3.3 Diseases and the purpose of consultation
The common purposes for inviting urgent neurologic in-hospital
consultations were as follows: diagnosis unknown (80%), assisted
treatment (14%), and disputed cases (6%) (Table 1). Table 1 shows
other, less common reasons for applying for urgent consultation.
[Table 1 here]
The diseases in urgent neurologic in-hospital consultation can be
divided into three categories: nervous system diseases, nonnervous
system diseases, and unknown diseases. Diseases frequently requiring
neurologic consultation included acute cerebrovascular disease,
epilepsy, intracranial infection, metabolic encephalopathy, infectious
toxic encephalopathy, ischemic and hypoxic encephalopathy; these
accounted for 58.4% of the total urgent consultations. The older the
age, the more frequent the application for urgent consultation.
Non-neurological diseases accounted for 10.4% of the total number of
emergency cases, in which the internal environment was disordered and
the basic diseases were poor, and anxiety states were the most common.
Unknown diseases accounted for 11.8%. There are many reasons for these
conditions, including highly complex diseases and patients’ refusal to
further examination.(Fig2)
Fig.2 Departments with non neurologic diseases in urgent neurologic
consultation