HEMORRHAGE, WITHOUT MENTION OF OBSTRUCTION 0.612 0.093 6.582 1.845 0.442 0.07 6.282 1.556

ACUTE GASTRIC ULCER WITH PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.745 0.107 6.949 2.107 0.47 0.09 5.231 1.6







Age70To74 0.148 0.042 3.528 1.159 0.199 0.027 7.369 1.22

Age75To79 0.323 0.04 7.986 1.381 0.43 0.026 16.676 1.538

Age80To84 0.488 0.04 12.218 1.63 0.649 0.025 25.698 1.914

Age85To89 0.637 0.04 15.808 1.891 0.866 0.025 34.118 2.377

Age90AndOver 0.799 0.043 18.767 2.223 1.112 0.027 41.747 3.041

ALCOHOL DEPENDENCE 0.358 0.09 3.981 1.43 0.165 0.062 2.667 1.18



ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, UNSPECIFIED 0.336 0.147 2.282 1.399 * * * *


BACTEREMIA * * * * 0.197 0.077 2.548 1.218


CANDIDIASIS OF THE ESOPHAGUS 0.215 0.099 2.171 1.239 0.302 0.058 5.247 1.353


CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) * * * * 0.097 0.022 4.441 1.101




CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.592 0.129 4.582 1.808 0.403 0.112 3.611 1.496

CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.705 0.064 11.062 2.023 0.518 0.052 9.967 1.678

CHRONIC VASCULAR INSUFFICIENCY OF INTESTINE * * * * 0.4 0.146 2.746 1.492



38


Esophageal/Stomach Surgeries (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


Constant -6.899 0.216 -31.952 0.001 -4.757 0.12 -39.489 0.009



DIAPHRAGMATIC HERNIA WITH OBSTRUCTION 0.406 0.109 3.721 1.501 0.177 0.088 2 1.194



HD107_CVG NON-MALIGNANT RENAL DISEASE WITH FAILURE * * * * 0.276 0.077 3.595 1.318





HD117_CVG NARROWING OF PRECEREBRAL ARTERY * * * * 0.083 0.039 2.109 1.087



HD142_CVG SEPSIS 0.204 0.041 4.93 1.227 0.186 0.027 6.945 1.205



HD148_CVG DIAB W UNSPECIFIED MANIFESTATIONS * * * * 0.1 0.044 2.279 1.105







HD176_CVG BODY MASS INDEX 40 AND OVER 0.167 0.074 2.255 1.182 * * * *

HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED 0.259 0.06 4.345 1.296 * * * *


HP132_CVG Exteriorization of Small Intestine 0.428 0.179 2.394 1.535 * * * *


HP135_CVG Other Repair of Small Intestine 0.598 0.121 4.937 1.819 0.544 0.104 5.241 1.722

HP164_CVG Esophagus Resection and Anastomosis 0.646 0.085 7.63 1.907 * * * *

HP165_CVG Gastric Resection and Anastomosis - Low Mortality 0.248 0.089 2.775 1.282 -0.231 0.074 -3.133 0.793

HP166_CVG Gastric Resection and Anastomosis - High Mortality 0.89 0.038 23.639 2.435 0.447 0.031 14.454 1.564


39






Odds Ratio

HP167_CVG Other Esophageal Procedures - Low Mortality -0.235 0.047 -5.002 0.79 -0.112 0.031 -3.665 0.894

HP168_CVG Other Esophageal Procedures - High Mortality 0.799 0.087 9.193 2.222 0.228 0.071 3.197 1.256

HP170_CVG Other Stomach Procedures - Moderate Mortality 0.567 0.046 12.309 1.762 0.193 0.037 5.185 1.213

HP171_CVG Other Stomach Procedures - High Mortality 0.497 0.048 10.372 1.643 * * * *

HP172_CVG Pylorus - High Mortality 0.246 0.076 3.228 1.279 -0.163 0.064 -2.566 0.849

HP173_CVG Reflux -0.278 0.08 -3.471 0.757 -0.938 0.063 -14.78 0.392

HYPEROSMOLALITY AND/OR HYPERNATREMIA * * * * 0.065 0.02 3.224 1.067



LAPAROSCOPIC ROBOTIC ASSISTED PROCEDURE * * * * -0.532 0.142 -3.752 0.587


MALIGNANT NEOPLASM OF ESOPHAGUS, UNSPECIFIED 0.243 0.099 2.45 1.275 0.52 0.06 8.68 1.682

MALIGNANT NEOPLASM OF MIDDLE THIRD OF ESOPHAGUS 0.591 0.186 3.185 1.806 0.54 0.139 3.895 1.716

MALIGNANT NEOPLASM OF UPPER THIRD OF ESOPHAGUS 0.547 0.259 2.108 1.728 0.578 0.172 3.372 1.783



OTHER ASCITES 0.627 0.065 9.675 1.872 0.729 0.049 14.905 2.073

OTHER DISORDERS OF NEUROHYPOPHYSIS 0.394 0.132 2.975 1.482 * * * *

OTHER DISORDERS OF PLASMA PROTEIN METABOLISM 0.14 0.069 2.013 1.15 0.158 0.044 3.581 1.171

OTHER EMPHYSEMA * * * * 0.155 0.06 2.591 1.167



OTHER SPECIFIED INTESTINAL OBSTRUCTION * * * * 0.451 0.101 4.482 1.57

OTHER SPECIFIED PERITONITIS 0.599 0.148 4.04 1.82 0.55 0.128 4.315 1.734

P4311_CVG PERCUTANEOUS [ENDOSCOPIC] GASTROSTOMY [PEG] 0.385 0.031 12.512 1.469 0.746 0.027 28.145 2.108




Pressure Ulcer Stage III * * * * 0.171 0.075 2.274 1.186



SEPTIC SHOCK 0.652 0.048 13.544 1.919 0.443 0.034 13.111 1.557

SEVERE SEPSIS 0.187 0.044 4.283 1.206 * * * *

SexFemale -0.163 0.022 -7.481 0.849 -0.263 0.013 -19.833 0.768



40






Odds Ratio


UNSPECIFIED INTESTINAL OBSTRUCTION * * * * 0.268 0.069 3.857 1.307



VOLVULUS 0.567 0.193 2.94 1.763 0.335 0.157 2.135 1.397

ANEMIA IN NEOPLASTIC DISEASE * * * * 0.406 0.077 5.285 1.5

DUODENAL ULCER, UNSPECIFIED AS ACUTE OR CHRONIC, WITHOUT HEMORRHAGE OR PERFORATION, WITHOUT MENTION OF OBSTRUCTION * * * * 0.102 0.044 2.352 1.108

Esophageal and Stomach Procedures- Low Mortality * * * * -0.18 0.072 -2.488 0.835

MALIGNANT NEOPLASM OF LOWER THIRD OF ESOPHAGUS * * * * 0.24 0.08 2.997 1.271

MALIGNANT NEOPLASM OF OTHER SPECIFIED PART OF ESOPHAGUS * * * * 0.727 0.173 4.203 2.068

P4422_CVG ENDOSCOPIC DILATION OF PYLORUS * * * * -0.262 0.1 -2.612 0.77

P4432_CVG PERCUTANEOUS [ENDOSCOPIC] GASTROJEJUNOSTOMY * * * * 0.386 0.123 3.136 1.471

P4443_CVG ENDOSCOPIC CONTROL OF GASTRIC OR DUODENAL BLEEDING * * * * -0.441 0.031 -14.413 0.643

PERITONITIS (ACUTE) GENERALIZED * * * * 0.411 0.089 4.611 1.508


41


Gastrointestinal Bleed In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ABDOMINAL ANEURYSM WITHOUT MENTION OF RUPTURE 0.134 0.063 2.113 1.143 0.13 0.038 3.409 1.139

ABNORMAL COAGULATION PROFILE * * * * 0.059 0.024 2.503 1.061

ACIDOSIS 0.636 0.031 20.383 1.888 0.382 0.022 17.188 1.465

ACQUIRED COAGULATION FACTOR DEFICIENCY 0.678 0.085 7.959 1.97 0.447 0.061 7.391 1.564

ACUTE DUODENAL ULCER WITH HEMORRHAGE, WITHOUT MENTION OF OBSTRUCTION 0.528 0.068 7.766 1.696 0.282 0.049 5.791 1.325






Age70To74 0.247 0.041 6.038 1.28 0.242 0.026 9.341 1.274

Age75To79 0.45 0.039 11.548 1.568 0.402 0.025 16.19 1.494

Age80To84 0.535 0.038 13.963 1.707 0.585 0.024 24.258 1.795

Age85To89 0.625 0.039 16.199 1.868 0.746 0.024 30.797 2.108

Age90AndOver 0.626 0.04 15.531 1.871 1.024 0.025 41.36 2.784





ANGIODYSPLASIA OF INTESTINE WITH HEMORRHAGE -0.453 0.064 -7.037 0.636 -0.346 0.036 -9.637 0.707

ANGIODYSPLASIA OF STOMACH AND DUODENUM WITH HEMORRHAGE -0.637 0.06 -10.653 0.529 -0.348 0.033 -10.655 0.706




CANDIDIASIS OF THE ESOPHAGUS 0.337 0.094 3.601 1.401 0.517 0.052 9.849 1.676




CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION, WITHOUT MENTION OF OBSTRUCTION 1.418 0.121 11.703 4.13 1.105 0.101 10.913 3.018


CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH HEMORRHAGE, WITHOUT MENTION OF OBSTRUCTION -0.134 0.041 -3.262 0.875 -0.087 0.025 -3.54 0.917


COLONOSCOPY AND FLEXIBLE SIGMOIDOSCOPY -0.363 0.032 -11.35 0.696 -0.333 0.019 -17.922 0.717


42


Gastrointestinal Bleed (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


Constant -6.619 0.154 -43.033 0.001 -4.455 0.026 -

172.522 0.012



DIVERTICULITIS OF COLON WITH HEMORRHAGE -0.273 0.081 -3.379 0.761 -0.468 0.049 -9.472 0.627

DIVERTICULOSIS OF COLON WITH HEMORRHAGE -0.359 0.038 -9.507 0.698 -0.456 0.022 -20.979 0.634



ENDOSCOPIC CONTROL OF GASTRIC OR DUODENAL BLEEDING 0.255 0.035 7.34 1.29 -0.079 0.024 -3.374 0.924

ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE, WITH BLEEDING 0.617 0.166 3.708 1.853 0.436 0.115 3.796 1.547

ESOPHAGEAL VARICES WITH BLEEDING 0.473 0.107 4.436 1.605 0.231 0.073 3.176 1.26

ESOPHAGOGASTRODUODENOSCOPY [EGD] WITH CLOSED BIOPSY -0.468 0.026 -18.305 0.626 -0.425 0.015 -27.776 0.654







HD142_CVG SEPSIS 1.085 0.062 17.456 2.958 0.813 0.048 16.809 2.254







HD156_CVG DYSPHAGIA * * * * 0.354 0.025 13.964 1.425



HD171_CVG CHRONIC SYSTOLIC HEART FAILURE * * * * 0.106 0.027 3.938 1.112




HEMATEMESIS 0.292 0.043 6.764 1.339 0.255 0.026 9.811 1.29



43


Gastrointestinal Bleed (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

HEMORRHAGE OF RECTUM AND ANUS -0.157 0.052 -2.991 0.855 * * * *

HP127_CVG Other Procedures to Control Gastric or Duodenal Bleeding 0.605 0.044 13.642 1.831 0.148 0.034 4.364 1.16




HYPOXEMIA * * * * 0.084 0.043 1.968 1.088



OPEN AND OTHER LEFT HEMICOLECTOMY 1.841 0.127 14.441 6.301 1.249 0.111 11.271 3.487

OPEN AND OTHER RIGHT HEMICOLECTOMY 1.71 0.103 16.574 5.529 1.122 0.088 12.714 3.072

OPEN AND OTHER SIGMOIDECTOMY 1.443 0.149 9.711 4.232 0.967 0.126 7.647 2.629

OPEN, OTHER, AND UNSPECIFIED PARTIAL EXCISION OR MULTIPLE SEGMENTATION OF LARGE INTESTINE 0.184 0.084 2.193 1.202 * * * *


OTHER ASCITES 0.626 0.056 11.186 1.869 0.779 0.036 21.335 2.178

OTHER EMPHYSEMA * * * * 0.122 0.059 2.088 1.13

OTHER ENDOSCOPY OF SMALL INTESTINE * * * * -0.233 0.014 -16.126 0.792

OTHER GASTROSCOPY 0.751 0.15 5.013 2.119 0.225 0.113 1.998 1.253



PARALYTIC ILEUS 1.187 0.055 21.546 3.276 0.713 0.044 16.367 2.04



Pressure Ulcer Stage III 0.483 0.136 3.54 1.621 0.677 0.084 8.045 1.968

PrimaryFacilityPresentOnAdmissionKnownPercent 1.115 0.183 6.093 3.05 * * * *

SexFemale -0.169 0.02 -8.59 0.844 -0.177 0.012 -14.844 0.838







DIEULAFOY LESION (HEMORRHAGIC) OF STOMACH AND DUODENUM * * * * -0.135 0.061 -2.22 0.874

ESOPHAGEAL HEMORRHAGE * * * * 0.129 0.049 2.66 1.138

GASTROESOPHAGEAL LACERATION-HEMORRHAGE SYNDROME * * * * -0.192 0.045 -4.226 0.826

OTHER ESOPHAGITIS * * * * 0.193 0.039 4.923 1.213

PORTAL HYPERTENSION * * * * 0.154 0.04 3.802 1.166

ULCER OF ESOPHAGUS WITHOUT BLEEDING * * * * 0.114 0.045 2.556 1.121


44


Heart Attack (Stent Treatment Available) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

(AORTO)CORONARY BYPASS OF FOUR OR MORE CORONARY ARTERIES -0.289 0.07 -4.117 0.749 -0.38 0.065 -5.841 0.684

(AORTO)CORONARY BYPASS OF ONE CORONARY ARTERY * * * * -0.183 0.053 -3.489 0.832

(AORTO)CORONARY BYPASS OF THREE CORONARY ARTERIES -0.225 0.048 -4.707 0.798 -0.384 0.047 -8.103 0.681

(AORTO)CORONARY BYPASS OF TWO CORONARY ARTERIES -0.143 0.044 -3.241 0.866 -0.311 0.045 -6.947 0.733

ACIDOSIS 0.762 0.018 41.276 2.143 0.592 0.017 35.533 1.807



ACUTE MYOCARDIAL INFARCTION, OF ANTEROLATERAL AND OTHER WALL, INITIAL EPISODE OF CARE - 410.01 and 410.11 0.572 0.056 10.127 1.771 0.513 0.051 10.06 1.67

ACUTE MYOCARDIAL INFARCTION, OF INFEROLATERAL WALL, INITIAL EPISODE OF CARE 0.372 0.056 6.614 1.451 0.272 0.051 5.355 1.313

ACUTE MYOCARDIAL INFARCTION, OF INFEROPOSTERIOR WALL, INITIAL EPISODE OF CARE 0.377 0.069 5.444 1.458 0.284 0.062 4.555 1.329

ACUTE MYOCARDIAL INFARCTION, OF OTHER LATERAL WALL, INITIAL EPISODE OF CARE 0.567 0.061 9.223 1.762 0.466 0.056 8.398 1.594

ACUTE MYOCARDIAL INFARCTION, SUBENDOCARDIAL INFARCTION, INITIAL EPISODE OF CARE -0.403 0.057 -7.096 0.668 -0.3 0.051 -5.868 0.74

