Kanagaratnam Meneka, Boodhoo Ajay, MacDonald Bridget K, Nitkunan Arani
St George's University Hospitals NHS Foundation Trust, London, UK.
Croydon University Hospital, Thornton Heath, UK.
Clin Med (Lond). 2020 Mar;20(2):169-173. doi: 10.7861/clinmed.2019-0377.
Neurological illnesses are a common cause of hospital admissions, yet most patients are not primarily managed by neurologists. Acute neurology service provision varies across the UK. This study aimed to establish the number of neurological admissions during a 2-week period in a district general hospital, as well as the proportion of those patients who were seen by the hyperacute neurology team. This was done by analysing the diagnostic codes. It was established that there was a total of 2,242 admissions during the study period and, of those, 491 (22%) had neurological codes. Analysis of the 491 hospital electronic records revealed that 229 (10%) were truly neurologically relevant and, of those, 14% of patients received an opinion from the neurology team. Therefore, it can be concluded that only a small proportion of acute neurology is currently being seen by neurologists.
神经系统疾病是住院的常见原因，但大多数患者并非主要由神经科医生诊治。英国各地急性神经病学服务的提供情况各不相同。本研究旨在确定一家地区综合医院在两周内神经系统疾病的住院人数，以及那些由超急性神经病学团队诊治的患者比例。这是通过分析诊断编码来完成的。研究确定，在研究期间共有2242例住院病例，其中491例（22%）有神经系统疾病编码。对491份医院电子记录的分析显示，229例（10%）确实与神经系统疾病相关，其中14%的患者接受了神经科团队的会诊。因此，可以得出结论，目前神经科医生仅诊治了一小部分急性神经系统疾病患者。
