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The Profile of Neurology Patients Evaluated in the Emergency Department [Turk J Neurol]
Turk J Neurol. 2009; 15(3): 134-139

The Profile of Neurology Patients Evaluated in the Emergency Department

Ufuk Emre1, Ayşe Semra Demir2, Esra Acıman1, Nejla Çabuk3, Sibel Kıran4, Aysun Ünal1
1Faculty Of Medicine, University Of Zonguldak Karaelmas, Department Of Neurology, Zonguldak, Turkey
2Faculty Of Medicine, University Of Zonguldak Karaelmas, Department Of Family Medicine, Zonguldak, Turkey
3Faculty Of Medicine, University Of Zonguldak Karaelmas, Department Of Public Health, Zonguldak, Turkey
4Ministry Of Health, Mus State Hospital, Mus, Turkey

OBJECTIVE: Early, rapid, and multidisciplinary approaches are very important in the diagnosis of neurological disorders in emergency departments. The present study aimed to investigate the features of patients that presented for neurology consultation in the emergency department.
METHODS: The present study included 780 patients. Patient demographic features, reasons for emergent treatment and neurological consultation, neurological diagnosis by the neurologist, and laboratory (total blood count, serum glucose level, urea, creatine, erythrocyte sedimentation rate, and D-dimer levels) and imaging findings were retrospectively evaluated based on patient charts.
RESULTS: Impaired consciousness was the most frequent reason for neurological consultation (19.7%). Among these patients, ischemic stroke was diagnosed in 27.9%, hypoxic encephalopathy in 18.2%, cerebral hemorrhage in 9.1%, and 11% had no neurological diagnosis. Other common reasons for neurological consultation were vertigo, headache, seizure, and stroke. Clinical findings were related to other systemic causes in 43.7% of the study group. Focal neurological findings were present, especially in patients that presented with ischemic and hemorrhagic stroke, epilepsy, and hypoxic encephalopathy.
CONCLUSION: In emergency departments, metabolic causes should be ruled out in patients with impaired consciousness and the absence of focal neurological signs. Intracranial structural disorders must be evaluated when focal neurological signs are present. Cautiously prepared algorithms and neurological examination training will help improve the accuracy of emergency department diagnoses.

Keywords: Emergency request, neurology consultation.


Ufuk Emre, Ayşe Semra Demir, Esra Acıman, Nejla Çabuk, Sibel Kıran, Aysun Ünal. The Profile of Neurology Patients Evaluated in the Emergency Department. Turk J Neurol. 2009; 15(3): 134-139

Corresponding Author: Ufuk Emre, Türkiye


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