title: ["Outliers" in a surgical department. Experiences based on the DRG classification system].
abstract: According to the DRG classification system, 3% (201/6,954) of the patients treated in a 150-bed surgical department in 1991 were defined as outliers, i.e. their length of stay exceeded the upper limit of a "normal" stay as defined by the DRG system. These patients consumed 20% of total in-hospital days. In 16% of the outliers, hospitalization was extended because of advanced cancer. In 14% of the outliers the stay in hospital was prolonged because an out-patient social service could not be established or the patient could not be transferred to a nursing home. In 35% of the outliers, the disease itself was responsible for the extended stay. Complications following treatment were the cause of prolonged stay in hospital in 35% of the outliers.
authors.affiliation: Kirurgisk avdeling, Haukeland Sykehus, Bergen.
authors.forename: G S
authors.initials: GS
authors.lastname: Hortemo
authors.forename: O
authors.initials: O
authors.lastname: Søreide
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare; D000368:Aged; D002648:Child; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009664:Norway; D011183:Postoperative Complications / Q000175:diagnosis; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data*
vernacular_title: "Langtidsliggere" i en kirurgisk avdeling. Erfaringer basert på DRG-klassifikasjonssystemet.