Casado Menéndez I
Sección de Neurología, Hospital de Cabueñes, Gijón, Asturias.
Neurologia. 2009 Jun;24(5):309-14.
In recent years, the out-patient neurological demand has been growing constantly. Many studies exist on the characteristics of this in our country. However, up to date, none of them have been made in the Principality of Asturias. We have proposed to learn the characteristics of the out-patient neurological care in our area and consequently to contribute to an improvement in medical care planning.
The requests for consultation received were collected prospectively over 18 months. Annual demand was calculated using the population data. One thousand patients were finally included in the study. The following data were gathered: age, gender, origin, reason for consultation, and destination.
Demand for first visits was 11.94 per 1.000 inhabitants/year. Average age was of 62.04 years, the highest published to date. More women (59%) than men consulted. The most frequent age range was 75-80 years. Headache was the most common condition. Cognitive problems were the most common one in patients over 65 years. Non-neurological problems were the third reason for consultation. A total of 50.4% of the patients were not given an appointment for follow-up.
Mean age of the patients seem in Neurology seems to be progressively increasing and consequently, consultations for cognitive problems, which together with headaches, are the most frequent reason of consultation. A high percentage of non-neurological conditions can be related with a high percentage of discharges.
近年来，门诊神经科需求持续增长。我国有许多关于此方面特征的研究。然而，截至目前，阿斯图里亚斯公国尚未开展此类研究。我们提议了解本地区门诊神经科护理的特征，从而为改善医疗护理规划做出贡献。
前瞻性收集了18个月内收到的会诊请求。利用人口数据计算年度需求。最终1000名患者纳入研究。收集了以下数据：年龄、性别、来源、会诊原因及去向。
首次就诊需求为每年每1000名居民11.94人次。平均年龄为62.04岁，是迄今公布的最高值。女性会诊者（59%）多于男性。最常见的年龄范围是75 - 80岁。头痛是最常见的病症。认知问题是65岁以上患者中最常见的问题。非神经科问题是会诊的第三个原因。共有50.4%的患者未获得随访预约。
神经科患者的平均年龄似乎在逐渐增加，因此，认知问题会诊以及头痛会诊是最常见的原因。高比例的非神经科病症可能与高比例的出院情况相关。
