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1. Methods for Calculating Patient Travel Distance to Hospital in HCUP Data – Data Supplements (xls file)
   hcup-us.ahrq.gov/reports/methods/MS2021-02-HospDist-DataSuppl.xlsx
   December 06, 2021 - Large central metropolitan 150,352 9,476,906 0.00 0.00 0.00 0.00 0.01 0.03 0.05 0.10 0.14 0.39 340.33 … Large fringe metropolitan 160,809 7,495,376 0.00 0.00 0.00 0.00 0.01 0.02 0.05 0.09 0.16 0.45 340.33 … Large central metropolitan 3,442 227,556 0.00 0.00 0.00 0.00 0.01 0.03 0.06 0.21 0.21 0.24 340.33 9.91 … Large fringe metropolitan 10,138 490,470 0.00 0.00 0.00 0.00 0.00 0.01 0.03 0.05 0.07 0.21 340.33 16.38 … Large central metropolitan 23,729 1,630,172 0.00 0.00 0.00 0.00 0.01 0.03 0.06 0.09 0.11 0.24 340.33

2. sb275-COVD19-HospitalLocation (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb275-COVID19-HospitalLocation.pdf
   December 01, 2020 - Because of the large sample size of the HCUP data, small differences can be statistically significant … , across 13 States, almost 80 percent of COVID-19- related hospitalizations were for patients from large … By September 2020, 42 percent of COVID-19-related hospitalizations were for patients from large metro … ■ The share of COVID-19-related hospitalizations for patients from large metro areas decreased from … ■ COVID-19-related hospitalizations for patients from large metro areas were longer in May and June

3. Patient Residence Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb226-Patient-Residence-Opioid-Hospital-Stays-ED-Visits-by-State.pdf
   December 01, 2016 - ■ The rate of opioid-related emergency department (ED) visits increased less in large metropolitan … However, over this time period, the rate increased the least in large central metropolitan areas (28 … The rate increased the least in large fringe metropolitan areas (suburbs, 79 percent), followed by large … Opioid-related ED visits increased at a faster rate than did opioid-related inpatient stays in large … The highest rate was seen in— • Large central metropolitan areas for nine States (with an average

4. Healthcare Cost and Utilization Project (HCUP) NIS Notes
   hcup-us.ahrq.gov/db/vars/pl_ur_cat4/nisnote.jsp
   September 01, 2008 - The 12 categories of the UIC are combined into four broader categories that differentiate between large … follows: PL_UR_CAT4 2003 UIC Value Value Description Value Description 1 Large … metropolitan areas with at least 1 million residents 1 Metro - Large metro area of 1 million residents … less than 1 million residents 3 Micropolitan areas 3 Non-Metro - Micropolitan adjacent to large … Variable Description Value Value Description PL_UR_CAT4 Patient Location: Urban-Rural 4 Categories 1 Large

5. Healthcare Cost and Utilization Project (HCUP) KID Notes
   hcup-us.ahrq.gov/db/vars/pl_ur_cat4/kidnote.jsp
   September 01, 2008 - The 12 categories of the UIC are combined into four broader categories that differentiate between large … follows: PL_UR_CAT4 2003 UIC Value Value Description Value Description 1 Large … metropolitan areas with at least 1 million residents 1 Metro - Large metro area of 1 million residents … less than 1 million residents 3 Micropolitan areas 3 Non-Metro - Micropolitan adjacent to large … Variable Description Value Value Description PL_UR_CAT4 Patient Location: Urban-Rural 4 Categories 1 Large

6. Change Log (v2024.1 to v2025.1) for the Elixhauser Comorbidity Software Refined for ICD-10-CM (xls file)
   hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-ChangeLog-v20241-v20251.xlsx
   November 01, 2024 - remission CANCER_LYMPH C83390 Primary central nervous system lymphoma CANCER_LYMPH C83398 Diffuse large … B-cell lymphoma of other extranodal and solid organ sites CANCER_LYMPH C833A Diffuse large B-cell lymphoma … C844A Peripheral T-cell lymphoma, not elsewhere classified, in remission CANCER_LYMPH C846A Anaplastic large … cell lymphoma, ALK-positive, in remission CANCER_LYMPH C847B Anaplastic large cell lymphoma, ALK-negative … CANCER_LYMPH C851A Unspecified B-cell lymphoma, in remission CANCER_LYMPH C852A Mediastinal (thymic) large

7. Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs//sb314-hospital-differences-HAIs-2019-2021.pdf
   January 01, 2021 - Because of the large sample size of the SID, small differences can be statistically significant but … Highlights ■ Large, public non-Federal, teaching, and metropolitan hospitals consistently had higher … ■ In both 2019 and 2021, public hospitals, large hospitals, teaching hospitals, urban hospitals, and … ■ In both 2019 and 2021, public hospitals, large hospitals, teaching hospitals, and urban hospitals … Private not-for-profit hospitals, large hospitals, teaching hospitals, and safety-net hospitals had

8. Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb314-hospital-differences-HAIs-2019-2021.pdf
   January 01, 2021 - Because of the large sample size of the SID, small differences can be statistically significant but … Highlights ■ Large, public non-Federal, teaching, and metropolitan hospitals consistently had higher … ■ In both 2019 and 2021, public hospitals, large hospitals, teaching hospitals, urban hospitals, and … ■ In both 2019 and 2021, public hospitals, large hospitals, teaching hospitals, and urban hospitals … Private not-for-profit hospitals, large hospitals, teaching hospitals, and safety-net hospitals had

9. Emergency Department Visits Related to Suicidal Ideation or Suicide Attempt, 2008-2017 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb263-Suicide-ED-Visits-2008-2017.pdf
   January 01, 2017 - illustrate the variation in the highest rates within the State by patient location (i.e., counties in large … Because of the large sample size of the HCUP data, small differences can be statistically significant … All of DC and RI counties are classified as large metropolitan; IA, ME, MT, ND, NE, NM, SD, VT, and … Metro & Small/Medium Metro† Small/Medium Metro Rural Large Metro & Rural† Small/Medium Metro & … Rural† Large Metro, Small/Medium Metro, & Rural Nonparticipating With Treat- and-Release ED Data

10. Costs of Emergency Department Visits in the United States, 2017 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb268-ED-Costs-2017.pdf
    January 01, 2017 - Because of the large sample size of the NEDS data, small differences can be statistically significant … ■ Patients aged 18–44 years represented the largest share of aggregate ED costs in large metropolitan … 560 30.8 21.2 Quartile 4 (highest) 13.8 18.1 600 23.2 16.0 Location of patient’s residence Large … Aggregate ED visit costs for large metropolitan areas totaled $39.5 billion in 2017, more than half of … The share of aggregate ED costs in large metropolitan areas was analogous to the overall distribution

11. Costs of Treat-and-Release Emergency Department Visits in the United States, 2021 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb311-ED-visit-costs-2021.pdf
    January 01, 2021 - Because of the large sample size of the NEDS, small differences can be statistically significant. … the United States ■ Patients aged 18–44 years represented the largest share of aggregate costs in large … Aggregate costs for patients residing in large metropolitan areas totaled $42.0 billion in 2021, which … In contrast, patients aged 18–44 accounted for 37.1 percent of the costs in large metropolitan areas … The share of costs attributed to Medicare increased as rurality increased, from 24.6 percent in large

12. Methods for Calculating Patient Travel Distance to Hospital in HCUP Data (pdf file)
    hcup-us.ahrq.gov/reports/methods/MS2021-02-Distance-to-Hospital.pdf
    May 26, 2021 - The shortest distances were in the Northeast region, New England division, and large central metropolitan … • The median driving distance ranged from 6.79 miles in large central metropolitan areas to 32.10 … central metropolitan 9,456,092 1.66 2.63 (0.04) 0.41 1.71 2.52 Large fringe metropolitan 7,522,861 … central metropolitan –0.7346 Large fringe metropolitan –0.5275 Medium metropolitan –1.4546 Small … However, the impact of imprecise patient location may be greater in ZIP Codes that cover large areas

13. Ff 2009 Exhibit5 1 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_1.pdf
    January 01, 2009 - 1,143 1,545 ∞ South 6,171 8,974 1,111 1,561 ∞ West 3,132 4,403 870 1,224 ∞ Patient residence Large … central metro 4,838 6,762 1,081 1,462 ∞ Large fringe metro 3,804 5,510 1,036 1,455 ∞ Medium and …  The rate of female stays was 34-35 percent higher than the rate of male stays in large central metro … The Medicaid program covers childbirth-related stays, resulting in a large difference in the number … central metro 1,482 5,265 774 1,139 ∞ Large fringe metro 1,187 4,310 789 1,138 ∞ Medium and small

