4.1 Limitations
This research examined all urgent consultation cases in a 4-year period
in the study hospital; the emergency department was excluded because of
its special case recording system. While this study is the first large
retrospective sample survey of inpatients applying for urgent neurologic
consultation, it was limited by the discipline distribution of the study
hospital. Thus, the results might not be applicable to other hospitals.
To fully grasp the current state of urgent neurologic consultation,
large-scale cases and multicenter studies should be undertaken in the
future.
Acknowledgements
see in Title page
Conflict of interests
see in Title page
References
1 Zhao
C, Lee
K, Do D. (2020)
Neurology consults in emergency departments: Opportunities to streamline
care.Neurol Clin
Pract.10(2):149-15. doi:10.1212/CPJ.0000000000000712
2 Chirra M, Marsili L, Wattley L, et al.(2019) Telemedicine in
Neurological Disorders: Opportunities and Challenges. Telemedicine and
e-Health.
25(7):541-550.
doi:10.1089/tmj.2018.0101.
3 Dall T, Storm M, Chakrabarti R et al.(2013) Supply and demand
analysis of the current and future US neurology workforce. Neurology.
81(5):470-8. doi:10.1212/WNL.0b013e318294b1cf.
4 Zinchuk AV, Flanagan EP, Tubridy NJ et al.(2010)Attitudes of US
medical trainees towards neurology education: ”Neurophobia” - a global
issue. BMC Med Educ. 10:49 doi:10.1186/1472-6920-10-49.
5 Brás PC, Barros A, Vaz S, João Sequeira, et al.(2018) Influence of
weather on seizure frequency - clinical experience in the emergency room
of a tertiary hospital.Epilepsy Behav. 86: 25-30.
doi:10.1016/j.yebeh.2018.07.010.
6 Rodríguez-Antigüedad A., Matías-Guiu J., Hernández-Pérez M.A, et
al.(2011)Neurophysiology training in the neurology specialist
education program in Spain.Neurologia. 26(5):272-8.
doi:10.1016/j.nrl.2010.11.003.
7 James G. Greene. (2018)Collaborative comanagement between
neurohospitalists and internal medicine hospitalists decreases provider
costs and enhances satisfaction with neurology care at an academic
medical center. Neurohospitalist. 8(2):74-81.
doi:10.1177/1941874417735173.
8
Minardi C, Minacapelli R, Valastro P, Vasile F, Pitino S, Pavone P, Astuto M, Murabito P. Epilepsy in Children: From Diagnosis to Treatment with Focus on Emergency. J Clin Med. 2019 Jan 2;8(1):39. doi: 10.3390/jcm8010039.
9 Wijdicks EFM, Hocker SE. (2018)A future for simulation in acute
neurology. Semin Neurol. 38(4):465-470. doi:10.1055/s-0038-1666986.
10 Sakashita A, Kizawa Y, Kato M, et al.(2018) Development of a
standard for hospital-based palliative care consultation teams in Japan
using a modified delphi method.J Pain Symptom Manage. 56(5):746-751.
doi:10.1016/j.jpainsymman. 2018.08.013.
11 Do DH, Siegler JE. (2018)Diagnoses and other predictors of patient
absenteeism in an outpatient neurology clinic. Neurol Clin Pract.
8(4):318-326. doi:10.1212/CPJ.0000000000000488.
12 Ropper A. (2016)How to determine if you have succeeded at neurology
residency. Ann Neurol. 79(3):339-41. doi:10.1002/ana.24592.
13 Coban E, Mutluay B, Sen A, et al.(2016)Characteristics, diagnosis
and outcome of patients referred to a specialized neurology emergency
clinic: prospective observational study. Ann Saudi Med. 36(1):51-6.
doi:10.5144/0256-4947.2016.51.
14 Roland B , Stephanie G , Audrey J , et al. (2018)Referral
management: Which patients are deemed not appropriate for neurologic
consultation, and what happens to them?[J].Clin Neurol Neurosurg.
173:15-19. doi:10.1016/j.clineuro.2018.05.025.
15 Morrish PK. (2015)Inadequate neurology services undermine patient
care in the UK.BMJ. 350:h3284.doi:10.1136/bmj.h3284