Questions for Lead Author Geoffrey Jackson, Health Statistician, of “National Hospital Care Survey Demonstration Projects: Stroke Inpatient Hospitalizations.”
Q: What was your objective in conducting this study?
GC: The objective of this study is to demonstrate the analytic potential of the National Hospital Care Survey (NHCS) by examining inpatient and emergency department hospital encounters due to stroke. Stroke is a leading cause of death and an economic burden with an estimated $33 billion spent each year on stroke-related health care services. NHCS provides a unique opportunity to study hospital care by examining length of stay and number of admissions due to stroke within the year. Additionally, NHCS is linked to the National Death Index to track mortality 30, 60, and 90 days after the hospitalization. This study shows that NHCS is a valuable data source for analyzing healthcare utilization and post-acute mortality.
Q: Is this a topic you’ve looked at before?
GC: I have not looked at hospitalizations related to stroke prior to this paper. The National Hospital Care Survey has been used in previous NCHS reports to study hospital visits related to pneumonia, Alzheimer disease, and traumatic brain injuries.
Q: Can you explain what the demonstration project is?
GC: A demonstration report is a venue that the National Center for Health Statistics uses to demonstrate the analytic capabilities of data sources that are not yet nationally representative. The National Hospital Care Survey is designed to produce national estimates on hospitalizations and emergency department visits. However, due to low responses rates in 2014, we were not able to produce reliable national estimates for the National Hospital Care Survey.
Q: How can one interpret the results that you found?
GC: The results in this report are not nationally representative. The results are only representative of the 94 National Hospital Care Survey hospitals that provided inpatient data and the 83 hospitals that provided emergency department data.
Q: What is the main point you want people to take away from this study?
GC: The NHCS provides researchers with hospital-related research opportunities not available in other hospital data sources. Even though NHCS data are not nationally representative, insight into the hospital care received by stroke patients is possible through analysis of Intensive Care Unit use, multiple visits due to strokes, and post-acute mortality.
QuickStats: Birth Rates for Teens Aged 15–19 Years, by State — National Vital Statistics System, United States, 2018November 8, 2019
In 2018, the U.S. birth rate for teens aged 15–19 years was 17.4 births per 1,000 females, with rates generally lower in the Northeast and higher across the southern states.
Teen birth rates ranged from 7.2 in Massachusetts, 8.0 in New Hampshire, 8.3 in Connecticut, and 8.8 in Vermont to rates of 30.4 in Arkansas, 27.8 in Mississippi, 27.5 in Louisiana, 27.3 in Kentucky, and 27.2 in Oklahoma.
Source: National Vital Statistics System. Birth data, 2018. https://www.cdc.gov/nchs/nvss/births.htm.
QuickStats: Percentage of Adults Aged 18 Years or Older Who Did Not Take Their Medication as Prescribed or Asked for Lower-Cost Medication to Save Money Among Those Prescribed Medication in the Past 12 Months by Number of Chronic ConditionsNovember 1, 2019
In 2018, among adults aged 18 years or older who were prescribed medication in the past 12 months, the percentage who did not take their medication as prescribed to save money increased with the number of reported chronic conditions, from 6.2% with no chronic conditions to 9.1% with 1–2 chronic conditions and 14.0% with more than 3 chronic conditions.
The percentage who asked their doctor for a lower-cost medication also increased with the number of reported chronic conditions from 15.1% among those with no chronic conditions to 18.4% among those with 1–2 chronic conditions and 27.4% among those with more than 3 chronic conditions.
Source: National Health Interview Survey, 2018 data. https://www.cdc.gov/nchs/nhis.htm.
National fertility rates have been declining steadily for over a decade, and life expectancy at birth has also declined in recent years, according to the latest annual report on the nation’s health, released today by CDC’s National Center for Health Statistics.
The report, “Health, United States: 2018” features charts and online tables of health-related data on a wide range of topics, including health care, immunization, and health behaviors, providing a comprehensive snapshot of the nation’s health:
- Fertility rates (the number of live births per 1,000 females ages 15-44) have fallen 10 out of the last 11 years in the United States.
