PubMed Health⌕ Search

Biomedical subjects

M Moien

Publications and source records attributed to M Moien.

18 recordsLinked to original sources
PubMed1992

Hospitalization for pregnancy complications, United States, 1986 and 1987.

OBJECTIVE: The purpose of our analysis was to provide a national overview of the magnitude of the public health burden associated with inpatient care for pregnancy complications. STUDY DESIGN: We analyzed data from the National Hospital Discharge Survey for 1986 and 1987. We calculated ratios of hospitalizations for pregnancy complications for every 100 hospitalizations involving a birth. Standard errors for these ratios were calculated with RATIOEST, and relative ratios with 95% confidence intervals were calculated for subgroups of interest. RESULTS: We found that for every 100 hospitalizations involving a birth, there were 22.2 nondelivery hospitalizations for pregnancy complications (14.6 antenatal complications, 7.6 pregnancy loss complications). These ratios were higher for black than for white women (relative ratio 1.4, 95% confidence interval 1.2 to 1.6). The effects of marital status, age, and insurance coverage differed between black and white women, and mean length of stay was longer for black than for white women. CONCLUSION: Hospitalization for pregnancy complications is far more common than is widely appreciated and is more frequent among black than white women.

Adolescent↗
PubMed1992

Increasing impact of HIV infection on hospitalizations in the United States, 1983-1988.

During 1983-1988, hospitalizations of patients with a diagnosis of human immunodeficiency virus (HIV) infection increased from 1.3 to 33.7 per 100,000 persons. We used the National Hospital Discharge Survey, which is based on a representative sample of discharges from nonfederal short-stay hospitals, to describe illnesses among hospitalized patients with HIV infection. Of 222,200 such hospitalizations during 1983-1988, most occurred among persons who were 25-44 years of age (79%), white (66%), and male (90%). Among men 25-44 years of age, HIV admissions increased from 8.5 to 148.6 per 100,000 persons during 1983-1988; among black men 25-44 years of age, HIV hospitalizations increased from 43.1 to 387.4 per 100,000 persons. Among women, hospitalizations increased 3.4-fold. Frequently listed illnesses in the Centers for Disease Control (CDC) AIDS case definition were Pneumocystis carinii pneumonia (30%), candidiasis (20%), and Kaposi's sarcoma (13%). Other frequently listed illnesses included infections (39%) such as pneumonia, sepsis, and urinary tract infections; blood dyscrasias (30%) such as anemia, thrombocytopenia, and agranulocytosis; metabolic (17%), gastrointestinal (16%), and respiratory disorders (12%); and drug abuse (9%). These data provide a minimum estimate of HIV hospitalizations because for some patients HIV infection may not be specified on the discharge record. HIV hospitalizations are increasing markedly and are associated with a broad spectrum of severe morbidity.

Adult↗
PubMed1991

1989 U.S. cesarean section rate steadies--VBAC rate rises to nearly one in five.

The 25 years of rising cesarean delivery rates in the United States may have finally run their course. In 1989 the rate of 23.8 cesareans per 100 deliveries was not significantly different from 24.7 in 1988, 24.4 in 1987, or 24.1 in 1986. The 1989 primary rate of 17.1 first cesareans per 100 women with no previous cesarean was also not significantly different from 17.5 for 1988, or 17.4 for 1987 and 1986. The percentage of vaginal births after cesarean section per 100 deliveries showed a remarkable rise between 1988 and 1989--from 12.6 percent in 1988 to 18.5 percent in 1989. Data are from the National Hospital Discharge Survey conducted by the National Center for Health Statistics, Centers for Disease Control.

Adult↗
PubMed1989

Coronary heart disease and related procedures. National Hospital Discharge Survey data.

The National Hospital Discharge Survey provides cross-sectional and trend data for analysis of cardiovascular diseases that may require surgery or other procedures. Overall, there was a decline in the hospital discharge rate for all causes since 1983. However, the number of discharges with first-listed coronary artery-related diagnoses increased between 1984 and 1986. For men, the estimated number of these discharges increased from 1,161,000 to 1,323,000. For both sexes, there was a decrease for chronic ischemic heart disease; however, the number of discharges for unstable angina pectoris doubled over this period. It is uncertain whether this reflects an increase in disease or is the result of reimbursement policies affecting diagnosis. For both unstable and stable angina pectoris, there was a reversal of the male-female ratio at older ages, with larger numbers of older women than men discharged with these diagnoses. The discharge rates for all-listed acute myocardial infarction remained relatively constant over the past 7 years. However, the average length of stay decreased. Dysrhythmias and heart failure were the most frequent complications listed. The number of coronary artery bypass graft surgery discharges increased from 114,000 in 1979 to 228,000 in 1986. The increase in coronary angioplasty is noteworthy, rising from 2,000 to 133,000 in the same period. For both procedures, the most frequently associated diagnosis was chronic ischemic heart disease. Further monitoring of hospital discharge trends for coronary heart disease and related procedures is indicated.