ACUTE MYOCARDIAL INFARCTION, UNSPECIFIED SITE, INITIAL EPISODE OF CARE 0.972 0.059 16.583 2.644 0.781 0.053 14.73 2.183






Age70To74 0.342 0.021 16.299 1.408 0.311 0.018 17.655 1.364

Age75To79 0.57 0.021 27.44 1.769 0.541 0.017 31.211 1.718

Age80To84 0.759 0.021 36.589 2.136 0.734 0.017 42.342 2.083

Age85To89 0.904 0.021 42.234 2.47 0.964 0.018 54.178 2.623

Age90AndOver 0.953 0.023 41.233 2.592 1.174 0.019 61.735 3.235






AORTOCORONARY BYPASS STATUS * * * * 0.043 0.014 3.098 1.044




CACHEXIA 0.386 0.053 7.33 1.472 0.478 0.044 10.89 1.612


45


Heart Attack (Stent Treatment Available) (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

CARDIAC ARREST 1.538 0.025 60.858 4.657 1.329 0.024 54.742 3.776






CHRONIC TOTAL OCCLUSION OF CORONARY ARTERY 0.056 0.019 2.976 1.057 0.052 0.016 3.303 1.053


Constant -5.242 0.127 -41.431 0.005 -4.446 0.105 -42.32 0.012

DELIRIUM * * * * 0.09 0.038 2.341 1.094



Diabetes Mellitus (type II, or unspecified, or Secondary), with neurological manifestations/peripheral circulatory disorders, uncontrolled OR not stated as uncontrolled_RA * * * * 0.055 0.022 2.444 1.056


DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 0.302 0.135 2.242 1.352 0.287 0.109 2.623 1.332

DISSECTION OF CORONARY ARTERY 0.39 0.118 3.297 1.476 0.329 0.104 3.166 1.389



ENDARTERECTOMY OF OTHER VESSELS OF HEAD AND NECK 6 0.576 0.185 3.121 1.779 0.565 0.16 3.534 1.76

EXCISION OR DESTRUCTION OF OTHER LESION OR TISSUE OF HEART, ENDOVASCULAR APPROACH - INCLUSIVE -1.037 0.205 -5.047 0.355 -0.83 0.157 -5.293 0.436

EXCISION OR DESTRUCTION OF OTHER LESION OR TISSUE OF HEART, OPEN APPROACH - INCLUSIVE 0.325 0.126 2.586 1.385 * * * *


HD119_CVG CHRONIC BRONCHITIS * * * * 0.072 0.022 3.326 1.074


HD142_CVG SEPSIS 0.722 0.037 19.739 2.058 0.549 0.033 16.478 1.731


HD148_CVG DIAB W UNSPECIFIED MANIFESTATIONS 0.1 0.036 2.754 1.105 0.124 0.03 4.185 1.132





46






Odds Ratio


HD160_CVG RENAL DIALYSIS 0.153 0.043 3.55 1.166 0.229 0.036 6.458 1.258



HP102_ CVG Mitral Valve Only Replacement 0.809 0.087 9.274 2.245 0.656 0.084 7.841 1.927



HYPOSMOLALITY AND/OR HYPONATREMIA * * * * 0.137 0.018 7.727 1.147




LEFT HEART FAILURE 0.409 0.092 4.425 1.505 0.38 0.08 4.737 1.462


MITRAL AND AORTIC VALVE STENOSIS OR INSUFFICIENCY * * * * 0.073 0.026 2.793 1.076

MULTIPLE CORONARY TO MAMMARY OR THORACIC ARTERY BYPASS * * * * -0.38 0.141 -2.701 0.684


OTHER CONVULSIONS 0.457 0.073 6.294 1.579 0.425 0.062 6.833 1.53

OTHER EMPHYSEMA 0.111 0.055 2.008 1.117 0.113 0.045 2.496 1.12


OTHER PULMONARY INSUFFICIENCY, NOT ELSEWHERE CLASSIFIED 0.169 0.082 2.065 1.184 * * * *



PROCEDURE ON FOUR OR MORE VESSELS - INCLUSIVE -0.519 0.089 -5.813 0.595 -0.475 0.077 -6.195 0.622


PROCEDURE ON THREE VESSELS - INCLUSIVE -0.424 0.035 -11.96 0.655 -0.38 0.029 -12.895 0.684

PROCEDURE ON TWO VESSELS - INCLUSIVE -0.722 0.025 -28.878 0.486 -0.68 0.021 -32.975 0.507

PULMONARY CONGESTION AND HYPOSTASIS 0.392 0.047 8.378 1.48 0.332 0.041 8.047 1.394

RIGHT BUNDLE BRANCH BLOCK 0.112 0.031 3.631 1.118 * * * *

SexFemale * * * * -0.086 0.01 -9.005 0.918



SLP3606_CVG INSERTION OF NON-DRUG-ELUTING CORONARY ARTERY STENT(S) 0.198 0.023 8.449 1.219 0.175 0.02 8.863 1.191

SYSTEMIC LUPUS ERYTHEMATOSUS * * * * 0.227 0.08 2.823 1.254

TACHYCARDIA, UNSPECIFIED * * * * 0.131 0.05 2.603 1.139



47






Odds Ratio

UNSPECIFIED DISEASE OF PERICARDIUM 0.465 0.056 8.304 1.592 0.36 0.049 7.371 1.433


UNSPECIFIED PLEURAL EFFUSION * * * * 0.199 0.029 6.841 1.22

AUTOMATIC IMPLANTABLE CARDIAC DEFIBRILLATOR IN SITU * * * * 0.061 0.028 2.185 1.063


48


Heart Attack (Stent Treatment Not Available) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.528 0.065 8.074 1.696 0.346 0.058 6.003 1.413



ACUTE MYOCARDIAL INFARCTION, OF ANTEROLATERAL AND OTHER WALL, INITIAL EPISODE OF CARE - 410.01 and 410.11 1.127 0.086 13.143 3.087 * * * *

ACUTE MYOCARDIAL INFARCTION, OF INFEROLATERAL WALL, INITIAL EPISODE OF CARE 1.147 0.092 12.501 3.149 * * * *

ACUTE MYOCARDIAL INFARCTION, OF INFEROPOSTERIOR WALL, INITIAL EPISODE OF CARE 0.812 0.319 2.543 2.253 * * * *

ACUTE MYOCARDIAL INFARCTION, OF OTHER LATERAL WALL, INITIAL EPISODE OF CARE 0.828 0.143 5.798 2.289 * * * *

ACUTE MYOCARDIAL INFARCTION, SUBENDOCARDIAL INFARCTION, INITIAL EPISODE OF CARE * * * * -0.939 0.051 -18.431 0.391

ACUTE MYOCARDIAL INFARCTION, UNSPECIFIED SITE, INITIAL EPISODE OF CARE 1.586 0.045 35.327 4.883 0.32 0.06 5.309 1.378


AdmitSourceXferHospital -0.332 0.097 -3.435 0.718 * * * *




Age70To74 0.368 0.096 3.839 1.445 0.429 0.076 5.624 1.536

Age75To79 0.481 0.091 5.292 1.618 0.605 0.072 8.38 1.831

Age80To84 0.576 0.087 6.646 1.778 0.76 0.069 11.043 2.138

Age85To89 0.661 0.084 7.873 1.937 0.914 0.067 13.654 2.495

Age90AndOver 0.697 0.083 8.442 2.009 1.08 0.066 16.399 2.944




ATRIAL FIBRILLATION - INCLUSIVE * * * * 0.089 0.027 3.268 1.094


CACHEXIA 0.319 0.128 2.498 1.376 0.273 0.106 2.57 1.314

CARDIAC ARREST 3.151 0.123 25.542 23.359 2.746 0.129 21.26 15.574





Constant -4.192 0.125 -33.601 0.015 -2.392 0.08 -29.762 0.091

DELIRIUM 0.22 0.095 2.315 1.246 * * * *





49


Heart Attack (Stent Treatment Not Available) (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

HD142_CVG SEPSIS 0.781 0.098 7.978 2.184 0.602 0.088 6.816 1.826





HEMORRHAGE OF GASTROINTESTINAL TRACT, UNSPECIFIED 0.334 0.109 3.055 1.397 * * * *



HYPOXEMIA * * * * 0.118 0.058 2.034 1.125

LEFT HEART FAILURE 0.476 0.221 2.152 1.61 * * * *


OTHER PULMONARY EMBOLISM AND INFARCTION 0.53 0.155 3.421 1.698 * * * *



POSTINFLAMMATORY PULMONARY FIBROSIS * * * * 0.3 0.095 3.14 1.349




SexFemale -0.23 0.034 -6.811 0.794 -0.27 0.026 -10.346 0.763



UNSPECIFIED CEREBRAL ARTERY OCCLUSION WITH CEREBRAL INFARCTION - INCLUSIVE * * * * 0.354 0.124 2.862 1.424


VENTRICULAR FIBRILLATION 1.117 0.24 4.658 3.057 1.201 0.238 5.053 3.325


50


Heart Failure In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.476 0.019 25.369 1.61 0.307 0.013 22.947 1.359


ACUTE COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE -0.775 0.047 -16.661 0.461 -0.537 0.029 -18.731 0.585

ACUTE DIASTOLIC HEART FAILURE -1.048 0.027 -38.131 0.351 -0.682 0.016 -42.987 0.506


ACUTE ON CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE -0.761 0.019 -39.907 0.467 -0.405 0.012 -34.422 0.667

ACUTE ON CHRONIC DIASTOLIC HEART FAILURE -0.909 0.016 -56.018 0.403 -0.569 0.01 -56.853 0.566

ACUTE ON CHRONIC SYSTOLIC HEART FAILURE -0.67 0.016 -41.633 0.512 -0.335 0.01 -33.31 0.715


ACUTE SYSTOLIC HEART FAILURE -0.688 0.027 -25.893 0.503 -0.445 0.016 -27.002 0.641





Age70To74 0.193 0.023 8.276 1.213 0.215 0.014 15.043 1.239

Age75To79 0.375 0.022 16.849 1.455 0.385 0.014 28.248 1.47

Age80To84 0.545 0.021 25.44 1.725 0.584 0.013 44.5 1.794

Age85To89 0.67 0.021 31.51 1.955 0.767 0.013 58.764 2.154

Age90AndOver 0.76 0.022 35.177 2.138 1.018 0.013 76.799 2.768






BRONCHOPNEUMONIA, ORGANISM UNSPECIFIED 0.412 0.135 3.042 1.51 0.239 0.085 2.817 1.27

CACHEXIA 0.514 0.033 15.355 1.672 0.536 0.023 23.35 1.709


CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE -0.58 0.09 -6.431 0.56 -0.18 0.053 -3.418 0.835

CHRONIC DIASTOLIC HEART FAILURE -0.642 0.056 -11.459 0.526 -0.409 0.033 -12.436 0.664






Constant -5.102 0.061 -84.237 0.006 -3.601 0.034 -

107.043 0.027


51


Heart Failure (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

CONTINUOUS INVASIVE MECHANICAL VENTILATION FOR 96 CONSECUTIVE HOURS OR MORE 2.972 0.034 87.186 19.525 1.963 0.031 63.088 7.121

CONTINUOUS INVASIVE MECHANICAL VENTILATION FOR LESS THAN 96 CONSECUTIVE HOURS 3.202 0.019 165.665 24.572 2.133 0.017 122.586 8.439

DELIRIUM 0.389 0.034 11.466 1.476 0.414 0.022 18.634 1.513




ELECTROLYTE AND FLUID DISORDERS NOT ELSEWHERE CLASSIFIED * * * * 0.109 0.041 2.65 1.115


EPILEPSY, UNSPECIFIED, WITHOUT MENTION OF INTRACTABLE EPILEPSY * * * * 0.122 0.023 5.229 1.129






HD142_CVG SEPSIS 1.01 0.047 21.459 2.745 0.657 0.037 17.612 1.929







HD156_CVG DYSPHAGIA 0.103 0.025 4.108 1.109 0.332 0.016 21.382 1.393


HD171_CVG CHRONIC SYSTOLIC HEART FAILURE -0.365 0.053 -6.859 0.694 -0.156 0.033 -4.789 0.855



HYPERTENSIVE HEART DISEASE, MALIGNANT, BENIGN, UNSPECIFIED, WITH HEART FAILURE -0.317 0.041 -7.704 0.729 -0.363 0.024 -15.234 0.696


IMPLANTATION OR REPLACEMENT OF AUTOMATIC CARDIOVERTER/ DEFIBRILLATOR, TOTAL SYSTEM [AICD] -1.772 0.139 -12.705 0.17 -1.233 0.079 -15.666 0.291


MITRAL AND AORTIC VALVE STENOSIS OR INSUFFICIENCY * * * * 0.04 0.014 2.783 1.041


52


Heart Failure (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

MYELODYSPLASTIC SYNDROME, UNSPECIFIED * * * * 0.335 0.029 11.384 1.398

OTHER ASCITES 0.402 0.032 12.481 1.494 0.359 0.021 17.242 1.431

OTHER DYSPNEA AND RESPIRATORY ABNORMALITY 0.126 0.05 2.55 1.135 0.089 0.029 3.028 1.093





PrimaryFacilityPresentOnAdmissionKnownPercent 0.261 0.069 3.769 1.299 -0.141 0.038 -3.736 0.869


PROCEDURE ON TWO VESSELS - INCLUSIVE * * * * -0.22 0.074 -2.972 0.802

PULMONARY CONGESTION AND HYPOSTASIS 0.104 0.051 2.045 1.11 * * * *

SexFemale -0.169 0.011 -16.08 0.844 -0.2 0.006 -31.38 0.819

SINGLE CORONARY TO MAMMARY OR THORACIC ARTERY BYPASS * * * * -0.388 0.084 -4.618 0.678



ULCER OF LOWER LIMB, UNSPECIFIED 0.303 0.05 6.086 1.354 0.37 0.03 12.36 1.448

ULCER OF OTHER PART OF FOOT 0.267 0.052 5.129 1.306 0.365 0.031 11.757 1.44

ULCER OF OTHER PART OF LOWER LIMB 0.218 0.061 3.579 1.244 0.278 0.037 7.545 1.321

UNSPECIFIED DIASTOLIC HEART FAILURE -0.65 0.049 -13.257 0.522 -0.453 0.029 -15.696 0.635



UNSPECIFIED SYSTOLIC HEART FAILURE -0.369 0.068 -5.438 0.692 -0.179 0.042 -4.299 0.836

AUTOMATIC IMPLANTABLE CARDIAC DEFIBRILLATOR IN SITU * * * * 0.027 0.011 2.491 1.028

CHRONIC RESPIRATORY FAILURE * * * * 0.196 0.018 10.943 1.216

HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE * * * * -0.161 0.047 -3.401 0.851

MULTIPLE INVOLVEMENT OF MITRAL AND AORTIC VALVES * * * * 0.145 0.047 3.107 1.156


53


Pancreatitis In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 1.141 0.065 17.604 3.128 0.782 0.054 14.44 2.186



ACUTE PANCREATITIS 0.589 0.142 4.163 1.803 -0.254 0.079 -3.209 0.776





Age70To74 0.179 0.075 2.389 1.196 0.203 0.057 3.544 1.225

Age75To79 0.377 0.076 4.964 1.458 0.322 0.059 5.466 1.379

Age80To84 0.563 0.077 7.295 1.756 0.694 0.058 11.989 2.002

Age85To89 0.619 0.082 7.57 1.857 0.847 0.06 14.012 2.333

Age90AndOver 0.681 0.089 7.685 1.977 1.159 0.064 18.236 3.187

ALCOHOLIC CIRRHOSIS OF LIVER * * * * 0.524 0.143 3.654 1.688



CALCULUS OF GALLBLADDER AND BILE DUCT, WITH ACUTE CHOLECYSTITIS WITHOUT MENTION OF OBSTRUCTION 0.515 0.244 2.111 1.673 0.436 0.179 2.429 1.546

