Table 3.
Incidence (with 95% CI) of AHRQ PSIs for all brain tumor patients (NIS n = 501 908; estimated national admissions 2002–2010 = 2 470 342)
| Indicator | Incidence in NIS | Est. National Incidence 2002–2010 | ENR | 95% CI for Rate | LOS w/o Indicator, mean (SD); median (range) | LOS with Indicator, mean (SD); median (range) | P for LOS Comparison |
|---|---|---|---|---|---|---|---|
| AHRQ indicators | |||||||
| Anesthetic complications— therapeutic | 14 | 67 | 0.0027% | [0.0010%, 0.0044%] | 6.5 (7.9); 4.0 (1, 365) | 8.6 (7.5); 6.0 (2, 27) | .200 |
| Anesthetic complications— poisoning | 1 | 5 | 0.0002% | [0%, 0.0007%] | 6.5 (7.9); 4.0 (1, 365) | 3.0 (NA); 3.0 (3, 3) | NA |
| Pressure ulcer | 9870 | 48 548 | 1.97% | [1.84%, 2.09%] | 6.4 (7.5); 4.0 (1, 343) | 12.8 (17.0); 8.0 (1, 365) | <.0001 |
| Foreign body | 29 | 145 | 0.0059% | [0.0036%, 0.0081%] | 6.5 (7.9); 4.0 (1, 365) | 11.7 (7.9); 10.0 (1, 28) | <.0001 |
| Iatrogenic pneumothorax | 2663 | 13 075 | 0.529% | [0.503%, 0.556%] | 6.5 (7.8); 4.0 (1, 365) | 10.9 (10.4); 8.0 (1, 157) | <.0001 |
| Central venous line infection | 2825 | 13 832 | 0.560% | [0.522%, 0.597%] | 6.4 (7.7); 4.0 (1, 365) | 15.7 (19.1); 10.0 (1, 301) | <.0001 |
| Postoperative hip fracture | 2419 | 11 888 | 0.481% | [0.452%, 0.510%] | 6.5 (7.9); 4.0 (1, 365) | 7.6 (7.5); 6.0 (1, 206) | <.0001 |
| Postop physiologic derangement—secondary diabetes with ketoacidosis | 60 | 301 | 0.0122% | [0.0088%, 0.0156%] | 6.5 (7.9); 4.0 (1, 365) | 5.9 (4.0); 5.0 (1, 23) | .242 |
| Postop physiologic derangement—diabetes with ketoacidosis | 695 | 3427 | 0.139% | [0.126%, 0.151%] | 6.5 (7.9); 4.0 (1, 365) | 7.9 (8.9); 5.0 (1, 94) | <.0001 |
| Postop physiologic derangement—diabetes with hyperosmolarity | 353 | 1730 | 0.0700% | [0.0620%, 0.0781%] | 6.5 (7.9); 4.0 (1, 365) | 7.6 (9.0); 5.0 (1, 113) | <.0001 |
| Postop physiologic derangement—diabetes with other coma | 73 | 357 | 0.0144% | [0.0110%, 0.0179%] | 6.5 (7.9); 4.0 (1, 365) | 6.5 (7.1); 5.0 (1, 47) | .845 |
| Postoperative hemorrhage | 1278 | 6331 | 0.256% | [0.234%, 0.278%] | 6.5 (7.8); 4.0 (1, 365) | 13.1 (13.0); 9.0 (1, 129) | <.0001 |
| Postoperative respiratory failure | 29 952 | 147 425 | 5.97% | [5.81%, 6.13%] | 6.1 (7.0); 4.0 (1, 343) | 12.3 (14.9); 8.0 (1, 365) | <.0001 |
| Deep vein thrombosis | 19 610 | 96 795 | 3.92% | [3.77%, 4.06%] | 6.3 (7.6); 4.0 (1, 365) | 10.4 (12.3); 7.0 (1, 287) | <.0001 |
| Pulmonary embolism | 11 974 | 59 102 | 2.39% | [2.32%, 2.47%] | 6.4 (7.8); 4.0 (1, 365) | 8.8 (10.3); 6.0 (1, 287) | <.0001 |
| Sepsis | 19 373 | 95 278 | 3.86% | [3.72%, 4.00%] | 6.3 (7.3); 4.0 (1, 365) | 12.1 (15.7); 8.0 (1, 301) | <.0001 |
| Postop wound dehiscence | 0 | 0 | 0% | NA | 6.5 (7.9); 4.0 (1, 365) | NA | NA |
| Accidental puncture or laceration | 856 | 4191 | 0.170% | [0.149%, 0.190%] | 6.5 (7.8); 4.0 (1, 365) | 10.3 (12.5); 6.0 (1, 125) | <.0001 |
| Transfusion reaction | 1 | 6 | 0.0002% | [0%, 0.0007%] | 6.5 (7.9); 4.0 (1, 365) | 28.0 (NA); 28.0 (28, 28) | NA |