Pattern and Influence of In-Patient Neurological Consultations in a Nigerian Tertiary Health Institution: A Brief Survey

Pattern and Influence of In-Patient Neurological Consultations in a Nigerian Tertiary Health Institution: A Brief Survey

Author by Dr. Akolade Idowu

Journal/Publisher: Online Journal Of Medicine And Medical Science Research

Volume/Edition: 1

Language: English

Pages: 122 - 126

Abstract

Patients  with  neurological  disorders  are  frequently  admitted  by  non-neurologist;  hence  neurological 
consultations  are  commonly  requested  for.  Whether  these  consultation  services  are  beneficial  to 
patients’ diagnostic and management process is yet to be determined in our environment in Nigeria. We 
audited  the  neurological  ward  consultation and its influence on patients’ diagnostic and management 
process  at  the  Olabisi  Onabanjo  University  Teaching  Hospital,  Sagamu,  Ogun  state,  Nigeria. 
Neurological  hand  written  consults  received  between  December  1,  2008  and  February  28,  2009(13 
weeks)  were  prospectively  collated  and  analyzed.  Case  records  of  the  patients  were  then 
retrospectively  reviewed  to  determine  the  influence  of  each  consultation.  Fifty-four  neurological 
consultations were reviewed during this period. Consultation rate was about 4-5/week. Cerebrovascular 
disease  was  the  most  common  diagnostic  category  in  26  consults  (48%),  followed  by  infections  in  10 
(18.5  %).  Complete  takeover  of  patients’  management  was  the  most  common  reason  for  the 
consultations (82.4%).These consultations were beneficial in 35 patients (64.8%). This study augments 
the  evidence  for  the  continuous  development  of  neurology  workforce  in  Nigeria.  Neurological 
consultation  was  largely  beneficial  but  indiscriminate  takeover  of  patient  is  a  concern  as  it  possibly 
indicates a low affinity for management of neurological cases by the general physician. There is a need 
to further access this service and for continuous neurological education of the general physician.


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