Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas

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 impor...

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Autores principales: Farias, IA, Buonanotte, FC.
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2015
Materias:
Neurological outpatient demand. Descriptive analysis. Headache. Cognitive impairment.
Consulta neurológica ambulatoria. Análisis descriptivo. Cefalea. Deterioro cognitivo
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/11738
Aporte de:
Revista de Salud Pública de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
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container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Neurological outpatient demand. Descriptive analysis. Headache. Cognitive impairment.
Consulta neurológica ambulatoria. Análisis descriptivo. Cefalea. Deterioro cognitivo
spellingShingle Neurological outpatient demand. Descriptive analysis. Headache. Cognitive impairment.
Consulta neurológica ambulatoria. Análisis descriptivo. Cefalea. Deterioro cognitivo
Farias, IA
Buonanotte, FC.
Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
topic_facet Neurological outpatient demand. Descriptive analysis. Headache. Cognitive impairment.
Consulta neurológica ambulatoria. Análisis descriptivo. Cefalea. Deterioro cognitivo
author Farias, IA
Buonanotte, FC.
author_facet Farias, IA
Buonanotte, FC.
author_sort Farias, IA
title Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
title_short Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
title_full Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
title_fullStr Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
title_full_unstemmed Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas
title_sort descriptive analysis of demand of outpatient neurological assistance at hospital nacional de clínicas
description 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.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2015
url https://revistas.unc.edu.ar/index.php/RSD/article/view/11738
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spelling I10-R360-article-117382025-04-03T12:06:55Z Descriptive analysis of demand of outpatient neurological assistance at Hospital Nacional de Clínicas Análisis descriptivo de la demanda asistencial neurológica ambulatoria en el Hospital Nacional de Clínicas Análise descritiva da demanda assistencial neurológica ambulatorial no Hospital Nacional de Clínicas Farias, IA Buonanotte, FC. Neurological outpatient demand. Descriptive analysis. Headache. Cognitive impairment. Consulta neurológica ambulatoria. Análisis descriptivo. Cefalea. Deterioro cognitivo 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. INTRODUCCIÓN Y OBJETIVOS: En los últimos años ha aumentado la demanda de atención neurológica, en relación a mayor educación, avances en el campo diagnóstico y terapéutico. Según la OMS, el 90 % de las patologías neurológicas tienen manejo ambulatorio, y representan un problema sanitario importante, el cual promueve la elaboración y actualización de análisis epidemiológicos. Objetivo: Analizar variables demográficas, asistenciales y diagnósticas de la demanda neurológica ambulatoria de primera vez en el HNC. MATERIALES Y MÉTODOS: Estudio observacional prospectivo-descriptivo de 761 pacientes que concurrieron consecutivamente a consulta ambulatoria de Neurología en el HNC por primera vez, en el período abril de 2012 - octubre de 2012. RESULTADOS: De los pacientes incluidos 455 fueron mujeres (59,79 %) y 306 hombres (40,21%). La edad media fue de 60,45 años, ligeramente superior en hombres (60,90) con respecto a mujeres (60,14). Los mayores de 65 años corresponden al 54,66%. Los diagnósticos más frecuentes de la consulta neurológica se agruparon en categorías diagnósticas: cefalea y algias faciales 20,24%, deterioro cognitivo 18,27%, movimientos anormales 11,56%, neuropatía periférica 10,25%, patología vascular 9,86%. Un 3,94% consultó por patología no neurológica. CONCLUSIONES: Se observó predominio del sexo femenino y mayor frecuencia de consultas en mayores de 65 años. La cefalea fue el principal diagnóstico. El deterioro cognitivo, condicionado por la edad avanzada de los pacientes, representó el segundo diagnóstico en frecuencia. Resumo: INTRODUÇÃO E OBJETIVOS: Nos últimos anos tem aumentado a demanda por atendimento neurológico, em relação ao aumento no nível de conhecimentos, os avanços no campo do diagnóstico e terapêutico. Segundo a OMS, 90% das patologias neurológicas têm tratamento ambulatorial, e representam um grande problema sanitário, o que promove o desenvolvimento e a atualização das análises epidemiológicas. Objetivo: Analisar variáveis demográficas, de assistência e diagnósticas da demanda neurológica ambulatorial da primeira vez no HNC. MATERIAIS E MÉTODOS: Um estudo observacional prospectivodescritivo de 761 pacientes consecutivos que frequentaram o consultório ambulatório de Neurologia do HNC pela primeira vez no período de abril de 2012 - outubro 2012 RESULTADOS: Dos pacientes inclusos, 455 inscritos eram mulheres (59, 79%) e 306, homens (40,21%). A idade média foi de 60,45 anos, um pouco maior em homens (60,90) em relação com as mulheres (60,14). Os maiores de 65 anos correspondem ao 54,66%. Os diagnósticos mais freqüentes de consulta neurológica foram agrupados em categorias de diagnóstico:cefaleia e algias faciais 20,24%, déficit cognitivo, 18,27%, movimentos anormais 11,56%, neuropatia periférica 10,25%, doença vascular 9,86%. Um 3,94% consultou pela patologia não-neurológica. CONCLUSÕES: Evidenciou se a prevalência do sexo femenino e foi observada uma maior frequência de consultas em maiores de 65 anos. A cafaleia foi o principal diagnóstico. O prejuízo cognitivo, condicionado pela idade avançada dos pacientes, representou o diagnóstico de segunda frequência. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2015-07-14 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/11738 10.31052/1853.1180.v18.n3.11738 Revista de Salud Pública; Vol. 18 Núm. 3 (2014); 47-54 1852-9429 1853-1180 10.31052/1853.1180.v18.n3 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/11738/12110 Derechos de autor 2015 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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