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National Hospital Discharge Survey, 1978

Resource Type
Dataset : clinical data, survey data
  • United States Department of Health and Human Services. National Center for Health Statistics
Other Title
  • Archival Version (Subtitle)
Collective Title
  • National Hospital Discharge Survey Series
Publication Date
Free Keywords
demographic characteristics; health care facilities; hospitalization; hospitals; illness; medical care; medical evaluation; medical procedures; medical records; patients; payment methods; treatment
  • Abstract

    This survey, which is part of a continuing sample of hospital discharge records, supplies medical and demographic information used to calculate statistics on hospital utilization. The data collection consists of data abstracted from the face sheets of the medical records for sampled inpatients discharged from a national sample of nonfederal short-stay hospitals. The variables include information on the patient's demographic characteristics (sex, age, date of birth, race, marital status), dates of admission and discharge, status at discharge, diagnoses, procedures performed, source of payment, and hospital characteristics such as bedsize, ownership, and region of the country.
  • Table of Contents


    • DS1: Dataset
Temporal Coverage
  • Time period: 1978
Geographic Coverage
  • United States
Sampled Universe
Short-stay, noninstitutional hospitals, exclusive of federal hospitals, which were located in the 50 states and the District of Columbia and were included in the National Master Facility Inventory of Hospitals and Institutions.
All hospitals with 1,000 beds or more in the original universe of short-stay hospitals were selected with certainty in the sample. All hospitals with fewer than 1,000 beds were stratified, the primary stratum depending on size and geographic region. Within each of these 24 primary strata, the allocation of the hospitals was made through a controlled selection technique so that hospitals in the sample would be properly distributed with regard to type of ownership and geographic division. Sample hospitals were drawn with probabilities ranging from certainty for the largest hospitals to 1 in 40 for the smallest hospitals. Of the 535 hospitals in the sample, 413 were in scope and agreed to participate. The within-hospital sampling ratio for selecting sample discharges varied inversely with the probability of selection of the hospital. The smallest sampling fraction of discharged patients was taken in the largest hospitals, and the largest fraction was taken in the smallest hospitals. In nearly all hospitals, the daily listing sheet of discharges was the frame from which the subsamples of discharges were selected within the sample hospitals. The sample discharges were selected by a random technique, usually on the basis of the terminal digit(s) of the patient's medical record number--a number assigned when the patient was admitted. The sample represents 0.6 percent of the estimated 35 million discharges in 1978.
Collection Mode
  • The Principal Investigator notes that data found in columns 131-136 are Principal Source(s) of Payment, the codes for this variable are found in Errata, page 4 of the documentation. The data contain ampersands (&), dashes (-), and blanks.