CALCULUS OF GALLBLADDER AND BILE DUCT, WITH OTHER CHOLECYSTITIS WITHOUT MENTION OF OBSTRUCTION 0.608 0.24 2.533 1.836 * * * *

CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS, WITHOUT MENTION OF OBSTRUCTION 0.458 0.124 3.684 1.581 0.275 0.096 2.86 1.316

CHOLANGITIS 0.491 0.127 3.878 1.634 0.283 0.104 2.718 1.327


CHRONIC AND OTHER SPECIFIED DISEASES OF PANCREAS -0.366 0.079 -4.612 0.693 -0.23 0.056 -4.122 0.795

CHRONIC KIDNEY DISEASE, UNSPECIFIED * * * * 0.176 0.059 2.976 1.192



Constant -7.259 0.329 -22.04 0.001 -5.109 0.207 -24.701 0.006

CYST AND PSEUDOCYST OF PANCREAS 0.222 0.082 2.705 1.248 * * * *









54


Pancreatitis (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

HD142_CVG SEPSIS 1.036 0.162 6.381 2.817 0.881 0.137 6.418 2.413






HD170_CVG ACUTE SYSTOLIC HEART FAILURE 0.396 0.185 2.138 1.485 * * * *





HYPOCALCEMIA 0.824 0.114 7.202 2.28 0.634 0.097 6.539 1.886

LAPAROSCOPIC CHOLECYSTECTOMY -1.159 0.11 -10.574 0.314 -0.885 0.074 -11.975 0.413

OTHER ASCITES 1.061 0.084 12.582 2.89 0.955 0.068 13.966 2.598

OTHER CONVULSIONS * * * * 0.703 0.244 2.884 2.02

OTHER EMPHYSEMA 0.559 0.184 3.03 1.749 0.326 0.151 2.162 1.385


PARALYTIC ILEUS 0.553 0.1 5.509 1.738 0.339 0.083 4.071 1.403




SEVERE SEPSIS 0.652 0.242 2.698 1.918 0.575 0.218 2.637 1.776

SexFemale -0.211 0.046 -4.555 0.81 -0.222 0.034 -6.464 0.801





UNSPECIFIED DISEASE OF PANCREAS * * * * 0.313 0.154 2.03 1.368


55


Pneumonia In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.628 0.021 30.024 1.873 0.385 0.016 23.753 1.47








Age70To74 0.286 0.025 11.507 1.331 0.27 0.017 15.971 1.31

Age75To79 0.426 0.024 17.889 1.532 0.426 0.016 26.239 1.531

Age80To84 0.535 0.023 22.949 1.707 0.599 0.016 37.927 1.821

Age85To89 0.653 0.023 28.16 1.922 0.742 0.016 46.957 2.101

Age90AndOver 0.773 0.023 33.04 2.167 0.998 0.016 62.804 2.713






ATRIAL FLUTTER 0.162 0.036 4.5 1.175 0.09 0.026 3.516 1.094

BACTERIAL PNEUMONIA, UNSPECIFIED 0.247 0.047 5.268 1.28 -0.164 0.018 -8.895 0.849


BRONCHOPNEUMONIA, ORGANISM UNSPECIFIED 0.202 0.077 2.63 1.224 -0.219 0.044 -4.93 0.803

CACHEXIA 0.477 0.032 15.074 1.612 0.536 0.024 22.754 1.708






Constant -5.948 0.067 -89.082 0.003 -3.989 0.031 -127.31 0.019

DELIRIUM 0.099 0.031 3.139 1.104 0.239 0.02 11.867 1.269

DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED * * * * 0.279 0.096 2.898 1.322


ELECTROLYTE AND FLUID DISORDERS NOT ELSEWHERE CLASSIFIED 0.182 0.064 2.855 1.199 0.147 0.044 3.338 1.159


GASTROSTOMY STATUS 0.265 0.042 6.306 1.303 0.38 0.028 13.778 1.462



56


Pneumonia (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio




HD142_CVG SEPSIS 0.999 0.041 24.349 2.715 0.753 0.032 23.724 2.123






HD156_CVG DYSPHAGIA * * * * 0.194 0.015 13.242 1.214







INFLUENZA WITH PNEUMONIA 0.306 0.049 6.268 1.358 -0.329 0.024 -13.863 0.72


METHICILLIN RESISTANT PNEUMONIA DUE TO STAPHYLOCOCCUS AUREUS 0.546 0.051 10.721 1.727 0.207 0.024 8.626 1.23

METHICILLIN SUSCEPTIBLE PNEUMONIA DUE TO STAPHYLOCOCCUS AUREUS 0.462 0.077 5.979 1.587 0.108 0.047 2.276 1.114

NEUTROPENIA, UNSPECIFIED 0.466 0.074 6.314 1.593 0.46 0.052 8.865 1.584

OBESITY HYPOVENTILATION SYNDROME * * * * 0.094 0.043 2.173 1.098

OTHER ALTERATION OF CONSCIOUSNESS 0.291 0.057 5.145 1.338 0.337 0.038 8.809 1.4


OTHER DYSPNEA AND RESPIRATORY ABNORMALITY 0.27 0.059 4.54 1.31 0.281 0.038 7.306 1.324





PATHOLOGIC FRACTURE OF VERTEBRAE * * * * 0.15 0.043 3.499 1.162

PNEUMONIA DUE TO ANAEROBES 0.301 0.116 2.592 1.352 * * * *

PNEUMONIA DUE TO ESCHERICHIA COLI [E. COLI] 0.274 0.105 2.593 1.315 * * * *

PNEUMONIA DUE TO KLEBSIELLA PNEUMONIAE 0.33 0.088 3.734 1.39 * * * *

PNEUMONIA DUE TO OTHER GRAM-NEGATIVE BACTERIA 0.174 0.047 3.662 1.19 * * * *

PNEUMONIA DUE TO OTHER SPECIFIED ORGANISM 0.608 0.141 4.309 1.837 * * * *


57


Pneumonia (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

PNEUMONIA DUE TO PSEUDOMONAS 0.413 0.055 7.467 1.511 0.093 0.027 3.415 1.097

PNEUMONIA DUE TO STAPHYLOCOCCUS, UNSPECIFIED 0.759 0.139 5.444 2.136 0.313 0.095 3.302 1.368

PNEUMONIA, ORGANISM UNSPECIFIED 0.44 0.039 11.38 1.553 * * * *



PRESSURE ULCER, STAGE II 0.252 0.065 3.875 1.286 0.541 0.042 13.03 1.718

PrimaryFacilityPresentOnAdmissionKnownPercent 0.476 0.063 7.593 1.61 -0.082 0.034 -2.376 0.921

SEPTIC SHOCK 1.337 0.081 16.51 3.807 1.14 0.074 15.444 3.127

SEVERE SEPSIS 0.371 0.071 5.217 1.45 0.24 0.061 3.923 1.272

SexFemale -0.129 0.011 -11.368 0.879 -0.262 0.008 -34.65 0.77



TRANSFUSION OF PACKED CELLS 1.168 0.023 50.507 3.216 0.753 0.019 40.366 2.124



URINARY TRACT INFECTION, SITE NOT SPECIFIED 0.078 0.017 4.589 1.082 0.163 0.011 14.478 1.177


DEMENTIA WITH LEWY BODIES * * * * 0.204 0.044 4.661 1.226

DEMENTIA, UNSPECIFIED, WITH BEHAVIORAL DISTURBANCE * * * * 0.229 0.04 5.755 1.257

LEGIONNAIRES' DISEASE * * * * -0.473 0.115 -4.1 0.623

PNEUMOCOCCAL PNEUMONIA [STREPTOCOCCUS PNEUMONIAE PNEUMONIA] * * * * -0.369 0.037 -10.066 0.692

PNEUMONIA DUE TO HEMOPHILUS INFLUENZAE [H. INFLUENZAE] * * * * -0.654 0.08 -8.212 0.52

PNEUMONIA DUE TO MYCOPLASMA PNEUMONIAE * * * * -0.322 0.076 -4.222 0.725

PNEUMONIA DUE TO STREPTOCOCCUS, GROUP A, OTHER, OR UNSPECIFIED * * * * -0.357 0.064 -5.559 0.699

UNSPECIFIED PSYCHOSIS * * * * 0.249 0.041 6.046 1.282


58


Pulmonary Embolism In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.917 0.049 18.763 2.501 0.697 0.042 16.576 2.007



ACUTE PANCREATITIS 0.609 0.306 1.991 1.838 * * * *





Age70To74 0.086 0.054 1.603 1.09 0.157 0.041 3.822 1.17

Age75To79 0.175 0.053 3.32 1.192 0.289 0.04 7.143 1.334

Age80To84 0.32 0.052 6.125 1.378 0.442 0.04 10.952 1.555

Age85To89 0.386 0.055 7.067 1.471 0.607 0.042 14.507 1.834

Age90AndOver 0.386 0.061 6.371 1.471 0.849 0.045 18.836 2.336





CACHEXIA 0.482 0.108 4.456 1.62 0.497 0.084 5.95 1.644

CARDIAC ARREST 2.727 0.072 37.755 15.292 2.406 0.069 35.04 11.089


CELLULITIS AND ABSCESS OF LEG AND FOOT, EXCEPT TOES 0.294 0.121 2.421 1.342 0.263 0.091 2.889 1.301



CHRONIC LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION * * * * 0.3 0.133 2.256 1.35



COMA 1.596 0.262 6.081 4.934 1.328 0.246 5.388 3.773


Constant -5.85 0.21 -27.904 0.003 -4.77 0.142 -33.532 0.008


DEPENDENCE ON RESPIRATOR, STATUS 0.849 0.225 3.782 2.338 0.773 0.198 3.899 2.167






59


Pulmonary Embolism (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ENTERAL INFUSION OF CONCENTRATED NUTRITIONAL SUBSTANCES 0.6 0.14 4.274 1.822 * * * *





HD142_CVG SEPSIS 0.711 0.128 5.547 2.036 0.63 0.107 5.902 1.879







HD156_CVG DYSPHAGIA * * * * 0.237 0.052 4.533 1.267



HD179_CVG INFLUENZA DUE TO IDENTIFIED VIRUS 0.571 0.273 2.089 1.769 * * * *





IATROGENIC PULMONARY EMBOLISM AND INFARCTION - INCLUSIVE -0.568 0.134 -4.244 0.567 -0.66 0.104 -6.361 0.517

INSERTION OF INTERCOSTAL CATHETER FOR DRAINAGE 0.714 0.148 4.818 2.043 0.52 0.124 4.187 1.681


INTESTINAL INFECTION DUE TO CLOSTRIDIUM DIFFICILE * * * * 0.381 0.098 3.87 1.464


MALIGNANT NEOPLASM OF COLON, UNSPECIFIED 0.481 0.229 2.105 1.618 0.432 0.177 2.438 1.54



OTHER ALTERATION OF CONSCIOUSNESS * * * * 0.332 0.141 2.353 1.393


OTHER ASCITES 0.977 0.122 8.025 2.656 1.17 0.096 12.231 3.221



OTHER PNEUMOTHORAX AND AIR LEAK 0.78 0.256 3.046 2.182 0.841 0.202 4.174 2.32


60


Pulmonary Embolism (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


PARALYTIC ILEUS 0.857 0.181 4.744 2.356 0.554 0.153 3.618 1.739

PARENTERAL INFUSION OF CONCENTERATED NUTRITIONAL SUBSTANCES 1.449 0.183 7.899 4.257 0.928 0.166 5.596 2.531




SECONDARY THROMBOCYTOPENIA * * * * 0.341 0.124 2.749 1.407

SEPTIC SHOCK 0.733 0.231 3.175 2.081 0.53 0.215 2.467 1.7

SEVERE SEPSIS 0.706 0.204 3.469 2.027 0.523 0.183 2.853 1.687

SexFemale * * * * -0.134 0.023 -5.896 0.875


SINOATRIAL NODE DYSFUNCTION 0.147 0.061 2.419 1.158 * * * *


SYSTEMIC LUPUS ERYTHEMATOSUS * * * * 0.393 0.163 2.412 1.482

TEMPORARY OR PERMANENT TRACHEOSTOMY -1.733 0.253 -6.851 0.177 -1.373 0.219 -6.277 0.253



UNSPECIFIED DISORDER OF KIDNEY AND URETER - INCLUSIVE 0.207 0.101 2.044 1.231 * * * *


UNSPECIFIED VASCULAR INSUFFICIENCY OF INTESTINE 0.624 0.271 2.304 1.866 * * * *

ALKALOSIS * * * * 0.212 0.099 2.147 1.236


CEREBRAL ATHEROSCLEROSIS * * * * 0.464 0.136 3.424 1.591



SWELLING, MASS, OR LUMP IN CHEST * * * * 0.326 0.102 3.19 1.386


61


Respiratory Failure In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


ABNORMAL COAGULATION PROFILE 0.146 0.036 4.113 1.157 0.114 0.03 3.825 1.121

ACIDOSIS 0.322 0.014 23.726 1.379 0.24 0.012 20.809 1.272

ACUTE AND CHRONIC RESPIRATORY FAILURE - INCLUSIVE -0.488 0.011 -43.544 0.614 * * * *


ACUTE COR PULMONALE - CC 0.443 0.102 4.328 1.557 0.498 0.081 6.134 1.646


ACUTE RESPIRATORY FAILURE - INCLUSIVE * * * * 0.129 0.009 14.221 1.137





Age70To74 0.253 0.018 14.413 1.287 0.26 0.014 18.235 1.297

Age75To79 0.426 0.018 24.233 1.531 0.445 0.014 30.926 1.56

Age80To84 0.547 0.018 30.076 1.728 0.602 0.015 40.273 1.825

Age85To89 0.643 0.019 33.156 1.901 0.734 0.016 45.664 2.083

Age90AndOver 0.765 0.021 35.712 2.15 0.928 0.018 51.615 2.528






CACHEXIA 0.358 0.03 11.784 1.431 0.414 0.026 16.202 1.514

CARDIAC ARREST 1.816 0.023 78.428 6.146 1.556 0.023 68.796 4.741








COMA 1.311 0.046 28.741 3.708 1.194 0.045 26.795 3.301


Constant -5.127 0.086 -59.312 0.006 -4.2 0.065 -64.418 0.015






62


Respiratory Failure (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio




HD142_CVG SEPSIS 0.512 0.033 15.446 1.668 0.417 0.03 14.055 1.517











MALIGNANT NEOPLASM OF PROSTATE 0.246 0.071 3.468 1.279 * * * *

MALIGNANT NEOPLASM OF UPPER LOBE, BRONCHUS OR LUNG 0.429 0.066 6.464 1.536 0.612 0.055 11.215 1.844


MULTIPLE MYELOMA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION 0.296 0.078 3.811 1.344 0.281 0.067 4.186 1.324




OTHER ASCITES 0.483 0.054 8.869 1.621 0.514 0.048 10.79 1.672






PARALYTIC ILEUS 0.497 0.046 10.838 1.644 0.306 0.041 7.383 1.358





Pressure Ulcer Stage IV * * * * 0.321 0.102 3.162 1.379

Pressure Ulcer Unstageable 0.234 0.115 2.029 1.264 0.398 0.096 4.14 1.489


63


Respiratory Failure (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio



SARCOIDOSIS 0.305 0.078 3.934 1.357 * * * *

SEPTIC SHOCK 1.004 0.054 18.648 2.73 0.816 0.051 16.023 2.262

SexFemale -0.198 0.011 -18.599 0.821 -0.226 0.009 -25.962 0.798



SYSTEMIC LUPUS ERYTHEMATOSUS 0.232 0.081 2.868 1.261 * * * *


THORACENTESIS -0.148 0.03 -4.942 0.863 -0.115 0.028 -4.177 0.891



UNSPECIFIED DISORDER OF KIDNEY AND URETER - INCLUSIVE * * * * 0.105 0.034 3.059 1.111






CHRONIC ULCER OF OTHER SPECIFIED SITES * * * * 0.266 0.106 2.507 1.305



64


Sepsis In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ABNORMAL COAGULATION PROFILE 0.169 0.016 10.627 1.184 0.168 0.014 12.077 1.183

