Sección de Neurología, Hospital General Yagüe, Complejo Asistencial de Burgos, Burgos, España.
Neurologia. 2011 Jan-Feb;26(1):39-44. doi: 10.1016/j.nrl.2010.07.034. Epub 2010 Nov 26.
To determine the ambulatory neurological care demand in Burgos Health Area and to describe the demographic, assistance and diagnostic data following recommendations of assessment of disease morbidities and use of health systems at a regional level.
This is an observational descriptive study that prospectively recorded ambulatory demand of first neurological visits during the year 2008. Demographic, assistance and diagnostic data of the 1,341 patients that attended the neurology clinic were recorded.
The 1,524 visits requested was equivalent to a demand of 15.08 visits per inhabitant older than 14 and per year. Twelve per cent of patients did not attend the requested visit. The mean age of the total sample was 56.29 years, of which 60.99% were women and 42.20% were older than 65 years. A total of 76% were sent by their general practitioner, of which 70% were non-urgent. The most common referral causes were headache (26%) and dementia (15%), and the diagnoses at the end of the neurology visit were headache (27%) and "no neurological disease" (19%). Among patients older than 65 years, dementia and movement disorders made up 34% of neurological diagnoses. After the first visit, 59% of patients were discharged to their general practitioner.
Headache is the most common complaint for referral to neurology in our region. Advanced age increases the demand due to a higher prevalence of neurodegenerative diseases. The high proportion of direct discharges suggests a poor selection of the patients referred from primary care and underlines the need for a more rational patient selection for referral to secondary care.
确定布尔戈斯卫生区的门诊神经科就诊需求，并根据疾病发病率评估和区域卫生系统使用建议，描述人口统计学、辅助和诊断数据。
这是一项前瞻性观察性描述性研究，记录了 2008 年全年首次神经科门诊就诊的门诊需求。记录了 1341 名到神经科诊所就诊的患者的人口统计学、辅助和诊断数据。
共需求 1524 次就诊，相当于每个 14 岁以上居民每年有 15.08 次就诊需求。12%的患者未就诊。总样本的平均年龄为 56.29 岁，其中 60.99%为女性，42.20%年龄大于 65 岁。总共 76%是由他们的全科医生转介的，其中 70%是非紧急的。最常见的转诊原因是头痛（26%）和痴呆（15%），神经科就诊结束时的诊断是头痛（27%）和“无神经科疾病”（19%）。在年龄大于 65 岁的患者中，痴呆和运动障碍占神经科诊断的 34%。第一次就诊后，59%的患者被转回全科医生处。
头痛是我们地区神经科就诊最常见的主诉。由于神经退行性疾病的患病率较高，年龄增长会增加就诊需求。直接出院的比例较高表明，从初级保健机构转诊的患者选择不佳，强调需要更合理地选择转诊至二级保健的患者。