This version of the study is no longer available on the web. If you need to acquire this version of the data, you have to contact ICPSR User Support (
Alternative Identifiers
  • 9191 (Type: ICPSR Study Number)
  • Is previous version of
    DOI: 10.3886/ICPSR09191.v1
  • DeFrances, Carol J., Lucas, Christine A., Buie, Verita C., Golosinskiy, Aleksandr. 2006 National Hospital Discharge Survey . National Health Statistics Reports.Hyattsville, MD: United States Department of Health and Human Services, National Center for Health Statistics. 2008.
    • ID: (URL)
  • Fang, Jing, Mensah, George A., Croft, Janet B., Keenan, Nora L.. Heart Failure-Related Hospitalization in the U.S., 1979 to 2004 . 52, 428-435.2008.
  • Heidenreich, Paul A., McClellan, Mark. Trends in treatment and outcomes for acute myocardial infarction: 1975-1995. American Journal of Medicine.110, (3), 165-174.2001.
    • ID: 10.1016/S0002-9343(00)00712-9 (DOI)
  • Dowell, Scott F., Kupronis, Benjamin A., Zell, Elizabeth R., Shay, David K.. Mortality from Pneumonia in Children in the United States, 1939 through 1996. New England Journal of Medicine.342, (19), 1399-1407.2000.
    • ID: 10.1056/NEJM200005113421904 (DOI)
  • Simonsen, L., Fukuda, K., Schonberger, L.B., Cox, N.J.. The impact of influenza epidemics on hospitalizations. Journal of Infectious Diseases.181, (3), 831-837.2000.
    • ID: 10.1086/315320 (DOI)
  • Russell, Louise B., Milan, Edwin, Jagannathan, Radha. Comparison of two surveys of hospitalization: The National Hospital Discharge Survey and the NHANES I Epidemiologic Followup Study. Vital and Health Statistics, Series 2: Data Evaluation and Methods Research.123, Hyattsville, MD: National Center for Health Statistics. 1997.
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  • Anonymous. Trends in length of stay for hospital deliveries--United States, 1970-1992. Morbidity and Mortality Weekly Report.44, (17), 335-337.1995.
  • Derkay, C.S.. Pediatric otolaryngology procedures in the United States: 1977-1987. International Journal of Pediatric Otorhinolaryngology.25, (1-3), 1-12.1993.
    • ID: 10.1016/0165-5876(93)90004-M (DOI)
  • Goldner, T.E., Lawson, H.W., Xia, Z., Arana, Jose D.. Surveillance for ectopic pregnancy--United States, 1970-1989. Morbidity and Mortality Weekly Report.42, (6), 73-85.1993.
  • Kovar, M.G., Pokras, R., Collins, J.G.. Trends in medical care and survival from stroke. Annals of Epidemiology.3, (5), 466-470.1993.
    • ID: 10.1016/1047-2797(93)90097-N (DOI)
  • Howard, G., Craven, T.E., Sanders, L., Evans, G.W.. Relationship of hospitalized stroke rate and in-hospital mortality to the decline in US stroke mortality. Neuroepidemiology.10, (5-6), 251-259.1991.
    • ID: 10.1159/000110281 (DOI)
  • Johanson, John F., Sonnenberg, Amnon. Temporal changes in the occurrence of hemorrhoids in the United States and England. Diseases of the Colon and Rectum.34, (7), 585-591.1991.
    • ID: 10.1007/BF02049899 (DOI)
  • Olfson, M.. General hospitals and the severely mentally ill: changing patterns of diagnosis. American Journal of Psychiatry.148, (6), 727-732.1991.
  • Young, P.L., Saftlas, A.F., Arana, Jose D., Lawson, H.W., Petrey, F.F.. National trends in the management of tubal pregnancy, 1970-1987. Obstetrics and Gynecology.78, (5 Pt. 1), 749-752.1991.
  • Arana, Jose D., MacKay, H.T., Hogue, C.J.. Ectopic pregnancy concurrent with induced abortion: incidence and mortality. American Journal of Obstetrics and Gynecology.162, (3), 726-730.1990.
  • Sonnenberg, A.. Hospital discharges for inflammatory bowel disease. Time trends from England and the United States. Digestive Diseases and Sciences.35, (3), 375-381.1990.
    • ID: 10.1007/BF01537417 (DOI)
  • Cooper, R., Simmons, B.E.. Hypertension as a cause of lower than expected death rates from coronary artery disease among blacks. Clinical Cardiology.12, (12 Suppl. 4), 1989.
