Table 1. Patient and Hospital Characteristics at the Time of the Index Operationa.
Characteristic | All Patients | Patients Without Reoperation | Patients Undergoing Reoperation | P Value Without Reoperation vs Undergoing Reoperation |
---|---|---|---|---|
No. of patients | 25 042 | 20 406 | 4636 | NA |
Age, mean, y | 57.56 | 57.51 | 57.75 | .22 |
Men, % | 27.55 | 28.42 | 23.75 | <.001 |
White, % | 82.61 | 82.92 | 81.22 | .01 |
Comorbidities, %b | ||||
Hypertension | 71.78 | 73.35 | 64.88 | <.001 |
Diabetes | 43.83 | 44.61 | 40.38 | <.001 |
Depression | 21.78 | 21.81 | 21.68 | .85 |
Chronic pulmonary disease | 23.23 | 23.18 | 23.47 | .67 |
Hypothyroidism | 13.50 | 13.33 | 14.24 | .11 |
Liver disease | 6.59 | 7.05 | 4.57 | <.001 |
Psychoses | 5.22 | 4.90 | 6.62 | <.001 |
Deficiency anemias | 2.89 | 2.38 | 5.11 | <.001 |
Renal failure | 4.29 | 4.25 | 4.44 | .57 |
Fluid and electrolyte disorders | 3.33 | 2.18 | 8.43 | <.001 |
Congestive heart failure | 5.24 | 5.24 | 5.22 | .95 |
Rheumatoid arthritis | 2.58 | 2.61 | 2.44 | .49 |
Valvular disease | 1.88 | 1.86 | 2.01 | .51 |
Peripheral vascular disease | 1.41 | 1.38 | 1.55 | .39 |
Coagulopathy | 0.46 | 0.38 | 0.82 | .00 |
Paralysis | 0.47 | 0.46 | 0.52 | .62 |
Elixhauser No. of comorbidities, % | ||||
0 | 5.83 | 5.52 | 7.20 | <.001 |
1 | 20.83 | 21.49 | 17.95 | <.001 |
≥2 | 73.33 | 72.99 | 74.85 | .01 |
No. of hospitals | 732 | 631 | 564 | NA |
Ownership, % | ||||
For-profit | 24.37 | 22.01 | 34.64 | <.001 |
Nonprofit | 66.37 | 68.59 | 56.73 | <.001 |
Other | 9.26 | 9.40 | 8.63 | .09 |
Bed size, % | ||||
<250 beds | 29.02 | 29.83 | 26.24 | <.001 |
>250 to <500 beds | 43.19 | 41.45 | 49.13 | <.001 |
>500 beds | 28.31 | 29.24 | 24.23 | <.001 |
Geographic region, % | ||||
Northeast | 17.91 | 18.47 | 15.47 | <.001 |
Midwest | 22.57 | 23.37 | 19.13 | <.001 |
South | 42.86 | 41.03 | 50.84 | <.001 |
West | 16.65 | 17.13 | 14.56 | <.001 |
Teaching hospital, % | 60.23 | 61.72 | 54.44 | <.001 |
No. of operating rooms | 22.78 | 22.66 | 23.27 | .08 |
Nurse ratio | 7.13 | 7.10 | 7.28 | .01 |
Abbreviation: NA, not applicable.
Data source: Medicare claims, 2006 to 2013, and the American Hospital Association Annual Survey.
Comorbid diseases as defined by the Healthcare Cost and Utilization Project. Full definitions of the codes used can be found here: https://www.hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp.