Resumo

FERNANDEZ VALDIVIA, Antonia et al. Study of death with secondary diagnosis of malnutrition in a third level hospital. Nutr. Hosp. [online]. 2013, vol.28, n.4, pp.1274-1279. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2013.28.4.6485.

Background: Malnutrition is a major public health problems, according to WHO, is the leading cause of death, when it affects the group of hospitalized patients, making denominating separate entity "hospital malnutrition". Objectives: The overall objective is to quantify the main diagnoses frequently high, causing exitus, with secondary diagnosis of malnutrition. Methods: This is a descriptive study, which included all hospital discharges in 2011 and first half of 2012, which have been exitus and whose secondary diagnosis of malnutrition, with the total of 33. We performed a descriptive analysis, effected the Mann-Whitney nonparametric test (p < 0.05). Results: The most frequent main diagnoses among 33 analyzed are high sepsis (12.1%), liver metastases (9.1%), pneumonia (6.1%), acute respiratory failure (6.1%) and renal acute renal (6.1%). Conclusions: Although the most frequent primary diagnosis of sepsis, by grouping the diagnoses, the most frequent DRG is respiratory disease, so it has to make comprehensive and quality coding to adjust the relative weight of the same reality. It is essential to specify the source of clinical information used for coding, the degree of malnutrition, for greater specificity in the data.

Palavras-chave : Death; Malnutrition; Main diagnosis; Diagnosis related groups; Minimun data set.

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