ACIDOSIS 0.46 0.006 76.838 1.585 0.338 0.005 62.503 1.401


ACUTE AND SUBACUTE BACTERIAL ENDOCARDITIS 0.588 0.029 20.081 1.801 0.55 0.026 21.27 1.734



ACUTE PANCREATITIS 0.198 0.022 8.883 1.219 0.087 0.02 4.291 1.091



ACUTE VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED DEEP VESSELS OF LOWER EXTREMITY 0.079 0.034 2.31 1.082 0.159 0.03 5.289 1.172





Age70To74 0.191 0.01 19.951 1.21 0.219 0.008 26.149 1.244

Age75To79 0.336 0.009 35.733 1.399 0.38 0.008 46.209 1.462

Age80To84 0.494 0.009 52.962 1.638 0.569 0.008 69.635 1.766

Age85To89 0.619 0.009 65.272 1.858 0.743 0.008 89.178 2.103

Age90AndOver 0.78 0.01 79.142 2.181 0.992 0.009 114.555 2.697




ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE 0.373 0.036 10.431 1.452 0.398 0.031 12.9 1.489




CACHEXIA 0.445 0.015 29.851 1.561 0.486 0.013 36.6 1.626

CARDIAC ARREST 2.1 0.02 102.65 8.164 1.928 0.021 93.254 6.878



CHRONIC KIDNEY DISEASE, STAGE V 0.462 0.037 12.461 1.587 0.545 0.033 16.609 1.725




COMA 1.111 0.033 33.292 3.038 1.03 0.033 30.776 2.802



65


Sepsis (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

Constant -6.326 0.059 -

107.494 0.002 -5.101 0.046 -

111.731 0.006


DELIRIUM * * * * 0.05 0.012 4.101 1.051




Diabetes with ketoacidosis, type I [juvenile type], uncontrolled 0.273 0.056 4.863 1.314 0.226 0.051 4.416 1.254




GANGRENE 0.447 0.026 17.278 1.563 0.491 0.023 21.635 1.633







HD144_CVG ANTERIOR/LATERAL WALL AMI 1.144 0.029 39.37 3.14 1 0.028 35.824 2.719




HD158_CVG PNEUMONIA Bacterial and Unspecified * * * * 0.1 0.005 20.26 1.105

HD160_CVG RENAL DIALYSIS 0.09 0.019 4.749 1.094 0.082 0.017 4.902 1.086

HEMOPTYSIS, UNSPECIFIED 0.141 0.045 3.134 1.152 * * * *








MALIGNANT NEOPLASM OF COLON, UNSPECIFIED 0.395 0.051 7.793 1.484 0.471 0.045 10.528 1.601


66






Odds Ratio

MALIGNANT NEOPLASM OF UPPER LOBE, BRONCHUS OR LUNG 0.348 0.047 7.409 1.416 0.483 0.041 11.773 1.621

METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS SEPTICEMIA 0.386 0.02 18.879 1.471 0.427 0.017 24.861 1.532

METHICILLIN SUSCEPTIBLE STAPHYLOCOCCUS AUREUS SEPTICEMIA 0.298 0.022 13.421 1.347 0.301 0.019 16.102 1.351



OBSTRUCTIVE CHRONIC BRONCHITIS, WITHOUT EXACERBATION 0.148 0.007 22.696 1.159 0.142 0.006 25.305 1.153

OTHER ALTERATION OF CONSCIOUSNESS * * * * 0.099 0.024 4.085 1.105


OTHER ASCITES 0.685 0.017 41.135 1.985 0.745 0.015 48.41 2.107


OTHER EMPHYSEMA 0.164 0.023 7.063 1.178 0.093 0.02 4.527 1.097






OTHER SEPTICEMIA DUE TO GRAM-NEGATIVE ORGANISMS -0.514 0.02 -25.974 0.598 -0.386 0.016 -24.055 0.68

OTHER STAPHYLOCOCCAL SEPTICEMIA -0.131 0.033 -3.965 0.877 * * * *

PANCYTOPENIA 0.428 0.016 27.188 1.535 0.399 0.014 28.297 1.49

PARALYTIC ILEUS 0.185 0.015 12.091 1.204 0.082 0.014 5.85 1.085


PAROXYSMAL VENTRICULAR TACHYCARDIA 0.044 0.02 2.149 1.045 * * * *

PNEUMOCOCCAL SEPTICEMIA -0.278 0.034 -8.256 0.757 -0.357 0.029 -12.191 0.7





Pressure Ulcer Unstageable 0.107 0.031 3.442 1.113 0.24 0.027 9.003 1.271

PRESSURE ULCER, STAGE II * * * * 0.145 0.018 8.267 1.157




RHEUMATOID ARTHRITIS - INCLUSIVE 0.032 0.015 2.188 1.033 0.034 0.013 2.677 1.034

SARCOIDOSIS 0.132 0.051 2.575 1.141 * * * *

SEPSIS DUE TO STREPTOCOCCAL -0.386 0.02 -18.809 0.68 -0.265 0.017 -15.977 0.767


67






Odds Ratio

SEPTIC SHOCK 1.163 0.006 203.128 3.199 0.902 0.005 174.383 2.465

SEPTICEMIA DUE TO ESCHERICHIA COLI (E. COLI) -0.936 0.018 -52.786 0.392 -0.738 0.014 -52.612 0.478

SEPTICEMIA DUE TO GRAM-NEGATIVE ORGANISM, UNSPECIFIED 0.211 0.024 8.856 1.235 0.132 0.021 6.418 1.141

SEPTICEMIA DUE TO HEMOPHILUS INFLUENZAE (H. INFLUENZAE) -0.5 0.068 -7.35 0.607 -0.512 0.059 -8.713 0.599

SEPTICEMIA DUE TO PSEUDOMONAS -0.194 0.028 -6.805 0.824 -0.13 0.024 -5.518 0.878

SEPTICEMIA DUE TO SERRATIA -0.176 0.078 -2.245 0.839 -0.148 0.067 -2.214 0.862

SEVERE SEPSIS 0.281 0.005 52.293 1.324 0.196 0.005 41.844 1.217

SexFemale 0.021 0.005 4.06 1.021 -0.046 0.004 -10.215 0.955



STAPHYLOCOCCAL SEPTICEMIA, UNSPECIFIED 0.189 0.044 4.328 1.208 0.261 0.037 7.095 1.299

SYSTEMIC LUPUS ERYTHEMATOSUS 0.154 0.037 4.116 1.167 0.097 0.033 2.916 1.101


THORACENTESIS -0.173 0.017 -10.163 0.841 -0.11 0.015 -7.292 0.896


ULCER OF OTHER PART OF LOWER LIMB 0.155 0.033 4.638 1.168 0.222 0.029 7.798 1.249






UNSPECIFIED SEPTICEMIA 0.14 0.013 10.504 1.15 0.115 0.011 10.789 1.121

UNSPECIFIED SYSTOLIC HEART FAILURE 0.17 0.027 6.273 1.186 0.168 0.024 6.969 1.182






ULCER OF HEEL AND MIDFOOT * * * * 0.075 0.025 2.933 1.078


68


Small Intestine Surgeries In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

ACIDOSIS 0.645 0.038 16.878 1.906 0.535 0.036 15.037 1.708



ACUTE DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.895 0.231 3.875 2.447 * * * *

ACUTE DUODENAL ULCER WITH PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.603 0.128 4.709 1.828 0.474 0.115 4.133 1.606


ACUTE PANCREATITIS 0.297 0.124 2.399 1.345 * * * *





Age70To74 0.305 0.049 6.166 1.357 0.345 0.045 7.757 1.412

Age75To79 0.506 0.049 10.354 1.658 0.587 0.044 13.401 1.798

Age80To84 0.669 0.049 13.659 1.953 0.799 0.044 18.155 2.224

Age85To89 0.824 0.051 16.194 2.279 1.116 0.045 24.668 3.052

Age90AndOver 0.996 0.057 17.561 2.706 1.431 0.05 28.755 4.184



ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, UNSPECIFIED 0.504 0.18 2.806 1.655 * * * *



CACHEXIA 0.453 0.082 5.508 1.573 0.402 0.076 5.267 1.495




CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH HEMORRHAGE AND PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.772 0.155 4.975 2.164 0.731 0.142 5.134 2.078

CHRONIC OR UNSPECIFIED DUODENAL ULCER WITH PERFORATION, WITHOUT MENTION OF OBSTRUCTION 0.377 0.077 4.889 1.458 0.344 0.066 5.176 1.41

CHRONIC OR UNSPECIFIED GASTRIC ULCER WITH PERFORATION, WITHOUT MENTION OF OBSTRUCTION * * * * 0.506 0.19 2.663 1.659

CHRONIC VASCULAR INSUFFICIENCY OF INTESTINE 0.66 0.095 6.914 1.934 0.601 0.089 6.74 1.824



Constant -6.856 0.218 -31.51 0.001 -6.281 0.187 -33.504 0.002


69


Small Intestine Surgeries (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio



DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITH BEHAVIORAL DISTURBANCE * * * * 0.594 0.25 2.373 1.811


DIAPHRAGMATIC HERNIA WITH OBSTRUCTION 0.766 0.264 2.898 2.151 * * * *








HD117_CVG NARROWING OF PRECEREBRAL ARTERY 0.265 0.113 2.346 1.303 0.29 0.098 2.96 1.337








HP129_CVG Incisions of Small Intestine 0.351 0.09 3.908 1.421 0.198 0.079 2.502 1.219


HP132_CVG Exteriorization of Small Intestine 0.57 0.094 6.069 1.769 0.619 0.082 7.528 1.858

HP133_CVG Ileostomies 0.572 0.056 10.197 1.772 0.655 0.051 12.847 1.924


HP135_CVG Other Repair of Small Intestine 0.364 0.068 5.375 1.44 0.224 0.058 3.889 1.251

HP166_CVG Gastric Resection and Anastomosis - High Mortality 0.478 0.068 7.02 1.613 0.426 0.064 6.692 1.531

HP170_CVG Other Stomach Procedures - Moderate Mortality 0.564 0.128 4.395 1.758 0.503 0.118 4.267 1.654

HP171_CVG Other Stomach Procedures - High Mortality 0.505 0.165 3.06 1.657 0.392 0.151 2.602 1.48

HP172_CVG Pylorus - High Mortality 0.577 0.147 3.928 1.781 0.5 0.133 3.766 1.649

HP174_CVG Anal-Rectal Procedures * * * * -0.678 0.231 -2.939 0.507

HP175_CVG Colon Resection and Anastomosis - Low Mortality -0.773 0.228 -3.394 0.462 -0.784 0.173 -4.538 0.457

HP176_CVG Colon Resection and Anastomosis and Large-to-Large Anastomosis - Moderate Mortality 0.432 0.067 6.445 1.541 0.368 0.063 5.878 1.445


70






Odds Ratio

HP177_CVG Colon Resection Anastomosis – High Mortality 0.459 0.073 6.324 1.582 0.357 0.068 5.239 1.429


HP183_CVG Stoma 0.539 0.103 5.25 1.715 0.62 0.095 6.518 1.859

HYPOCALCEMIA * * * * 0.189 0.077 2.469 1.208

INTESTINAL OR PERITONEAL ADHESIONS WITH OBSTRUCTION (POSTOPERATIVE) (POSTINFECTION) 0.143 0.037 3.884 1.154 * * * *

LAPAROSCOPIC ROBOTIC ASSISTED PROCEDURE -0.723 0.364 -1.985 0.485 * * * *





OTHER AND UNSPECIFIED VENTRAL HERNIA WITH OBSTRUCTION 0.347 0.107 3.251 1.414 0.331 0.098 3.384 1.392

OTHER ASCITES 0.202 0.051 3.979 1.224 0.144 0.047 3.081 1.155

OTHER COLOSTOMY AND ENTEROSTOMY COMPLICATION 0.248 0.102 2.429 1.282 * * * *

OTHER EMPHYSEMA * * * * 0.209 0.103 2.036 1.232



OTHER SPECIFIED DISORDERS OF PERITONEUM 0.203 0.089 2.277 1.225 0.247 0.08 3.1 1.28

P4311_CVG PERCUTANEOUS [ENDOSCOPIC] GASTROSTOMY [PEG] -0.43 0.108 -3.961 0.651 -0.414 0.096 -4.336 0.661

P4641_CVG Revision of Stoma of Small Intestine -0.298 0.101 -2.949 0.743 -0.182 0.079 -2.298 0.833

P4674_CVG Closure of Fistula of Small Intestine, Except Duodenum 0.44 0.057 7.747 1.553 0.291 0.052 5.643 1.337

PATHOLOGIC FRACTURE OF VERTEBRAE * * * * 0.454 0.158 2.874 1.574




Repair of Small Intestine Stoma -0.482 0.084 -5.734 0.617 -0.509 0.069 -7.358 0.601

SEPTIC SHOCK 0.801 0.051 15.558 2.228 0.707 0.049 14.361 2.028

SEVERE SEPSIS 0.449 0.05 8.885 1.566 0.404 0.048 8.428 1.498

SexFemale -0.13 0.028 -4.585 0.878 -0.133 0.025 -5.363 0.875






VENOUS (PERIPHERAL) INSUFFICIENCY, UNSPECIFIED * * * * 0.241 0.117 2.064 1.273


71






Odds Ratio

HP181_CVG Rectal Resection and Anastomosis * * * * -0.47 0.166 -2.839 0.625

MALIGNANT NEOPLASM OF STOMACH, UNSPECIFIED * * * * 0.584 0.218 2.685 1.794

OTHER SPECIFIED DISORDERS OF INTESTINES * * * * 0.22 0.089 2.473 1.247

P4591_CVG Small-to-Small Intestinal Anastomsis * * * * -0.109 0.042 -2.598 0.897


72


Stroke In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio


ACIDOSIS 0.539 0.033 16.346 1.714 0.366 0.027 13.32 1.442



AdmitSourceXferHospital -0.071 0.019 -3.727 0.931 * * * *


AdmitSourceXferSkilledNursing -0.254 0.038 -6.739 0.776 0.356 0.025 14.049 1.427

Age70To74 0.146 0.026 5.619 1.157 0.192 0.021 9.35 1.211

Age75To79 0.322 0.025 12.849 1.38 0.418 0.02 21.234 1.518

Age80To84 0.395 0.025 15.931 1.484 0.615 0.019 31.961 1.849

Age85To89 0.418 0.025 16.508 1.52 0.828 0.019 42.724 2.29

Age90AndOver 0.441 0.027 16.497 1.554 1.176 0.02 58.94 3.242


ALTERED MENTAL STATUS 0.087 0.038 2.272 1.091 0.245 0.028 8.915 1.278




CARDIAC PACEMAKER IN SITU 0.078 0.025 3.06 1.081 0.064 0.018 3.513 1.066

CEREBRAL EDEMA TRAUMATIC AND NON TRAUMATIC 0.411 0.021 19.863 1.508 0.279 0.018 15.604 1.321

CEREBRAL THROMBOSIS WITH CEREBRAL INFARCTION - INCLUSIVE 0.311 0.037 8.396 1.365 0.21 0.028 7.563 1.234




CLIPPING OF ANEURYSM -0.465 0.109 -4.275 0.628 -0.547 0.102 -5.365 0.578

COMA 1.765 0.033 53.073 5.843 1.796 0.033 54.929 6.027

COMPRESSION OF BRAIN 1.075 0.03 35.489 2.929 0.865 0.028 30.888 2.374


Constant -5.612 0.104 -53.954 0.004 -4.279 0.019 -

226.938 0.014





ENDOVASCULAR (TOTAL) EMBOLIZATION OR OCCLUSION OF HEAD AND NECK VESSELS -0.291 0.065 -4.447 0.748 -0.363 0.06 -6.079 0.695

