ABSTRACT
BACKGROUND: To describe the pattern of patients admitted due to rare diseases corresponding to congenital anomalies in a regional hospital. METHODS: Retrospective transversal study. We considered hospital discharges for the years 2009-2012 with principal diagnosis between codes CIE 9R MC 740-759. The source of information was the Basic Minimum Data Set. Socio-demographic and clinical variables were analyzed. RESULTS: One point six percent (1.6%) of the population was admitted to hospital due to rare congenital diseases. Fifty-eight point five percent (58.5%) were male, with average age 21.4 ± 21.5 years. The major diagnostic categories were: diseases of the nervous system (86.9%), circulatory systems diseases (51.7%) and musculoskeletal system diseases (50.3%). Eighteen percent (18%) of hospital admissions corresponded to patient readmissions. The service with the greatest number of episodes was Pediatric Surgery, 29%, followed by Neurosurgery, 20%. CONCLUSIONS: The pattern of rare congenital disease in the "Virgen de Nieves" University Hospital corresponds to a young patient, with a disease belonging to the diseases of the nervous system group of the major diagnostic categories, treated surgically, and with a low percentage of readmissions.
Subject(s)
Rare Diseases/congenital , Rare Diseases/epidemiology , Adolescent , Adult , Child , Cross-Sectional Studies , Female , Hospitalization , Hospitals, University , Humans , Infant , Infant, Newborn , Male , Retrospective Studies , Young AdultABSTRACT
Fundamento. Describir el patrón de pacientes ingresados por enfermedades raras correspondientes a anomalías congénitas en un hospital regional. Métodos. Estudio transversal retrospectivo. Se consideraron las altas de hospitalización de los años 2009-2012 con diagnóstico principal entre los códigos CIE 9RMC 740-759. La fuente de información fue el Conjunto Mínimo Básico de Datos. Se analizaron variables sociodemográficas y clínicas. Resultados. Ingresan en el hospital por enfermedades raras congénitas un 1,6% de la población Un 58,5% fueron varones, con edad media de 21,4 ± 21,5 años. Las Categorías Diagnósticas Mayores más frecuentes fueron Enfermedades del sistema nervioso (86,9%), Enfermedades del aparato circulatorio (51,7%) y Sistema músculo-esquelético (50,3%). El 18% de las hospitalizaciones correspondieron a reingresos de pacientes. El servicio con mayor número de episodios fue Cirugía Pediátrica, 29%, seguido de Neurocirugía, 20%. Conclusiones. El patrón de enfermedad rara congénita en el hospital Universitario Virgen de las Nieves corresponde a un paciente joven, con una enfermedad perteneciente al grupo de la Categoría Diagnóstica Mayor Enfermedad del sistema nervioso tratada quirúrgicamente y un porcentaje de reingresos no elevado (AU)
Background. To describe the pattern of patients admitted due to rare diseases corresponding to congenital anomalies in a regional hospital. Methods. Retrospective transversal study. We considered hospital discharges for the years 2009-2012 with principal diagnosis between codes CIE 9R MC 740-759.The source of information was the Basic Minimum Data Set. Socio-demographic and clinical variables were analyzed. Results. One point six percent (1.6%) of the population was admitted to hospital due to rare congenital diseases. Fifty-eight point five percent (58.5%) were male, with average age 21.4 ± 21.5 years. The major diagnostic categories were: diseases of the nervous system (86.9%), circulatory systems diseases (51.7%) and musculoskeletal system diseases (50.3%). Eighteen percent (18%) of hospital admissions corresponded to patient readmissions. The service with the greatest number of episodes was Pediatric Surgery, 29%, followed by Neurosurgery, 20%. Conclusions. The pattern of rare congenital disease in the Virgen de Nieves University Hospital corresponds to a young patient, with a disease belonging to the diseases of the nervous system group of the major diagnostic categories, treated surgically, and with a low percentage of readmissions (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Rare Diseases/epidemiology , Congenital Abnormalities/epidemiology , Rare Diseases/congenital , Morbidity , Retrospective StudiesABSTRACT
The purpose of this study was to analyse the potential problems associated with sending hospital patients' medical records to different levels of the judiciary. Transmittal of such information may create a conflict between the duty to cooperate with the legal system and the patient's right to privacy. In our analysis of a total of nearly 380 such transmittals of medical histories in Spain, we found that approximately 90% involved possible negligence on the part of the hospital administration. In view of the current mobility of populations in different countries, and the increasing availability of medical data on electronic databases, we believe a coherent system of in-house regulations and international legislation should be passed to create a systematized framework for the protection of the patient's right to privacy.
