PMID- 11766279
OWN - NLM
STAT- MEDLINE
DCOM- 20020802
LR  - 20061115
IS  - 0212-7199 (Print)
IS  - 0212-7199 (Linking)
VI  - 18
IP  - 10
DP  - 2001 Oct
TI  - [Specific mortality rates by DRG and main diagnosis according to CIE-9-MC at a 
      level-II hospital].
PG  - 510-6
AB  - INTRODUCTION: The in hospital mortality is a marker of health care quality. It 
      can be evaluated according by the principal diagnosis of disease or by Diagnosis 
      Related Groups (DRG). OBJECTIVES: Know and to analyze the in hospital mortality 
      and mortality rate (MR) in the patients admitted in the Hospital Morales Meseguer 
      (Murcia) of II level of the INSALUD during 1999. METHODOLOGY: Study of the 
      minimum basic group of data into the hospital. RESULTS: The MR was 3.8% of 508 
      deaths analyzes, 56.7% corresponded a male. The MR was equal in male (3.6%) and 
      females (3.9%). The medium of age into deaths was 77 years. The numbers of deaths 
      inpatients under 80 years was higher in males (n = 197; 65%) than in lower in 
      female (n = 102; 35%)(p = 0.002). The addition of deaths of Internal Medicine and 
      Intensive Care Unit represent a 70% of cases of deaths occurred in the hospital. 
      The MR was higher in Intensive Care Unit (10.5%) followed by Hematology (6.9%) 
      and Internal Medicine (6.1%). Ten DRG represents of 50% of the causes of deaths, 
      and all of them were DRG of medical categories. The DRG more frequents was 541, 
      Respiratory disorders with complication (n = 61, MR 12.8%), followed by DRG 533. 
      Specific cerebrovascular disorders without Transit isquemic accident (n = 33; MR 
      34.7%), DRG 123 Acute myocardical infarction (AMI) with death (n = 31; MR 100%), 
      DRG 014 Others disorders of nervous system (n = 27; TM: 10.3%) y DRG 552 
      Disorders of digestive tract without esophagitis, gastroenteritis and not 
      complicated ulcer (n = 27; MR: 31.0). The main diagnostic more frequent was 
      cerebrovascular diseases (n = 60, MR 12.2%), pneumonia-bronchopneumonia (n = 52, 
      MR 10.9%), chronic obstructive lung disease (n = 36, MR 7.1%), AMI (n = 33, MR 
      11.5%), and neoplasia of digestive tract (n = 26; MR 8.5%). The MR of woman with 
      AMI (19.5%) was higher than man (7.7%) (p = 0.005), the MR in woman with 
      abdominal hernia (4.3%) was higher than man (0.6%) (p = 0.01), and MR of 
      pyelonephritis and urinary infection in man (4.9%) was higher than woman (0%) (p 
      = 0.008). CONCLUSIONS: The mortality and MR by DRG and main diagnostic is an 
      indicator than permit to know and monitoring the quality of health care.
FAU - Ramos Rincon, J M
AU  - Ramos Rincon JM
AD  - Servicio de Medicina Interna, Hospital J.M. Morales Meseguer, Murcia. 
      jramosr@seimc.org
FAU - Garcia Ruiperez, D
AU  - Garcia Ruiperez D
FAU - Aliaga Matas, F
AU  - Aliaga Matas F
FAU - Lozano Cutillas, M C
AU  - Lozano Cutillas MC
FAU - Llanos Llanos, R
AU  - Llanos Llanos R
FAU - Herrero Huerta, F
AU  - Herrero Huerta F
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Tasas especificas de mortalidad por GRD y diagnostico principal segun la CIE-9-MC 
      en un hospital de II nivel.
PL  - Spain
TA  - An Med Interna
JT  - Anales de medicina interna (Madrid, Spain : 1984)
JID - 9112183
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Diagnosis-Related Groups
MH  - Female
MH  - Hospital Mortality/*trends
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Spain/epidemiology
EDAT- 2002/01/05 10:00
MHDA- 2002/08/03 10:01
CRDT- 2002/01/05 10:00
PHST- 2002/01/05 10:00 [pubmed]
PHST- 2002/08/03 10:01 [medline]
PHST- 2002/01/05 10:00 [entrez]
PST - ppublish
SO  - An Med Interna. 2001 Oct;18(10):510-6.