[Epidemiology of XXXX in Asturias].

@entity1 @entity174 @entity170 @entity173 @entity281 @entity911 @entity3 @entity299 @entity130
BACKGROUND: @entity173 is the complication with the greatest medical repercussions in @entity170 . The aim of this study was to know both the incidence of @entity173 in Asturias, Spain and the immediate evolution of these @entity1 . METHODS: The clinical histories of all the @entity1 admitted for @entity173 in 1992 in two Asturian public health care areas were reviewed. @entity173 in @entity1 under the age of 45 years or those occurring because of other diseases ( @entity3 , @entity130 ) were excluded. RESULTS: In the health care areas studied in 1992 there were 283 @entity173 with an incidence of 219.6 @entity174 /10(5) inhabitants/year in those over the age of 50 years. The incidence in @entity1 over 45 years of age was 3-fold greater than that in @entity1 of the same age. The mean age of the @entity1 was 80.2 +/- 8.9 years. The incidence in @entity1 over the age of 50 was greater in urban (266/10(5) inhab./year) than in the rural areas (185.7/10(5) inhab./year) (p < 0.001). Ten percent of the @entity1 were residing in old age residences or hospitals at the time of the @entity174 . Eighty-one percent required surgery. Home was the site of the @entity174 in 84% of the cases with no seasonal variation being observed. The most frequent intrahospitalary complications observed were @entity281 (15%), @entity299 (18%), and @entity911 (8%). The mean hospital stay was 26.5 days with acute hospitalary mortality of 5.6%. Nineteen point seven percent of the @entity1 were transferred to a center for chronically ill @entity1 . The total cost of the hospital care for the @entity173 in this study exceeded 311 million pesetas in 1992. CONCLUSIONS: The epidemiology of @entity173 in Asturias, Spain, follows a similar pattern as that found in other Spanish regions. It was found to be more frequent in the urban than in the rural areas. Hospitalary mortality of these @entity1 is partly determined by age and the number of complications which developed during hospital stay. The impact on the @entity1 with @entity173 and on the economic resources destined to their attention justifies the development of @entity170 and @entity174 prevention programs.
