

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
2,
P. Vázquez de la Torre Escalera
11
Fuenlabrada Hospital, Psychiatry, Fuenlabrada, Madrid, Spain
2
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 (
n
= 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 (
n
= 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.2016.01.2357EV1373
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
1,
A. Conseglieri Gámez
21
Fuenlabrada Hospital, Psychiatry, Fuenlabrada, Madrid, Spain
2
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 (
n
= 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.2016.01.2358EV1374
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.
Further readings
García Herrero AM, et al. Cyclic vomiting syndrome. Psychiatry
2012. com, 16.
Left Ortiz MJ, et al. Acute renal failure secondary to cyclic vomiting
syndrome. Nephrology (Madrid) 2011;31(6):760–1.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.2359EV1375
Psychiatric family history in patients
with eating disorders in a sample of
hospital Day
B. Unzeta Conde
1 ,∗
, C. Pérez Franco
3, P. Besteiro Vilari˜no
2,
M. Ba˜nos
1, I. Karen Eaton
2, E. Guerra
11
Psiquiatra, UTCA Hospital Universitario Santa Cristina, Madrid,
Spain
2
Psicologo Clinico, UTCA Hospital Universitario Santa Cristina,
Madrid, Spain