+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Profile of inpatient operating room procedures in US hospitals in 2007

Profile of inpatient operating room procedures in US hospitals in 2007

Archives of Surgery 145(12): 1201-1208

To provide an overview of inpatient operating room (OR) procedures in the United States. Healthcare Cost and Utilization Project 2007 Nationwide Inpatient Sample discharge data from a sample of US short-term, acute-care, nonfederal hospitals. National volume of OR procedures overall and by type of procedure, resource use and costs, most frequent and expensive procedures, and trends. Fifteen million OR procedures were performed in 2007 (495 procedures/10 000 population). Only 26.4% of hospitalizations involved an OR procedure; however, OR-related stays were responsible for 46.8% of hospital costs ($161 billion). Patients aged 65 years and older were 2 to 3 times more likely to experience OR procedures (eg, 1327 procedures/10 000 persons among those aged 65-84 years vs 626 procedures/10 000 persons for those aged 45-64 years). Compared with non-OR inpatients, OR patients were less severely ill (20.5% had the highest severity of illness vs 24.6% for non-OR patients) and used more resources ($2900/day for OR patients vs $1400/day for non-OR patients). The 15 most expensive procedures accounted for half of all procedure-related hospitalization costs and one-fourth of total hospital costs. Volumes for 4 of the most expensive procedures increased between 1997 and 2007: 20% for percutaneous transluminal coronary angioplasty, 46% for cesarean delivery, 46% for knee replacement, and 45% for spinal fusion. The volume of percutaneous transluminal coronary angioplasty declined 20% from 2006 to 2007, compared with a 56% increase in the prior decade. Procedures in the OR represent a large portion of hospital costs, and these costs are concentrated in few procedure types.

(PDF same-day service: $19.90)

Accession: 055205526

Download citation: RISBibTeXText

PMID: 21173295

DOI: 10.1001/archsurg.2010.269

Related references

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Anesthesiology 105(5): 877-884, 2006

Hospital Room or Treatment Room: Where Should Inpatient Pediatric Procedures Be Performed?. Children's Health Care 29(2): 103-111, 2000

Standard operating procedures and operating room management: Improvement of patient safety and the efficiency of processes. Wiener Medizinische Wochenschrift 158(21-22): 595-602, 2008

Mechanisms involved in anesthetic deaths; a survey of operating room and obstetric delivery room related mortality in the University Hospitals of Cleveland, 1945-1954. New York State Journal of Medicine 56(2): 230-235, 1956

Room I, 10/17/2000 2: 00 PM - 4: 00 PM (PS) Strategy to Decide Whether to Move the Last Case of the Day in an Operating Room to Another Empty Operating Room to Decrease Overtime Costs. Anesthesiology 93(Supplement): A-1173, 2000

Reconsidering the semiprivate inpatient room in u.s. Hospitals. Herd 5(2): 7-23, 2016

Operating room procedures. Arquivos de Cirurgia Clinica E Experimental 15(2): 67-93, 1952

Outside the operating room: How a robotics program changed resource utilization on the inpatient Ward. Gynecologic Oncology 145(1): 102-107, 2017

How hospitals manage operating room delays. Physician Executive 14(3): 22-23, 1988

Problem Of Reanimation Outside Of Operating Room And Hospitals. Klinicheskaia Meditsina 43: 73-79, 1965

Operating room nursing in Japanese hospitals. Aorn Journal 28(5): 848-854, 1978

Hospitals try new approaches to operating room purchasing. Hospital Material Dollar Sign Management 14(12): 7-8, 1989

Neuromuscular blockade, reversal agent use, and operating room time: retrospective analysis of US inpatient surgeries. Current Medical Research and Opinion 25(4): 943-950, 2009

Incorrect surgical procedures within and outside of the operating room. Archives of Surgery 144(11): 1028-1034, 2010

Anesthesia outside the operating room for emergency procedures. Current Opinion in Anaesthesiology 12(4): 411-415, 2006