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How well is peripheral neuropathy investigated? An audit from a regional neurophysiology department.

作者信息

Murphy S, McNamara B

机构信息

Dept of Neurology, Beaumont Hospital, Dublin.

出版信息

Ir J Med Sci. 2006 Jan-Mar;175(1):54-6. doi: 10.1007/BF03169002.

DOI:10.1007/BF03169002
PMID:16615231
Abstract

BACKGROUND

Peripheral neuropathy (PN) is common and increases with age.

AIM

To assess how patients with confirmed peripheral neuropathy on nerve conduction studies (NCS) were investigated and to determine whether there was any difference in investigation based on patient age or referral source.

DESIGN

Retrospective audit.

METHODS

All EMG/NCS reports from a one-year period were analysed. The computer laboratory system was used to determine which blood tests had been performed on those patients with confirmed peripheral neuropathy on NCS.

RESULTS

Over 50% of patients referred from within the hospital did not have a basic blood screen to search for the aetiology. There was no significant difference in investigation practise based on patient age or referral source.

CONCLUSION

Our results highlight the lack of systematic investigation in a university teaching hospital. As a result of this audit, a protocol has been prepared and is distributed with NCS/EMG reports.

摘要

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本文引用的文献

1
Clinical evaluation and investigation of neuropathy.神经病变的临床评估与调查
J Neurol Neurosurg Psychiatry. 2003 Jun;74 Suppl 2(Suppl 2):ii3-ii8. doi: 10.1136/jnnp.74.suppl_2.ii3.
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Evaluating patients with suspected peripheral neuropathy: do the right thing, not everything.
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Diagnostic work-up in peripheral neuropathy: an analysis of 171 cases.周围神经病变的诊断检查:171例病例分析
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Cryptogenetic polyneuropathies: an out-patient follow-up study.隐源性多发性神经病:一项门诊随访研究。
Acta Neurol Scand. 1991 Sep;84(3):221-5. doi: 10.1111/j.1600-0404.1991.tb04942.x.