Assessing the Complexity of Inpatient Care Managed by Endocrinologists in a Tertiary Care Teaching Hospital.

IF 4.6 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Endocrine Practice Pub Date : 2025-09-30 DOI:10.1016/j.eprac.2025.09.200

Curtiss B Cook, Bithika M Thompson, Anjalee J Perrin, Janna C Castro, Alyssa K McGary, Matthew R Buras

{"title":"Assessing the Complexity of Inpatient Care Managed by Endocrinologists in a Tertiary Care Teaching Hospital.","authors":"Curtiss B Cook, Bithika M Thompson, Anjalee J Perrin, Janna C Castro, Alyssa K McGary, Matthew R Buras","doi":"10.1016/j.eprac.2025.09.200","DOIUrl":null,"url":null,"abstract":"Objective: We aimed to analyze the complexity of cases managed by the inpatient endocrinology team at a tertiary care teaching hospital.Methods: Data were extracted from the electronic health records from 2019 through 2023, focusing on relative-weight (RW) data of the Medicare Severity Diagnosis-Related Groups (MS-DRG) for inpatients seen by the endocrinology, infectious diseases, cardiology, nephrology, and hospital internal medicine services. Multivariable linear regression was used to assess the association between MS-DRG RW and specialty.Results: During the 5-year time frame, the inpatient endocrinology service consulted on a total of 7,761 cases. Of these, 5,831 cases (76%) were related to diabetes, and 1,830 (24%) were for other endocrine-related diagnoses. After adjusting for year of hospital discharge, multivariable regression analyses showed that the mean MS-DRG RWs of cases evaluated by the inpatient endocrinology team were significantly higher than those of cases evaluated by infectious diseases, cardiology, nephrology, or hospital internal medicine alone (all P<.001).Conclusion: In this single-site analysis, most inpatient endocrinology consultations were for diabetes. The results showed that cases involving endocrinology had significantly higher MS-DRG RWs than those in which endocrinology was not involved. This information could have practical implications for workforce allocation and the resources needed to assure safe and effective treatment of the endocrine patient in need of complex care.","PeriodicalId":11682,"journal":{"name":"Endocrine Practice","volume":" ","pages":""},"PeriodicalIF":4.6000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endocrine Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.eprac.2025.09.200","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: We aimed to analyze the complexity of cases managed by the inpatient endocrinology team at a tertiary care teaching hospital.

Methods: Data were extracted from the electronic health records from 2019 through 2023, focusing on relative-weight (RW) data of the Medicare Severity Diagnosis-Related Groups (MS-DRG) for inpatients seen by the endocrinology, infectious diseases, cardiology, nephrology, and hospital internal medicine services. Multivariable linear regression was used to assess the association between MS-DRG RW and specialty.

Results: During the 5-year time frame, the inpatient endocrinology service consulted on a total of 7,761 cases. Of these, 5,831 cases (76%) were related to diabetes, and 1,830 (24%) were for other endocrine-related diagnoses. After adjusting for year of hospital discharge, multivariable regression analyses showed that the mean MS-DRG RWs of cases evaluated by the inpatient endocrinology team were significantly higher than those of cases evaluated by infectious diseases, cardiology, nephrology, or hospital internal medicine alone (all P<.001).

Conclusion: In this single-site analysis, most inpatient endocrinology consultations were for diabetes. The results showed that cases involving endocrinology had significantly higher MS-DRG RWs than those in which endocrinology was not involved. This information could have practical implications for workforce allocation and the resources needed to assure safe and effective treatment of the endocrine patient in need of complex care.

查看原文本刊更多论文

评估三级护理教学医院内分泌学家管理的住院病人护理的复杂性。

目的：分析某三级教学医院内分泌科住院治疗病例的复杂性。方法：从2019年至2023年的电子健康记录中提取数据，重点关注内分泌科、传染病科、心脏病科、肾病科和医院内科就诊的住院患者的医疗保险严重程度诊断相关组（MS-DRG）的相对权重（RW）数据。采用多变量线性回归评估MS-DRG RW与专业之间的关系。结果：5年住院内分泌科共会诊7761例。其中，5831例（76%）与糖尿病有关，1830例（24%）与其他内分泌相关的诊断有关。在调整出院年份后，多变量回归分析显示，住院内分泌科小组评估病例的MS-DRG RWs均值显著高于单纯感染性疾病、心脏科、肾脏病科或医院内科评估病例（均为p）。结论：在本单点分析中，大多数住院内分泌科会诊为糖尿病。结果显示，涉及内分泌的病例MS-DRG RWs明显高于未涉及内分泌的病例。这一信息可能对人力分配和确保安全有效地治疗需要复杂护理的内分泌患者所需的资源具有实际意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Endocrine Practice ENDOCRINOLOGY & METABOLISM-

CiteScore

7.60

自引率

2.40%

发文量

546

审稿时长

41 days

期刊介绍： Endocrine Practice (ISSN: 1530-891X), a peer-reviewed journal published twelve times a year, is the official journal of the American Association of Clinical Endocrinologists (AACE). The primary mission of Endocrine Practice is to enhance the health care of patients with endocrine diseases through continuing education of practicing endocrinologists.