Angiography↗
PubMed1988

Drug abuse discharges from non-federal short-stay hospitals.

An analysis of inpatient drug abuse cases was done using the National Hospital Discharge Survey (NHDS). An estimated two million discharges with a drug abuse diagnosis occurred in non-federal short-stay hospitals during 1979-85, a figure which is believed to be an underestimate. Compared to other hospital inpatients, drug abuse inpatients are more likely to be male, ages 15-44, and other than White race. Increases in hospital use for drug abuse treatment were found to have occurred between 1979 and 1985, with discharge rates per 10,000 population increasing from 3.1 to 6.0 for drug dependence and from 3.8 to 7.7 for nondependent drug abuse. Concurrent increases in availability of hospital-based inpatient drug and alcohol treatment programs and insurance coverage for drug abuse treatment were found to have occurred during the same period.

Adolescent↗
PubMed1988

National trends in lens extraction: 1965-1984.

This paper describes the impact of modern technology on extraction of lens procedures. National estimates are presented on inpatient hospital utilization based on data collected through the National Hospital Discharge Survey. Trend data are shown for numbers, rates and average lengths of stay for patients with the procedure for 1965-1984. The trend data demonstrate changes in the procedure brought about by the effect of brought about by the effect of the introduction of Medicare and the introduction of the intraocular lens implant. Data on insertion of intraocular lens prosthesis are also presented for 1979-1984.

Age Factors↗
PubMed1987

Hospitalizations for AIDS, United States, 1984-85.

Data from the National Hospital Discharge Survey on hospitalizations for acquired immunodeficiency syndrome (AIDS) were analyzed for 1984-85. During 1984, an estimated 10,000 discharges from short-stay hospitals had a diagnosis of AIDS. In 1985, this figure more than doubled to 23,000. Ninety-seven percent of all AIDS discharges were male and 85 per cent were between the ages of 25 and 44. Hospitalizations for AIDS accounted for 510,000 days of hospital care and lasted an average of 15.6 days each.

Acquired Immunodeficiency Syndrome↗
PubMed1983

Cesarean section delivery rates: United States, 1981.

The rate of cesarean section delivery in the United States has risen from 4.5 per 100 deliveries in 1965 to 17.9 in 1981. The rate is highest in the Northeast, in hospitals of 500 beds or more, in proprietary hospitals, for Blue Cross as a source of payment, and for mothers aged 35 years and over. The rate is lowest in the North Central region, in hospitals with less than 100 beds, in government hospitals, for self-pay patients, and for mothers under 20 years of age.

Adolescent↗
PubMedDate not supplied

Patterns of hospital use by patients with diagnoses related to HIV infection.

The authors analyzed the use of hospitals by patients with a diagnosis of human immunodeficiency virus (HIV) infection, using data from the National Hospital Discharge Survey. In the period 1984-90, the rates of both discharges and days of care for HIV-infected patients rose dramatically. For 1988-90, black males had the highest HIV-related discharge rate, followed by white males and black females, whose rates were similar. The discharge rate for patients with HIV-related diagnoses increased more in the Northeast than in the three other regions of the country. By 1990 the rate for the Northeast was nearly triple the rate for other major regions. More than half of female and black patients with HIV-related diagnoses were hospitalized in the Northeast. Private insurance was the principal expected source of payment for the care of half of the HIV-infected patients discharged in 1985, but for only a third in 1990. Medicaid covered 40 percent of the patients with HIV-related diagnoses discharged in 1990. Larger proportions of female than male patients and of black patients than white patients were covered by Medicaid. Acquired immunodeficiency syndrome was the diagnosis coded for most patients with an HIV-related diagnosis, but in larger proportions for patients who were male or white patients. Nonspecific HIV diagnoses were coded for larger proportions of female and black patients. HIV-infected patients had an average of 3.6 diagnoses in addition to their HIV diagnosis. Nearly a fourth of the additional diagnoses were for other infectious diseases, such as pneumocystosis or candidiasis. Anemia, pneumonia, and drug use and dependence also were frequent diagnoses.

AIDS-Related Opportunistic Infections↗