  • Rodriguez, J.G., Sattin, R.W., Waxweiler, R.J.. Incidence of hip fractures, United States, 1970-83. American Journal of Preventive Medicine.5, (3), 175-181.1989.
  • Dyken, Mark L., Pokras, Robert. Dramatic changes in the performance of endarterectomy for diseases of the extracranial arteries of the head. Stroke.19, (10), 1289-1290.1988.
  • Pokras, R., Dyken, M.L.. Dramatic changes in the performance of endarterectomy for diseases of the extracranial arteries of the head. Stroke.19, (10), 1289-1290.1988.
    • ID: 10.1161/01.STR.19.10.1289 (DOI)
  • Arana, Jose D., Friede, A., Hogue, C.J.. Ectopic pregnancy mortality in the United States, 1970-1983. Obstetrics and Gynecology.70, (6), 817-822.1987.
  • Roig, E., Castaner, A., Simmons, B., Patel, R., Ford, E., Cooper, R.. In-hospital mortality rates from acute myocardial infarction by race in U.S. hospitals: findings from the National Hospital Discharge Survey. Circulation.76, (2), 280-288.1987.
    • ID: 10.1161/01.CIR.76.2.280 (DOI)
  • Barker, W.H.. Excess pneumonia and influenza associated hospitalization during influenza epidemics in the United States, 1970-78. American Journal of Public Health.76, (7), 761-765.1986.
    • ID: 10.2105/AJPH.76.7.761 (DOI)
  • Gillum, Richard F.. Cerebrovascular disease morbidity in the United States, 1970-1983. Age, sex, region, and vascular surgery. Stroke.17, (4), 656-661.1986.
    • ID: 10.1161/01.STR.17.4.656 (DOI)
  • Dyken, M.L., Pokras, R.. The performance of endarterectomy for disease of the extracranial arteries of the head. Stroke.15, (6), 948-950.1984.
    • ID: 10.1161/01.STR.15.6.948 (DOI)
  • Farmer, M.E., White, L.R., Brody, J.A., Bailey, K.R.. Race and sex differences in hip fracture incidence. American Journal of Public Health.74, (12), 1374-1380.1984.
    • ID: 10.2105/AJPH.74.12.1374 (DOI)
  • Goldberg, J., Levy, P.S., Goldberg, J.L.. Out-of-hospital transfer of trauma patients. Emergency Health Services Review.2, (2-3), 83-109.1983.
    • ID: 10.1300/J261v02n02_06 (DOI)
  • Goldberg, J., Levy, P.S., Morkovin, V., Goldberg, J.B.. Mortality from traumatic injuries. A case-control study using data from the National Hospital Discharge Survey. Medical Care.21, (7), 692-704.1983.
    • ID: 10.1097/00005650-198307000-00003 (DOI)
  • Kleinman, J.C., Machlin, S.R., Madans, J., Makuc, D., Feldman, J.J.. Changing practice in the surgical treatment of breast cancer. The national perspective. Medical Care.21, (12), 1232-1242.1983.
    • ID: 10.1097/00005650-198312000-00010 (DOI)
  • Placek, P.J., Taffel, S.M.. The frequency of complications in cesarean and noncesarean deliveries, 1970 and 1978. Public Health Reports.98, (4), 396-400.1983.
  • Smith, David M., Haupt, Barbara J.. Hospital discharge data used as feedback in planning research and education for primary care. Public Health Reports.98, (5), 457-466.1983.
  • Nolan, T.F., Jr., Goodman, R.A., Patriarca, P.A., Hinman, A.R.. Hospitalizations for measles, 1970-78. American Journal of Public Health.72, (9), 1037-1039.1982.
    • ID: 10.2105/AJPH.72.9.1037 (DOI)
  • Cutler, J.A., Mendeloff, A.I.. Upper gastrointestinal bleeding: Nature and magnitude of the problem in the U.S.. Digestive Diseases and Sciences.26, (7 Suppl.), 90S-96S.1981.
    • ID: 10.1007/BF01300814 (DOI)
  • Placek, P.J., Taffel, S.M.. Trends in cesarean section rates for the United States, 1970-78. Public Health Reports.95, (6), 540-548.1980.
  • (author unknown). List of Three-Digit Categories: Eighth Revision International Classification of Diseases. Raleigh, NC: North Carolina State Board of Health, Public Health Statistics Section. 1974.

Update Metadata: 2015-08-05 | Issue Number: 6 | Registration Date: 2015-06-15

United States Department of Health and Human Services. National Center for Health Statistics (1989): National Hospital Discharge Survey, 1978. Archival Version. National Hospital Discharge Survey Series. Version: v0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset.