Xacur-Hernández MI, Santos-Zaldívar KP, Quintana-Gamboa AA, Méndez-Domínguez N

Language: Spanish
References: 13
Page: 117-129
PDF size: 221.46 Kb.

ABSTRACT

Background: Otorhinolaryngology is the specialty which generates the biggest proportion of external consultation, nevertheless, it doesn’t count with many epidemiological studies.
Objectives: To describe and to analyze the epidemiology of otorhinolaryngological causes of hospitalization in Mexico during 2015, emphasizing on the impact of early diagnosis on the rest of the variables.
Material and Method: An observational, analytical and cross-sectional study of hospital discharge causes with an otorhinolaryngological ICD-10 reported by Mexican Health Secretary during 2015. Descriptive statistics, classic hypothesis tests and analytical statistics with linear and multinomial regression models were held by the means of STATA program (p ‹ 0.05).
Results: A sample of 10,153 patients was obtained that represented 0.95% of the universe. The mean age was 19.5 years, 55.5% were men. Pediatric patients (55.4%), upper airway, pharynx and tonsils (69.2%) were the most affected. During hospitalization: an early diagnosis was made in 90.4% of the cases; the mean length of stay was of 2.1 days; in-hospital infection and death occurred both in ‹ 1% of the cases. Early diagnosis was related to a shorter length of stay and a greater proportion of discharges by improvement.
Conclusions: It is infrequent that otorhinolaryngological diseases are a motive of hospitalization or death. An important positive factor in a patient’s evolution is the early diagnosis.

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