Cruz-Velarde J A, Gil de Castro R, Vázquez Allén P, Ochoa Mulas M
Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid.
Neurologia. 2000 May;15(5):199-202.
Intrahospitalary interconsultation (IC) to a neurology department is an infrastudied task within daily neurologic health care.
To evaluate the IC to a neurology department.
A one-year retrospective study was performed on the IC received in the Department of Neurology in the Hospital General Universitario "Gregorio Marañón" (Spain), to evaluate the reasons for consultation, the urgency of the request, concordance between initial clinical suspicion and final diagnosis, specialties involved, final diagnosis and management/deviation to the IC.
A total of 432 IC were analyzed. The most frequent reasons for consultation were cerebrovascular disease (19%) and control of already diagnosed neurological diseases (17%). The most frequent final diagnoses were cerebrovascular disease and acute metabolic encephalopathy (16% in both cases). With regard to management, three percent of the cases were admitted to the ward and 14% were sent to out patients for completing studies and/or follow up.
This study underlines the importance of intrahospitalary IC within the daily tasks and health care carried out in a neurology department in relation to the number of IC undertaken during the study period. It is also an excellent method to evaluate the neurologic manifestations observed in systemic diseases and neurologically study patients with diverse pluripathy.
神经内科的院内会诊（IC）是日常神经保健中一项未被充分研究的任务。
评估神经内科的院内会诊。
对西班牙格雷戈里奥·马拉尼翁综合大学医院神经内科接收的院内会诊进行了为期一年的回顾性研究，以评估会诊原因、请求的紧迫性、初始临床怀疑与最终诊断之间的一致性、涉及的专科、最终诊断以及对院内会诊的处理/偏差。
共分析了432例院内会诊。最常见的会诊原因是脑血管疾病（19%）和已确诊神经疾病的控制（17%）。最常见的最终诊断是脑血管疾病和急性代谢性脑病（均为16%）。在处理方面，3%的病例被收住病房，14%被送往门诊完成检查和/或随访。
本研究强调了在神经内科日常工作和医疗保健中院内会诊的重要性，这与研究期间进行的院内会诊数量有关。它也是评估系统性疾病中观察到的神经表现以及对患有多种疾病的患者进行神经学研究的一种极好方法。
