Pattern of neurological disease seen among patients admitted in tertiary care hospitalReport as inadecuate




Pattern of neurological disease seen among patients admitted in tertiary care hospital - Download this document for free, or read online. Document in PDF available to download.

BMC Research Notes

, 7:202

First Online: 31 March 2014Received: 04 December 2012Accepted: 28 March 2014DOI: 10.1186-1756-0500-7-202

Cite this article as: Chowdhury, R.N., Hasan, A.H., Rahman, Y.U. et al. BMC Res Notes 2014 7: 202. doi:10.1186-1756-0500-7-202

Abstract

BackgroundNeurologic disorders are not uncommon at in patient departments of different hospitals. We have conducted the study to see the pattern and burden of neurologic disorders at different inpatient departments of a tertiary care centre.

MethodologyThis retrospective observational study was carried out from the records and referral notes of neurology department of Dhaka Medical College Hospital DMCH from July 2011 to June 2012. A total 335 patients were evaluated by consultant neurologists during this period.

ResultMajority of the patients 59.7% presented after the age of forty years. The mean age at presentation was 45.11 ± 17.3 years with a male predominance 63.3%. Stroke was the most common condition 47.5% observed at referral, followed by seizure 9.3%, disease of spinal cord 7.8% and encephalopathy 6.3%. Even after consultation, 30 patients remained undiagnosed and 6 were diagnosed as functional disorder. Department of Medicine 231, 69% and Cardiology 61, 18.2% made most of the calls. More than half 56% of the stroke patients were referred from medicine and one third 35.2% from cardiology. Seizure 67.7%, problem in spinal cord 92.3%, coma 50%, encephalopathy 57.1%, motor neuron disease MND 72.7% were common reasons for referral from department of Medicine. Whereas patients with cord disease 7.3%, CNS tumor 40%, seizure disorder 6.5% and stroke 3.8% were referred from surgery. Department of Obstetrics and Gynecology sought help for stroke 2.5%, seizure 12.9%, MND 27.3%, coma 16.7% and encephalopathy 9.5%.

Hypertension, diabetes, ischemic heart disease, dyslipidaemia and respiratory problem were significantly associated co-morbid conditions in stroke patients at 95% CI, p value is <0.001, <0.01, <0.001, <0.05, <0.05 respectively. Hematological disorders were common association among patients with cord problem <0.05.

ConclusionWide ranges of neurological problems are often managed by physicians and surgeons, especially those from medicine and cardiology. Where ever available consultation from neurologists can help in diagnosing and managing these cases.

KeywordsNeurologic disease  Download fulltext PDF



Author: Rajib Nayan Chowdhury - ATM Hasibul Hasan - Yusuf Ur Rahman - Shafikul Islam Khan - Ahmed Riyad Hussain - Shamim Ahsan

Source: https://link.springer.com/







Related documents