Causas de ingreso hospitalario en pacientes con enfermedades reumáticas inflamatorias en el Hospital de Especialidades Teodoro Maldonado Carbo.

Abstract

Introduction: Systemic autoimmune chronic inflammatory rheumatic diseases (SIA) are closely associated with alterations in other organs and tissues, such as rheumatoid arthritis (RA), psoriatic arthritis (Psoriatic arthritis), ankylosing spondylitis (AS), Sjögren's syndrome (SS) and systemic lupus erythematosus (SLE), and are the main causes of hospitalizations, which generate high socioeconomic impacts on society, adding to these an increase in the morbimortality rate, so it is necessary to be clear about each of the risks presented by these pathologies. Objective: To determine the causes of hospital admission in patients with inflammatory rheumatic diseases. Methodology: Analytical, observational, non-experimental, retrospective, retrospective, cross-sectional, quantitative approach. Database obtained from the Hospital de Especialidades Teodoro Maldonado Carbo, of patients with the diagnostic code Rheumatoid Arthritis (CIE-10: M069), SLE (CIE-10: M329), Systemic Sclerosis (CIE-10: M349), Sjögren's Syndrome (CIE-10: M350), Ankylosing Spondylitis (CIE-10: M45) and Psoriatic Mutilating Arthritis (CIE- 10: M071). Results: A sample of 147 patients suffering from rheumatic diseases was studied, determining the reasons for hospital admission, comorbidities, age range, sex, treatment, and habits. Conclusion: The most predominant gender was female, the predominant reason for admission was gynecological, mostly due to cesarean section (45.5%), arthralgias (45.5%) in patients with arthritis, and the other category (respiratory failure, chest pain and abdominal pain) with 59.3% in patients with SLE. In-hospital mortality was high, since 29.9% of the patients out of 100% of the sample died.