Analysis of urgent inpatient neurologic consultations in a large tertiary hospital center: Follow-up on the effect of standardized training of residents

作者全名："Wang, Jiafang; Ren, Min; Wang, Hong; Bai, Zhenzhen; Zeng, Kebin"

作者地址："[Wang, Jiafang; Ren, Min; Bai, Zhenzhen; Zeng, Kebin] Chongqing Med Univ, Dept Neurol, Dept Neurol, Youyi Rd 1, Chongqing 400016, Peoples R China; [Wang, Jiafang] Chongqing Three Gorges Med Coll, Dept Neurol, Dept Neurol, Chongqing, Peoples R China; [Ren, Min] Peoples Hosp Shapingba Dist, Dept Neurol, Chongqing, Peoples R China; [Wang, Hong] Chongqing Med Univ, Finance Dept, Finance Dept, Chongqing, Peoples R China; [Zeng, Kebin] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, Youyi Rd 1, Chongqing 400016, Yuzhong County, Peoples R China"

通信作者："Zeng, KB (通讯作者)，Chongqing Med Univ, Dept Neurol, Dept Neurol, Youyi Rd 1, Chongqing 400016, Peoples R China.; Zeng, KB (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, Youyi Rd 1, Chongqing 400016, Yuzhong County, Peoples R China."

来源：BRAIN AND BEHAVIOR

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:000952695700001

JCR分区：Q2

影响因子：3.1

年份：2023

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期号：　

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文献类型：Article; Data Paper; Early Access

关键词：clinical analysis; multidisciplinary; neurological disorders; resident; urgent consultation

摘要："BackgroundClinical neurology is difficult for young residents. To familiarize with neurological emergencies as soon as possible for young doctors, the urgent inpatient neurologic consultations were analyzed. MethodsA retrospective study was conducted on the urgent inpatient neurologic consultations in a large tertiary hospital for 4 consecutive years. ResultsA total of 1437 cases were included, and the annual consultation cases gradually decreased from 573 to 257, involving 29 clinical departments. The disorders of urgent inpatient neurologic consultations were divided into three categories: neurological disorders (77.8%), non-neurological disorders (10.4%), and undiagnosed disorders (11.8%), common causes in consultation were disturbance of consciousness (36.0%), convulsions/stiffness (13.6%), limb weakness (8%), and mental disorder (5.6%). Common neurological disorders included acute cerebrovascular disease (33.6%), epilepsy/status epilepticus (15.8%), and metabolic or infectious toxic encephalopathy (14.9%). ConclusionUrgent inpatient neurologic consultations involve multidisciplinary critical diseases, mainly neurological diseases. The standardized training of residents may help to rapidly improve the comprehensive diagnosis and treatment ability of young residents and is suitable for use in hospitals at all levels."

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