- The birth rate among teenagers ages 15–19 years fell by more than one-half, from 41.5 in 2007 to 18.8 live births per 1,000 teens in 2017—a record low for the United States. 2018 data indicate that this trend has continued.
- The infant mortality rate in the United States dropped in 2017, from 5.9 infant deaths per 1,000 live births in 2015 and 2016 to 5.8 in 2017. The infant mortality rate in the U.S. has declined by more than five-fold since 1950.
- From 2007 to 2018 (preliminary estimates), the percentage of children under 18 years with no health insurance decreased 3.8 percentage points to 5.2%.
- In 2017, fewer than half (48.5%) of uninsured children ages 19–35 months had received the recommended combined 7-vaccine series. This was significantly lower than among the percentage of children who were covered by private health insurance (76.0%) or Medicaid (66.5%).
- The use of e-cigarettes among students in grades 9–12 increased from 1.5% in 2011 to 20.8% in 2018, nearly doubling (from 11.7% in 2017) in the last year alone.
- In 2017, 16.2% of adults living below 100% of the poverty level delayed or did not receive needed medical care due to cost compared with 5.1% of those living at or above 400% of the poverty level.
- The percentage of Americans taking 5 or more prescription drugs in the past 30 days increased from 6.5% in 1999–2000 to 10% in 2003–2004, and then was stable through 2015–2016 (11%).¹
- In 2017, personal health care expenditures in the United States totaled almost $3.0 trillion—a 3.8% increase from 2016. • From 2007 to 2017, the death rate from drug overdoses increased 82%, from 11.9 to 21.7 deaths per 100,000.¹
- From 2007 to 2017, the suicide rate for children ages 10–14 increased from 0.9 to 2.5 deaths per 100,000 resident population. From 2007 to 2017, the suicide rate increased 24%, from 11.3 to 14.0 deaths per 100,000 resident population.¹
- Life expectancy at birth in the U.S., after increasing or remaining the same in every year between 1994 and 2014, has declined in two of the past three years. Significant decreases in life expectancy have been observed each year since 2015 among men, while remaining stable among women.
¹Rates are adjusted for age.
Regional Differences in the Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2017October 25, 2019
NCHS report describes regional differences in the specific drugs most frequently involved in drug overdose deaths in the United States in 2017. Data from the 2017 National Vital Statistics System–Mortality files were linked to electronic files containing literal text information from death certificates.
- Among drug overdose deaths in 2017 that mentioned at least 1 specific drug on the death certificate, the 10 drugs most frequently involved included fentanyl, heroin, cocaine, methamphetamine, alprazolam, oxycodone, morphine, methadone, hydrocodone, and diphenhydramine.
- Regionally, 6 drugs (alprazolam, cocaine, fentanyl, heroin, methadone, and oxycodone) were found among the 10 most frequently involved drugs in all 10 HHS regions, although the relative ranking varied by region.
- Age-adjusted rates of drug overdose deaths involving fentanyl or deaths involving cocaine were higher in the regions east of the Mississippi River, while age-adjusted rates for drug overdose deaths involving methamphetamine were higher in the West.
- The regional patterns observed did not change after adjustment for differences in the specificity of drug reporting.
QuickStats: Age-Adjusted Percentages of Adults Aged 18–64 Years Who Never Felt Rested in the Past Week by Sex, Race, and Hispanic Origin — National Health Interview Survey, 2017–2018October 25, 2019
During 2017–2018, among persons aged 18–64 years, women were more likely than men to report they never felt rested in the past week overall (21.1% versus 14.3%) and in each race and Hispanic origin group.
Non-Hispanic white men (16.0%) were more likely to report they never felt rested than were Hispanic men (11.1%), non-Hispanic black men (12.0%), and non-Hispanic Asian men (9.7%).
Non-Hispanic white women (23.0%) were more likely to report they never felt rested than were Hispanic women (19.0%), non-Hispanic black women (18.9%), and non-Hispanic Asian women (13.7%).
Source: National Center for Health Statistics, National Health Interview Survey, 2017–2018. https://www.cdc.gov/nchs/nhis.htm.