Epidemiología intrahospitalaria del Instituto de Ciencias Neurológicas durante 1992

Juan ALTAMIRANO, Carlos CASTAÑEDA
2013 Revista Médica Herediana  
A descriptive work i made, showing the demographic characteristics and causes of hospitalitation at the Instituto de Ciencias Neurológicas (ICN), Lima-Perú during 1992. From the revision of the monthly statitics of the Institute´s Statitics Office we had 1783 hospital discharges from wich 48% were females and 52% males, 66% conformed what we call "economicaly active population", with a median age of 38 years. One third of the patients came from the "CONO NORTE", the northern districts of Lima,
more » ... districts of Lima, and the others from the majority of districts of Peru. We found a similarity in the discharge diagnosis between the neurologic service of the National "Guillermo Almenara Irigoyen" (HNGAI) and our ICN, thus the most frequent diagnosis were stroke, epilepsy, cephalialgi, and cisticercosis at both centers. A trend to greater hospitalary permanence in common in both HNGAI and ICN, with 15 días to the former and 26 to the latter, as compared with 9 days to the national median of the IPSS and 14 to the general median of the national Hospital Cayetano Heredia (HNCH). Also we found an intrahospital mortality higher than international values, being 49 pr 1000 at the HNGAI and 48 per 1000 at the ICN. It is notably a diference regarding the type of stroke between HNGAI an the ICN, being 81% of the strokes ischemics, 13% haemorragies and 6% subaracnoid haemorrage at the former, similar to the most international reports; and 70% ischemic and 30% haemorragics at the latter not considering the subaracnoid haemorrage. The explanation for this differences between population with and without assurance, and the characteristics of this frequent diseases are the goals of new intrahospital and population based studies. (Rev Med Hered 1994; 5: 80-85). KEY WORDS: Intrahospital epidemiology, neurologic intrahospital diagnosis, neurologic permanence reates, neurologic mortality rates. RESUMEN Se realiza un trabajo descriptivo, sobre las características demográficas y las causas de hospitalización en el Instituto de Ciencias Neurológicas (ICN) en Lima-Perú durante 1992. De la revisión de las estadísticas mensuales de la Oficina de Estadística del ICN,
doi:10.20453/rmh.v5i2.449 fatcat:yay7fme3qzfqth4pk6forynj7m