Table III.
Top 10 Charlson and Elixhauser comorbidities associated with biggest increases in transplant procedure length of stay and Medicare payments
| Charlson comorbidity | % Increase in LOS vs. reference | Charlson comorbidity | Increase in Medicare payments vs. reference ($) |
|---|---|---|---|
| 15 – Moderate or severe liver disease | 16.42 (4.80 vs. 29.33) | 15 – Moderate or severe liver disease | 2,928.03 (-2,203.17 vs. 8,059.23) |
| 8 – Peptic ulcer disease | 8.80 (6.27 vs. 11.39) | 17 – AIDS/HIV | 2,535.56 (-174.55 vs. 5,245.67) |
| 2 – Congestive heart failure | 6.72 (5.53 vs. 7.93) | 8 – Peptic ulcer disease | 1,409.83 (248.68 vs. 2,570.97) |
| 4 – Cerebrovascular disease | 5.14 (3.19 vs. 7.11) | 2 – Congestive heart failure | 1,079.08 (539.88 vs. 1,618.27) |
| 10 – Diabetes without complications | 4.57 (3.32 vs. 5.83) | 10 – Diabetes without complications | 894.47 (323.60 vs. 1,465.33) |
| 11 – Diabetes with complications | 4.04 (2.76 vs. 5.34) | 4 – Cerebrovascular disease | 758.46 (-150.45 vs. 1,667.37) |
| 14 – Cancer | 3.54 (0.37 vs. 6.81) | 1 – Myocardial infarction | 708.85 (-399.12 vs. 1,816.81) |
| 7 – Connective tissue disease-rheumatic disease | 2.41 (0.05 vs. 4.82) | 5 – Dementia | 622.42 (-2028.19 vs. 3,273.02) |
| 6 – Chronic pulmonary disease | 2.03 (0.45 vs. 3.62) | 3 – Peripheral vascular disease | 509.13 (-152.53 vs. 1,170.79) |
| 1 – Myocardial infarction | 1.50 (-0.79 vs. 3.84) | 9 – Mild liver disease | 411.53 (-253.60 vs. 1,076.65) |
| Elixhauser comorbidity | % Increase in LOS vs. reference | Elixhauser comorbidity | Increase in Medicare payments vs. reference ($) |
| 18 – Lymphoma | 29.38 (18.28 vs. 41.52) | 18 – Lymphoma | 4,931.55 (-89.18 vs. 9,952.28) |
| 9 – Other neurological disorders | 11.62 (9.50 vs. 13.67) | 17 – AIDS/HIV | 2,334.96 (-380.87 vs. 5050.79) |
| 23 – Obesity | 7.87 (4.94 vs. 10.89) | 23 – Obesity | 1,466.01 (95.50 vs. 2,836.52) |
| 16 – Peptic ulcer disease excluding bleeding | 6.373 (3.50 vs. 9.33) | 28 – Alcohol abuse | 1,341.92 (-875.70 vs. 3,559.54) |
| 4 – Pulmonary circulation disorders | 5.22 (1.89 vs. 8.65) | 16 – Peptic ulcer disease excluding bleeding | 1,273.57 (-74.60 vs. 2,621.74) |
| 13 – Hypothyroidism | 5.15 (3.31 vs. 7.032) | 13 – Hypothyroidism | 1,081.13 (232.70 vs. 1,929.55) |
| 1 – Congestive heart failure | 5.05 (3.84 vs. 6.28) | 1 – Congestive heart failure | 819.58 (261.59 vs. 1,377.57) |
| 12 – Diabetes complicated | 4.14 (2.84 vs. 5.46) | 4 – Pulmonary circulation disorders | 787.17 (-776.44 vs. 2,350.78) |
| 28 – Alcohol abuse | 4.06 (-0.56 vs. 8.91) | 25 – Fluid and electrolyte disorders | 740.21 (263.00 vs. 1,217.41) |
| 25 – Fluid and electrolyte disorders | 3.34 (2.30 vs. 4.40) | 11 – Diabetes uncomplicated | 711.12 (130.67 vs. 1,291.57) |