Liaison neurologists facilitate accurate neurological diagnosis and management, resulting in substantial savings in the cost of inpatient care.

Hdl Handle:
http://hdl.handle.net/10147/207936
Title:
Liaison neurologists facilitate accurate neurological diagnosis and management, resulting in substantial savings in the cost of inpatient care.
Authors:
Costelloe, L; O'Rourke, D; Monaghan, T S; McCarthy, A J; McCormack, R; Kinsella, J A; Smith, A; Murphy, R P; McCabe, D J H
Affiliation:
Department of Neurology, The Adelaide and Meath Hospital, Dublin, Incorporating, the National Children's Hospital, Trinity College Dublin, Tallaght, Dublin 24,, Ireland.
Citation:
Ir J Med Sci. 2011 Jun;180(2):395-9. Epub 2010 Sep 6.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207936
DOI:
10.1007/s11845-010-0555-6
PubMed ID:
20821069
Abstract:
BACKGROUND: Despite understaffing of neurology services in Ireland, the demand for liaison neurologist input into the care of hospital inpatients is increasing. This aspect of the workload of the neurologist is often under recognised. AIMS/METHODS: We prospectively recorded data on referral and service delivery patterns to a liaison neurology service, the neurological conditions encountered, and the impact of neurology input on patient care. RESULTS: Over a 13-month period, 669 consults were audited. Of these, 79% of patients were seen within 48 h and 86% of patients were assessed by a consultant neurologist before discharge. Management was changed in 69% cases, and discharge from hospital expedited in 50%. If adequate resources for neurological assessment had been available, 28% could have been seen as outpatients, with projected savings of 857 bed days. CONCLUSIONS: Investment in neurology services would facilitate early accurate diagnosis, efficient patient and bed management, with substantial savings.
Language:
eng
MeSH:
Hospitalization/*economics; Humans; Ireland; Length of Stay; Nervous System Diseases/*diagnosis/therapy; Neurology/*manpower; Prospective Studies; Referral and Consultation/*utilization; Time Factors
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCostelloe, Len_GB
dc.contributor.authorO'Rourke, Den_GB
dc.contributor.authorMonaghan, T Sen_GB
dc.contributor.authorMcCarthy, A Jen_GB
dc.contributor.authorMcCormack, Ren_GB
dc.contributor.authorKinsella, J Aen_GB
dc.contributor.authorSmith, Aen_GB
dc.contributor.authorMurphy, R Pen_GB
dc.contributor.authorMcCabe, D J Hen_GB
dc.date.accessioned2012-02-01T10:50:35Z-
dc.date.available2012-02-01T10:50:35Z-
dc.date.issued2012-02-01T10:50:35Z-
dc.identifier.citationIr J Med Sci. 2011 Jun;180(2):395-9. Epub 2010 Sep 6.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid20821069en_GB
dc.identifier.doi10.1007/s11845-010-0555-6en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207936-
dc.description.abstractBACKGROUND: Despite understaffing of neurology services in Ireland, the demand for liaison neurologist input into the care of hospital inpatients is increasing. This aspect of the workload of the neurologist is often under recognised. AIMS/METHODS: We prospectively recorded data on referral and service delivery patterns to a liaison neurology service, the neurological conditions encountered, and the impact of neurology input on patient care. RESULTS: Over a 13-month period, 669 consults were audited. Of these, 79% of patients were seen within 48 h and 86% of patients were assessed by a consultant neurologist before discharge. Management was changed in 69% cases, and discharge from hospital expedited in 50%. If adequate resources for neurological assessment had been available, 28% could have been seen as outpatients, with projected savings of 857 bed days. CONCLUSIONS: Investment in neurology services would facilitate early accurate diagnosis, efficient patient and bed management, with substantial savings.en_GB
dc.language.isoengen_GB
dc.subject.meshHospitalization/*economicsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshLength of Stayen_GB
dc.subject.meshNervous System Diseases/*diagnosis/therapyen_GB
dc.subject.meshNeurology/*manpoweren_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshReferral and Consultation/*utilizationen_GB
dc.subject.meshTime Factorsen_GB
dc.titleLiaison neurologists facilitate accurate neurological diagnosis and management, resulting in substantial savings in the cost of inpatient care.en_GB
dc.contributor.departmentDepartment of Neurology, The Adelaide and Meath Hospital, Dublin, Incorporating, the National Children's Hospital, Trinity College Dublin, Tallaght, Dublin 24,, Ireland.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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