Analysis of Urgent Neurologic In-Hospital Consultations in A Large
Tertiary Hospital Center in China
Abstract
Objectives: To analyze the current condition of the
urgent neurologic in-hospital consultations, which may help junior
doctors to manage diseases related to neurology and carry out emergency
consultation. Methods: We conducted a retrospective study of urgent
neurologic in-hospital consultations in a large tertiary hospital for
four consecutive years (Jan 1, 2014 to Dec 31, 2017). Through the
electronic medical record system, the clinical data of patients who
received in-patient consultation in emergency neurology department were
reviewed and analyzed. Results: A total of 1,437 cases (age range 9 to
103 years old with average age 60.3-year old, Male 54.6%) were included
in the study, 57.5% of cases met the urgent consultation criteria. The
departments applying for urgent consultation involved 29 clinical
departments. The most common reasons of urgent consultation were
disturbance of consciousness (36.0%), tic/stiffness (13.6%), limb
weakness (8%) and mental disorders (5.6%).Urgent consultation diseases
were divided into three categories: neurological diseases (77.8%),
non-neurological diseases (10.4%), and unknown diseases (11.8%).Common
neurological disorders were urgent cerebrovascular disease (33.6%),
epilepsy/status epilepticus (15.8%), and metabolic or infection, toxic
encephalopathy (14.9%). Conclusions: Most cases of the urgent
neurologic consultation met the urgent neurologic consultation criteria.
Non-neurologic junior physicians should clinically enrich their
knowledge of neurological diseases.