REHOSPITALIZATION

REHOSPITALIZATION

Definition

The reason for each rehospitalization since inpatient rehabilitation discharge or in the past year (whichever is shorter), using Level 2 HCUP coding.

Form

[ ] Form 1
[X] Form 2

Source

Form 2 - Interview, Mail-out (participant or proxy)

Details

This variable includes all types of hospitalizations (i.e., an inpatient stay in any hospital, whether part of a TBI Model System or not).

For each hospitalization a HCUP multi-level code Level 1 and Level 2 will be identified for the PRIMARY REASON for hospitalization.

If hospitalized for more than one reason, code the more severe/significant reason. (e.g. participant was hospitalized for a UTI, but had a seizure while in the hospital and was kept for an extra week because of the seizure, code the seizures as they are the more severe/significant reason for the rehospitalization.)

If more than five hospitalizations, have your Medical Director prioritize which five to code.

An admission of 24 hours or more for ‘observation’ should be considered a hospitalization, and a determination should be made regarding why the rehospitalization occurred. Any stays less than 24 hours will not be considered a hospitalization.

Level 2 HCUP codes are in the format X.X or X.XX (e.g. 2.6 or 2.16).

EXAMPLE: Code an accidental overdose of pain medications as “16.11 Poisoning” in the HCUP coding scheme

Characteristics

On 10/1/ 2017 the coding scheme was switched to HCUP.
Data for follow-ups prior to 10/1/99 will be recoded from text field to the categories below.

0 - Rehabilitation
1 - Seizures
2 - Neurologic Disorder: Non-seizure
3 - Psychiatric
4 - Infectious
5 - Orthopedic
6 - General Health Maintenance or OB/Gyn
7 - Other: Not specified elsewhere
8 - Not Applicable: No rehospitalizations / no further rehospitalizations
9 - Unknown

Prior to 1/1/02 the code “9. Unknown” did not distinguish between “unknown if rehospitalized” and “unknown reason for rehospitalization”. On 1/1/02 “9. Unknown” was clarified to mean “unknown reason for rehospitalization”. On 1/1/04 the code “99. Unknown, if Rehospitalized” was added. Thus, between 1/1/02 and 1/1/04 there was no way to record rehospitalization for unknown reason.

9 - Rehospitalized: Reason unknown
99 - Unknown

On 10/1/ 2017 the coding scheme was switched to HCUP

Variables

Form Type

Variable

ID

Question

History

Form 2

Rehosp1lv2F

755

Rehospitalization 1:

2017-10-01 - Variable Added

Form 2

Rehosp2lv2F

755

Rehospitalization 2:

2017-10-01 - Variable Added

Form 2

Rehosp3lv2F

755

Rehospitalization 3:

2017-10-01 - Variable Added

Form 2

Rehosp4lv2F

755

Rehospitalization 4:

2017-10-01 - Variable Added

Form 2

Rehosp5lv2F

755

Rehospitalization 5:

2017-10-01 - Variable Added

Codes and Values

ID 755

For Form: [Form 2]
For Variables: [Rehosp1lv2F, Rehosp2lv2F, Rehosp3lv2F, Rehosp4lv2F, Rehosp5lv2F]

Code

Description

1.1

Bacterial infection

1.2

Mycoses

1.3

Viral infection

1.4

Other infections; including parasitic

1.5

Immunizations and screening for infectious disease

2.1

Colorectal cancer

2.2

Other gastrointestinal cancer

2.3

Cancer of bronchus; lung

2.4

Cancer of skin

2.5

Cancer of breast

2.6

Cancer of uterus and cervix

2.7

Cancer of ovary and other female genital organs

2.8

Cancer of male genital organs

2.9

Cancer of urinary organs

2.1

Cancer of lymphatic and hematopoietic tissue

2.11

Cancer; other primary

2.12

Secondary malignancies

2.13

Malignant neoplasm without specification of site

2.14

Neoplasms of unspecified nature or uncertain behavior

2.15

Maintenance chemotherapy; radiotherapy

2.16

Benign neoplasms

3.1

Thyroid disorders

3.2

Diabetes mellitus without complication

3.3

Diabetes mellitus with complications

3.4

Other endocrine disorders

3.5

Nutritional deficiencies

3.6

Disorders of lipid metabolism

3.7

Gout and other crystal arthropathies

3.8

Fluid and electrolyte disorders

3.9

Cystic fibrosis

3.1

Immunity disorders]

