Moreira Daniel Gabay, Oliveira Enedina Maria Lobato de, Coelho Fernando Morgadinho Dos Santos, Ferraz Henrique Ballalai, Francisco Silvio, Borges Vanderci, Bichuetti Denis Bernardi
Universidade Federal de São Paulo, Escola Paulista de Medicina, Disciplina de Neurologia, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2021 Jun 23;79(6):478-82. doi: 10.1590/0004-282X-ANP-2020-0310.
Neurological disorders are significant causes of morbidity and mortality worldwide. However, data about general neurological inpatient admissions in Brazil is limited. Objective: To investigate the prevalence of neurological disorders according to disease group and lesion site among patients admitted to a general Neurology ward.
This was an observational and descriptive study. The hospital discharge database for the Neurology ward was surveyed in accordance with the International Classification of Diseases, 10th edition (ICD-10), from September 2008 to October 2019. The final diagnosis was classified into neurological disorder groups and site.
Overall, 2,606 clinical neurological patient files were included, with mean length of hospitalization of 16.7 days and a total of 325 readmissions (12.5%). The overall mortality rate in the ward was 3.8% (100 patients). Among all the diagnoses, cerebrovascular disease was the most prevalent (45.8%), followed by inflammatory disorders (22.2%). The brain was the most common lesion site (66.0%), followed by peripheral nerves (10.0%) and meninges and cerebrospinal fluid (7.7%).
The disease pattern upon admission showed that a majority of the cases consisted of cerebrovascular disorders and that the brain was the most frequently affected structure, although we observed that a wide variety of cases were admitted, encompassing all neurological disorders.
神经系统疾病是全球发病和死亡的重要原因。然而，巴西关于普通神经科住院患者的数据有限。目的：调查普通神经科病房收治患者中按疾病组和病变部位划分的神经系统疾病患病率。
这是一项观察性描述性研究。根据国际疾病分类第10版（ICD - 10），对2008年9月至2019年10月神经科病房的医院出院数据库进行了调查。最终诊断分为神经系统疾病组和病变部位。
总体而言，纳入了2606份临床神经科患者档案，平均住院时间为16.7天，再次入院325例（12.5%）。病房总体死亡率为3.8%（100例患者）。在所有诊断中，脑血管疾病最为常见（45.8%），其次是炎症性疾病（22.2%）。脑部是最常见的病变部位（66.0%），其次是周围神经（10.0%）以及脑膜和脑脊液（7.7%）。
入院时的疾病模式表明，大多数病例为脑血管疾病，脑部是最常受累的结构，尽管我们观察到收治的病例种类繁多，涵盖了所有神经系统疾病。
