Analysis of Urgent Neurologic In-Hospital Consultations in a Large
Tertiary Hospital Center in China
Abstract
Objective: To determine the current state of urgent neurologic
in-hospital consultations, this study investigated urgent neurologic
in-hospital consultations in a large tertiary hospital in China over a
4-year period. Methods: We conducted a retrospective study of urgent
neurologic in-hospital consultations in a large tertiary hospital for 4
consecutive years (Jan. 1, 2014 to Dec. 31, 2017). The clinical data of
patients who received urgent neurologic in-hospital consultations were
obtained from the electronic medical record system and analyzed.
Results: A total of 1437 cases (age range: 9–103 years old; average
age: 60.3; males: 54.6%) were included in the study; 57.5% of the
consultations were in line with urgent consultation criteria. The
departments applying for urgent consultation involved 29Twenty-nine
clinical departments were involved in the urgent consultations.
consciousness disorder (36.0%), tics/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 non-neurological diseases (10.4%), and undiagnosed
diseases (11.8%). The common neurological disorders included urgent
cerebrovascular disease (33.6%), epilepsy/status epilepticus (15.8%),
and metabolic or infective toxic encephalopathy (14.9%). Conclusions:
Most urgent neurologic consultation is in line with consultations
followed the guidelines for urgent neurologic consultation criteria.
Non-neurologic. Non-neurological physicians in clinics should enrich
their knowledge of frequently occurring urgent and critical neurological
diseases.