ENDOVASCULAR REMOVAL OF OBSTRUCTION FROM HEAD AND NECK VESSEL(S) 0.668 0.052 12.773 1.95 0.517 0.044 11.844 1.677


73


Stroke (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

EPILEPSY, UNSPECIFIED, WITHOUT MENTION OF INTRACTABLE EPILEPSY * * * * 0.054 0.026 2.068 1.055

FLACCID HEMIPLEGIA AFFECTING UNSPECIFIED SIDE 0.901 0.055 16.345 2.462 1.051 0.044 23.921 2.86

HD107_CVG NON-MALIGNANT RENAL DISEASE WITH FAILURE * * * * 0.221 0.076 2.926 1.247





HD142_CVG SEPSIS 0.606 0.052 11.772 1.834 0.536 0.044 12.254 1.709







HD156_CVG DYSPHAGIA * * * * 0.109 0.012 9.372 1.115



HEART VALVE REPLACED BY OTHER MEANS 0.123 0.045 2.747 1.131 * * * *



HYPERPOTASSEMIA * * * * 0.172 0.032 5.401 1.188

HYPOXEMIA 0.123 0.053 2.314 1.131 * * * *

INTRACEREBRAL HEMORRHAGE 0.605 0.02 30.073 1.831 0.418 0.014 29.572 1.519



OBSTRUCTIVE HYDROCEPHALUS 0.701 0.033 21.477 2.015 0.591 0.03 19.861 1.807

OCCLUSION AND STENOSIS OF BASILAR ARTERY WITH CEREBRAL INFARCTION 0.802 0.062 12.87 2.229 0.537 0.053 10.171 1.711

OCCLUSION AND STENOSIS OF CAROTID ARTERY WITH CEREBRAL INFARCTION 0.272 0.03 9.004 1.312 0.156 0.022 7.181 1.169

OCCLUSION AND STENOSIS OF VERTEBRAL ARTERY WITH CEREBRAL INFARCTION 0.225 0.075 2.99 1.253 * * * *



OTHER EMPHYSEMA * * * * 0.133 0.054 2.449 1.143

OTHER MALIGNANT LYMPHOMAS, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES - INCLUSIVE * * * * 0.344 0.084 4.077 1.41


74


Stroke (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio




PROCEDURE ON SINGLE VESSEL - STROKE SPECIFIC -0.112 0.047 -2.389 0.894 -0.3 0.038 -7.979 0.741

SexFemale -0.183 0.014 -13.509 0.833 -0.17 0.01 -17.153 0.844


STATUS POST ADMINISTRATION OF TPA (RTPA) IN A DIFFERENT FACILITY WITHIN THE LAST 24 HOURS PRIOR TO ADMISSION TO CURRENT FACILITY 0.275 0.037 7.377 1.316 * * * *

SUBARACHNOID HEMORRHAGE 0.956 0.04 23.809 2.602 0.71 0.033 21.563 2.033


UNSPECIFIED CEREBRAL ARTERY OCCLUSION WITH CEREBRAL INFARCTION - INCLUSIVE -0.071 0.017 -4.265 0.931 * * * *

UNSPECIFIED HEMIPLEGIA AFFECTING DOMINANT SIDE 0.155 0.023 6.74 1.168 0.243 0.017 14.241 1.275

UNSPECIFIED HEMIPLEGIA AFFECTING NONDOMINANT SIDE 0.119 0.023 5.152 1.127 0.193 0.017 11.279 1.213

UNSPECIFIED HEMIPLEGIA AFFECTING UNSPECIFIED SIDE 0.371 0.016 22.647 1.449 0.48 0.012 39.401 1.616

UNSPECIFIED INTRACRANIAL HEMORRHAGE 0.854 0.042 20.283 2.349 0.637 0.033 19.027 1.89


LATE EFFECT OF CEREBROVASCULAR DISEASE, APHASIA * * * * 0.158 0.039 4.034 1.171

NEUROLOGIC NEGLECT SYNDROME * * * * 0.132 0.03 4.37 1.141

OTHER ABNORMAL BLOOD CHEMISTRY * * * * 0.197 0.049 3.982 1.217


75


Valve Surgery In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio

(AORTO)CORONARY BYPASS OF ONE CORONARY ARTERY 0.343 0.038 9.06 1.409 0.277 0.034 8.049 1.32

(AORTO)CORONARY BYPASS OF THREE CORONARY ARTERIES 0.5 0.062 8.084 1.649 0.447 0.057 7.88 1.563

(AORTO)CORONARY BYPASS OF TWO CORONARY ARTERIES 0.481 0.045 10.787 1.618 0.387 0.041 9.424 1.472

ACUTE AND SUBACUTE BACTERIAL ENDOCARDITIS 0.782 0.064 12.163 2.186 0.702 0.06 11.665 2.017



ACUTE RESPIRATORY FAILURE - INCLUSIVE * * * * 0.196 0.056 3.502 1.216

ADHESIVE PERICARDITIS 0.622 0.092 6.739 1.863 0.536 0.087 6.179 1.709




Age70To74 0.298 0.043 6.885 1.347 0.279 0.039 7.162 1.322

Age75To79 0.543 0.042 12.991 1.72 0.51 0.038 13.577 1.665

Age80To84 0.738 0.043 17.234 2.092 0.723 0.038 18.894 2.06

Age85To89 0.937 0.049 19.325 2.553 0.954 0.042 22.485 2.595

Age90AndOver 1.185 0.065 18.146 3.271 1.206 0.055 21.826 3.34

ANNULOPLASTY 0.191 0.051 3.706 1.21 0.136 0.048 2.839 1.145


ATHEROSCLEROSIS OF RENAL ARTERY 0.334 0.135 2.473 1.397 0.388 0.116 3.355 1.474

CARDIAC ARREST 1.222 0.156 7.813 3.394 1.19 0.146 8.15 3.286



CONGESTIVE HEART FAILURE, UNSPECIFIED - INCLUSIVE * * * * 0.048 0.023 2.103 1.049

Constant -6.618 0.23 -28.715 0.001 -6.169 0.205 -30.164 0.002



EXCISION OR DESTRUCTION OF OTHER LESION OR TISSUE OF HEART, OPEN APPROACH - INCLUSIVE 0.114 0.047 2.457 1.121 0.145 0.042 3.478 1.156





hd128_CVG MITRAL STENOSIS & INSUFFICIENCY 0.342 0.074 4.636 1.408 0.3 0.068 4.387 1.35

HD143_CVG INFERIOR WALL AMI 0.354 0.143 2.483 1.425 0.405 0.136 2.965 1.499




76


Valve Surgery (continued) In-Hospital Mortality In-Hospital + 30-Day Mortality




Odds Ratio




INFECTION AND INFLAMMATORY REACTION DUE TO CARDIAC DEVICE, IMPLANT, AND GRAFT 0.622 0.197 3.151 1.863 0.558 0.188 2.969 1.747


MECHANICAL COMPLICATION DUE TO HEART VALVE PROSTHESIS 0.609 0.174 3.503 1.839 0.477 0.167 2.857 1.611

MITRAL AND AORTIC VALVE STENOSIS OR INSUFFICIENCY 0.195 0.035 5.524 1.215 0.188 0.032 5.892 1.207

OPEN AND OTHER REPLACEMENT OF AORTIC VALVE 0.552 0.047 11.867 1.737 0.416 0.04 10.474 1.517

OPEN AND OTHER REPLACEMENT OF AORTIC VALVE WITH TISSUE GRAFT 0.251 0.039 6.489 1.285 0.162 0.032 5.092 1.176

OPEN AND OTHER REPLACEMENT OF MITRAL VALVE 1.943 0.325 5.971 6.98 1.76 0.321 5.477 5.812

OPEN AND OTHER REPLACEMENT OF MITRAL VALVE WITH TISSUE GRAFT 1.85 0.327 5.654 6.36 1.686 0.323 5.221 5.399

OPEN AND OTHER REPLACEMENT OF TRICUSPID VALVE 0.907 0.166 5.475 2.478 0.894 0.152 5.884 2.446

OPEN AND OTHER REPLACEMENT OF TRICUSPID VALVE WITH TISSUE GRAFT 1.153 0.114 10.085 3.168 1.02 0.107 9.502 2.772

OPEN HEART VALVULOPLASTY OF AORTIC VALVE WITHOUT REPLACEMENT 0.773 0.128 6.063 2.167 0.622 0.12 5.202 1.863

OPEN HEART VALVULOPLASTY OF MITRAL VALVE WITHOUT REPLACEMENT 0.106 0.054 1.97 1.112 * * * *

OPEN HEART VALVULOPLASTY OF TRICUSPID VALVE WITHOUT REPLACEMENT 0.362 0.064 5.622 1.436 0.328 0.059 5.565 1.389

OTHER AND NOS, BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION 0.442 0.084 5.266 1.556 0.374 0.078 4.816 1.454

OTHER EMPHYSEMA 0.236 0.099 2.376 1.266 * * * *

PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY [PTCA] - BYP-VLV Specific 0.515 0.086 5.979 1.673 0.452 0.079 5.748 1.571


SexFemale 0.316 0.025 12.703 1.372 0.255 0.022 11.575 1.291


SLHP102_CVG MITRAL VALVE ONLY REPLACEMENT -1.173 0.331 -3.549 0.309 -1.149 0.325 -3.532 0.317

SLHP105_CVG AORTIC AND MITRAL VALVE REPLACEMENT -0.941 0.331 -2.839 0.39 -0.863 0.327 -2.641 0.422

TRANSAPICAL REPLACEMENT OF AORTIC VALVE 0.808 0.067 12.109 2.243 0.723 0.057 12.732 2.06



Healthgrades Mortality and Complication Outcomes 2018 Methodology Appendix C. Coefficient Summary Tables – Complication Cohorts

77


Appendix C. Coefficient Summary Table – Complication Cohorts

Abdominal Aortic Aneurysm Repair


Error Z-Stat Odds Ratio

ACUTE VASCULAR INSUFFICIENCY OF INTESTINE 0.599 0.236 2.542 1.82

AdmitSourceXferHospital 0.633 0.057 11.014 1.883

AdmitSourceXferNonHospital 0.935 0.163 5.741 2.548

AdmitSourceXferSkilledNursing 0.502 0.187 2.689 1.653

Age70To74 0.085 0.037 2.267 1.089

Age75To79 0.274 0.037 7.309 1.315

Age80To84 0.362 0.04 9.152 1.437

Age85To89 0.54 0.045 11.987 1.716

Age90AndOver 0.694 0.065 10.732 2.002

ALZHEIMER'S DISEASE 0.695 0.109 6.354 2.003

ANGIOPLASTY OF OTHER NON-CORONARY VESSEL(S) 0.313 0.032 9.672 1.367

AORTA-ILIAC-FEMORAL BYPASS 0.75 0.1 7.462 2.116

AORTA-RENAL BYPASS 0.983 0.189 5.209 2.673

ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES, UNSPECIFIED 0.228 0.059 3.895 1.257

ATHEROSCLEROSIS OF RENAL ARTERY 0.403 0.054 7.526 1.497

ATRIAL FIBRILLATION - INCLUSIVE 0.077 0.031 2.439 1.08

BODY MASS INDEX LESS THAN 19, ADULT 0.275 0.127 2.16 1.316

CHRONIC AIRWAY OBSTRUCTION, NOT ELSEWHERE CLASSIFIED 0.182 0.027 6.817 1.199

CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) 0.454 0.067 6.75 1.575

CHRONIC KIDNEY DISEASE, STAGE IV (SEVERE) 0.844 0.09 9.402 2.326

CHRONIC KIDNEY DISEASE, UNSPECIFIED 0.215 0.07 3.095 1.24

CONGESTIVE HEART FAILURE, UNSPECIFIED - INCLUSIVE [DX7937 / RISK] 0.136 0.043 3.175 1.146

Constant -4.379 0.149 -29.349 0.013

DEPENDENCE ON SUPPLEMENTAL OXYGEN 0.271 0.058 4.657 1.311

HD106_CVG NON-MALIGNANT RENAL DISEASE W/O FAILURE 0.421 0.063 6.636 1.524

HD107_CVG NON-MALIGNANT RENAL DISEASE WITH FAILURE 1.081 0.085 12.713 2.946

HD114_CVG CHRONIC ISCHEMIC HEART DISEASE 0.406 0.057 7.135 1.501

HD115_CVG PULMONARY HYPERTENSION 0.25 0.069 3.63 1.284

HD116_CVG CARDIOMYOPATHY 0.369 0.063 5.845 1.446

HD119_CVG CHRONIC BRONCHITIS 0.882 0.104 8.509 2.417

HD122_CVG ASTHMA 0.131 0.057 2.315 1.14

HD127_CVG MALNUTRITION 1.047 0.087 12.004 2.849

HD149_CVG INFRA-RENAL ANEURYSM 0.094 0.034 2.797 1.098

HD150_CVG OTHER/UNSPEC PERIPH VASC DISEASE 0.129 0.031 4.137 1.138

HD151_CVG ENCEPHALOPATHY 0.61 0.183 3.341 1.841

HD152_CVG HYPOTENSION, UNSP OR NEC 0.509 0.121 4.205 1.663

HD170_CVG ACUTE SYSTOLIC HEART FAILURE 1.058 0.191 5.529 2.881

HD171_CVG CHRONIC SYSTOLIC HEART FAILURE 0.252 0.079 3.174 1.287

HD172_CVG ACUTE DIASTOLIC HEART FAILURE 1.558 0.191 8.153 4.751

HD173_CVG CHRONIC DIASTOLIC HEART FAILURE 0.39 0.079 4.916 1.477

HD176_CVG BODY MASS INDEX 40 AND OVER 0.52 0.082 6.324 1.682


78


Abdominal Aortic Aneurysm Repair (continued)



HD177_CVG BODY MASS INDEX 30-39 0.121 0.047 2.566 1.128


INTERMEDIATE CORONARY SYNDROME AND OTHER AND UNSPECIFIED ANGINA PECTORIS 0.149 0.024 6.252 1.161

LATE EFFECT OF CEREBROVASCULAR DISEASE, HEMIPLEGIA AFFECTING UNSPECIFIED SIDE 0.643 0.166 3.879 1.902

MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE, IMPLANT, AND GRAFT - INCLUSIVE 0.216 0.054 3.987 1.241

OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC) 0.193 0.045 4.323 1.213

OTHER (PERIPHERAL) VASCULAR SHUNT OR BYPASS 0.816 0.068 11.913 2.261

OTHER AND UNSPECIFIED COAGULATION DEFECTS 0.947 0.204 4.643 2.579

OTHER EMPHYSEMA 0.289 0.066 4.364 1.335

PERSONAL HISTORY OF TRANSIENT ISCHEMIC ATTACK (TIA), AND CEREBRAL INFARCTION WITHOUT RESIDUAL DEFICITS 0.102 0.038 2.697 1.108

