Skip to main content
Intensive Care Medicine Experimental
Download PDF

Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open access
  • Published:

Evaluation of the relative weight (rw) of diagnosis-related groups (drg) in critically ill patients (cip) with severe sepsis (ss) according to the major diagnostic categories (mdc)

Intensive Care Medicine Experimental volume 3, Article number: A766 (2015) Cite this article

Introduction

Apart from financial purposes (cost accounting), DRG as case - mix system are not used for obtaining competitive advantage. The variability of the RW of DRG related to SS has not been researched; it could be relevant from a socioeconomic perspective. In relation with SS, we hypothesize that the average RW of each MDC is different.

Objectives

Analyze if the RW of the DRGs in CIPs with SS behaves differently depending on the MDC.

Methods

  • Type of Study: prospective, analytical, longitudinal, and observational

  • Period: January 1-2011 / June 30-2014 (42 months)

  • Setting : Medical/Surgical ICU

  • Population: 2559 CIPs admitted consecutively to the ICU; sample: 484 CIPs with SS.

  • Exclusión criteria: CIPs < 16 y., major burn CIPs, incomplete clinical documentation, and voluntary discharge.

  • DRG AP-DRG 25.0 version (684 DRG are grouped into 25 Major Diagnostic Categories and 1 extra Category). Each DRG can be medical (M) or surgical (S).

  • MDC: 1 (neurology), 2 (eye), 3 (ear, nose, mouth, throat), 4 (respiratory), 5 (circulatory), 6 (digestive, 7 (hepatobiliary & pancreas), 8 (musculoskeletal & connective), 9 (skin & breast), 10 (endocrine), 11 (urinary tract), 12 (male reproductive), 13 (female reproductive), 14 (pregnancy & childbirth), 15 (newborn), 16: (blood & immunological), 17 (mMyeloproliferative), 18 (infectious), 19 (mental), 20 (alcohol / drug), 21 (Injuries & poison), 22 (burns), 23 (factors influencing health status), 24 (HIV), 25 (PLT), 0 (PreMed, miscellany)

  • Excluded MDC: 8 DRG with SS

  • Depending on the focus of sepsis, SS related to MDC '0' (extra Category) are transferred to another MDC.

  • Statistical analysis: ANOVA, ´F´ Snedecor. Scheffe's test post ANOVA to find out which pairs of MDC are significative.

Results

See Tables 1 and 2.

Table 1 Results I.
Full size table
Table 2 Results II.
Full size table

  • Excluded MDC: 2, 3, 4, 12,13,14, 15, 16, 17, 19, 20, 21, 22, 23, 24 y 25

  • Significative ANOVA (F Snedecor = 5,6633, P < 0,001):

Conclusions

  • The RW of MDC '4' and '6' is greater than the RW of the rest of the MDC.

  • The RW of the rest of MDC are quite similar.

  • MDC '4' and '6' differ, respectively, with 6 and 3 MDC.

Author information

Authors and Affiliations

  1. Critical Care Department, QuirónSalud Hospital Universitario Sagrat Cor, Barcelona, Spain

    J Ruiz Moreno, E González Marín, MJ Esteve Paños, R Corcuera Romero de la Devesa, MJ Riba Ribalta, S Godayol Arias, N Conesa Folch & F Baigorri González

  2. Critical Care Department, Hospital de Sabadell & QuirónSalud Hospital Universitario Sagrat Cor, Sabadell, Spain

    A Artigas Raventós

Authors
  1. J Ruiz Moreno
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E González Marín
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. MJ Esteve Paños
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R Corcuera Romero de la Devesa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. MJ Riba Ribalta
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S Godayol Arias
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. N Conesa Folch
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. F Baigorri González
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. A Artigas Raventós
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ruiz Moreno, J., González Marín, E., Esteve Paños, M. et al. Evaluation of the relative weight (rw) of diagnosis-related groups (drg) in critically ill patients (cip) with severe sepsis (ss) according to the major diagnostic categories (mdc). ICMx 3 (Suppl 1), A766 (2015). https://doi.org/10.1186/2197-425X-3-S1-A766

Download citation

  • Published:

  • DOI: https://doi.org/10.1186/2197-425X-3-S1-A766

Keywords