Section 3: Inpatient Hospital Stays by Procedure

EXHIBIT 3.1 Most Frequent All-listed Procedures (PDF)
EXHIBIT 3.2 Most Frequent All-listed Procedures by Age (PDF)
EXHIBIT 3.3 Most Frequent All-listed Procedures by Sex

• The number of discharges with procedures increased from 21.3 million in 1997 to 25.1 million in 2008, an 18-percent increase.
• Blood transfusion occurred in over ten percent of all hospital stays that included a procedure and was the most frequently performed procedure in 2008.
• Episiotomy fell from the list of top procedures, dropping in rank from eighth in 1997 to thirty-first in 2008, a 60-percent decrease.
• C-section was the most frequent major operating room procedure—performed on 1.4 million women in 2008, up from 800,000 in 1997. PTCA—a procedure involving the use of a balloon-tipped catheter to enlarge a narrowed artery—grew 56 percent from 1997 to 2006. Between 2006 and 2008, however, there was a 17-percent decline in discharges with this procedure.
• Discharges with coronary artery bypass graft (CABG) procedures declined 38 percent between 1997 and 2008.
• Respiratory intubation and mechanical ventilation grew rapidly from 1997 to 2008 among 45-64 year olds (123 percent), 65-84 year olds (45 percent), and seniors 85 years and older (89 percent).
• Although hysterectomies and oophorectomies increased during the 5-year period from 1997-2002, these female-specific procedures declined in subsequent years. Over the 1997 to 2008 period, hysterectomies decreased by 13 percent and oophorectomies by 21 percent.

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