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Analysis of Urgent Neurologic In-Hospital Consultations in A Large Tertiary Hospital Center in China
  • Jiafang Wang,
  • Ming Ren,
  • kebin Zeng
Jiafang Wang
Department of Neurology, Affiliated Hospiatal of Chongqing Three Gorges Medical Colloge, Chongqing
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kebin Zeng
First Affiliated Hospital of Chongqing Medical University
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Peer review status:IN REVISION

24 Apr 2020Submitted to International Journal of Clinical Practice
29 Apr 2020Assigned to Editor
29 Apr 2020Submission Checks Completed
29 Apr 2020Reviewer(s) Assigned
05 Jun 2020Review(s) Completed, Editorial Evaluation Pending
22 Jun 20201st Revision Received

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.