Abstract
A sample of 12,801 admissions to a pediatric hospital was surveyed in 1969-70 to determine the prevalence of disease which could be classified as “genetic” in origin or related to “congenital malformation”.
“Genetic” admissions accounted for 11.1% of the total while 18.5% were for congenital malformations; about 2% (unknown group) were probably genetic. Therefore about one third of all admissions represent the effect of abnormal gene-environment interrelations at some point in the development or life of the patient.
The “genetic” patient is admitted more often to a medical service while the patient with congenital malformation usually goes to a surgical service; the former stays 7.3 days and the latter 8.6 days. A disproportionate number of patients staying longer than 10 days were found in the group with congenital malformations. Seventy percent of the patients with multiple admissions (3.2% of all admissions) have genetic illness or congenital malformation.
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Selected References
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- CARTER C. O. Changing patterns in the causes of death at the Hospital for Sick Children. Great Ormond St J. 1956;(11):65–68. [PubMed] [Google Scholar]
- Clow C. L., Reade T. M., Scriver C. R. Management of hereditary metabolic disease. The role of allied health personnel. N Engl J Med. 1971 Jun 10;284(23):1292–1298. doi: 10.1056/NEJM197106102842304. [DOI] [PubMed] [Google Scholar]
- Renwick D. H. The combined use of a central registry and vital records for incidence studies of congenital defects. Br J Prev Soc Med. 1968 Apr;22(2):61–67. doi: 10.1136/jech.22.2.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roberts D. F., Chavez J., Court S. D. The genetic component in child mortality. Arch Dis Child. 1970 Feb;45(239):33–38. doi: 10.1136/adc.45.239.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WHITE K. L., WILLIAMS T. F., GREENBERG B. G. The ecology of medical care. N Engl J Med. 1961 Nov 2;265:885–892. doi: 10.1056/NEJM196111022651805. [DOI] [PubMed] [Google Scholar]