In the last three decades, disability and dependence in old age have become major political and social issues. The World Health Organization and the scientific community have made strenuous efforts to reach a global consensus and to unify concepts and classifications; statistical institutions focus on the creation of sources to enable the study of disability, and society is looking for a healthier aging process, better environment, and appropriate health policies. Spain has followed the pace of this global movement. The National Statistics Institute has conducted three major surveys on disability and dependency (1986, 1999 and 2008). Analysis of their objectives, methodologies, frameworks and applications on the one hand, and data related to older people on the other, confirm the quantitative burden of disability and dependence and also reveals a change in the social and political significance of both old age and disability. Therefore, there is a gradual shift in statistical and policy interests from the causes of disability to their consequences-mainly dependence-and the set of personal and environmental factors that interact with this state.
There is an important increase (34%) of cases and the incidence surpasses all published in our country. There are no gender differences nor in the whole neither the Health Area Census, but there are differences in IAVIS, IAVE and IAVD. IAVIS increase in 35%. Benzodiacepines poisoning increases two-fold as well as antidepressive drugs do in women. In men also increase, but in a minor extent. Acetaminophen remains the same in 23%. NSAID's, adjuvants and myorelaxants increase in women as do also alcohol and other poisons that almost equal men's. There are 13 cases of IAVIS in patients with alimentary disorders. Among men, a quarter are illicit drug abusers. In IAVE, the group without alcoholism grows and the total decreases. Illicit drugs duplicate the number of the former year. Cocaine supposes already 2/3 of the cases, MDMA ascends to 22 cases and they appear new substances as glue, without doubt as an effect of immigration and ketamine. Finally 205 household accidents and 57 industrial injuries complete the series.
INTRODUCCIÓNEl Estudio VEIA examina la IA desde 1979 mediante cortes cuatrienales que recogen todos los casos asistidos en Urgencias del Hospital Universitario 12 de Octubre durante un año (1-7). En el presente artículo exponemos los resultados de 2004. Justifican este importante esfuerzo las grandes variaciones que el modo de intoxicarse sufre con el paso de los [0212-7199 (2008) Conclusiones: este año ha supuesto un importante aumento (34%) del número de casos y la incidencia supera a todas las publicadas en nuestro país (25,31,40). Aunque en el conjunto no hay diferencia significativa de género con el Censo de Área, la hay en IBAIS, IAVE y IAVD Las IBAIS crecen un 35%; Se duplica el uso de benzodiacepinas y antidepresivos en los IS de mujeres y crecen también en hombres pero menos; El paracetamol se mantiene en el 23% AINE, adyuvantes y mío-relajantes aumentan en mujeres y también el uso de alcohol y otros no fármacos en los is de mujeres casi igualándose con los hombres. La cuarta parte de los hombres con IS eran adictos y aparecen 13 casos de trastornos alimentarios. En las IAVE crecen el grupo sin etilismo y baja el total. Las drogas se duplican con respecto al año anterior: la cocaína supone los 2/3 también suben la MDMA (22 casos) y aparecen nuevas drogas, como el pegamento, sin duda efecto de la inmigración, y ketamina; incluso cuatro casos no pudieron ser etiquetados por la falta de medios diagnósticos en la urgencia. (1979, 1985, 1990, 1994,1997 and 2000). We present the 2004 study and compare the results with the previous years.
Methods and results: Methodology has been identical across VEIA STUDY. Of 1508 AP, 610 are suicide attempts (IAVIS), 319 ethylic, (IAVE), and 218 by illicit drugs (IAVD). Of the 2,259 toxics involved, 48% are medications (50% benzodiacepines) alcohol 25% and illicit drugs 13%.Conclusions Por error en la transcripción, este trabajo fue publicado incompleto en el nº 2, volumen 25. Sólo tendrá valor referencial la versión publicada en el presente número.
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