1. COPD Hospitalizations for Elderly Medicare Beneficiaries
William Buczko, PhD
Centers for Medicare & Medicaid Services

2. Data
MEDPAR inpatient hospital discharge data Medicare fee-for-service beneficiaries age 65 or over discharged during fiscal year 2005 with DRG code 88 (COPD N=355,178).
Managed care patients are not included since their encounter data are not available.

3. Comorbidities
The following comorbid conditions were identified for this analysis.
Asthma (ICD-9-CM codes ),
Diabetes (ICD-9-CM codes ),
Depression (ICD-9-CM codes 296.2, , 311),
Hypertension (ICD-9-CM codes ),
Malignant neoplasms (ICD-9-CM codes ),
Atherosclerosis (ICD-9-CM codes ),
Ischemic heart disease (ICD-9-CM codes ),
Heart failure (ICD-9-CM codes ),
Peripheral vascular disease (ICD-9-CM codes ),
Gastrointestinal hemorrhage (ICD-9-CM codes ),
Renal failure (ICD-9-CM codes ),
Stroke (ICD-9-CM codes ).

9. Mean Resource Use and Charges for Medicare Beneficiaries Hospitalized for COPD by Age Group
Length Total Emergency Operating Inhalation
Age Of ICU CCU Covered Room Room ICU CCU Therapy
Group Stay Days Days Charges Charges Charges Charges Charges Charges
90 & Older $17, $ $ $ 1, $ $ 1,694
85 – , , ,730
80 – , , ,769
75 – , , ,844
70 – , , ,849
65 – , , ,850
Total , , ,873

14. Rehospitalizations During CY 2005 - 2007 for Medicare Beneficiaries Hospitalized for
COPD in FY 2005
Number Other
Rehospitalized Patients Total of COPD Respiratory
Year Annual Percent Hospitalizations Stays Hospitalization Percent Hospitalizations Percent
CY , , , % , %
CY , , , ,
CY , , , ,
CY , , , ,
2007

15. Presenter Disclosures No relationships to disclose
William Buczko
(1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:
No relationships to disclose