[Patterns of rare congenital diseases in patients admitted to a regional hospital]. / Patrones de las enfermedades raras congénitas en pacientes ingresados en un hospital regional.

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.

Patrones de las enfermedades raras congénitas en pacientes ingresados en un hospital regional / Patterns of rare congenital diseases in patients admitted to a regional hospital

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)

Relationship of sociodemographic variables with outcomes after cataract surgery.

PURPOSE: The objective of this study is to analyse the relationship between sociodemographic characteristics of patients undergoing cataract extraction and their outcomes. METHODS: The method comprised a prospective cohort study of patients recruited from 17 hospitals of different areas of Spain. Data gathered before surgery included sociodemographic variables, visual acuity, and visual function (using the Visual Function Index-14). After surgery, we assessed visual acuity and visual function at 6 weeks and at 3 months, respectively. Multivariate multilevel analysis was performed to assess the relationship of sociodemographic variables with changes in visual acuity and function, analysing whether improvements surpassed the minimal clinically important differences (MCIDs). RESULTS: Multivariate analysis showed that for visual acuity, (i) older men had a lower odds ratio (OR) of surpassing the MCID (OR: 65-75 years, 0.64; >75 years, 0.51); (ii) those with primary (1.65) or secondary (1.41) education had higher ORs than those with no formal education; and (iii) those living in a residential home had a lower OR than men living alone (0.36). In women, we found that the higher the educational level, the greater the improvement in visual acuity (primary, 1.41; secondary, 1.76), whereas socially dependent women (0.70) were less likely to exceed the MCID. With regards to predictors related to achievement of an MCID in visual function, only dependency was associated with more improvement in men (OR: 1.39), whereas in women the educational level was the only predictor (primary: 0.72; secondary: 0.61). CONCLUSIONS: This study found that patients with certain sociodemographic characteristics were less likely to experience an MCID in visual acuity or visual function after cataract surgery.