[Two-year analysis of Internal Medicine activity in the National Health Care System hospitals]. / Análisis de dos años de actividad de Medicina Interna en los hospitales del sistema nacional de salud.

INTRODUCTION: We present a summary of the results of the hospital activities of the Internal Medicine (IM) Departments of the National Health Care System during the years 2005-2006. MATERIAL AND METHODS: The patients hospitalized in the IM departments of Spain during 2005 and 2006 were analyzed according to the data obtained from the minimum basic data set (MBDS), in which the administrative data were collected (age, gender, personal data) and clinical data (one principal diagnosis and up to 1 secondary diagnosis and 19 clinical procedures) for all the patients hospitalized in the public and private hospitals of Spain. RESULTS: During this period, there were 7,130.85 discharges in our country, 1,099.65 of these being from IM. A total of 53.6% of the patients were male, with mean age of 70.6 years, mean stay of 10 days (standard deviation [SD] 11.7) and 9.9% deaths. A total of 9.7% of the patients were admitted through the Emergency Department. Mean weight was 1.74 (SD 1.41) according to the American classification system and 1.1 (SD 0.73) according to the National Health System data. Respiratory failure diagnostic related group (DRG-541, 88 and 101) accounted for 14% of the discharges and heart failure (DRG 17, 544 and 87) accounted for 1.4% of all the episodes. CONCLUSIONS: In Spain, the internal medicine doctors attended one out of every 6 hospitalized patients. Admissions for more than half of the patients admitted due to cardiorespiratory disorder were unscheduled and one out of every 10 died during their stay. These data illustrate the importance of this specialty in the context of health care of our country. (c) 2009 Elsevier España, S.L. All rights reserved.

Análisis de 2 años de actividad de Medicina Interna en los hospitales del Sistema Nacional de Salud / Two-year analysis of Internal Medicine activity in the National Health Care System hospitals

Introducción. Presentamos un resumen de los resultados de la actividad hospitalaria delos servicios de Medicina Interna (MI) del Sistema Nacional de Salud (SNS), durante el bienio 2005-2006.Material y métodos. Se analizaron los pacientes ingresados en los servicios de MI de España en los años 2005 y 2006 según los datos obtenidos del conjunto mínimo básico de datos(CMBD), en el que se recogen datos administrativos (edad, sexo, filiación) y clínicos (un diagnóstico principal y hasta 12 diagnósticos secundarios y 19 procedimientos clínicos) de todos los pacientes ingresados en los hospitales públicos y privados de España. Resultados. Durante este periodo se dieron en nuestro país 7.130.825 altas, ingresando a cargo de MI 1.099.652, (15,4%). Un 53,6% de los pacientes eran varones, la edad media fue de 70,6 años, la estancia media de 10 días (desviación estándar [DE] 11,7) y fallecieron el 9,9%. El 92,7% de los pacientes ingresaron por urgencias. El peso medio fue de1,74 (DE 1,41) según el sistema de clasificación americano y 1,1 (DE 0,73) según los datos del SNS. La insuficiencia respiratoria (grupo relacionado de diagnóstico [GRD] 541, 88 y101) supone un 14% de las altas, y la insuficiencia cardiaca (GRD 127, 544 y 87) el 12,4%de todos los episodios. Conclusiones. En España los internistas atienden a uno de cada seis pacientes hospitalizados. Más de la mitad de los pacientes que ingresan por una patología cardiorrespiratoria lo hacen de forma no programada, y uno de cada 10 fallece durante el ingreso. Estos datos dan una muestra de la importancia de esta especialidad en el contexto de la atención sanitaria de nuestro país (AU)

Introduction. We present a summary of the results of the hospital activities of the Internal Medicine (IM) Departments of the National Health Care System during the years 2005-2006.Material and methods. The patients hospitalized in the IM departments of Spain during2005 and 2006 were analyzed according to the data obtained from the minimum basic data set (MBDS), in which the administrative data were collected (age, gender, personal data) and clinical data (one principal diagnosis and up to 1 secondary diagnosis and 19clinical procedures) for all the patients hospitalized in the public and private hospitals of Spain. Results. During this period, there were 7,130.85 discharges in our country, 1,099.65 of these being from IM. A total of 53.6% of the patients were male, with mean age of 70.6years, mean stay of 10 days (standard deviation [SD] 11.7) and 9.9% deaths. A total of9.7% of the patients were admitted through the Emergency Department. Mean weight was 1.74 (SD 1.41) according to the American classification system and 1.1 (SD 0.73)according to the National Health System data. Respiratory failure diagnostic related group (DRG-541, 88 and 101) accounted for 14% of the discharges and heart failure (DRG17, 544 and 87) accounted for 1.4% of all the episodes. Conclusions. In Spain, the internal medicine doctors attended one out of every 6hospitalized patients. Admissions for more than half of the patients admitted due to cardiorespiratory disorder were unscheduled and one out of every 10 died during their stay. These data illustrate the importance of this specialty in the context of health care of our country (AU)