Page 6 - ICS Vall d'Hebron University Hospital 2011

6 ICS · Vall d’Hebron University Hospital 2011
Most Complex DRGs 1
2010 2011
DRG Description Discharges Discharges DRG Weight
877 Extracorporeal membrane oxygenation or tracheotomy with mechanical
ventilation for more than 96 hours 165 148 48.41
602 Newborn, weight at birth < 750 g, alive at discharge 22 12 42.40
606 Newborn, weight at birth 1,000-1,499 g, with significant surgery, alive at discharge 12 16 34.04
795 Lung transplant 64 47 34.04
480 Liver transplant and/or intestinal transplant 41 53 31.82
604 Newborn, weight at birth 750-999 g, alive at discharge 46 38 31.16
878 Tracheotomy with mechanical ventilation for more than 96 hours or without
main diagnosis of ENT disorders, without major surgical procedures 75 69 29.81
803 Allogeneic bone marrow transplant 46 54 23.65
821 Extensive burns or full thickness burns with mechanical ventilation
for more than 96 hours with skin graft 21 19 23.02
609 Newborn, weight at birth 1,500-1,999 g, with significant surgery, with multiple
major problems 11 10 18.99
804 Autologous bone marrow transplant 37 33 15.32
545 Heart valve surgery with major complications 123 140 14.13
607 Newborn, weight at birth 1,000-1,499 g, without significant surgery,
alive at discharge 63 102 13.77
603 Newborn, weight at birth < 750 g, death 10 10 12.94
547 Other cardiothoracic surgery, with major complications 32 28 12.73
576 Acute leukaemia with major complications 37 59 12.64
622 Newborn, weight at birth > 2,499 g, with significant surgery, with multiple
major problems 69 53 11.09
530 Craniotomy with major complications 78 90 11.00
881 Respiratory system diagnosis with mechanical ventilation for more than 96 hours 38 21 10.75
793 Surgery due to significant multiple trauma except craniotomy with major
non-traumatic complications 21 18 10.43
Source: CMBD-HA.
1. For the selection of tertiary care procedures, the 20 most complicated procedures were included with the greatest DRG weight and at least 10 discharges. A
high DRG weight indicates the need for more healthcare resources.
Besides the procedures shown in the above table, the hos-
pital also carried out other highly complex procedures such
as a heart transplant in a child, the implantation of cardiac
assist systems, treatment of extensive burns with mechani-
cal ventilation without skin grafts, and defibrillator
implants with cardiac catheterization, without acute myo-
cardial infarction. Although the annual figure for each of
these procedures does not exceed ten discharges, they
require high levels of technology and specialization and are
only performed by tertiary centres such as Vall d’Hebron
University Hospital.