Case #187

Updated by Anonymous about 7 years ago

Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Initiated: 2009-10-22
By: Denise Olsson, Skåne/CPK, Sweden
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted

*BACKGROUND*

CPK ID 325

*Problem*

A patient with *P071A* (Annan låg födelsevikt, 1000–1499 g) is grouped to DRG *387N* (Nyfödd, födelsevikt 1000 -1499 g,) with the weight 9,5813. If *P220* (Respiratory distress syndrome hos nyfödd) is added the case is grouped to DRG *388C* (Respiratory distress syndrome hos prematur nyfödd) with the weight 8,7235. (Swedish weights 2010.) Respiratory distress syndrome is a “heavy” secondary diagnosis and it should not cause a DRG with lesser weight.

!2010-MDC15-01.jpg!

It seems to be a hierarchy problem. According to Swedish cost data the hierarchy in Drglogic should be changed so that DRG 388C comes after DRG 387N. The number of observations in DRG 388C is very small, however, so therefore Finnish cost data has to be studied as well.

*COMMENTS*

*Expert Network 2010-03-12*

This problem will be solved by case 2005-MDC15-04 [[http://documents.norddrg.net/issues/188]]. [[]].

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