PrimaryFacilityPresentOnAdmissionKnownPercent 1.904 0.187 10.196 6.715

RESECTION OF ABDOMINAL AORTA WITH REPLACEMENT 2.135 0.034 62.266 8.454

SexFemale 0.205 0.027 7.475 1.227

TOBACCO USE DISORDER 0.089 0.029 3.073 1.093

UNSPECIFIED VASCULAR INSUFFICIENCY OF INTESTINE 1.938 0.264 7.338 6.944


79


Appendectomy



ACUTE APPENDICITIS WITH PERITONEAL ABSCESS 0.604 0.02 30.834 1.829


Age45To64 0.616 0.018 33.319 1.851

Age65To74 0.999 0.025 39.892 2.715

Age75AndOver 1.424 0.029 49.94 4.152

ANEMIA, UNSPECIFIED 0.23 0.041 5.677 1.259






CLOSED SURGICAL PROCEDURE CONVERTED TO OPEN PROCEDURE 0.417 0.032 12.968 1.518


Constant -6.029 0.15 -40.321 0.002

CORONARY ATHEROSCLEROSIS OF NATIVE OR UNSPECIFIED CORONARY VESSEL 0.094 0.032 2.925 1.099

DRAINAGE OF APPENDICEAL ABSCESS 0.636 0.127 5.014 1.89

END STAGE RENAL DISEASE 3.374 0.132 25.562 29.186

ESCHERICHIA COLI [E. COLI] INFECTION IN CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE 0.711 0.038 18.734 2.036


HD142_CVG SEPSIS 1.039 0.03 34.58 2.828

HD154_CVG DEHYDRATION 0.185 0.038 4.804 1.203

HD160_CVG RENAL DIALYSIS 0.785 0.174 4.522 2.192


HYPOPOTASSEMIA 0.382 0.032 11.802 1.465

HYPOSMOLALITY AND/OR HYPONATREMIA 0.26 0.04 6.474 1.297

HYPOXEMIA 0.853 0.083 10.304 2.346

LAPAROSCOPIC APPENDECTOMY 1.589 0.143 11.107 4.901

MITRAL VALVE DISORDERS 0.191 0.091 2.107 1.21


OTHER APPENDECTOMY 2.107 0.144 14.676 8.227

PARALYTIC ILEUS 1.688 0.027 62.724 5.409


SEVERE SEPSIS 0.608 0.06 10.194 1.837

SexFemale -0.385 0.016 -24.003 0.68

TACHYCARDIA, UNSPECIFIED 0.56 0.07 8.046 1.751


80


Back and Neck Surgeries (Without Spinal Fusion)





Age70To74 0.189 0.031 6.051 1.208

Age75To79 0.289 0.032 8.978 1.335

Age80To84 0.433 0.035 12.493 1.541

Age85To89 0.629 0.04 15.61 1.876

Age90AndOver 0.687 0.058 11.781 1.987


AORTIC VALVE DISORDERS 0.297 0.063 4.727 1.345


Biopsy of spinal cord or spinal meninges - 03.32 0.275 0.122 2.262 1.317

CAUDA EQUINA SYNDROME WITHOUT MENTION OF NEUROGENIC BLADDER 0.28 0.066 4.219 1.323

CERVICAL SPONDYLOSIS WITH MYELOPATHY 0.162 0.046 3.551 1.176


CLOSED FRACTURE OF SECOND CERVICAL VERTEBRA WITHOUT MENTION OF SPINAL CORD INJURY 1.175 0.081 14.424 3.238


Constant -4.342 0.147 -29.516 0.013


DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITHOUT BEHAVIORAL DISTURBANCE 0.364 0.088 4.158 1.439

DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED 0.089 0.031 2.906 1.093

Diabetes Mellitus (type II, or unspecified, or Secondary), with neurological manifestations/peripheral circulatory disorders, uncontrolled OR not stated as uncontrolled_RA 0.249 0.048 5.162 1.282

Diabetes Mellitus (type II, or unspecified, or Secondary), with Ophthalmic/Renal Manifestations, uncontrolled OR not stated as uncontrolled_RA 0.349 0.05 6.928 1.418

Diabetes Mellitus (type II, or unspecified, or Secondary), without mention of complication, uncontrolled OR not stated as uncontrolled_RA 0.064 0.025 2.604 1.066

EXCISION OR DESTRUCTION OF INTERVERTEBRAL DISC, UNSPECIFIED 0.193 0.037 5.209 1.213

HD103_CVG HYPERTENSION 0.08 0.025 3.154 1.084

HD104_CVG NON-MALIGNANT HYPERTENSION W/O CHF 0.544 0.119 4.56 1.724






HD117_CVG NARROWING OF PRECEREBRAL ARTERY 0.229 0.078 2.931 1.258


HD126_CVG HYPERPLASIA OF PROSTATE 0.253 0.03 8.324 1.287





HD155_CVG CHRONIC ANEMIA 0.305 0.065 4.69 1.356



81


Back and Neck Surgeries (Without Spinal Fusion) (continued)





INSERTION OR REPLACEMENT OF INTERSPINOUS PROCESS DEVICE(S) -0.454 0.086 -5.288 0.635

INSERTION or REPLACEMENT OF PARTIAL or TOTAL SPINAL DISC PROSTHESIS, CERVICAL -1.559 0.582 -2.68 0.21

INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY, CERVICAL REGION 0.41 0.082 5.004 1.507

INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY, LUMBAR REGION 0.292 0.08 3.647 1.339

INTRASPINAL ABSCESS 0.774 0.069 11.226 2.169

OBESITY HYPOVENTILATION SYNDROME 1.433 0.175 8.192 4.192


OTHER EMPHYSEMA 0.424 0.1 4.261 1.529

OTHER EXPLORATION AND DECOMPRESSION OF SPINAL CANAL 0.314 0.041 7.637 1.369

OTHER REPAIR AND PLASTIC OPERATIONS ON SPINAL CORD STRUCTURES 0.814 0.034 23.896 2.256

OTHER SPECIFIED CARDIAC DYSRHYTHMIAS 0.262 0.077 3.417 1.3

PARALYSIS AGITANS 0.152 0.07 2.174 1.165

PARAPLEGIA 0.615 0.083 7.439 1.849

PERSONAL HISTORY OF TOBACCO USE, PRESENTING HAZARDS TO HEALTH 0.075 0.024 3.077 1.078


REPAIR OF VERTEBRAL FRACTURE 0.172 0.057 3.036 1.188

RETENTION OF URINE, UNSPECIFIED 0.129 0.053 2.451 1.138

RIGHT BUNDLE BRANCH BLOCK 0.229 0.091 2.531 1.258

SexFemale -0.12 0.023 -5.113 0.887

SPINAL STENOSIS OF THORACIC REGION 0.282 0.074 3.809 1.326

Spinal Tap - 03.31 0.56 0.222 2.522 1.751

THROMBOCYTOPENIA, UNSPECIFIED 0.263 0.072 3.669 1.301


TRANSFUSION OF PACKED CELLS 1.206 0.052 23.166 3.339

URINARY TRACT INFECTION, SITE NOT SPECIFIED 0.272 0.047 5.761 1.313


82


Bariatric Surgery




Age45To64 0.28 0.028 10.183 1.324

Age65To74 0.646 0.046 13.949 1.909

Age75AndOver 1.163 0.183 6.367 3.2



CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) 1 0.087 11.493 2.719





Constant -5.083 0.09 -56.418 0.006



END STAGE RENAL DISEASE 4.32 0.1 43.083 75.2




HYPOPOTASSEMIA 1.038 0.095 10.88 2.823

HYPOXEMIA 0.974 0.123 7.909 2.65

ISOLATION OF SEGMENT OF SMALL INTESTINE -0.49 0.183 -2.671 0.613

LAPAROSCOPIC LYSIS OF PERITONEAL ADHESIONS 0.388 0.042 9.339 1.474


OTHER ENDOSCOPY OF SMALL INTESTINE 0.123 0.031 4.043 1.131

OTHER GASTROSTOMY 1.883 0.11 17.146 6.575

OTHER PARTIAL RESECTION OF SMALL INTESTINE 1.274 0.111 11.472 3.574

OTHER REPAIR OF INTESTINE 1.46 0.181 8.048 4.307

OTHER REPAIR OF STOMACH 1.51 0.128 11.773 4.525



PULMONARY COLLAPSE 2.097 0.089 23.658 8.146

RHEUMATOID ARTHRITIS - INCLUSIVE 0.227 0.105 2.158 1.255

SexFemale -0.283 0.029 -9.85 0.753

SMALL-TO-SMALL INTESTINAL ANASTOMOSIS 0.98 0.151 6.499 2.664


83


Carotid Surgery



ACUTE RESPIRATORY FAILURE - INCLUSIVE 0.857 0.055 15.507 2.355




Age70To74 0.081 0.023 3.584 1.085

Age75To79 0.206 0.023 9.076 1.229

Age80To84 0.31 0.024 12.891 1.363

Age85To89 0.419 0.028 14.747 1.52

Age90AndOver 0.389 0.046 8.466 1.475



APHASIA 0.356 0.029 12.206 1.428


ATHEROSCLEROSIS OF RENAL ARTERY 0.163 0.069 2.352 1.177


ATRIAL FLUTTER 0.19 0.067 2.834 1.209



CHRONIC KIDNEY DISEASE, STAGE II (MILD) 0.314 0.07 4.51 1.369





Constant -4.122 0.108 -38.202 0.016





ENDARTERECTOMY OF OTHER VESSELS OF HEAD AND NECK 6 0.28 0.056 4.968 1.323

ENDOVASCULAR REMOVAL OF OBSTRUCTION FROM HEAD AND NECK VESSEL(S) 1.474 0.058 25.495 4.368

EPILEPSY, UNSPECIFIED, WITHOUT MENTION OF INTRACTABLE EPILEPSY 0.276 0.061 4.507 1.318

FACIAL WEAKNESS 0.155 0.032 4.809 1.167









HD151_CVG ENCEPHALOPATHY 0.621 0.052 12 1.861



84


Carotid Surgery (continued)





HD156_CVG DYSPHAGIA 0.609 0.032 18.9 1.838





HYPERPOTASSEMIA 0.312 0.067 4.632 1.367

HYPOPOTASSEMIA 0.157 0.048 3.271 1.17


INFARCTION OF A CEREBRAL ARTERY - INCLUSIVE 0.481 0.042 11.336 1.618

INSERTION OF TWO VASCULAR STENTS 0.568 0.081 7.017 1.765


MITRAL AND AORTIC VALVE STENOSIS OR INSUFFICIENCY 0.293 0.072 4.063 1.34



OTHER CONVULSIONS 0.414 0.095 4.364 1.513

OTHER EMPHYSEMA 0.314 0.059 5.308 1.37

OTHER LEFT BUNDLE BRANCH BLOCK 0.176 0.071 2.463 1.193

PERCUTANEOUS ANGIOPLASTY OF EXTRACRANIAL VESSEL(S) 0.092 0.04 2.291 1.096

PERCUTANEOUS INSERTION OF CAROTID ARTERY STENT(S) 0.195 0.053 3.663 1.216


PROCEDURE ON THREE VESSELS - INCLUSIVE 0.093 0.036 2.568 1.098

STRICTURE OF ARTERY 0.198 0.068 2.888 1.219


UNSPECIFIED CEREBRAL ARTERY OCCLUSION WITH CEREBRAL INFARCTION - INCLUSIVE 0.393 0.076 5.198 1.481

UNSPECIFIED HEMIPLEGIA AFFECTING UNSPECIFIED SIDE 0.312 0.033 9.361 1.367


85


Defibrillator Procedures



Age75To79 0.1 0.03 3.281 1.105

Age80To84 0.128 0.032 3.944 1.136

Age85To89 0.117 0.04 2.901 1.124

Age90AndOver 0.162 0.076 2.126 1.176

ANGIOCARDIOGRAPHY OF LEFT HEART STRUCTURES -0.184 0.039 -4.681 0.832







COMBINED RIGHT AND LEFT HEART CARDIAC CATHETERIZATION 0.354 0.05 7.02 1.425

Constant -2.679 0.17 -15.734 0.069

CONTINUOUS INVASIVE MECHANICAL VENTILATION FOR 96 CONSECUTIVE HOURS OR MORE 2.054 0.067 30.55 7.8

CONTINUOUS INVASIVE MECHANICAL VENTILATION FOR LESS THAN 96 CONSECUTIVE HOURS 1.496 0.036 41.224 4.462


hd109_CVG NON-MALIG HYPERTEN & REN WITH CHF 0.396 0.056 7.045 1.486



HD142_CVG SEPSIS 0.252 0.094 2.676 1.287

HD148_CVG DIAB W UNSPECIFIED MANIFESTATIONS 0.195 0.071 2.735 1.215




HD174_CVG ACUTE COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 0.376 0.038 10.013 1.457


HEMODIALYSIS 0.424 0.055 7.722 1.528


IMPLANT OF PULSATION BALLOON 0.971 0.126 7.738 2.641

IMPLANTATION OF RECHARGEABLE CARDIAC CONTRACTILITY MODULATION [CCM], TOTAL SYSTEM 0.427 0.123 3.461 1.533

IMPLANTATION OR REPLACEMENT OF TRANSVENOUS LEAD [ELECTRODE] INTO LEFT VENTRICULAR CORONARY VENOUS SYSTEM 0.211 0.052 4.068 1.235

INSERTION OR REPLACEMENT OF EPICARDIAL LEAD [ELECTRODE] INTO EPICARDIUM 0.651 0.077 8.419 1.918

LEFT HEART CARDIAC CATHETERIZATION 0.182 0.036 4.993 1.199

NON-INVASIVE MECHANICAL VENTILATION 0.769 0.055 13.979 2.158

Non Coronary procedures 0.643 0.209 3.081 1.902


OTHER EMPHYSEMA 0.324 0.097 3.352 1.383

OTHER PULMONARY EMBOLISM AND INFARCTION 0.414 0.162 2.564 1.513


REPLACEMENT OF AUTOMATIC CARDIOVERTER/DEFIBRILLATOR LEAD(S) ONLY 0.513 0.046 11.147 1.67

RIGHT HEART CARDIAC CATHETERIZATION 0.463 0.062 7.467 1.589


86


Defibrillator Procedures (continued)



SECONDARY THROMBOCYTOPENIA 0.586 0.15 3.903 1.797

SexFemale 0.101 0.022 4.511 1.106

SLP3606_CVG INSERTION OF NON-DRUG-ELUTING CORONARY ARTERY STENT(S) 0.519 0.213 2.441 1.68



UNSPECIFIED DISEASE OF PERICARDIUM 0.342 0.106 3.239 1.408

UNSPECIFIED PLEURAL EFFUSION 0.304 0.058 5.232 1.355

VENOUS (PERIPHERAL) INSUFFICIENCY, UNSPECIFIED 0.165 0.08 2.059 1.18


87


Gallbladder Removal Surgery



ACIDOSIS 0.353 0.026 13.492 1.424

ACUTE AND CHRONIC CHOLECYSTITIS 0.148 0.032 4.604 1.159

ACUTE CHOLECYSTITIS 0.128 0.015 8.558 1.137


Age70To74 0.188 0.016 11.88 1.207

Age75To79 0.332 0.016 20.663 1.394

Age80To84 0.459 0.017 27.328 1.582

Age85To89 0.603 0.019 32.51 1.828

Age90AndOver 0.724 0.023 30.872 2.064




CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS, WITH OBSTRUCTION 0.161 0.028 5.671 1.175

