Outpatient burden of neurological disorders: A prospective evaluation of 1500 patients.

Abstract:

Introduction:Neurologists spend a significant amount of time in providing out-patient services. No comprehensive studies are there from India which have looked into the real burden of these common disorders in the out-patient population. This study was done to get a clear data on the burden of these disorders. Objectives:The aim of this study was to determine the incidence of various neurological disorders in the out-patient department services. Methods:The study was conducted in a tertiary care medical center. Clinical data of 1500 consecutive out-patients who attended the out-patient services were collected over a period of 2 months from December 2014 to January 2015. All patients were evaluated by a resident trainee and a senior consultant. Necessary investigations were done wherever applicable. The most probable clinical diagnosis was made after a detailed history and a thorough neurological evaluation. Age, sex, and the diagnosis were recorded and entered in an Excel sheet. Appropriate statistical methods were used for descriptive analysis. Results:Out of the 1500 patients, 766 were male and 734 were female. The most common complaints with which patients came to the outpatient services were headaches (28.6%), muscular and radicular pains (24.7%), seizures (12.7%) and hemiparesis/monoparesis (11.9%). Movement disorders, neuropathies, and nerve palsies were also present in a significant number of patients. Conclusion:The most common neurological disorders in the outpatient services are headache, neck pain, backache, fibromyalgia, stroke, epilepsy, and neuropathies. Newly joined residents should be well trained to efficiently manage these common outpatient disorders.

journal_name

Neurol India

journal_title

Neurology India

authors

Nadig R,Namapally US,K Sarma GR,Mathew T

doi

10.4103/0028-3886.263249

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

708-713

issue

3

eissn

0028-3886

issn

1998-4022

pii

ni_2019_67_3_708_263249

journal_volume

67

pub_type

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