European Psychiatry - Volume 33

S786

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

EV1372

Leganés Psychiatric Hospital in the

early twentieth century (1900–1931):

An approach to healthcare activity

R. Candela Ramírez

1 ,

∗

, A. Conseglieri Gámez

P. Vázquez de la Torre Escalera

Fuenlabrada Hospital, Psychiatry, Fuenlabrada, Madrid, Spain

Parla Hospital, Psychiatry, Parla, Madrid, Spain

∗

Corresponding author.

Introduction

Leganés Psychiatric Hospital has been the subject

of several studies about its institutional history and clinical activ-

ity. The first decades of the twentieth century are the less explored

years; however, important events for the development and estab-

lishment of the discipline of psychiatry happened in Spain during

this period.

Objectives/aims

To describe the clinical and therapeutic manage-

ment of inpatients admitted to Leganés National Asylum between

1900 and 1931.

Material and methods

This is a retrospective case series study.

We reviewed medical records found in the Historical Archives

of Psychiatric Institute, Germany (

= 1043) of inpatients admit-

ted between 1900 and 1931. We analyzed clinical care variables,

mainly related to diagnosis and treatment, of the patientswhowere

admitted during this period (

= 1043) with SPSS v21. We consulted

bibliography, such as asylum documents and diverse primary and

secondary literature.

Results

The diagnosis of mania was very common in the early

twentieth century. Lypemania nearly disappeared after 1910 and

monomania was not observed in any patient. Delusions decreased

after 1905. The first patient diagnosed with schizophrenia was

admitted on 19th November 1921. From that moment, the use of

this term increased significantly. Only 4.4% of patients admitted

underwent treatment.

Conclusions

We confirmed the predominance of French nosology

in the early twentieth century. From 1920, an increase in German

nosography was observed. The application of treatments was rare.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2357

EV1373

Characteristics of inpatients admitted

to National Asylum of Leganés in the

early twentieth century (1900–1931)

R. Candela Ramírez

1 ,

∗

, P. Vázquez de la Torre Escalera

A. Conseglieri Gámez

Fuenlabrada Hospital, Psychiatry, Fuenlabrada, Madrid, Spain

Parla Hospital, Psychiatry, Parla, Madrid, Spain

∗

Corresponding author.

Introduction

Leganés Psychiatric Hospital has been the subject of

several studies about its institutional history, clinical activity and

demography of its institutionalized population. The first decades of

the twentieth century are the less explored years; however, impor-

tant events for the development and establishment of the discipline

of psychiatry happened in Spain during this period.

Objectives/aims

To describe the sociodemographic and hospi-

talization characteristics of the patients who were admitted to

Leganés National Asylum between 1900 and 1931.

Methods

This is a retrospective case series study. We reviewed

medical records found in theHistorical Archives of Psychiatric Insti-

tute Germain (

= 1043) of inpatients admitted between 1900 and

1931. We analyzed sociodemographic and hospitalization related

variables of medical records with SPSS v21. We consultedbibliogra-

phy, such as asylumdocuments and diverse primary and secondary

literature.

Results

Most inpatients were male, single, with an average age of

38 years, came from home and were admitted as fee-paying board-

ers. Circa 64% of them remained in the institution until death and

the average stay was 7.92 years.

Conclusions

Even though the Leganés Asylum was born amidst

debate on the asylum model, it did not meet the expectations.

Among other reasons, it presented serious architectural deficien-

cies and was unable to classify inpatients according to the French

tradition (agitated, dirty, quiet) or to separate populations, such as

minors or criminal inpatients, thus becoming a charity institution

asylum instead of a therapeutic mental hospital.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2358

EV1374

Cyclic vomiting syndrome

P. Cano Ruiz

∗

, S. Ca˜nas Fraile , A. Gómez Peinado ,

M.D. Sánchez García

HNSPS, Psiquatría, Albacete, Spain

∗

Corresponding author.

Introduction

Cyclic vomiting syndrome (SVC) is a functional gas-

trointestinal disorder characterized by paroxysmal episodes of

vomiting, recurrent and cyclical presentation. Although this dis-

order was first described in children, recently it has increasingly

been recognized in adults.

Objective

To know the pathogenesis of the syndrome and the

optimum approach.

Method

Theoretical review and cyclic vomiting syndrome brief

statement of a case. This is a man of 51 years for 7 months has

repeated episodes of vomiting often than 1 episode for week,

with vomiting every 10–15minutes. The patient is admitted to

the neurology department for endless instability and multidirec-

tional nystagmus and right hemispheric deficiency symptoms, with

acute renal failure prerenal rehydration and study. While entering

data semiotic Wernicke disease are objectified. With replacement

therapy meeting evolves favorably at the time of discharge from

hospital asymptomatic.

Discussion

CVS, in conclusion, is a rare disease in adults whose

diagnosis is one of exclusion. The adult presentation usually

presents more durable, less frequent episodes. The pathogenesis

remains unknown. The optimal treatment is to establish prophy-

lactic migraine medications like amitriptyline. In the prodromal

phase, it could be used ketocorolaco or sumatriptan and in the acute

phase, ondansetron or lorazepam. Because of the morbidity associ-

atedwith CVS, in particular the severity of symptoms, it is necessary

to conduct more studies in adults.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.