Characterization of Hospital Discharges with Malignant Tumors Based on Information from Diagnosis Related Groups
DOI:
https://doi.org/10.17533/udea.rfnsp.v35n3a08Keywords:
neoplasms, hospital mortality, length of stay, patient dischargeAbstract
Objective: to describe the characteristics of hospital discharges with a diagnosis of cancer during 2014 based on DRG information. Methodology: an analytical study with a descriptive and inferential analysis using secondary information. The statistical description was carried out based on the variables’ nature and level of measurement. Moreover, a bivariate analysis was performed to estimate the differences in the means using Student’s t-test (t) and a parametric ANOVA (Snedecor’s F). Results: a total of 3.030 hospital discharges were attended. The relative mean weight was 1.62, the mean inlier stay was 10.69 days and the mean adjusted length of stay was 0.97 days. Additionally, 56.01% of hospital discharges showed a higher level of severity, with a relative mean weight of 2.09, and a mean length of stay of 13.53 days. Of the patients who were more likely to die, 32.64% were discharged alive and 19.62% died. Furthermore, statistically significant differences were found between mean stay and patient status upon discharge, severity level and mortality level. Conclusions: the results of this study indicate that the institution is managing hospital stay effectively. Evidence of this lies in the possibility of providing care to 76 additional patients as a result of saving on stay days. Another proof of this effectiveness can be observed in the functional indicators, which were in line with patient complexity.
Downloads
References
(1). Organización Mundial de la Salud. Nota descriptiva sobre el cáncer [Internet] 2017 febrero [Acceso 2 de mayo de 2016]. Disponible en: http://www.who.int/mediacentre/factsheets/fs297/es/
(2). Ospina M, Huertas JA, Montaño JI, Rivillas JC. Observatorio Nacional de Cáncer Colombia. Rev. Fac. Nac. Salud Pública [revista en Internet] [Acceso 2 de mayo de 2016]; 33(2): [262- 276]. Disponible en: http://www.scielo.org.co/pdf/rfnsp/v33n2/v33n2a13.pdf
(3). Organización Panamericana de la Salud. La carga económica de las enfermedades no transmisibles en la región de las Américas. Informe temático sobre enfermedades no transmisibles [Internet]. [Acceso 2 de mayo de 2016]. Disponible en: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=16158&Itemi
(4). Sociedad Europea de Oncología Médica. Estudio sobre los efectos del cáncer en la economía y los cuidadores. [Internet]. 2012 octubre [Acceso 2 de mayo de 2016]. Disponible en: http://cordis.europa.eu/news/rcn/35079_es.html
(5). Cortés A, Gorbanev I, Agudelo-Londoño S, Yepes FJ. Grupos relacionados por el diagnóstico: experiencia en tres hospitales de alta complejidad en Colombia. Univ Med 2016; 57(2): 171-181.
(6). Rivera R, Rojas P, Rodríguez A, Cubillos P, Rojas M. Análisis de Gestión Clínica asociada a la Producción Hospitalaria [Internet]. Santiago de Chile: Hospital de Urgencia Asistencia Pública; 2015 [Acceso 2 de mayo de 2016]. Disponible en: http://huap.redsalud.gob.cl/wrdprss_minsal/wp-content/uploads/2017/01/ANUARIO2015-UAC-GRD-HUAP.pdf
(7). Gorbanev I, Cortés A, Agudelo S, Yepes FJ. ¿Por qué los grupos relacionados de diagnóstico no se implementan en Colombia? Cad. Saúde Pública 2015; 31(9): 2027-2031.
(8). Cabello C, Costabal R, Ruscica A. Indicadores globales de producción y eficiencia clínica. Santiago de Chile: Hospital del Salvador; 2011.
(9). Sandoval H, Manríquez A, Altamirano E, Garcés C. Indicadores globales de producción y eficiencia clínica utilizando sistema GRD año 2012 [Internet]. Angol: Hospital Mauricio Heyermann; 2012 [Acceso 3 abril de 2016]. Disponible en: http://www.hospitalangol.cl/web/images/Informativos/Informe%20Anual%202012-1.pdf
(10). Instituto Nacional de Estadística. Encuesta de Morbilidad Hospitalaria. Año 2012 [Internet]. Madrid: Instituto Nacional de Estadística; 2013 [Acceso 4 de marzo de 2016]. Disponible en: http://www.ine.es/prensa/np816.pdf
(11). Cueto S. Memoria anual 2013 [Internet]. Santa Cruz de Tenerife: Hospital Universitario Nuestra Señora de la Candelaria [Acceso 4 de marzo de 2016]. Disponible en: http://www3.gobiernodecanarias.org/sanidad/scs/content/bc650663-5dd2-11e4-a62a-758e414b4260/Memoria_anual_HUNSC_2013.pdf
(12). Comunidad de Madrid. Observatorio de Resultados. Informe de hospitales, años 2011-2013. [Internet]. Madrid: Comunidad de Madrid, Consejería de Sanidad, Servicio Madrileño de Salud; 2014. [Acceso 5 junio de 2016]. Disponible en: http://observatorioresultados.sanidadmadrid.org/Descargas/Informe_Observatorio_Resultados_Hospitales.pdf
(13). Del Río A. Análisis de Gestión Clínica asociada a la Producción Hospitalaria [libro en Internet]. Santiago de Chile: Hospital de Urgencia Asistencia Pública; 2014. [Acceso 10 de febrero de 2016]. Disponible en: http://www.huap.cl//wrdprss_minsal/wp-content/uploads/2016/01/ANUARIO-2014-UAC-GRD-HUAP1.pdf
Downloads
Published
How to Cite
Issue
Section
License
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "