Servicio de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Albacete, Albacete, España.
Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Toledo, Toledo, España.
Endocrinol Diabetes Nutr (Engl Ed). 2020 Dec;67(10):665-671. doi: 10.1016/j.endinu.2020.01.006. Epub 2020 Jun 1.
The activity of an Endocrinology and Nutrition (E&N) department consists of inpatient care both by those attached to the department and through consultations with specialists from other departments. The inpatient care activity of all the E&N departments of a public health system has not been studied in Spain.
This was a retrospective study of hospital ward activity during 2018 of the E&N departments of the Castilla-La Mancha Public Health Service. It was undertaken in order to ascertain the characteristics of the patients attended to, both by those in charge of the E&N departments and through interconsultation with other departments, as well as the case-mix of the pathology of these patients. All patients admitted to E&N and a 10% sample of those treated through interconsultation were analysed.
261 admissions were recorded for Castilla-La Mancha Public Health Service E&N departments. 82.8% were urgent and 53.7% were due to type 1 diabetes mellitus. A total of 5955 patients were seen on an interconsultation basis, 591 of whom were analysed. The most frequent reason for interconsultation was diabetes mellitus/hyperglucemia (28.8%), requiring 6.1±6.7 days per patient. However, interconsultations for artificial nutrition required more days of attendance per patient and accounted for a higher percentage of the total number of days of interconsultation (60.4%).
The inpatient care activity of the E&N departments of Castilla-La Mancha Public Health Service mainly consists of attending to patients with chronic pathologies of high hospital prevalence such as diabetes mellitus/hyperglucemia and, especially, clinical nutrition.
内分泌与营养（E&N）科的活动包括该科室的住院患者护理以及与其他科室的专家进行会诊。西班牙尚未研究过所有公共卫生系统 E&N 科室的住院患者护理活动。
这是一项对卡斯蒂利亚-拉曼恰公共卫生服务 E&N 科室 2018 年住院病房活动的回顾性研究。旨在确定接受治疗的患者特征，包括 E&N 科室负责的患者和通过与其他科室的会诊治疗的患者，以及这些患者的疾病组合。分析了所有收入 E&N 病房的患者和通过会诊治疗的 10%患者样本。
记录了卡斯蒂利亚-拉曼恰公共卫生服务 E&N 科室的 261 例住院病例。82.8%为急症，53.7%为 1 型糖尿病。共有 5955 例患者通过会诊接受治疗，其中 591 例进行了分析。会诊最常见的原因是糖尿病/高血糖（28.8%），每位患者需要 6.1±6.7 天。然而，人工营养的会诊需要每位患者更多的就诊天数，并且占总会诊天数的比例更高（60.4%）。
卡斯蒂利亚-拉曼恰公共卫生服务 E&N 科室的住院患者护理活动主要包括治疗糖尿病/高血糖等具有高医院患病率的慢性疾病患者，特别是临床营养患者。
