Irish Journal of Medical Science

, Volume 176, Issue 3, pp 211–214

What difference does a neurologist make in a general hospital? Estimating the impact of neurology consultations on in-patient care

  • K. Roberts
  • D. Costelloe
  • M. Hutchinson
  • N. Tubridy
Original Article

DOI: 10.1007/s11845-007-0051-9

Cite this article as:
Roberts, K., Costelloe, D., Hutchinson, M. et al. Ir J Med Sci (2007) 176: 211. doi:10.1007/s11845-007-0051-9

Abstract

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.

Keywords

Neurology Referral In-patient Consultation Management Discharge 

Copyright information

© Royal Academy of Medicine in Ireland 2007

Authors and Affiliations

  • K. Roberts
    • 1
  • D. Costelloe
    • 1
  • M. Hutchinson
    • 1
  • N. Tubridy
    • 1
  1. 1.Department of NeurologySt. Vincent’s University HospitalDublin 4Ireland