功能神经障碍:神经科住院患者转诊的一个常见原因
Neil Ramsay1, Jon Stone2, Kubra Fadiloglu3
1Institute of Neurological Sciences, Queen Elizabeth University Hospital, Glasgow, UK.
European journal of neurology
|July 28, 2023
概括
功能神经障碍 (FND) 是苏格兰非神经病患者最常见的诊断. 患有FND的患者需要与或神经炎症疾病患者相似的医疗资源.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 临床神经学 临床神经学
背景情况:
- 欧洲神经学会在2021年更新了培训要求,包括功能神经障碍 (FND).
- 了解非神经病室住院患者中FND的患病率对于加强培训变化至关重要.
研究的目的:
- 确定在非神经病学环境中诊断出FND的住院患者的比例.
- 为了比较FND患者与其他神经系统疾病的医疗保健利用率.
主要方法:
- 来自三家苏格兰第三级神经病学中心的神经病学实习生评论的诊断前景数据收集 (2021年4月至9月).
- 在12个月内评估FND,和神经炎症疾病的医疗利用情况 (入院,成像).
主要成果:
- 在424名审查的住院患者中,功能神经障碍 (FND) 是最常见的诊断 (18%).
- FND诊断比发作 (14%) 和神经炎症性疾病 (6%) 更常见.
- 患有FND的患者的入院率和成像利用率与和神经炎症疾病患者相似.
结论:
- 功能神经障碍 (FND) 是苏格兰非神经病室患者中最常见的神经诊断.
- 患有FND的患者表现出类似的医疗保健资源需求与那些在三级中心的其他常见神经疾病患者.
- 这些发现支持将FND纳入核心神经学培训课程.
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