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. 2009 Summer;30(4):17–32.

Table 3. Ranking of PPC Cost for California and Maryland Data.

PPC Description Fqcy Coeff CA Rank Fqcy Coeff MD Rank
63 Post-Operative Respiratory Failure with Tracheostomy 164 $118,841 1 55 $120,579 1
25 Renal Failure with Dialysis 620 $47,888 2 183 $41,116 2
31 Decubitus Ulcer 1,668 $28,272 3 1,009 $17,495 6
38 Post-Operative Wound Infection & Deep Wound Disruption with Procedure 200 $27,814 4 61 $31,387 3
4 Acute Pulmonary Edema and Respiratory Failure with Ventilation 2,725 $27,134 5 815 $20,125 4
51 Gastrointestinal Ostomy Complications 732 $25,882 6 347 $20,069 5
21 Clostridium Difficile Colitis 2,478 $25,401 7 1,282 $16,709 7
2 Extreme CNS Complications 675 $23,526 8 559 $11,034 21
35 Septicemia & Severe Infections 7,018 $23,451 9 3,790 $13,156 16
53 Infection, Inflammation and Clotting complications of Peripheral Vascular Catheters and Infusions 3,399 $22,747 10 732 $15,001 8
18 Major Gastrointestinal Complications with Transfusion or Significant Bleeding 530 $21,923 11 257 $14,844 10
48 Other Complications of Medical Care 1,128 $21,307 12 1,420 $9,240 28
39 Reopening Surgical Site 408 $19,442 13 104 $14,298 12
20 Other Gastrointestinal Complications without Transfusion or Significant Bleeding 910 $17,886 14 444 $8,098 31
5 Pneumonia & Other Lung Infections 10,781 $16,901 15 4,615 $13,176 15
41 Post-Operative Hemorrhage & Hematoma with Hemorrhage Control Procedure or I&D Procedure 614 $16,481 16 210 $11,602 20
7 Pulmonary Embolism 1,057 $16,331 17 581 $9,646 27
34 Moderate Infectious 2,483 $16,063 18 1,179 $12,563 18
16 Venous Thrombosis 3,376 $15,976 19 1,602 $10,789 24
50 Mechanical Complication of Device, Implant & Graft 1,405 $15,655 20 554 $13,244 14
14 Ventricular Fibrillation/Cardiac Arrest 1,759 $15,241 21 637 $14,894 9
44 Other Surgical Complication - Mod 925 $14,677 22 458 $13,632 13
37 Post-Operative Infection & Deep Wound Disruption Without Procedure 2,776 $14,347 23 1,232 $14,446 11
1 Stroke & Intracranial Hemorrhage 2,066 $14,013 24 762 $13,006 17
6 Aspiration Pneumonia 4,483 $13,932 25 1,598 $10,921 23
52 Inflammation & Other Complications of Devices, Implants or Grafts Except Vascular Infection 3,289 $12,832 26 1,151 $8,417 30
17 Major Gastrointestinal Complications without Transfusion or Significant Bleeding 1,663 $12,574 27 849 $10,009 25
19 Major Liver Complications 770 $12,217 28 327 $8,813 29
8 Other Pulmonary Complications 6,250 $11,566 29 4,490 $7,333 34
47 Encephalopathy 2,164 $11,260 30 1,255 $9,659 26
9 Shock 2,393 $10,996 31 1,409 $11,012 22
15 Peripheral Vascular Complications Except Venous Thrombosis 732 $10,429 32 310 $12,326 19
24 Renal Failure without Dialysis 8,834 $9,934 33 6,317 $7,748 32
22 Urinary Tract Infection 12,677 $9,637 34 6,904 $6,345 35
11 Acute Myocardial Infarction 2,980 $8,147 35 1,205 $5,463 38
23 GU Complications Except UTI 796 $7,643 36 545 $5,108 39
27 Post-Hemorrhagic & Other Acute Anemia with Transfusion 1,492 $7,604 37 1,104 $4,513 40
49 Iatrogenic Pneumothrax 1,797 $7,508 38 855 $7,633 33
3 Acute Pulmonary Edema and Respiratory Failure without Ventilation 5,712 $7,109 39 4,863 $5,983 37
40 Post-Operative Hemorrhage & Hematoma without Hemorrhage Control Procedure or I&D Procedure 6,925 $6,758 40 3,391 $6,190 36
10 Congestive Heart Failure 5,922 $5,801 41 2,296 $3,910 43
42 Accidental Puncture/Laceration During Invasive Procedure 4,133 $5,651 42 1,641 $3,830 44
28 In-Hospital Trauma and Fractures 429 $5,370 43 313 $4,370 41
33 Cellulitis 2,907 $4,950 44 1,435 $2,346 47
13 Other Cardiac Complications 1,029 $4,642 45 520 $3,003 45
12 Cardiac Arrythmias & Conduction Disturbances 2,892 $4,431 46 826 $2,779 46
36 Acute Mental Health Changes 2,174 $3,206 47 1,196 $3,980 42
56 Obstetrical Hemorrhage wtih Transfusion 821 $3,081 48 380 $2,058 48

SOURCE: Fuller,R.L., McCullough,E.C., Bao,M.Z., and Averill,R.F, 3M Health Information Systems, calculations using FY2006 Inpatient Acute Hospital Data, California Office of Statewide Health Planning and Development and FY2008 Inpatient Acute Hospital Data, Maryland Health Services and Cost Review Commission.