Epidemiology in one year of hospitalizations in a gastroenterology ward at a referral hospital
DOI:
https://doi.org/10.47456/rbps.v26isupl_3.05Keywords:
Risk Factors, Gastroenterology, Liver Cirrhosis, Hospital infection, HospitalizationAbstract
Introduction: Gastrointestinal diseases are prevalent in Brazil and require highly complex care. Objectives: To evaluate gastroenterology hospital admission data at a tertiary hospital of the public health system in the Southeast region of Brazil. Methods: Cross-sectional retrospective study of 335 hospitalizations of 282 patients, from 4/1/21 to 3/31/22. Results: Mean age: 55.8 years, 67% men, hospitalized for an average of 14.5±14.8 days (median: 10). The main diagnosis was decompensated liver cirrhosis (51.8%), followed by pancreatic diseases (11.9%) and inflammatory bowel diseases (8.9%). Alcoholism was present in 37.9% of the patients. Nosocomial infection: 24.8%, renal dysfunction: 27.8%. Cirrhosis was a risk factor for the development of renal dysfunction (p<0.001) and death occurred in 30 patients (9%). Conclusion: In gastroenterological diseases with hospitalization, decompensated cirrhosis was the most frequent disease and alcoholism was the main preventable risk factor. Patients had a high risk of infection and renal dysfunction. Comprehensive care with teams trained in making quick decisions can prevent and treat early infections and kidney dysfunctions, with rational use of public resources.
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