National Hospital Care Survey Demonstration Projects: Stroke Inpatient Hospitalizations

November 13, 2019

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.

 


2017 Final Deaths, Leading Causes of Death and Life Tables Reports Released

June 24, 2019

NCHS released a report that presents the final 2017 data on U.S. deaths, death rates, life expectancy, infant mortality, and trends, by selected characteristics such as age, sex, Hispanic origin and race, state of residence, and cause of death.

Key Findings:

  • In 2017, a total of 2,813,503 deaths were reported in the United States.
  • The age-adjusted death rate was 731.9 deaths per 100,000 U.S. standard population, an increase of 0.4% from the 2016 rate.
  • Life expectancy at birth was 78.6 years, a decrease of 0.1 year from the 2016 rate.
  • Life expectancy decreased from 2016 to 2017 for non-Hispanic white males (0.1 year) and non-Hispanic black males (0.1), and increased for non-Hispanic black females (0.1).
  • Age-specific death rates increased in 2017 from 2016 for age groups 25–34, 35–44, and 85 and over, and decreased for age groups under 1 and 45–54.
  • The 15 leading causes of death in 2017 remained the same as in 2016 although, two causes exchanged ranks.
  • Chronic liver disease and cirrhosis, the 12th leading cause of death in 2016, became the 11th leading cause of death in 2017, while Septicemia, the 11th leading cause of death in 2016, became the 12th leading cause of death in 2017.
  • The infant mortality rate, 5.79 infant deaths per 1,000 live births in 2017, did not change significantly from the rate of 5.87 in 2016.

NCHS also released the 2017 U.S. Life Tables and Leading Causes of Death Reports.


Stat of the Day – May 3, 2017

May 3, 2017


QuickStats: Number of Deaths from 10 Leading Causes by Sex — National Vital Statistics System, United States, 2015

April 24, 2017

In 2015, a total of 1,339,226 deaths among females and 1,373,404 deaths among males occurred.

Heart disease and cancer were the top two causes of death for both females and males; other leading causes varied in rank by sex.

The 10 leading causes of death accounted for approximately three-quarters of all deaths.

Source: https://www.cdc.gov/mmwr/volumes/66/wr/mm6615a8.htm


State by State Health Data Source Updated on NCHS Web Site

April 19, 2017

CDC’s National Center for Health Statistics has updated its Stats of the States feature on the NCHS web site.  This resource features the latest state-by-state comparisons on key health indicators ranging from birth topics such as teen births and cesarean deliveries to leading causes of death and health insurance coverage.

Tabs have been added to the color-coded maps to compare trends on these topics between the most recent years (2015 and 2014) and going back a decade (2005) and in some cases further back.

To access the main “Stats of the States” page, use the following link:

https://www.cdc.gov/nchs/pressroom/stats_of_the_states.htm


Differences in Stroke Mortality Among Adults Aged 45 and Over: United States, 2010–2013

July 8, 2015

Despite steady decreases in U.S. stroke mortality over the past several decades, stroke remained the fourth leading cause of death during 2010–2012 and the fifth leading cause in 2013.

Most studies have focused on the excess mortality experienced by black persons compared with white persons and by residents of the southeastern states, referred to as the Stroke Belt. Few stroke mortality studies have focused on Asian or Pacific Islander and Hispanic persons or have explored urban–rural differences.

A new NCHS report provides updated information about stroke mortality among U.S. residents aged 45 and over during 2010–2013 by age, race and ethnicity, income,  urban–rural residence, and residence inside or outside the Stroke Belt.

Key Findings from the Report:

  • During 2010–2013, the age-adjusted stroke death rate for non-Hispanic black men aged 45 and over (154.8 deaths per 100,000 population) was 54% to 68% higher than the rates for men of the same age in other race-ethnicity groups. The rate for non-Hispanic black women aged 45 and over was 30% to 61% higher than the rates for women of the same age in other race-ethnicity groups.
  • The age distribution of stroke deaths differed by race and ethnicity.
  • Stroke death rates were 32% higher in counties in the lowest median household income quartile than in counties in the highest income quartile.
  • Nonmetropolitan counties had higher stroke death rates than counties at other urbanization levels.
  • Stroke mortality inside and outside the Stroke Belt differed by race and ethnicity.

 


QuickStats: Age–Adjusted Death Rates for Stroke by U.S. Census Region — United States, 1970–2013

April 13, 2015

The age-adjusted death rates for stroke in all U.S. Census regions in the United States generally decreased from 1970 to 2013, although the rates in all regions were relatively stable from 1992 to 1999. From 1970 to 2013, the rate decreased an average of 3.3% per year in the South, 3.2% in the Midwest, 3.3% in the West, and 3.4% in the Northeast. Throughout the period, the rate was the highest in the South and lowest in the Northeast region.

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6413a9.htm?s_cid=mm6413a9_e