3.11

Other nutritional; endocrine; and metabolic disorder

4.1

Anemia

4.2

Coagulation and hemorrhagic disorders

4.3

Diseases of white blood cells

4.4

Other hematologic conditions

5.1

Adjustment disorders

5.2

Anxiety disorders

5.3

Attention deficit, conduct, and disruptive behavior disorders

5.4

Delirium, dementia, and amnestic and other cognitive disorders

5.5

Developmental disorders

5.6

Disorders usually diagnosed in infancy, childhood, or adolescence

5.7

Impulse control disorders not elsewhere classified

5.8

Mood disorders

5.9

Personality disorders

5.1

Schizophrenia and other psychotic disorders

5.11

Alcohol-related disorders

5.12

Substance-related disorders

5.13

Suicide and intentional self-inflicted injury

5.14

Screening and history of mental health and substance abuse codes

5.15

Miscellaneous mental disorders

6.1

Central nervous system infection

6.2

Hereditary and degenerative nervous system conditions

6.3

Paralysis

6.4

Epilepsy; convulsions

6.5

Headache; including migraine

6.6

Coma; stupor; and brain damage

6.7

Eye disorders

6.8

Ear conditions

6.9

Other nervous system disorders

7.1

Hypertension

7.2

Diseases of the heart

7.3

Cerebrovascular disease/Stroke

7.4

Diseases of arteries; arterioles; and capillaries

7.5

Diseases of veins and lymphatics

8.1

Respiratory infections

8.2

Chronic obstructive pulmonary disease and bronchiectasis

8.3

Asthma

8.4

Aspiration pneumonitis; food/vomitus

8.5

Pleurisy; pneumothorax; pulmonary collapse

8.6

Respiratory failure; insufficiency; arrest (adult)

8.7

Lung disease due to external agents

8.8

Other lower respiratory disease

8.9

Other upper respiratory disease

9.1

Intestinal infection

9.2

Disorders of teeth and jaw

9.3

Diseases of mouth; excluding dental

9.4

Upper gastrointestinal disorders

9.5

Abdominal hernia

9.6

Lower gastrointestinal disorders

9.7

Biliary tract disease

9.8

Liver disease

9.9

Pancreatic disorders (not diabetes

9.1

Gastrointestinal hemorrhage

9.11

Noninfectious gastroenteritis

9.12

Other gastrointestinal disorders

10.1

Diseases of the urinary system

10.2

Diseases of male genital organs

10.3

Diseases of female genital organs

11.1

Contraceptive and procreative management

11.2

Abortion-related disorders

11.3

Complications mainly related to pregnancy

11.4

Indications for care in pregnancy; labor; and delivery

11.5

Complications during labor

11.6

Other complications of birth; puerperium affecting management of mother

11.7

Normal pregnancy and/or delivery

12.1

Skin and subcutaneous tissue infections

12.2

Other inflammatory condition of skin

12.3

Chronic ulcer of skin

12.4

Other skin disorders

13.1

Infective arthritis and osteomyelitis (except that caused by TB or STD)

13.2

Non-traumatic joint disorders

13.3

Spondylosis; intervertebral disc disorders; other back problems

13.4

Osteoporosis

13.5

Pathological fractur

13.6

Acquired deformities

13.7

Systemic lupus erythematosus and connective tissue disorders

13.8

Other connective tissue disease

13.9

Other bone disease and musculoskeletal deformities

14.1

Cardiac and circulatory congenital anomalies

14.2

Digestive congenital anomalies

14.3

Genitourinary congenital anomalies

14.4

Nervous system congenital anomalies

14.5

Other congenital anomalies

15.1

Liveborn

15.2

Short gestation; low birth weight; and fetal growth retardation

15.3

Intrauterine hypoxia and birth asphyxia

15.4

Respiratory distress syndrome

15.5

Hemolytic jaundice and perinatal jaundice

15.6

Birth trauma

15.7

Other perinatal conditions

16.1

Joint disorders and dislocations; trauma-related

16.2

Fractures

16.3

Spinal cord injury

16.4

Intracranial injury

16.5

Crushing injury or internal injury

16.6

Open wounds

16.7

Sprains and strain

16.8

Superficial injury; contusion

16.9

Burns

16.1

Complications

16.11

Poisoning

16.12

Other injuries and conditions due to external causes

17.1

Symptoms; signs; and ill-defined conditions

17.2

Factors influencing health care

18.0

Residual codes; unclassified; all E codes

666.00

Variable did not exist

888.00

N/A

991.00

Participant Hospitalized, Reason Unknown

992.00

Unknown whether participant was hospitalized

History

No history found for the Domain.

REHOSPITALIZATION - CALCULATED

Definition

REHOSP - Rehospitalized in the past year

[REHOSP] = CASE WHEN followup <= getdate() AND Rehosp1 = 8 THEN 1 WHEN followup <= getdate() AND Rehosp1 BETWEEN 0 AND 7 THEN 2 WHEN followup <= getdate() AND Rehosp1 = 9 THEN 2 WHEN followup <= getdate() AND Rehosp1 = 66 THEN 666 WHEN followup <= getdate() AND Rehosp1 = 99 THEN 999 WHEN followup <= getdate() AND Rehosp1 IS NULL THEN 999 ELSE 888 END

Variables

Form Type

Variable

ID

Question

History

Form 2

REHOSPF

752

Rehospitalized in Past Year

1989-10-01 - Variable Added

Codes and Values

ID 752

For Form: [Form 2]
For Variables: [REHOSPF]

Code

Description

0

No

1

Yes

66

Variable Did Not Exist

99

Unknown

88

Not Applicable

History

No history found for the Domain.