Table 2.
Major Diagnostic Category (MDC) and contributing Diagnosis-Related Groups (DRGs, > 1%) of hospitalizations with documented OUD without opioid overdose, by OUD diagnosis position (primary/secondary)
| % | Primary-OUD | % | Secondary-OUD |
|---|---|---|---|
| 100 |
Alcohol/Drug Use or Induced Mental Disorders (MDC 20) Alcohol, Drug Abuse, or Dependence • 88.5% DRG 897: Without Rehabilitation Therapy Without MCCa • 5.1% DRG 895: With Rehabilitation Therapy • 4.7% DRG 894: Left AMAb |
36.5 23.1 |
Alcohol, Drug Abuse or Induced Mental Disorders (MDC 20) • 31.4% DRG 897: Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without MCC • 2.2% DRG 895: Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy • 1.7% DRG 894: Alcohol, Drug Abuse or Dependence, Left AMA Mental Diseases and Disorders (MDC 19) • 18.4% Psychoses (DRG 885) • 3.2% Neuroses (DRG 881) |
| 6.7 |
Musculoskeletal System and Connective Tissue (MDC 8) • 1.6% DRG 470: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity Without MCC |
||
| 5.3 |
Digestive System (MDC 6) • 1.8% DRG 392: Esophagitis, Gastroenteritis and Misc Digestive Disorders Without MCC |
||
| 4.1 |
Pregnancy, Childbirth and Puerperium (MDC 14) • 1.5% DRG 775: Vaginal Delivery Without Complicating Diagnoses |
||
| 3.6 | Respiratory System (MDC 4) | ||
| 3.5 | Nervous System (MDC 1) | ||
| 2.8 |
Infectious and Parasitic DDs (MDC 18) • 1.3% DRG 871: Septicemia or Severe Sepsis without mechanical ventilation > 96 h with MCC |
||
| 2.7 | Circulatory System (MDC 5) | ||
| 2.5 |
Skin, Subcutaneous Tissue and Breast (MDC 9) • 1.6% DRG 603: Cellulitis without MCC |
aMCC—major complication or comorbidity
bAMA—against medical advice, referred to in the text as self-directed discharges