Respiratory failure (insufficiency), chronic: Difference between revisions

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 *Also code the cause if known.
 *Also code '''[[Chronic dependence on mechanical ventilator]]''' if present.
 *Use this code for a patient who comes into ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a [[Comorbid Diagnosis]].
-**But if the patient comes to hospital with respiratory insufficiency or failure directly from any acute care facility (other than IICU) where it FIRST developed (i.e. was not present prior to admission to that sending acute care facility) you '''do NOT use this code'''.  This applies even if this is the third or fourth transfer during same episode of hospital care.
+*When a patient develops chronic resppiratory insufficiency or failure after the start of their current database record, code it as an '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors.
-*In general do NOT use this code for someone with no pre-existing chronic respiratory insufficiency/failure, who came into hospital with (or developed while in hospital) acute respiratory failure -- EXCEPT you can use this code when someone with acute respiratory failure '''evolves''' into chronic respiratory insufficiency/failure during their time in hospital, for which this code would be a '''[[Acquired Diagnosis / Complication]]'''. And the decision that this occurred will be a clinical decision, made by the data collectors.
-{{DA|I am confused by the last 2 statements which follow the sentence "it's appropriate in the ICU record prior to IICU transfer to code it as an acquired diagnosis". So if a patient with no prior history of chronic respiratory failure has a long admission with multiple moves in acute care facilities and "evolves" into a chronic respiratory insufficiency/failure, are we supposed to use this code or not? --[[User:Jvelasco|Jvelasco]] 14:44, 2020 July 14 (CDT)}}
 *For a typical '''IICU''' patient, use the following codes if applicable:
 **[[Respiratory failure (insufficiency), chronic]] in admit codes. (If the patient came from another unit (ex.MICU) this code would be an acquired diagnosis in that profile).