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Urologic Disorders are Still the Leading Cause of In-hospital Death in Patients With Spina Bifida.
Peyronnet, Benoit; Gao, Fei; Brochard, Charlène; Oger, Emmanuel; Scailteux, Lucie-Marie; Balusson, Frédéric; Hascoet, Juliette; Alimi, Quentin; Khene, Zine-Eddine; Bayat, Sahar; Jezequel, Magali; Olivari, Camille; Voiry, Caroline; Kerdraon, Jacques; Bouguen, Guillaume; Game, Xavier; Siproudhis, Laurent; Manunta, Andrea.
Afiliación
  • Peyronnet B; Service d'urologie, CHU Rennes, Rennes, France; Centre de référence spina bifida, CHU Rennes, Rennes, France; Equipe thématique INPHY CIC 1414 et INSERM UMR 1241, Rennes, France. Electronic address: peyronnetbenoit@hotmail.fr.
  • Gao F; EHESP Rennes, Sorbonne Paris Cité, Paris, France.
  • Brochard C; Centre de référence spina bifida, CHU Rennes, Rennes, France; Equipe thématique INPHY CIC 1414 et INSERM UMR 1241, Rennes, France; Service de Gastro-Entérologie, CHU Rennes, Rennes, France.
  • Oger E; Univ Rennes, CHU Rennes, REPERES (Recherche en Pharmaco-épidémiologie et Recours aux Soins) Rennes, France.
  • Scailteux LM; Univ Rennes, CHU Rennes, REPERES (Recherche en Pharmaco-épidémiologie et Recours aux Soins) Rennes, France.
  • Balusson F; Univ Rennes, CHU Rennes, REPERES (Recherche en Pharmaco-épidémiologie et Recours aux Soins) Rennes, France.
  • Hascoet J; Service d'urologie, CHU Rennes, Rennes, France; Centre de référence spina bifida, CHU Rennes, Rennes, France; Equipe thématique INPHY CIC 1414 et INSERM UMR 1241, Rennes, France.
  • Alimi Q; Service d'urologie, CHU Rennes, Rennes, France; Centre de référence spina bifida, CHU Rennes, Rennes, France.
  • Khene ZE; Service d'urologie, CHU Rennes, Rennes, France.
  • Bayat S; EHESP Rennes, Sorbonne Paris Cité, Paris, France.
  • Jezequel M; Centre de référence spina bifida, CHU Rennes, Rennes, France.
  • Olivari C; Centre de référence spina bifida, CHU Rennes, Rennes, France.
  • Voiry C; Centre de référence spina bifida, CHU Rennes, Rennes, France; Service de Médecine Physique et Réadaptation, CHU Rennes, Rennes, France.
  • Kerdraon J; Centre de référence spina bifida, CHU Rennes, Rennes, France; Centre de rééducation de Kerpape, Ploemeur, France.
  • Bouguen G; Centre de référence spina bifida, CHU Rennes, Rennes, France; Equipe thématique INPHY CIC 1414 et INSERM UMR 1241, Rennes, France; Service de Gastro-Entérologie, CHU Rennes, Rennes, France.
  • Game X; Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France.
  • Siproudhis L; Centre de référence spina bifida, CHU Rennes, Rennes, France; Equipe thématique INPHY CIC 1414 et INSERM UMR 1241, Rennes, France; Service de Gastro-Entérologie, CHU Rennes, Rennes, France.
  • Manunta A; Service d'urologie, CHU Rennes, Rennes, France; Centre de référence spina bifida, CHU Rennes, Rennes, France; Equipe thématique INPHY CIC 1414 et INSERM UMR 1241, Rennes, France.
Urology ; 137: 200-204, 2020 Mar.
Article en En | MEDLINE | ID: mdl-31734348
OBJECTIVE: To assess and analyze the contemporary causes of in-hospital deaths of spina bifida patients. METHODS: It was a cross-sectional observational study of the longitudinal national cohort of all patients hospitalized in French public and private hospitals. We analyzed the data from the French hospital discharge database (Programme de Médicalisation des Systemes d'Information, PMSI) from 2009 to 2014. The number of in-hospital deaths was extracted using the combination of the ICD-10 codes "Q05" or "Q760" and a discharge code = 9. RESULTS: There were 138 in-hospital deaths of spina bifida patients over the 6-year study period. The median age at death was 41 years (IQR: 25-52). The median age at death was significantly lower in patients with vs without hydrocephalus (26.6 vs 45.5 years; P <.0001). The leading cause of in-hospital death was urologic disorders (n = 24; 17.3%). Other main causes of death were pulmonary disorders (n = 23; 16.7%), neurologic disorders (n = 19; 13.8%), and bowel disorders (n = 15; 10.9%). Upper urinary tract damage accounted for most of the urologic causes of death: 8 patients died from urinary tract infections (33.3%), 7 patients died from renal failure (29.2%), 4 died from bladder cancer (16.7%), and 5 from other urologic causes. The only variable significantly associated with a death from urologic causes was the absence of hydrocephalus (OR = 0.26; P = .009). CONCLUSION: Urologic disorders remain the leading cause of in-hospital death in spina bifida patients in France. The present study highlights that efforts to improve the urologic management of the spina bifida population are still greatly needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Urológicas / Causas de Muerte / Disrafia Espinal / Hidrocefalia Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Urology Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Urológicas / Causas de Muerte / Disrafia Espinal / Hidrocefalia Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Urology Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos