Más Sesé G, Hernández Hortelano E, González Caballero G, Martín Bautista D, Plaza Macías I, Sola D, Alom Poveda J
Servicio de Neurologia, Hospital General Universitario, Elche, Alicante.
Neurologia. 2006 Oct;21(8):400-4.
Intrahospital consultation (IC) is a little analyzed activity within daily neurologist hospital care. It entails an extra investment of time and resources. This study aims to describe the number and characteristics of the IC to a neurological department in our setting and to emphasize its importance within daily neurological health care.
We performed an eighteen-month retrospective study of the requests for consultations received during this period in the Neurology Service of the Hospital General Universitario. The following variables were analyzed: demographic information, number and type of IC, time of response, syndromic diagnosis, complementary tests requested and resolution of patients.
224 IC in 210 patients were seen. The average time of response was 1.57 days, although it was modified because of type of IC (normal: 1.7 days; for preference: 1.5 days; urgent: 0.2 days). The specialities that requested most consultations were cardiology (12.9%) and internal medicine (12.5 %). The most frequent reasons for consultation were: signs and symptoms (27.2%), focal neurological deficit (22.8%) and cognitive impairment (17.9%). CT scan and MRI were the most common complementary tests. A total of 25.4% of patients were referred to neurology outpatient clinic for follow-up.
IC is an infrastudied activity in the literature. We consider it necessary to analyze this kind of care in every hospital in order to improve the organization and the planning of the day-to-day hospital activity
医院内部会诊（IC）是日常神经科医院护理中一项较少被分析的活动。它需要额外投入时间和资源。本研究旨在描述我院神经科的医院内部会诊数量及特点，并强调其在日常神经科医疗保健中的重要性。
我们对大学综合医院神经科在此期间收到的会诊请求进行了为期18个月的回顾性研究。分析了以下变量：人口统计学信息、医院内部会诊的数量和类型、响应时间、综合征诊断、所要求的辅助检查以及患者的诊断结果。
共对210例患者进行了224次医院内部会诊。平均响应时间为1.57天，不过因医院内部会诊类型而有所不同（普通会诊：1.7天；优先会诊：1.5天；紧急会诊：0.2天）。请求会诊最多的专科是心脏病学（12.9%）和内科（12.5%）。最常见的会诊原因是：体征和症状（27.2%）、局灶性神经功能缺损（22.8%）和认知障碍（17.9%）。CT扫描和MRI是最常见的辅助检查。共有25.4%的患者被转至神经科门诊进行随访。
医院内部会诊是文献中一项研究不足的活动。我们认为有必要对每家医院的此类护理进行分析，以改善日常医院活动的组织和规划。