14. Facts and Figures Exhibit 5.1
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_1.jsp
    January 01, 2009 - central metro 4,838 6,762 1,081 1,462ξ Large fringe metro 3,804 5,510 1,036 1,455ξ … across all areas of patient residence: The largest difference between females and males was in large … The rate of female stays was 34-35 percent higher than the rate of male stays in large central metro, … The Medicaid program covers childbirth-related stays, resulting in a large difference in the number of … central metro 1,482 5,265 774 1,139ξ Large fringe metro 1,187 4,310 789 1,138ξ

15. Healthcare Cost and Utilization Project (HCUP) NRD Notes
    hcup-us.ahrq.gov/db/vars/hosp_urcat4/nrdnote.jsp
    August 01, 2015 - 12 categories of the UIC are combined into four broader categories that differentiate between large … Variable Description Value Value Description HOSP_URCAT4 Hospital urban-rural designation 1 Large … micropolitan, (only applicable to the NEDS, beginning in 2011) 8 Metropolitan, collapsed category of large

16. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
    hcup-us.ahrq.gov/db/vars/hosp_urcat4/nedsnote.jsp
    May 01, 2015 - 12 categories of the UIC are combined into four broader categories that differentiate between large … Variable Description Value Value Description HOSP_URCAT4 Hospital urban-rural designation 1 Large … micropolitan, (only applicable to the NEDS, beginning in 2011) 8 Metropolitan, collapsed category of large

17. Most Frequent Principal Diagnoses for Inpatient Stays in U.S. Hospitals, 2018 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb277-Top-Reasons-Hospital-Stays-2018.pdf
    January 01, 2018 - Because of the large sample size of the NIS data, small differences can be statistically significant … For four of the five top diagnoses, mean length of stay and mean cost per stay were highest in large … central metropolitan 1 661,000 653.4 7.5 21,500 Large fringe metropolitan (suburbs) 1 502,300 618.3 … central metropolitan 2 326,000 322.3 5.6 14,400 Large fringe metropolitan (suburbs) 3 267,500 329.3 … central metropolitan 3 262,200 259.2 2.1 16,300 Large fringe metropolitan (suburbs) 2 292,100 359.6

18. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/HCUP-SB312-508.pdf
    September 27, 2024 - Because of the large sample size of the NIS data, small differences can be statistically significant … percent) • Women living in middle community- level income areas (43 percent) • Women living in large … 14,100 68.8 98.4 84.0 Quartile 4 (highest) 5,300 7,400 6,500 64.2 90.5 81.7 Patient residence Large … ■ In 2021, the rate of renal-related SMM delivery stays for women from large metropolitan areas … For this Statistical Brief, we collapsed the NCHS codes into the following three categories: Large

19. Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays, 2001-2014 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb241-Coronary-Artery-AMI-Stroke-Hospital-Stays-2001-2014.pdf
    January 01, 2014 - ■ The rate of ASCVD stays among adults in 2014 was 31.2 percent lower in large metropolitan areas … ■ The rate of stays for AMI was 40.1 percent lower in large metropolitan areas than in rural areas … metropolitan 7 The rate of ASCVD stays in large metropolitan areas was 31.2 percent lower than … The 12 categories of the UIC are combined into 4 broader categories that differentiate between large … The location of patients’ residence is set to large metropolitan for patients who are homeless.

20. HCUP Statistical Brief #126: Circumcisions Performed in U.S. Community Hospitals, 2009 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb126.pdf
    February 01, 2012 - ■ Circumcision rates were lowest in large central metropolitan areas (41.2 percent). … In both 2005 and 2009, circumcision rates were lowest in large central metropolitan areas (the most … The highest circumcision rate in 2005 was large fringe metropolitan areas (suburbs)—68.8 percent—but … central metro 43.0* 41.2 a, b, c Large fringe metro (suburbs)† 68.8* 62.3 a Medium and … central metro and large fringe metro, b = large central metro and medium-small metro, c = large central