Effectiveness of Neurology Consultations: Comparing Emergency and Inpatient Requests

Basit Öğe Kaydı
dc.contributor.authorAyasli, Aziz Alper
dc.contributor.authorCengiz, Altug
dc.contributor.authorOzen, Metehan
dc.contributor.authorKaradag, Mehmet
dc.contributor.authorBogan, Mustafa
dc.date.accessioned2026-07-01T11:39:31Z
dc.date.available2026-07-01T11:39:31Z
dc.date.issued2025
dc.departmentDüzce Üniversitesi
dc.description.abstractBackground: Neurological symptoms account for a significant portion of emergency department (ED) visits. Neurological evaluation may be needed in 8-15% of ED admissions. In this study, neurology consultation requests from emergency and other inpatient services are analyzed to determine the workload of the neurology consultation service. Methods: This was a retrospective, 13-week audit of 373 neurology consultations performed between December 1, 2019, and February 29, 2020. Both emergency and inpatient referrals were evaluated, and each case was categorized by urgency level. Results: The majority of ED consultations were classified as Urgent (n = 135 [61.09%]). Almost all consultations classified as Very urgent were requested from the ED (n = 19 [95%]). Consultations classified as Elective were least likely to be requested from the ED (n = 40 [18.1%]; P < 0.01). While the highest level of concordance between the neurologist and the requesting physician's preliminary diagnoses was observed in the most Urgent cases (n = 149 [68.3%]), the highest level of inconsistency was observed in the Elective cases (n = 59 [46.8%]). Urgent or Very urgent cases were significantly more frequent in ED consultations (69.7%, 95% CI: 63.3-75.4) compared to non-ED consultations (36.2%, 95% CI: 28.9-44.1). Diagnostic concordance was highest in Urgent cases (68.3%, 95% CI: 61.9-74.1). Conclusion: A non-neurologist physician can recognize an Urgent and a Very urgent situation, but the workload of the neurologist increases in non-primary neurological or elective situations. The fact that no management changes were made in 29.6% of the patients indicates the extent of unnecessary workload and costs.
dc.identifier.doi10.18502/sjms.v20i4.18825
dc.identifier.endpage493
dc.identifier.issn1858-5051
dc.identifier.issue4
dc.identifier.orcid0009-0001-1626-230X
dc.identifier.scopus2-s2.0-105029310631
dc.identifier.scopusqualityQ4
dc.identifier.startpage482
dc.identifier.urihttps://doi.org/10.18502/sjms.v20i4.18825
dc.identifier.urihttps://hdl.handle.net/20.500.12684/23339
dc.identifier.volume20
dc.identifier.wosWOS:001665285400007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherKnowledge E
dc.relation.ispartofSudan Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260623
dc.subjectEmergency Department
dc.subjectNeurological Symptoms
dc.subjectNeurology Consultation
dc.titleEffectiveness of Neurology Consultations: Comparing Emergency and Inpatient Requests
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu