Anales de Medicina Interna
versión impresa ISSN 0212-7199
GUANCHE GARCELL, H. et al. Cancer trends in hospital morbidity and lethality. An. Med. Interna (Madrid) [online]. 2007, vol.24, n.1, pp.12-14. ISSN 0212-7199.
Objetive: Describe trends in morbidity and lethality of cancer in University Hospital "Joaquín Albarrán" (La Habana, Cuba). Method: Carry out a temporal series studies of patients admited from january 1999 to december 2005. We obtain informationa about admission, total and for cancer, deceased patients and letality rates (deceased for cancer/admission for cancer x 100). From the 2005's admission we obtain age, sex, cause of admission, and if the diagnostic of cancer was doing during this admission or before. Results: Trend of cancer's admision have continuous increase during 1999-2005 period, with 3% of admission in 1999 to 7.99% in 2005. Lethality rates have an irregular behavior with smaller rate in 1999 (12.7%) and bigger in 2001 (27.86%). Internal Medicine service gave care to 60.71% of cancer admission, with less frecuency in general surgery service (26.81%). 44% of patients were diagnosis during this admission, and 56% the diagnosis was doing in previous admission, of wich 42.1% were admited to treatment (surgical and drugs) and 53.5% for cancer complications. Conclusions: We show a continuous increased trend in hospital cancer morbidity. It is a commit to modify healthcare's strategies of cancer patient adressed to guarante the quality of services in front of the incresed demand.
Palabras clave : Cancer; Morbidity; Lethality; Hospital services; Palliative cares.