Öz
Kaynakça
- 1. Walker WA, Durie PR, Hamilton JR, Walker-Smith JA, eds. Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. 4th ed. Hamilton, Ontario: B.C. Decker Inc.; 2004.
- 2. Kliegman R, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 22nd ed. Part XIII: Gastrointestinal Disorders. Philadelphia, PA: Elsevier; 2024.
- 3. Mahan LK, Escott-Stump S. Krause's Food & the Nutrition Care Process. 14th ed. Philadelphia, PA: Elsevier; 2017.
- 4. Malnutrition rates remain alarming: stunting is declining too slowly while wasting still impacts the lives of far too many young children: UNICEF – WHO – World Bank Group joint child malnutrition estimates. Key findings of the 2019 edition. Accessed November 22, 2024. https://data.unicef.org/topic/nutrition/malnutrition/
- 5. Puntis JW. 1.2.1 Clinical evaluation and anthropometry. 1.2 Nutritional assessment. World Rev Nutr Diet. 2015;113:6-13. doi: 10.1159/000360311.
- 6. Rajindrajith S, Devanarayana NM. Constipation in children: novel insight into epidemiology, pathophysiology and management. J Neurogastroenterol Motil. 2011;17(1):35-47. doi: 10.5056/jnm.2011.17.1.35.
- 7. Grupo de Trabajo de Constipación del Comité Nacional de Gastroenterología Pediátrica. [Functional constipation in pediatrics, diagnosis and treatment]. Arch Argent Pediatr. 2021;119(1):s39-s47. Spanish. doi: 10.5546/aap.2021.s39.
- 8. Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, van Tilburg M. Functional Disorders: Children and Adolescents. Gastroenterology. 2016;150(6):1456-1468. doi: 10.1053/j.gastro.2016.02.015.
- 9. Brady K. Acute gastroenteritis: evidence-based management of pediatric patients. Pediatr Emerg Med Pract. 2018;15(2):1-24.
- 10. Shankar S, Rosenbaum J. Chronic diarrhoea in children: A practical algorithm-based approach. J Paediatr Child Health. 2020;56(7):1029-1038. doi: 10.1111/jpc.14986.
- 11. Orhan Ö, Bulut M. Evaluation of pediatric patients installed due to acute gastroenteritis. Eur Res J. 2023;9(6):1392-1397. doi: 10.18621/eurj.1261344.
- 12. Flynn TG, Olortegui MP, Kosek MN. Viral gastroenteritis. Lancet. 2024;403(10429):862-876. doi: 10.1016/S0140-6736(23)02037-8.
- 13. Akbaş F. [The Spine of Training and Research Hospitals’ Outpatient Care: Internal Medicine Outpatient Clinic and Its Misuse]. Acibadem Univ Saglik Bilim Derg. 2018;9(4):385-389. [Article in Turkish]
- 14. Turan İ. [Diagnostic approach to short stature in the pediatric endocrinology clinic and efficiency of green zone]. Cukurova Med J. 2021;46(3):1208-1214. doi: 10.17826/cumj.950240. [Article in Turkish]
Evaluation of admissions and inappropriate referrals to pediatric gastroenterology, hepatology and nutrition outpatient clinics
Öz
Objective: The aim of this study was to examine the diagnostic profiles of patients admitted to pediatric gastroenterology, hepatology, and nutrition outpatient clinics within the scope of the state service obligation and to determine the reasons for inappropriate referrals.
Methods: A total of 10,235 patients admitted to the pediatric gastroenterology, hepatology and nutrition outpatient clinics of Mardin Training and Research Hospital between 2022 and 2023 were retrospectively analyzed. Data were analyzed using SPSS 21.0 software according to demographic and clinical variables such as age, gender, reasons for admission and diagnoses.
Results: Of the patients examined, 49.1% were girls and 50.9% were boys, and the most common reason for presentation was inadequate weight gain with a rate of 46%. However, malnutrition or another nutritional disorder was not detected in 28% of the patients referred with a diagnosis of inadequate weight gain. Malnutrition was diagnosed in a total of 1,710 cases, of which 8.2% were mild malnutrition, 5.3% were moderate malnutrition, and 4.2% were severe malnutrition. No pathological findings were found in 40.8% of the applicants. It was also found that most of the complaints of constipation and diarrhea, which are common reasons for admission, can be effectively treated in primary and secondary health care services.
Conclusions: The results of the study show that a significant proportion of referrals to pediatric gastroenterology outpatient clinics are unnecessary and that referrals can be reduced by evaluating these patients in primary and secondary care, thereby increasing the efficiency of health care services.
Anahtar Kelimeler
Pediatric gastroenterology inappropriate referral inadequate weight gain constipation diarrhea
Etik Beyan
Ethical approval was obtained from Mardin Artuklu University Non-Interventional Clinical Research Ethics Committee for this study (Date:10.09.2024, Decision no: 2024/9-6). All procedures were performed according to the Declaration of Helsinki.
Kaynakça
- 1. Walker WA, Durie PR, Hamilton JR, Walker-Smith JA, eds. Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. 4th ed. Hamilton, Ontario: B.C. Decker Inc.; 2004.
- 2. Kliegman R, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 22nd ed. Part XIII: Gastrointestinal Disorders. Philadelphia, PA: Elsevier; 2024.
- 3. Mahan LK, Escott-Stump S. Krause's Food & the Nutrition Care Process. 14th ed. Philadelphia, PA: Elsevier; 2017.
- 4. Malnutrition rates remain alarming: stunting is declining too slowly while wasting still impacts the lives of far too many young children: UNICEF – WHO – World Bank Group joint child malnutrition estimates. Key findings of the 2019 edition. Accessed November 22, 2024. https://data.unicef.org/topic/nutrition/malnutrition/
- 5. Puntis JW. 1.2.1 Clinical evaluation and anthropometry. 1.2 Nutritional assessment. World Rev Nutr Diet. 2015;113:6-13. doi: 10.1159/000360311.
- 6. Rajindrajith S, Devanarayana NM. Constipation in children: novel insight into epidemiology, pathophysiology and management. J Neurogastroenterol Motil. 2011;17(1):35-47. doi: 10.5056/jnm.2011.17.1.35.
- 7. Grupo de Trabajo de Constipación del Comité Nacional de Gastroenterología Pediátrica. [Functional constipation in pediatrics, diagnosis and treatment]. Arch Argent Pediatr. 2021;119(1):s39-s47. Spanish. doi: 10.5546/aap.2021.s39.
- 8. Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, van Tilburg M. Functional Disorders: Children and Adolescents. Gastroenterology. 2016;150(6):1456-1468. doi: 10.1053/j.gastro.2016.02.015.
- 9. Brady K. Acute gastroenteritis: evidence-based management of pediatric patients. Pediatr Emerg Med Pract. 2018;15(2):1-24.
- 10. Shankar S, Rosenbaum J. Chronic diarrhoea in children: A practical algorithm-based approach. J Paediatr Child Health. 2020;56(7):1029-1038. doi: 10.1111/jpc.14986.
- 11. Orhan Ö, Bulut M. Evaluation of pediatric patients installed due to acute gastroenteritis. Eur Res J. 2023;9(6):1392-1397. doi: 10.18621/eurj.1261344.
- 12. Flynn TG, Olortegui MP, Kosek MN. Viral gastroenteritis. Lancet. 2024;403(10429):862-876. doi: 10.1016/S0140-6736(23)02037-8.
- 13. Akbaş F. [The Spine of Training and Research Hospitals’ Outpatient Care: Internal Medicine Outpatient Clinic and Its Misuse]. Acibadem Univ Saglik Bilim Derg. 2018;9(4):385-389. [Article in Turkish]
- 14. Turan İ. [Diagnostic approach to short stature in the pediatric endocrinology clinic and efficiency of green zone]. Cukurova Med J. 2021;46(3):1208-1214. doi: 10.17826/cumj.950240. [Article in Turkish]
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Bebek ve Çocuk Sağlığı |
| Bölüm | Original Article |
| Yazarlar | |
| Erken Görünüm Tarihi | 13 Şubat 2025 |
| Yayımlanma Tarihi | 4 Mart 2025 |
| Gönderilme Tarihi | 22 Kasım 2024 |
| Kabul Tarihi | 24 Aralık 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 11 Sayı: 2 |
