The value of a liaison neurology service in a district general hospital

McColgan, Peter; Carr, Aisling; McCarron, Mark O.

doi:10.1136/pgmj.2010.106971

Cited by 13 publications

(16 citation statements)

References 19 publications

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“…Other than stroke, seizure (9.3%) was the next common event for consultation seeking. In contrary to this most the European studies except for the Irish, reported epilepsy as a major cause of referral, followed by stroke [7,19,22,23]. The Irish reporting had stroke (22.7%) and epilepsy (10.2%) as two most common causes for referral.…”

Section: Discussionmentioning

confidence: 89%

Pattern of neurological disease seen among patients admitted in tertiary care hospital

et al. 2014

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BackgroundNeurologic disorders are not uncommon at in patient departments of different hospitals. We have conducted the study to see the pattern and burden of neurologic disorders at different inpatient departments of a tertiary care centre.MethodologyThis retrospective observational study was carried out from the records and referral notes of neurology department of Dhaka Medical College Hospital (DMCH) from July 2011 to June 2012. A total 335 patients were evaluated by consultant neurologists during this period.ResultMajority of the patients (59.7%) presented after the age of forty years. The mean age at presentation was 45.11 ± 17.3 years with a male predominance (63.3%). Stroke was the most common condition (47.5%) observed at referral, followed by seizure (9.3%), disease of spinal cord (7.8%) and encephalopathy (6.3%). Even after consultation, 30 patients remained undiagnosed and 6 were diagnosed as functional disorder. Department of Medicine (231, 69%) and Cardiology (61, 18.2%) made most of the calls. More than half (56%) of the stroke patients were referred from medicine and one third (35.2%) from cardiology. Seizure (67.7%), problem in spinal cord (92.3%), coma (50%), encephalopathy (57.1%), motor neuron disease (MND) (72.7%) were common reasons for referral from department of Medicine. Whereas patients with cord disease (7.3%), CNS tumor (40%), seizure disorder (6.5%) and stroke (3.8%) were referred from surgery. Department of Obstetrics and Gynecology sought help for stroke (2.5%), seizure (12.9%), MND (27.3%), coma (16.7%) and encephalopathy (9.5%).Hypertension, diabetes, ischemic heart disease, dyslipidaemia and respiratory problem were significantly associated co-morbid conditions in stroke patients (at 95% CI, p value is <0.001, <0.01, <0.001, <0.05, <0.05 respectively). Hematological disorders were common association among patients with cord problem (<0.05).ConclusionWide ranges of neurological problems are often managed by physicians and surgeons, especially those from medicine and cardiology. Where ever available consultation from neurologists can help in diagnosing and managing these cases.

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Section: Discussionmentioning

confidence: 89%

Pattern of neurological disease seen among patients admitted in tertiary care hospital

et al. 2014

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“…A la inversa, el Reino Unido tiene 358 neurólogos (1/177.000 habitantes) 22 en el papel de consultores de los médicos primarios que son quienes atienden a casi todos los pacientes agudos 23 . Con este ordenamiento, la mayoría de los enfermos neurológicos agudos no son vistos por un neurólogo y solo el 8% de los hospitalizados por epilepsia tienen atención especializada 24 , lo que ha promovido debates acerca de la eficacia de este papel 25 .…”

Section: Discussionunclassified

“…Su importancia aumenta si tenemos en cuenta que el 19-25% de los pacientes admitidos en un hospital general tiene trastornos neurológicos 5,9 y que la ulterior evaluación por un neurólogo determinó cambios en el diagnóstico en el 38,2-55% y en el manejo en el 70-88,8% 23,32 .…”

Section: Tabla 2 -Yll Yld Y Daly (Total Y Por Enfermedades Neurológiunclassified

Número de neurólogos y carga de enfermedades neurológicas en Argentina

Somoza

Melcon

2015

Neurología Argentina

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“…1 Neurologists have to adapt to a changing work environment by contributing to robust audit measures with formative feedback to their multidisciplinary colleagues to improve service development. Neurologists can assist in clinical diagnostic accuracy 12,24 and can shorten length of stay in a teaching hospital. 25 A neurologist's effectiveness in this team approach requires further examination and refinement.…”

Section: Discussionmentioning

confidence: 99%

“…For example, in the UK one result of the European working time directive and modernising medical careers on NHS resources was the introduction of the role of physician assistant, as currently exists in the USA. 11 In the same way, increasing numbers of magnetic resonance imaging (MRI) scanners and the rise in the number of neurologists working in district general hospitals (DGH) in the UK have triggered an evaluation of the role of neurologists 12 and the assessment of the quality of neuroimaging reports provided by general radiologists. 2 The appointment of a neurologist in our DGH (along with informal opinions of other neuroradiologists in our organisation) prompted a systematic examination of the quality assurance processes related to local neuroimaging reports and the potential usefulness of a second reporting system from neuroradiologists.…”

Section: Introductionmentioning

confidence: 99%