*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
K3189 - Other diseases of stomach and duodenum - as a primary diagnosis code | K3189 - Other diseases of stomach and duodenum - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.08 | |
Readmission Rate (%) | 30.29 | |
Unplanned Readmission Rate (%) | 17.28 | |
Mortality Rate (%) | ||
SNF Discharge Rate (%) | ||
Home Discharge Rate (%) | ||
PAYMENTS AND CHARGES | ||
Total Medicare Payments | ||
Payment Per Day | ||
Payment Per Hospitalization | ||
Total Medicare Charges | ||
Avg. Charges | ||
MARKET SIZING & INCIDENCE RATES | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
Total Medicare Hospitalizations after Exclusion |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 522,791 | ||||
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 1,795 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 47.82 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 3.19 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 23.49 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 17.24 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $8,226,407 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $1,436 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $4,583 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $51,719,705 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $28,813 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | 0.84 | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 8.47 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 67.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 25,783 | ||||
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 34 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 0.91 | ||||
Avg LOS at DRG | 10.43 | ||||
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 9.56 | ||||
Readmission Rate at DRG | 32.71 | ||||
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 40.0 | ||||
Unplanned Readmission Rate at DRG | 21.41 | ||||
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | NA | ||||
Total Medicare payments at DRG | $679,252,743 | ||||
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $797,234 | ||||
Total Medicare payment per Day at DRG | $2,526 | ||||
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $2,453 | ||||
Total Medicare payment per Hospitalization at DRG | $26,345 | ||||
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $23,448 | ||||
Total Medicare Charges at DRG | $3,189,491,346 | ||||
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $3,575,383 | ||||
Avg Charges at DRG | $123,705 | ||||
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $105,158 | ||||
Mortality Rate at DRG | 9.27 | ||||
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | NA | ||||
SNF Discharge Rate at DRG | 24.4 | ||||
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | NA | ||||
Home Discharge Rate at DRG | 30.46 | ||||
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 41.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|
Total Hospitalizations at DRG | 109,018 |
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 13 |
DRG Share of Total Hospitalizations | 0.33 |
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 0.35 |
Avg LOS at DRG | 12.66 |
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 16.15 |
Readmission Rate at DRG | 35.31 |
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | NA |
Unplanned Readmission Rate at DRG | 20.73 |
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | NA |
Total Medicare payments at DRG | $3,554,922,428 |
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $403,028 |
Total Medicare payment per Day at DRG | $2,575 |
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $1,919 |
Total Medicare payment per Hospitalization at DRG | $32,609 |
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $31,002 |
Total Medicare Charges at DRG | $15,445,232,132 |
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $2,303,570 |
Avg Charges at DRG | $141,676 |
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $177,198 |
Mortality Rate at DRG | 8.99 |
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | NA |
SNF Discharge Rate at DRG | 27.26 |
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | NA |
Home Discharge Rate at DRG | 27.78 |
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 20 |
UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 17 |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 408,103 | ||||
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 10,784 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 11.07 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 3.59 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 25.67 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 20.64 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $66,476,822 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $1,718 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $6,164 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $393,896,766 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $36,526 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | 0.32 | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 9.79 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 70.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 57,175 | ||||
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 3,315 | ||||
DRG Share of Total Hospitalizations | 0.17 | ||||
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 3.4 | ||||
Avg LOS at DRG | 4.07 | ||||
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 4.28 | ||||
Readmission Rate at DRG | 34.07 | ||||
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 36.09 | ||||
Unplanned Readmission Rate at DRG | 26.53 | ||||
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 29.05 | ||||
Total Medicare payments at DRG | $353,726,509 | ||||
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $20,286,112 | ||||
Total Medicare payment per Day at DRG | $1,519 | ||||
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $1,431 | ||||
Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $6,119 | ||||
Total Medicare Charges at DRG | $1,770,659,000 | ||||
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $119,536,974 | ||||
Avg Charges at DRG | $30,969 | ||||
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $36,059 | ||||
Mortality Rate at DRG | 1.12 | ||||
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | 0.51 | ||||
SNF Discharge Rate at DRG | 15.97 | ||||
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 13.51 | ||||
Home Discharge Rate at DRG | 50.7 | ||||
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 57.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 39,906 | ||||
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 2,042 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 2.1 | ||||
Avg LOS at DRG | 12.58 | ||||
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 11.32 | ||||
Readmission Rate at DRG | 30.9 | ||||
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 28.86 | ||||
Unplanned Readmission Rate at DRG | 16.7 | ||||
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 16.28 | ||||
Total Medicare payments at DRG | $1,415,372,711 | ||||
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $69,015,283 | ||||
Total Medicare payment per Day at DRG | $2,820 | ||||
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $2,986 | ||||
Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $33,798 | ||||
Total Medicare Charges at DRG | $6,367,247,472 | ||||
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $294,781,070 | ||||
Avg Charges at DRG | $159,556 | ||||
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $144,359 | ||||
Mortality Rate at DRG | 9.11 | ||||
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | 9.3 | ||||
SNF Discharge Rate at DRG | 24.69 | ||||
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 28.11 | ||||
Home Discharge Rate at DRG | 27.39 | ||||
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 28.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 84,943 | ||||
Total Hospitalizations with ICD K3189 - Other diseases of stomach and duodenum | 1,197 | ||||
DRG Share of Total Hospitalizations | 0.26 | ||||
% of Total ICD K3189 - Other diseases of stomach and duodenum in DRG | 1.23 | ||||
Avg LOS at DRG | 4.83 | ||||
Avg LOS with ICD K3189 - Other diseases of stomach and duodenum | 4.66 | ||||
Readmission Rate at DRG | 29.98 | ||||
Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 33.82 | ||||
Unplanned Readmission Rate at DRG | 23.75 | ||||
Unplanned Readmission Rate with ICD K3189 - Other diseases of stomach and duodenum | 27.4 | ||||
Total Medicare payments at DRG | $730,869,349 | ||||
Total Medicare payments with ICD K3189 - Other diseases of stomach and duodenum | $10,449,969 | ||||
Total Medicare payment per Day at DRG | $1,782 | ||||
Total Medicare payment per Day with ICD K3189 - Other diseases of stomach and duodenum | $1,872 | ||||
Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
Total Medicare payment per Hospitalization with ICD K3189 - Other diseases of stomach and duodenum | $8,730 | ||||
Total Medicare Charges at DRG | $3,626,959,517 | ||||
Total Medicare Charges with ICD K3189 - Other diseases of stomach and duodenum | $55,035,342 | ||||
Avg Charges at DRG | $42,699 | ||||
Avg Charges with ICD K3189 - Other diseases of stomach and duodenum | $45,978 | ||||
Mortality Rate at DRG | 2.39 | ||||
Mortality Rate with ICD K3189 - Other diseases of stomach and duodenum | 1.25 | ||||
SNF Discharge Rate at DRG | 20.54 | ||||
SNF Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 15.87 | ||||
Home Discharge Rate at DRG | 49.17 | ||||
Home Discharge Rate with ICD K3189 - Other diseases of stomach and duodenum | 57.81 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 513 |
OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 464 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 462 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. AJMAL HAMEED | 3627 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 182 |
Dr. ANTONIO SERNA | 520 E EUCLID AVE | SAN ANTONIO | TX | 78212 | 124 |
Dr. MAGDY SHOUKRY ELSAKR | 2336 SYLVAN AVE | MODESTO | CA | 95355 | 110 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ALEX S CHAI | 1245 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 79 |
Dr. MICHAEL MAROHN | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 65 |
Dr. HECTOR CARBAJAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 53 |