Resumen

GARCIA-AHUMADA, Félix  y  LEON-JIMENEZ FRANCO, Ernesto. Hospital mortality in a highly complex center from Lambayeque-Peru, 2014-2018. Rev. Cuerpo Med. HNAAA [online]. 2020, vol.13, n.2, pp.175-182.  Epub 30-Jun-2020. ISSN 2225-5109.  http://dx.doi.org/10.35434/rcmhnaaa.2020.132.669.

Objective: to describe clinical characteristics and aspects of mortality in patients from the Hospital Regional Lambayeque during 2014-2018; Materials and Methods: Retrospective and descriptive study with exploratory analysis. All deceased patients from the different services were included according to the Quality Management System registry. Results: There were 1560 deaths (4.7%); the median age was 55 years (IQR = 23-100), the most frequent age group was: over 75 years: 25.1%; 50.2% were women, 74.1% were from Lambayeque and 36.8% from Chiclayo; 32.6% were treated by Internal medicine and 18% by Intensive Medicine. The years that contributed with most deaths were: 2017 (21.2%) and 2014 (20.7%); the frequency of mortality was higher during 2014: 6.1% and lower during 2018: 4.1%. The most frequent discharge diagnoses were: sepsis/septic shock: 30.17% and respiratory failure:10.7%. In 14/1560 (0.9%) “cardiac arrest” appears as the final diagnosis and in 82/1560 (5.2%) the first diagnosis is “non-diagnosis”. In 14/1560 (0.9%) only signs or diagnoses that do not explain deaths are reported. Only in 44.6%, the second discharge diagnosis was recorded. Conclusions: The older adult group was the most frequent, with sepsis and respiratory failure, treated by internal medicine and intensive care; Mortality is high, but with decrease through the years. There are deficiencies in the registration of information both in quality and subreport.

Palabras clave : Hospital Mortality; Hospitalization; Hospitals General.

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