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: | , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
2015
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/RSD/article/view/11738 |
| Aporte de: |
| Sumario: | 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. |
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