Hospital admission for digestive diseases

Gastroenterology units offer a more effective and efficient care

Antonio Balzano, Flavia Carle, Cristina Tamburini, Fabio Monica, Giuseppe Milazzo, Paolo Spolaore, Marco Galadini, Fulvio Basili, Luigi Ricciardiello, Elisabetta Buscarini, Gioacchino Leandro

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Digestive diseases imply a substantial burden for health care systems. Effectiveness of specialized gastroenterology care has been demonstrated in a few real life surveys.

AIMS: 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.

METHODS: Data on National HDRs were provided by the Italian Health Ministry.

RESULTS: 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.

CONCLUSIONS: Gastroenterology units offer a better specific care in terms of length of hospital stay and mortality even for patients admitted for emergent conditions.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalDigestive and Liver Disease
Volume51
Issue number1
DOIs
Publication statusPublished - Jan 2019

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Gastroenterology
Length of Stay
Hospital Records
Patient Discharge
Hospital Mortality
Italy
Hemorrhage
Delivery of Health Care
Mortality
Health

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Hospital admission for digestive diseases : Gastroenterology units offer a more effective and efficient care. / Balzano, Antonio; Carle, Flavia; Tamburini, Cristina; Monica, Fabio; Milazzo, Giuseppe; Spolaore, Paolo; Galadini, Marco; Basili, Fulvio; Ricciardiello, Luigi; Buscarini, Elisabetta; Leandro, Gioacchino.

In: Digestive and Liver Disease, Vol. 51, No. 1, 01.2019, p. 43-46.

Research output: Contribution to journalArticle

Balzano, A, Carle, F, Tamburini, C, Monica, F, Milazzo, G, Spolaore, P, Galadini, M, Basili, F, Ricciardiello, L, Buscarini, E & Leandro, G 2019, 'Hospital admission for digestive diseases: Gastroenterology units offer a more effective and efficient care', Digestive and Liver Disease, vol. 51, no. 1, pp. 43-46. https://doi.org/10.1016/j.dld.2018.06.015
Balzano, Antonio ; Carle, Flavia ; Tamburini, Cristina ; Monica, Fabio ; Milazzo, Giuseppe ; Spolaore, Paolo ; Galadini, Marco ; Basili, Fulvio ; Ricciardiello, Luigi ; Buscarini, Elisabetta ; Leandro, Gioacchino. / Hospital admission for digestive diseases : Gastroenterology units offer a more effective and efficient care. In: Digestive and Liver Disease. 2019 ; Vol. 51, No. 1. pp. 43-46.
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abstract = "BACKGROUND: Digestive diseases imply a substantial burden for health care systems. Effectiveness of specialized gastroenterology care has been demonstrated in a few real life surveys.AIMS: 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.METHODS: Data on National HDRs were provided by the Italian Health Ministry.RESULTS: 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.CONCLUSIONS: Gastroenterology units offer a better specific care in terms of length of hospital stay and mortality even for patients admitted for emergent conditions.",
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T1 - Hospital admission for digestive diseases

T2 - Gastroenterology units offer a more effective and efficient care

AU - Balzano, Antonio

AU - Carle, Flavia

AU - Tamburini, Cristina

AU - Monica, Fabio

AU - Milazzo, Giuseppe

AU - Spolaore, Paolo

AU - Galadini, Marco

AU - Basili, Fulvio

AU - Ricciardiello, Luigi

AU - Buscarini, Elisabetta

AU - Leandro, Gioacchino

N1 - Copyright © 2018 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

PY - 2019/1

Y1 - 2019/1

N2 - BACKGROUND: Digestive diseases imply a substantial burden for health care systems. Effectiveness of specialized gastroenterology care has been demonstrated in a few real life surveys.AIMS: 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.METHODS: Data on National HDRs were provided by the Italian Health Ministry.RESULTS: 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.CONCLUSIONS: Gastroenterology units offer a better specific care in terms of length of hospital stay and mortality even for patients admitted for emergent conditions.

AB - BACKGROUND: Digestive diseases imply a substantial burden for health care systems. Effectiveness of specialized gastroenterology care has been demonstrated in a few real life surveys.AIMS: 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.METHODS: Data on National HDRs were provided by the Italian Health Ministry.RESULTS: 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.CONCLUSIONS: Gastroenterology units offer a better specific care in terms of length of hospital stay and mortality even for patients admitted for emergent conditions.

U2 - 10.1016/j.dld.2018.06.015

DO - 10.1016/j.dld.2018.06.015

M3 - Article

VL - 51

SP - 43

EP - 46

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

SN - 1590-8658

IS - 1

ER -