CHOLECYSTECTOMY 0.778 0.016 47.256 2.177





CIRRHOSIS OF LIVER WITHOUT MENTION OF ALCOHOL 0.099 0.034 2.901 1.105



Constant -2.577 0.067 -38.458 0.076




ENDOSCOPIC INSERTION OF STENT (TUBE) INTO BILE DUCT 0.659 0.02 33.596 1.932

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY [ERCP] 0.218 0.031 7.049 1.243


EXPLORATION OF COMMON BILE DUCT 0.223 0.04 5.548 1.25


HD105_CVG NON-MALIGNANT HYPERTENSION WITH CHF 0.343 0.083 4.135 1.409








HD122_CVG ASTHMA 0.057 0.022 2.64 1.059



HD142_CVG SEPSIS 0.327 0.018 18.469 1.386


88


Gallbladder Removal Surgery (continued)






HD172_CVG ACUTE DIASTOLIC HEART FAILURE 0.355 0.051 7 1.426




HYDROPS OF GALLBLADDER 0.109 0.029 3.807 1.115

HYPEROSMOLALITY AND/OR HYPERNATREMIA 0.416 0.054 7.692 1.516


INCISIONAL HERNIA WITHOUT MENTION OF OBSTRUCTION OR GANGRENE 0.114 0.056 2.051 1.121

LAPAROSCOPIC PARTIAL CHOLECYSTECTOMY 0.283 0.076 3.734 1.328



OTHER ASCITES 0.467 0.038 12.233 1.595

OTHER DISEASES OF LUNG, NOT ELSEWHERE CLASSIFIED 0.295 0.092 3.198 1.343

OTHER EMPHYSEMA 0.376 0.05 7.453 1.456

OTHER PARTIAL CHOLECYSTECTOMY 0.944 0.07 13.534 2.569

OTHER PULMONARY EMBOLISM AND INFARCTION 0.504 0.128 3.94 1.655

PERFORATION OF GALLBLADDER 0.443 0.034 13.053 1.557

PERITONEAL ADHESIONS (POSTOPERATIVE) (POSTINFECTION) 0.211 0.017 12.188 1.235

POSTINFLAMMATORY PULMONARY FIBROSIS 0.144 0.057 2.531 1.155


SEPTIC SHOCK 0.448 0.039 11.473 1.566

SEVERE SEPSIS 0.298 0.031 9.599 1.347

SexFemale -0.2 0.011 -17.954 0.819

TRICUSPID VALVE DISORDERS, SPECIFIED AS RHEUMATIC 0.227 0.043 5.237 1.254



89


Hip Fracture Treatment



ABDOMINAL ANEURYSM WITHOUT MENTION OF RUPTURE 0.158 0.028 5.72 1.171

ABNORMAL COAGULATION PROFILE 0.099 0.023 4.29 1.104

ACIDOSIS 0.434 0.027 16.301 1.543

ACUTE MYOCARDIAL INFARCTION, SUBENDOCARDIAL INFARCTION, INITIAL EPISODE OF CARE 0.241 0.041 5.866 1.272


Age70To74 0.148 0.018 8.416 1.159

Age75To79 0.293 0.016 17.872 1.34

Age80To84 0.39 0.016 24.77 1.477

Age85To89 0.476 0.016 30.445 1.609

Age90AndOver 0.619 0.016 39.307 1.857

ALL SENILE DEMENTIA, UNCOMPLICATED 0.067 0.008 8.258 1.069

ANEMIA OF OTHER CHRONIC DISEASE 0.046 0.017 2.663 1.047

ANXIETY STATE, UNSPECIFIED 0.032 0.011 2.928 1.032



ATRIAL FLUTTER 0.129 0.029 4.473 1.137

CACHEXIA 0.091 0.028 3.281 1.095






CLOSED FRACTURE OF INTERTROCHANTERIC SECTION OF FEMUR 0.169 0.012 14.231 1.184

CLOSED FRACTURE OF OTHER TRANSCERVICAL SECTION OF FEMUR -0.052 0.012 -4.184 0.949

CLOSED FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR 0.303 0.015 19.545 1.353

CLOSED FRACTURE OF SURGICAL NECK OF HUMERUS 0.304 0.041 7.342 1.355

CLOSED FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR -0.06 0.011 -5.357 0.942

CLOSED FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR -0.328 0.022 -14.702 0.72

CLOSED REDUCTION OF FRACTURE OF FEMUR WITH INTERNAL FIXATION 0.113 0.012 9.373 1.12

CLOSED REDUCTION OF FRACTURE OF FEMUR WITHOUT INTERNAL FIXATION 0.279 0.039 7.219 1.322


Constant -3.35 0.051 -66.147 0.035


DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITH BEHAVIORAL DISTURBANCE 0.151 0.035 4.347 1.164





DIAPHRAGMATIC HERNIA WITHOUT MENTION OF OBSTRUCTION OR GANGRENE 0.223 0.023 9.846 1.25

DYSTHYMIC DISORDER 0.134 0.039 3.416 1.144

FIRST DEGREE ATRIOVENTRICULAR BLOCK 0.09 0.028 3.254 1.095


90


Hip Fracture Treatment (continued)



HD105_CVG NON-MALIGNANT HYPERTENSION WITH CHF 0.293 0.051 5.749 1.34



HD108_CVG NON-MALIG HYPERTEN & REN W/O CHG OR FAIL 0.156 0.06 2.606 1.169

hd109_CVG NON-MALIG HYPERTEN & REN WITH CHF 0.434 0.051 8.57 1.544






HD122_CVG ASTHMA 0.038 0.015 2.48 1.039


HD142_CVG SEPSIS 0.534 0.049 10.818 1.706






HD156_CVG DYSPHAGIA 0.421 0.018 23.354 1.524

HD158_CVG PNEUMONIA Bacterial and Unspecified 0.062 0.024 2.561 1.064








HYPOXEMIA 0.129 0.023 5.643 1.138



MITRAL AND AORTIC VALVE STENOSIS OR INSUFFICIENCY 0.213 0.027 7.898 1.238



OPEN REDUCTION OF FRACTURE OF FEMUR WITH INTERNAL FIXATION 0.106 0.012 9.105 1.111

OTHER ASCITES 0.546 0.065 8.356 1.727

OTHER DISEASES OF LUNG, NOT ELSEWHERE CLASSIFIED 0.147 0.059 2.506 1.158

OTHER EMPHYSEMA 0.367 0.028 13.032 1.444

OTHER LATE EFFECTS OF CEREBROVASCULAR DISEASE 0.125 0.029 4.321 1.134


OTHER MALAISE AND FATIGUE 0.046 0.018 2.495 1.047

PARALYTIC ILEUS 0.599 0.084 7.15 1.821

PARTIAL HIP REPLACEMENT 0.438 0.012 36.269 1.55

PATHOLOGIC FRACTURE OF VERTEBRAE 0.226 0.041 5.478 1.253


91


Hip Fracture Treatment (continued)



PERCUTANEOUS (ENDOSCOPIC) GASTROSTOMY (PEG) 1.625 0.051 31.925 5.078


PERSONAL HISTORY OF TRANSIENT ISCHEMIC ATTACK (TIA), AND CEREBRAL INFARCTION WITHOUT RESIDUAL DEFICITS 0.026 0.01 2.6 1.026

PNEUMONITIS DUE TO INHALATION OF FOOD OR VOMITUS 0.135 0.049 2.745 1.144

POSTINFLAMMATORY PULMONARY FIBROSIS 0.254 0.028 8.97 1.289


RHABDOMYOLYSIS 0.071 0.029 2.434 1.073


SexFemale -0.295 0.007 -40.728 0.744

SLDV667_CVG PALLIATIVE CARE RISK REGARDLESS OF POA 1.653 0.021 77.915 5.225



TOTAL HIP REPLACEMENT 0.398 0.019 20.649 1.489




VASCULAR DEMENTIA, UNCOMPLICATED 0.093 0.033 2.796 1.097


92


Hip Replacement






Age70To74 0.188 0.018 10.582 1.206

Age75To79 0.388 0.018 21.179 1.474

Age80To84 0.623 0.02 31.707 1.865

Age85To89 0.811 0.024 34.199 2.25

Age90AndOver 1.089 0.038 28.95 2.972



ASEPTIC NECROSIS OF HEAD AND NECK OF FEMUR - 0.318 0.026 12.35 1.375







Constant -4.489 0.064 -70.047 0.011














HD122_CVG ASTHMA 0.081 0.022 3.709 1.084








HD175_CVG CHRONIC COMBINED DIASTOLIC AND SYSTOLIC HEART FAILURE 0.248 0.108 2.304 1.281




93


Hip Replacement (continued)




HYPOPOTASSEMIA 0.323 0.054 6.017 1.381




OSTEOARTHROSIS, UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED, PELVIC REGION AND THIGH - 715.95 0.162 0.021 7.838 1.176

OSTEOARTHROSIS, UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED, UNSPECIFIED SITE - 715.90 0.174 0.047 3.732 1.191

OTHER EMPHYSEMA 0.359 0.066 5.427 1.432





SexFemale -0.111 0.014 -8.098 0.895




UNSPECIFIED INTRAPELVIC PROTRUSION OF ACETABULUM, PELVIC REGION AND THIGH 0.403 0.081 4.948 1.496


94


Pacemaker Procedures



ABDOMINAL ANEURYSM WITHOUT MENTION OF RUPTURE 0.143 0.051 2.778 1.153

ABNORMAL COAGULATION PROFILE 0.102 0.046 2.221 1.107

ACIDOSIS 0.074 0.034 2.137 1.076

ACUTE AND SUBACUTE BACTERIAL ENDOCARDITIS 0.524 0.067 7.811 1.688

ACUTE MYOCARDIAL INFARCTION, SUBENDOCARDIAL INFARCTION, INITIAL OR SUBSEQUENT EPISODE OF CARE 0.113 0.042 2.679 1.119

ADULT FAILURE TO THRIVE 0.289 0.069 4.181 1.335

Age70To74 0.069 0.026 2.599 1.071

Age75To79 0.137 0.025 5.464 1.147

Age80To84 0.233 0.024 9.549 1.262

Age85To89 0.322 0.025 13.105 1.379

Age90AndOver 0.384 0.026 14.597 1.468


ANEMIA IN CHRONIC KIDNEY DISEASE 0.121 0.034 3.565 1.128

ANEMIA OF OTHER CHRONIC DISEASE 0.095 0.035 2.734 1.099


ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH INTERMITTENT CLAUDICATION 0.389 0.123 3.167 1.476

ATRIAL FLUTTER 0.171 0.021 8.027 1.187

BACTEREMIA 0.163 0.073 2.243 1.177






CHRONIC LYMPHOID LEUKEMIA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION 0.297 0.09 3.311 1.346

CHRONIC TOTAL OCCLUSION OF CORONARY ARTERY 0.2 0.058 3.458 1.221

COMBINED RIGHT AND LEFT HEART CARDIAC CATHETERIZATION 0.511 0.053 9.632 1.667

CONGESTIVE HEART FAILURE, UNSPECIFIED - INCLUSIVE 0.137 0.015 9.101 1.147

Constant -4.216 0.037 -114.281 0.015

CONTINUOUS INVASIVE MECHANICAL VENTILATION FOR 96 CONSECUTIVE HOURS OR MORE 2.725 0.074 36.854 15.262









HD142_CVG SEPSIS 0.539 0.05 10.672 1.714

HD144_CVG ANTERIOR/LATERAL WALL AMI 0.327 0.147 2.224 1.387




95


Pacemaker Procedures (continued)





HD158_CVG PNEUMONIA Bacterial and Unspecified 0.104 0.034 3.054 1.109




IMPLANTATION OF CARDIAC RESYNCHRONIZATION PACEMAKER WITHOUT MENTION OF DEFIBRILLATION, TOTAL SYSTEM [CRT-P] 1.15 0.04 28.765 3.159

IMPLANTATION OR REPLACEMENT OF CARDIAC RESYNCHRONIZATION PACEMAKER PULSE GENERATOR ONLY [CRT-P] 0.778 0.052 14.877 2.177

IMPLANTATION OR REPLACEMENT OF TRANSVENOUS LEAD [ELECTRODE] INTO LEFT VENTRICULAR CORONARY VENOUS SYSTEM 0.361 0.092 3.925 1.435

INITIAL INSERTION OF DUAL-CHAMBER DEVICE 0.788 0.046 17.159 2.2

INITIAL INSERTION OF LEAD [ELECTRODE], NOT OTHERWISE SPECIFIED 0.38 0.052 7.302 1.463

INITIAL INSERTION OF SINGLE-CHAMBER DEVICE, NOT SPECIFIED AS RATE-RESPONSIVE 0.77 0.045 17.136 2.159

INITIAL INSERTION OF SINGLE-CHAMBER DEVICE, RATE-RESPONSIVE 0.772 0.052 14.81 2.165

INITIAL INSERTION OF TRANSVENOUS LEAD [ELECTRODE] INTO ATRIUM 0.259 0.056 4.637 1.295

INITIAL INSERTION OF TRANSVENOUS LEAD [ELECTRODE] INTO VENTRICLE 0.434 0.036 12.075 1.543

INITIAL INSERTION OF TRANSVENOUS LEAD [ELECTRODES] INTO ATRIUM AND VENTRICLE 0.42 0.04 10.547 1.521

INSERTION OF PERMANENT PACEMAKER, INITIAL OR REPLACEMENT, TYPE OF DEVICE NOT SPECIFIED 0.86 0.114 7.571 2.364

INSERTION OF TEMPORARY TRANSVENOUS PACEMAKER SYSTEM 0.429 0.02 21.382 1.536

INSERTION OR REPLACEMENT OF EPICARDIAL LEAD [ELECTRODE] INTO EPICARDIUM 1.38 0.061 22.481 3.974

LEFT HEART CARDIAC CATHETERIZATION 0.456 0.024 18.801 1.577

MYELODYSPLASTIC SYNDROME, UNSPECIFIED 0.226 0.084 2.674 1.253

NON-INVASIVE MECHANICAL VENTILATION 1.193 0.037 32.456 3.297

Non Coronary procedures 0.935 0.132 7.073 2.548


OTHER EMPHYSEMA 0.245 0.062 3.956 1.278

PANCYTOPENIA 0.158 0.067 2.336 1.171

REMOVAL OF LEAD(S) [ELECTRODE] WITHOUT REPLACEMENT 0.965 0.04 23.977 2.625

REPLACEMENT OF ANY TYPE OF PACEMAKER DEVICE WITH DUAL-CHAMBER DEVICE 0.414 0.04 10.438 1.513

REPLACEMENT OF ANY TYPE OF PACEMAKER DEVICE WITH SINGLE-CHAMBER DEVICE, NOT SPECIFIED AS RATE-RESPONSIVE 0.455 0.082 5.576 1.576

REPLACEMENT OF ANY TYPE OF PACEMAKER DEVICE WITH SINGLE-CHAMBER DEVICE, RATE-RESPONSIVE 0.611 0.131 4.669 1.842

REPLACEMENT OF TRANSVENOUS ATRIAL AND/OR VENTRICULAR LEAD(S) [ELECTRODE(S)] 1.051 0.037 28.145 2.86

REVISION OF LEAD [ELECTRODE] 2.504 0.027 92.305 12.235

REVISION OR REMOVAL OF PACEMAKER DEVICE 0.452 0.033 13.657 1.572

RIGHT HEART CARDIAC CATHETERIZATION 0.707 0.075 9.468 2.028

SexFemale 0.165 0.012 13.242 1.18


UNSPECIFIED DISEASE OF PERICARDIUM 0.183 0.061 3.012 1.2



96


Peripheral Vascular Bypass



ACUTE OSTEOMYELITIS, ANKLE AND FOOT 0.338 0.093 3.62 1.402


Age70To74 0.087 0.034 2.542 1.09

Age75To79 0.255 0.035 7.251 1.291

Age80To84 0.41 0.038 10.755 1.507

Age85To89 0.461 0.045 10.204 1.586

Age90AndOver 0.547 0.062 8.852 1.729

ANGIOPLASTY OF OTHER NON-CORONARY VESSEL(S) 0.303 0.037 8.3 1.354


ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY 0.344 0.039 8.9 1.41

ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH GANGRENE 0.529 0.033 16.147 1.697

ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH REST PAIN 0.264 0.032 8.189 1.303

ATHEROSCLEROSIS OF NATIVE ARTERIES OF EXTREMITIES WITH ULCERATION 0.302 0.032 9.368 1.352


CELLULITIS AND ABSCESS OF LEG AND FOOT, EXCEPT TOES 0.278 0.04 7.023 1.32






Constant -3.718 0.15 -24.847 0.024


GANGRENE 0.209 0.071 2.921 1.232








HD149_CVG INFRA-RENAL ANEURYSM 0.182 0.052 3.512 1.199












OTHER ARTERIAL EMBOLISM AND THROMBOSIS OF ABDOMINAL AORTA 0.502 0.11 4.575 1.653

PrimaryFacilityPresentOnAdmissionKnownPercent 1.386 0.185 7.498 4


97


Peripheral Vascular Bypass (continued)



PROCEDURE ON SINGLE VESSEL - FP SPECIFIC 0.105 0.032 3.288 1.111

PROCEDURE ON THREE VESSELS - INCLUSIVE 0.207 0.074 2.776 1.23

PROCEDURE ON TWO VESSELS - INCLUSIVE 0.201 0.046 4.364 1.223

SexFemale 0.104 0.024 4.263 1.11


UNSPECIFIED OSTEOMYELITIS, ANKLE AND FOOT 0.163 0.062 2.615 1.177


98


Prostate Removal Surgery



Age70To74 0.114 0.034 3.374 1.121

Age75To79 0.39 0.045 8.668 1.477

Age80To84 0.64 0.07 9.133 1.896

Age85To89 0.945 0.102 9.274 2.573

Age90AndOver 0.577 0.211 2.733 1.782








Constant -3.711 0.163 -22.76 0.024



HD101_CVG DISORDERS OF LIPOID METABOLISM - INCLUSIVE 0.1 0.031 3.25 1.105













HYDRONEPHROSIS 0.246 0.104 2.374 1.279


HYPOPOTASSEMIA 0.429 0.17 2.522 1.536


INCOMPLETE BLADDER EMPTYING 0.393 0.12 3.258 1.481

LAPAROSCOPIC ROBOTIC ASSISTED PROCEDURE -0.552 0.032 -17.18 0.576

LOCAL EXCISION OF LESION OF PROSTATE -0.231 0.096 -2.396 0.794

Malignant neoplasm of bladder, part unspecified 0.935 0.097 9.684 2.548

Malignant neoplasm of other specified sites of bladder 1.166 0.207 5.623 3.209



OTHER AND UNSPECIFIED ROBOTIC ASSISTED PROCEDURE -0.328 0.114 -2.871 0.72

OTHER EMPHYSEMA 0.403 0.183 2.206 1.496

Other specified disorder of male genital organs 1.041 0.3 3.47 2.832

PERINEAL PROSTATECTOMY -0.8 0.201 -3.983 0.449

PERITONEAL ADHESIONS (POSTOPERATIVE) (POSTINFECTION) 0.5 0.058 8.676 1.649


99


Prostate Removal Surgery (continued)




RADICAL EXCISION OF ILIAC LYMPH NODES -0.195 0.051 -3.851 0.823




100


Spinal Fusion



Age70To74 0.16 0.016 9.898 1.174

Age75To79 0.314 0.018 17.854 1.369

Age80To84 0.467 0.022 21.389 1.595

Age85To89 0.554 0.034 16.435 1.741

Age90AndOver 0.688 0.078 8.824 1.99





ATRIAL FLUTTER 0.259 0.086 2.997 1.296

CAUDA EQUINA SYNDROME WITHOUT MENTION OF NEUROGENIC BLADDER 0.259 0.061 4.215 1.295




CIRRHOSIS OF LIVER WITHOUT MENTION OF ALCOHOL 0.295 0.118 2.506 1.343


Constant -4.158 0.086 -48.521 0.016


DEGENERATION OF LUMBAR OR LUMBOSACRAL INTERVERTEBRAL DISC 0.104 0.017 6.204 1.11





DISORDERS OF MENINGES, NOT ELSEWHERE CLASSIFIED 0.202 0.067 2.995 1.224

DORSAL AND DORSOLUMBAR FUSION OF THE ANTERIOR COLUMN, ANTERIOR TECHNIQUE 1.014 0.088 11.504 2.756

DORSAL AND DORSOLUMBAR FUSION OF THE POSTERIOR COLUMN, POSTERIOR TECHNIQUE 0.634 0.03 21.346 1.886

EXCISION OF BONE FOR GRAFT, UNSPECIFIED SITE 0.164 0.013 12.213 1.178

Fusion Cervical 2+ Joints 0.105 0.028 3.797 1.111

Fusion Lumbar 2-7 Joints 0.408 0.022 18.562 1.504

Fusion Thoracic 2+ Joints 0.348 0.057 6.068 1.417












101


Spinal Fusion (continued)








HD156_CVG DYSPHAGIA 0.678 0.049 13.84 1.97





HYPOPOTASSEMIA 0.392 0.042 9.389 1.48

INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY, THORACIC REGION 0.322 0.078 4.128 1.38

KYPHOSIS (ACQUIRED) (POSTURAL) 0.226 0.04 5.613 1.254

LONG-TERM (CURRENT) USE OF STEROIDS 0.14 0.049 2.865 1.15

LUMBAR AND LUMBOSACRAL FUSION OF THE ANTERIOR COLUMN, ANTERIOR TECHNIQUE 0.474 0.021 22.63 1.607

LUMBAR AND LUMBOSACRAL FUSION OF THE POSTERIOR COLUMN, POSTERIOR TECHNIQUE 0.294 0.015 20.215 1.342

LUMBAR AND LUMBOSACRAL FUSION OR RE-FUSION OF THE ANTERIOR COLUMN, POSTERIOR TECHNIQUE 0.21 0.016 13.161 1.233

LUMBOSACRAL SPONDYLOSIS WITHOUT MYELOPATHY 0.054 0.018 3.069 1.055




OSTEOPOROSIS, UNSPECIFIED 0.09 0.025 3.67 1.095

OTHER CERVICAL FUSION OF THE POSTERIOR COLUMN, POSTERIOR TECHNIQUE 0.568 0.025 22.425 1.765

OTHER EMPHYSEMA 0.315 0.066 4.763 1.37

OTHER EXPLORATION AND DECOMPRESSION OF SPINAL CANAL 0.218 0.018 11.964 1.244

OTHER KYPHOSCOLIOSIS AND SCOLIOSIS 0.193 0.027 7.219 1.213


OTHER SPECIFIED RETENTION OF URINE 0.25 0.085 2.936 1.284


PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA 0.276 0.112 2.459 1.318

PATHOLOGIC FRACTURE OF VERTEBRAE 0.163 0.046 3.512 1.177



QUADRIPLEGIA, UNSPECIFIED 0.794 0.066 11.952 2.213

REPAIR OF VERTEBRAL FRACTURE 0.386 0.065 5.932 1.47

RETENTION OF URINE, UNSPECIFIED 0.126 0.045 2.818 1.135


SCOLIOSIS [AND KYPHOSCOLIOSIS], IDIOPATHIC 0.3 0.025 11.911 1.349

SCOLIOSIS ASSOCIATED WITH OTHER CONDITIONS 0.276 0.068 4.049 1.318

SexFemale -0.202 0.014 -14.118 0.817

SPONDYLOSIS WITH MYELOPATHY, LUMBAR REGION 0.171 0.055 3.119 1.186



102


Spinal Fusion (continued)





TRANSFUSION OF PREVIOUSLY COLLECTED AUTOLOGOUS BLOOD 0.132 0.037 3.58 1.141

UNSPECIFIED IDIOPATHIC PERIPHERAL NEUROPATHY 0.114 0.039 2.897 1.121

UNSPECIFIED URINARY INCONTINENCE 0.207 0.044 4.719 1.23



103


Total Knee Replacement





Age70To74 0.147 0.012 12.725 1.159

Age75To79 0.379 0.012 31.28 1.461

Age80To84 0.566 0.014 40.876 1.762

Age85To89 0.755 0.019 40.794 2.127

Age90AndOver 0.997 0.038 26.521 2.709









Constant -4.119 0.043 -96.044 0.016





DIAPHRAGMATIC HERNIA WITHOUT MENTION OF OBSTRUCTION OR GANGRENE 0.21 0.028 7.453 1.234

EDEMA 0.125 0.041 3.042 1.133


FIRST DEGREE ATRIOVENTRICULAR BLOCK 0.164 0.053 3.118 1.178









HD122_CVG ASTHMA 0.045 0.014 3.129 1.046









HEART VALVE REPLACED BY OTHER MEANS 0.1 0.037 2.676 1.105


104


Total Knee Replacement (continued)




HYPOPOTASSEMIA 0.278 0.037 7.466 1.32


LONG-TERM (CURRENT) USE OF STEROIDS 0.093 0.04 2.351 1.098




OSTEOARTHROSIS, UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED, UNSPECIFIED SITE 0.204 0.042 4.873 1.227

OSTEOPOROSIS, UNSPECIFIED 0.045 0.018 2.499 1.046

OTHER EMPHYSEMA 0.492 0.05 9.755 1.635





RHEUMATOID ARTHRITIS - INCLUSIVE 0.064 0.023 2.808 1.066


SexFemale -0.106 0.01 -10.785 0.899

SLHP106_CVG BI-LATERAL KNEE REPLACEMENT 0.646 0.02 31.549 1.908

TACHYCARDIA, UNSPECIFIED 0.422 0.076 5.542 1.525



UNSPECIFIED IDIOPATHIC PERIPHERAL NEUROPATHY 0.158 0.03 5.241 1.171

UNSPECIFIED URINARY INCONTINENCE 0.087 0.035 2.49 1.091


105


Transurethral Prostate Resection Surgery




Age70To74 0.157 0.05 3.125 1.17

Age75To79 0.271 0.049 5.552 1.311

Age80To84 0.372 0.049 7.555 1.45

Age85To89 0.468 0.051 9.104 1.596

Age90AndOver 0.533 0.061 8.771 1.704



ATRIAL FLUTTER 0.262 0.114 2.298 1.3






Constant -2.679 0.041 -65.742 0.069















HYDRONEPHROSIS 0.22 0.044 5.027 1.246







URINARY OBSTRUCTION, UNSPECIFIED OR NOT ELSEWHERE CLASSIFIED 0.168 0.044 3.801 1.183

Healthgrades Mortality and Complication Outcomes 2018 Methodology Appendix D. Model Fit Statistics

106


Appendix D. Model Fit Statistics In-hospital In-hospital + 30 days

Cohort c-stat Lower CI Upper CI c-stat Lower CI Upper CI

Abdominal Aortic Aneurysm Repair 0.750 0.745 0.755 Not evaluated at 30 days

Appendectomy 0.797 0.792 0.803 Not evaluated at 30 days

Back and Neck Surgery (without Spinal Fusion) 0.714 0.708 0.720 Not evaluated at 30 days

Bariatric Surgery 0.702 0.692 0.712 Not evaluated at 30 days

Bowel Obstruction 0.891 0.884 0.898 0.847 0.840 0.853

Carotid Surgery 0.721 0.715 0.726 Not evaluated at 30 days

Chronic Obstructive Pulmonary Disease (COPD) 0.859 0.848 0.871 0.760 0.752 0.768

Colorectal Surgeries 0.910 0.905 0.915 0.896 0.891 0.900

Coronary Artery Bypass Graft (CABG) Surgery 0.799 0.789 0.809 0.773 0.764 0.782

Coronary Interventional Procedures (Inpatient) 0.893 0.887 0.899 0.853 0.847 0.859

Cranial Neurosurgery 0.953 0.950 0.955 0.900 0.896 0.904

Defibrillator Procedures 0.704 0.699 0.709 Not evaluated at 30 days

Diabetic Emergencies 0.877 0.866 0.888 0.798 0.791 0.806

Esophageal/Stomach Surgeries 0.831 0.824 0.838 0.804 0.800 0.808

Gallbladder Removal Surgery 0.708 0.704 0.712 Not evaluated at 30 days

Gastrointestinal Bleed 0.884 0.875 0.893 0.812 0.805 0.819

Heart Attack (stent available) 0.893 0.889 0.898 0.859 0.855 0.863

Heart Attack (stent not available) 0.850 0.845 0.856 0.797 0.793 0.802

Heart Failure 0.886 0.879 0.893 0.783 0.777 0.788

Hip Fracture Treatment 0.701 0.697 0.705 Not evaluated at 30 days

Hip Replacement 0.701 0.694 0.708 Not evaluated at 30 days

Pacemaker Procedures 0.738 0.733 0.743 Not evaluated at 30 days

Pancreatitis 0.874 0.864 0.884 0.832 0.823 0.840

Peripheral Vascular Bypass 0.707 0.701 0.712 Not evaluated at 30 days

Pneumonia 0.848 0.840 0.855 0.788 0.783 0.794

Prostate Removal Surgery 0.695 0.688 0.703 Not evaluated at 30 days

Pulmonary Embolism 0.889 0.883 0.895 0.841 0.836 0.846

Respiratory Failure 0.893 0.890 0.896 0.843 0.840 0.847

Sepsis 0.891 0.888 0.894 0.861 0.858 0.864

Small Intestine Surgeries 0.875 0.870 0.879 0.871 0.867 0.874

Spinal Fusion 0.735 0.729 0.740 Not evaluated at 30 days

Stroke 0.926 0.922 0.930 0.874 0.870 0.878

Total Knee Replacement 0.692 0.685 0.700 Not evaluated at 30 days

Transurethral Prostate Resection Surgery 0.666 0.659 0.674 Not evaluated at 30 days

Valve Surgery 0.784 0.775 0.792 0.755 0.747 0.762

Healthgrades Mortality and Complication Outcomes 2018 Methodology Appendix E. Hospital Ratings Removal Policy

107


Appendix E. Hospital Ratings Removal Policy Effective Date: August 16, 2015

Healthgrades evaluates the performance of the nation’s nearly 5,000 hospitals using several data sources including data submitted by hospitals to the Centers for Medicare and Medicaid Services (CMS), all-payer data submitted by hospitals to their states, and HCAHPS data.

Regardless of the data set utilized, Healthgrades methodology is applied to every hospital in the same manner.

On rare occasions, Healthgrades identifies new information that impacts its assessment of a hospital. Healthgrades policy is to remove certain hospitals’ performance and/or awards from its website in the following situations:

A revocation of a hospital’s Medicare license by CMS;

Federal conviction of a hospital for Medicare fraud;

Egregious issues with the integrity of data submitted by a hospital to CMS or to the state in which the hospital resides.

In these rare circumstances, the hospital’s CEO will be notified in writing of the reason for removal. Removal is at the discretion of Healthgrades based on the impact from erroneous data and/or presumed fraudulent activities.

Under no circumstances will Healthgrades accept data directly from a hospital, nor will Healthgrades manipulate or change a hospital’s performance category or data in any way. It is the hospital’s responsibility to resubmit the data to CMS or to its state. To re-post specific performance information, Healthgrades must receive corrected data directly from CMS or from the state during its annual ratings update.

healthgrades mortality and complications outcomes 2018 ... · admission (poa) indicator for every...

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