Full text in pdf format
The frequency of genetic diseases in a high risk ward in a pediatric hospital
Laís Izabel Borges Pinto; Giorgio Adriano Paskulin; Carla Graziadio; Heirie Miriam Marques Mendez
Departamento de Genética, Fundação Faculdade Federal de Ciências Médicas, Rua Sarmento Leite 245, Sala 403, 90050-170 Porto Alegre, RS, Brasil. Send correspondence to L.I.B.P.
ABSTRACT
From March 1990 to January 1991, all
patients admitted to a high risk ward in a pediatric hospital in Porto
Alegre, RS, Brazil, were examined. The study had the following objectives:
evaluate the frequency of admissions due to genetic diseases and determine
the peculiarities of the admissions. All patients were submitted to a
physical examination and their parents were interviewed, in order to obtain
information about the family and reproductive histories. Among a total
of 849 patients admitted, 12.5% had genetic, or partly genetic diseases,
68.7% had diseases caused by environmental factors, 5.9% had developmental
anomalies, 8.4% were children with physiological disorders and 4.6% had
no established etiological diagnosis.
Statistical analysis, comparing data from the genetic group and those
from the control group, showed that the genetic patients were admitted
earlier, stayed longer, were readmitted and died more frequently than
the patients admitted due to other causes, representing a greater social
and financial burden.
Keywords: genetic diseases; high risk ward; pediatric hospital.
REFERENCES
Barreiro, C.Z., Negrotti, T. and Penchaszadeh, V.B. (1976). Prevalence of genetic disease in a reference pediatric hospital. 5th International Congress of Human Genetics, Mexico, 1976. Exerpta Med. Int. Congr. Ser. 397: 60.
Campos, H. (1983). Análise de variância - comparações múltiplas. In: Estatística Experimental Não-Paramétrica (Campos, H., ed.). 4th edn. Editora da Escola Superior de Agricultura Luiz de Queiroz, Universidade de São Paulo, Piracicaba, SP, pp. 218.
Carnevale, A., Hernández, M., Reyes, R., Paz, F. and Sosa, C. (1985). The frequency and economic burden of genetic disease in a pediatric hospital in Mexico City. Am. J. Med. Genet. 20: 665-675.
Daniel, W.W. (1978). Applied Nonparametric Statistics. Houghton Mifflin, Boston, pp. 500.
Day, N. and Holmes, L.B. (1973). The incidence of genetic disease in a University Hospital population. Am. J. Hum. Genet. 25: 237-246.
Fitzpatrick, D.R., Skeoch, C.H. and Tolmie, J.L. (1991). Genetic aspects of admissions to a pediatric intensive care unit. Arch. Dis. Child. 66: 639-641.
Hall, J.G., Powers, E.K., McIlvaine, R.T. and Ean, V.H. (1978). The frequency and financial burden of genetic disease in a pediatric hospital. Am. J. Med. Genet. 1: 417-436.
Paskulin, G.A. (1989). Casuística e caracterização das patologias hereditárias em um hospital pediátrico. Master,s thesis, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS.
Penchaszadeh, V.B. (1979). Frequency and characteristics of birth defects admissions to a pediatric hospital in Venezuela. Am. J. Med. Genet. 3: 359-369.
Reich, E., Wallace, S., Ben-Yishay, M., Shlesinger, S., Marks, J. and Bloom, A. (1974). Genetic disease in a pediatric hospital. Am. J. Hum. Genet. 26: 71A.
Salzano, F.M. and Freire-Maia, N. (1967). Populações Brasileiras: Aspectos Demográficos, Genéticos e Antropológicos. Cia. Ed. Nacional, Editora da Universidade de São Paulo, São Paulo, pp. 177.
Scriver, C.R., Neal, J.L., Saginur, R. and Clow, A. (1973). The frequency of genetic disease and congenital malformation among patients in a pediatric hospital. Can. Med. Assoc. J. 108: 1111-1115.
Zar, J.H. (1984). Biostatistical Analysis. Prentice Hall Inc., 2nd edn. Englewood Cliffs, NJ, pp. 718.