AIGO, Italian Association of Hospital Gastroenterologists and Endoscopists, Roma, Italy.
Direzione Generale della programmazione sanitaria, Italian Health Ministry, Roma, Italy.
Dig Liver Dis. 2019 Jan;51(1):43-46. doi: 10.1016/j.dld.2018.06.015. Epub 2018 Jun 28.
Digestive diseases imply a substantial burden for health care systems. Effectiveness of specialized gastroenterology care has been demonstrated in a few real life surveys.
To perform an in-depth analysis of Hospital Discharge Records (HDRs) of patients admitted for digestive diseases (DDs) from all Italian regions over the years 2010-2014.
Data on National HDRs were provided by the Italian Health Ministry.
During the years 2010-2014, a mean of 949,830 patients with DDs were admitted to hospital per year, representing 10.0% of all admissions in Italy. Only 7.4% of patients with DDs were admitted to Gastroenterology units due to the limited number of the specialty-focused beds (3.4/100,000 inhabitants). DDs urgent admissions in Gastroenterology units represented 33% of admissions. The mean length of stay was 8.1 days in Gastroenterology units, as opposed to 8.3 in other units. Mortality rate for DDs altogether, for urgent admissions, and for urgent admissions with bleeding were 2.2%, 1.7%, 2.2% in Gastroenterology units, and 3.1%, 3.9%, 3.5% in other units, respectively. DDs admissions were appropriate in 81.3% in Gastroenterology units as opposed to 66.6% in all other units.
Gastroenterology units offer a better specific care in terms of length of hospital stay and mortality even for patients admitted for emergent conditions.
消化疾病对医疗保健系统构成了重大负担。在一些实际调查中已经证明了专门的胃肠病学护理的有效性。
对 2010-2014 年来自意大利所有地区因消化疾病（DD）住院的患者的住院记录（HDR）进行深入分析。
意大利卫生部提供了国家 HDR 数据。
在 2010-2014 年期间，每年平均有 949830 名 DD 患者住院，占意大利所有住院患者的 10.0%。由于专门床位数量有限（3.4/100000 居民），只有 7.4%的 DD 患者因 DD 被收入胃肠病学病房。胃肠病学病房紧急收治的 DD 患者占住院人数的 33%。在胃肠病学病房的平均住院时间为 8.1 天，而在其他病房则为 8.3 天。DD 患者的总死亡率、紧急入院死亡率和紧急入院伴出血死亡率分别为 2.2%、1.7%和 2.2%，在胃肠病学病房为 3.1%、3.9%和 3.5%，在其他病房。DD 患者在胃肠病学病房的收治是恰当的，占 81.3%，而在所有其他病房的收治是恰当的，占 66.6%。
胃肠病学病房为患者提供了更好的特定护理，在住院时间和死亡率方面，即使是因紧急情况入院的患者也是如此。
