BACKGROUND: To determine the impact of neurological consultations on the care of hospital in-patients and to ascertain patients' perceptions, referrals were prospectively recorded over a 6-month period. The neurology team's view and changes suggested to management were documented. All referred patients' notes were reviewed at 6 months and the impact of a neurology referral was determined. RESULTS: Two hundred and fifty-four (254) referrals were seen. There was a significant change in diagnosis in 55%, and in management in nearly 70%. Neurological referral facilitated earlier discharge for 65% patients. Thirty-seven of 163 patients contacted at 6 months did not know they were seen by a neurologist. Of those who knew, 57% felt referral had aided in their diagnosis and 86% felt it had aided treatment. CONCLUSIONS: Neurological consultations can make a significant difference to in-patient management. Early referral may lead to early discharge. Patient satisfaction was high but not without criticism.
BACKGROUND: To determine the impact of neurological consultations on the care of hospital in-patients and to ascertain patients' perceptions, referrals were prospectively recorded over a 6-month period. The neurology team's view and changes suggested to management were documented. All referred patients' notes were reviewed at 6 months and the impact of a neurology referral was determined. RESULTS: Two hundred and fifty-four (254) referrals were seen. There was a significant change in diagnosis in 55%, and in management in nearly 70%. Neurological referral facilitated earlier discharge for 65% patients. Thirty-seven of 163 patients contacted at 6 months did not know they were seen by a neurologist. Of those who knew, 57% felt referral had aided in their diagnosis and 86% felt it had aided treatment. CONCLUSIONS: Neurological consultations can make a significant difference to in-patient management. Early referral may lead to early discharge. Patient satisfaction was high but not without criticism.
Authors: T Moulin; E Berger; P Lemounaud; F Vuillier; L Tatu; D Sablot; D Tabailloux; E Revenco; E Vidry; A Neidhardt; L Rumbach Journal: Rev Neurol (Paris) Date: 2000-10 Impact factor: 2.607
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