Lebrão M L, Litvoc J, Figueiredo G M, Leite R M
Departamento de Epidemiologia, Faculdade de Saúde Pública, USP.
Rev Hosp Clin Fac Med Sao Paulo. 1993 Jul-Aug;48(4):189-98.
The diagnostic categories of the patients discharged from the "Hospital das Clínicas" of the University of São Paulo in 1989 were arranged according the International Classification of Diseases (I.C.D.) and analysed. In each Group sex, age and the reason of discharge or death was indicated. The data concerning 39,601 cases were provided by the Medical Data Service of the "Instituto Central" of the "Hospital das Clínicas". Only the principal diagnosis was taken into account. In the "Instituto de Psiquiatria" most the patients (55.4%) were males between 20 and 49 years of age. The main diagnostic categories were affective psychoses (20.3%), schizophrenic disorders (15%), and disorders related to alcoholism (9.5%). The mortality rate was 0.27%. In the "Instituto da Criança" 56% of the patients that left the hospital were male children and 45.8% of them were less than one year old. Regarding to the diagnostic categories the most important one was that of the diseases of the respiratory system with 27.1% of cases, followed by that of infectious and parasitic diseases with 16.0% of cases. Within the respiratory diseases the most important were the pneumonias caused by not specified microorganisms, and within the infectious diseases the most important was the diarrhea of presumably infectious origin. The mortality rate in this Institute was 9.4%. The "Instituto de Ortopedia e Traumatologia" left 3,825 patients 61.7% males, and 46.9% of them were aged between 20 and 49 years. The greatest number of cases (57.1%) belonged to the Chapter "Injury and Poisoning" followed by that of "Diseases of the Muscoleskeletal System" and Connective Tissue Diseases (23.5%). In this Institute the mortality rate was 1.2%. From the "Instituto do Coração" 7,194 patients were discharged; 65% of them were males, varying their age between 50 and 69 years. The diseases of the circulatory system were mostly ischemic heart disease, miocardiopathies and rheumatic heart diseases. Mortality rate in this Institute was 10.8%. The "Instituto Central" was responsible for 65.6% of all the patients discharged from the "Hospital das Clínicas" (26,015 cases). As to the diagnostic categories the predominant chapter was that of "Injury and Poisoning" (12.8% of cases) followed by the "Diseases of the Digestive System" (10.9%) "Neoplasms" (10.8%) and the "Diseases of Circulatory System" (9.2%). The mortality rate in the "Instituto Central" was 7.2%.
圣保罗大学“临床医院”1989年出院患者的诊断类别按照国际疾病分类法（I.C.D.）进行整理并分析。每个组都标明了性别、年龄以及出院或死亡原因。“临床医院”“中央研究所”医疗数据服务中心提供了39601例患者的数据。仅考虑主要诊断。在“精神病研究所”，大多数患者（55.4%）为20至49岁的男性。主要诊断类别为情感性精神病（20.3%）、精神分裂症（15%）以及与酒精中毒相关的疾病（9.5%）。死亡率为0.27%。在“儿童研究所”，出院患者中有56%为男童，其中45.8%年龄小于1岁。关于诊断类别，最重要的是呼吸系统疾病，占病例的27.1%，其次是传染病和寄生虫病，占病例的16.0%。在呼吸系统疾病中，最重要的是未明确微生物引起的肺炎，在传染病中，最重要的是可能由感染引起的腹泻。该研究所的死亡率为9.4%。“矫形外科学与创伤学研究所”有3825例患者出院，其中61.7%为男性，46.9%年龄在20至49岁之间。病例数最多的（57.1%）属于“损伤与中毒”章节，其次是“肌肉骨骼系统疾病”和结缔组织疾病（23.5%）。该研究所的死亡率为1.2%。“心脏研究所”有7194例患者出院；其中65%为男性，年龄在50至69岁之间。循环系统疾病主要是缺血性心脏病、心肌病和风湿性心脏病。该研究所的死亡率为10.8%。“中央研究所”负责“临床医院”所有出院患者的65.6%（26015例）。关于诊断类别占主导的章节是“损伤与中毒”（占病例的12.8%），其次是“消化系统疾病”（10.9%）、“肿瘤”（10.8%）和“循环系统疾病”（9.2%）。“中央研究所”的死亡率为7.2%。
