Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
DOI:
https://doi.org/10.31052/1853.1180.v18.n3.11738Keywords:
Neurological outpatient demand. Descriptive analysis. Headache. Cognitive impairment.Abstract
Abstract: INTRODUCTION AND OBJECTIVES: In the last years, demand for neurological assistance has increased in connection with more education and progress in the diagnostic and therapeutic fields. According to WHO, 90% of neurological pathologies are treated in outpatient basis and represent an important health problem which encourages the development and updating of epidemiological analysis. Objective: To analyze demographic, care and diagnostic variables in first time outpatient neurological demand at Hospital Nacional de Clínicas (HNC). MATERIAL AND METHODS: Prospective-descriptive observational study of 761 patients who consecutively attended a first outpatient consultation in Neurology at HNC, in the period April 2012- October 2012. RESULTS: Within the patients included, 455 were women (59.79%) and 306 were men (40.21%). The mean in age was 60.45 years, slightly higher in men (60.90) in relation to women (60.14) Patients aged over 65 represent 54.66%. The most frequent diagnoses arising from the neurological consultations were grouped in diagnostic categories: severe headache and facial pain 20.24%, cognitive decline 18.27%, abnormal movement 11.56%, peripheral neuropathy 10.25%, vascular pathology 9.86%. Some patients presented non-neurologic pathologies (3.94%). CONCLUSIONS: Female predominance and higher frequency of consultation after age 65 were observed. Severe headache was the main diagnosis. Cognitive decline, related to patients’ old age, represented the second diagnosis as regards frequency.
Downloads
References
López-Domínguez JM, Rojas-Marcos I, Sanz-Fernández G, Blanco-Ollero A, Robledo-Strauss A, Díaz-Espejo C. Análisis descriptivo de la demanda de asistencia neurológica ambulatoria en un área sanitaria de Huelva. Rev. Neurol 2007; 44 (09):527-530.Pradilla G, Puentes F, Pardo C. Estudio neuroepidemiológico piloto. Neurol Colomb 1984; 8: 1339.Pradilla-Ardila G, Vesga BE , Leon-Sarmiento FE , Bautista L, Nuñez LC , Vesga E, Gamboa NR . Neuroepidemiología en el Oriente colombiano. Rev Neurol 2002; 34 (11):1035-1043.Morera-Guitart J. Asistencia neurológica ambulatoria en España. Pasado, presente, ¿futuro? Rev. Neurol 2005; 41 (02):65-67.Pérez-Carmona N, Sánchez-Pérez RM, Abellán-Miralles I, Díaz-Marín C. Asistencia neurológica ambulatoria en el área de la Marina Baixa, Alicante. Rev Neurol 2004;39 (07):607-613.Naley MA, Elkind MSV. Outpatient training in neurology. History and future challenges. Neurology 2006; 66:E1-E6.Del Brutto V, Del Brutto O. Changing Profile of 7,519 Patients Attending an Outpatient Neurologic Clinic over 20 Years: From Reason for Consultation to a Definitive Diagnosis.Neurology. Vol. 78. 530 Walnut St, Philadelphia, PA 19106-3621 USA: Lippincott Williams & Wilkins, 2012.Hopkins A, Menken M, DeFriese G. A record of patient encounters in neurological practice in the United Kingdom. J Neurol Neurosurg Psychiatry 1989;52(4):436-8.Stevens DL. Neurology in Gloucestershire: the clinical workload of an English neurologist. J Neurol Neurosurg Pshychiatry 1989; 52(4):439-46.Martín Santidrian MA, Jiménez M, Trejo Gabriel y Galán JM. Análisis descriptivo de la demanda asistencial neurológica ambulatoria en el área sanitaria de Burgos. Neurología. 2011; 26:39—44.Gracia-Naya M, Usón-Martín MM. Grupo de Estudio de Neurólogos Aragoneses. Estudio trasversal multicéntrico de las consultas externas de Neurología de la Seguridad Social en Aragón. Resultados globales. Rev Neurol. 1997; 25:194—9.González Penacho J, Olivé Plana JM. Epidemiología de la patología neurológica ambulatoria en el Baix Camp (Tarragona) durante 1999. Neurología. 2001; 16:154—62.López-Pousa S, Monserrat-Vila S, Turró-Garriga O, Aguilar- Barberà M, Caja-López C, Vilalta-Franch J, et al. Análisis de la demanda asistencial neurológica generada por la atención primaria en un área geográfica de las comarcas de Girona. Rev Neurol. 2009; 49:288—94.Gracia-Naya M, Marta E, Usón M, Carod J. Estudio epidemiológico descriptivo de una consulta externa de Neurología. Rev Neurol. 1996; 24:633—7.Del Brutto VJ, Del Brutto OH. Análisis demográfico comparativo de pacientes adultos con y sin enfermedad neurológica que asisten a una consulta externa de neurología en Guayaquil, Ecuador. Rev. Ecuat. Neurol. Vol. 21, No1-3, 2012.Martín R, por la Comisión de Análisis de la Calidad de la Sociedad Valenciana de Neurología. El modelo de asistencia neurológica en la Comunidad Valenciana. Rev Neurol 1995; 23:1106-10.Morera-Guitart J. Análisis de la asistencia neurológica en el distrito sanitario de Marina Alta. Junio de 1992 a julio de 1996 (tesis doctoral). Universidad de Alicante, 1996.Huerta-Villanueva M, Baiges-Octavio JJ, Martín-Ozaeta G, Munoz-Farjas E, Rubio-
Revista de Salud Pública, (XVIII) 3:47-54, dic 2014FRIAS IA, BUONANOTTE FC. | Análisis descriptivo de la demanda asistencial neurológica ambulatoria...54Borrego F. Evolución de la demanda de asistencia neurológica ambulatoria y patología atendida en la consulta de neurología de la región sanitaria de Tortosa. Tarragona. Rev Neurol. 2005;41:68—74.Morera Guitart J, Pedro Cano MJ. Variación en la patología atendida en las consultas de Neurología: un futuro demencial. Neurología. 2003;18:417—24.Casado Menéndez I. Análisis de los motivos de consulta en una consulta de Neurología de área en Asturias. Neurología 2009;24(5):309-314.Lavados PM, Gómez V, Sawada M, Chomali M, Álvarez M. Diagnósticos neurológicos en la atención primaria de salud en Santiago, Chile. Rev Neurol 2003;36(6):518-522.Cruz ME. Estudio neuroepidemiológico en el Ecuador. Quito: Fundación Eugenio Espejo; 1984.Schoenberg BS. Neurological epidemiology. New York, USA: Raven Press; 1991.p.1-4.Ropper AH, Samuels MA. Adams and Victor’s Principles of Neurology. Ninth Edition. McGraw-Hill; 2009.Sempere AP, Mola S, Medrano V, Esguevillas T, Costa C, Salazar V, Flores-Ruiz JJ, Custardoy J. Epidemiología descriptiva de la asistencia neurológica ambulatoria en el Área Vega Baja (Alicante). Rev Neurol 2002;35 (09):822-826.Fragoso M, Aguilar-Barberá M. Análisis de una consulta de Neurología ambulatoria en el área de Rubí, Barcelona. Rev Neurol 2006; 42(1):58-9
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License which allows the work to be copied, distributed, exhibited and interpreted as long as it is not done for commercial purposes.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after the publication process. (See The Effect of Open Access). (See The Effect of Open Access).
How to Cite
