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• W3089441738 abstract "Neuropsychiatric disorders represent one of the first causes of disability worldwide. Recognizing the main causes for hospitalization may allow the implementation of interventions to prevent hospitalization and promote ambulatory care.To describe the trends of mental disorders requiring hospitalization in a neuropsychiatric referral center of a middle-income country.Observational, cross-sectional, and analytic study. Information was obtained from dismissal letters and from the Department of Epidemiology database in a 16-year period at a neuropsychiatric referral center. Diagnoses and trends through this period were obtained using Spearman's correlation.Schizophrenia represented most of the cases (19%), followed by bipolar disorder (13%). Psychotic disorders (PD) were found to contribute the most to the length of stay (43.76%), followed by mood disorders (MD) (39.07%). Schizophrenia-related dismissals diminished through the years (r = -751; p = 0.001), whereas depression-related disorders increased (r = 0.857; p < 0.001).PD are the first cause of neuropsychiatric hospitalization. MD have an increasing frequency of hospitalization. Longer-stay disorders reflect global and economic burden of disease trends. These results might guide interventions that reduce hospital-based models of care, which represent a great burden in low and middle-income countries. Studies aiming to explain the trends reported are needed.los trastornos neuropsiquiátricos son una de las primeras causas de discapacidad a nivel mundial. Reconocer las principales causas de hospitalización puede permitir implementar intervenciones para evitar la hospitalización y promover un mejor cuidado ambulatorio.describir las tendencias en trastornos mentales que requieren hospitalización en un centro de referencia neuropsiquiátrico en un país de ingresos medios.estudio observacional, transversal y analítico. Se obtuvo información de hojas de egreso y de la base de datos del Departamento de Epidemiología de un centro neuropsiquiátrico en un periodo de 16 años, y las tendencias con el coeficiente de correlación de Spearman.la esquizofrenia (ESQ) representó la mayoría de los casos (19%), seguida del trastorno bipolar (13%). Los tranos psicóticos (TP) (43.76%) y los trastornos afectivos (TA) (39.07%) contribuyeron a la mayoría de los días intrahospitalarios. Las hospitalizaciones por ESQ disminuyeron a lo largo de los años (r = −751; p = 0.001) y las relacionadas con depresión aumentaron (r = 0.857; p < 0.001).los TP son la primera causa de hospitalización neuropsiquiátrica. Los TA tienen una frecuencia de hospitalización ascendente. Los trastornos asociados con una estancia mayor reflejan tendencias globales de carga de enfermedad y económica. Estos resultados pueden guiar intervenciones que reduzcan modelos basados en hospitalización, que representan una carga en países de bajo a medio ingreso. Se requieren estudios que expliquen estas tendencias." @default.
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• W3089441738 date "2019-12-30" @default.
• W3089441738 modified "2023-09-26" @default.
• W3089441738 title "[Hospitalization trends of neuropsychiatric disorders in a middle-income country]." @default.
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