Recognition of neurologic diseases in geriatric inpatients

R. M. Camicioli, J. A. Kaye, K. Brummel-Smith

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Objectives: - To determine the prevalence of neurologic disease and the diagnostic impact of neurologic consultation on a geriatric inpatient unit. Material and methods - Consecutively admitted patients were prospectively assessed by a neurologist and by medical house staff on a geriatrics unit over a 4-month period. Neurologic diagnoses were compared. Results Fifty- eight men, aged 76.4±8.7 years old (mean±SD), had 1.4±1.1 new or revised neurologic diagnoses made by the neurologist. The prevalence of neurologic disorder was: gait or balance disorder (90%); cognitive disorders (71%); neuromuscular disorder (59%); cerebrovascular disorder (38%); and extrapyramidal disorders (22%). New diagnoses were made by the neurologist among the cognitive (40%), neuromuscular (36%) and cerebrovascular disorders (19%). Conclusions - Neurologic disease is highly prevalent in geriatric inpatients. A neurologist's assessment resulted in altered diagnoses suggesting that neurologists should play a role in geriatric assessment and in education of health professionals caring for the elderly.

Original languageEnglish (US)
Pages (from-to)264-270
Number of pages7
JournalActa Neurologica Scandinavica
Volume97
Issue number4
DOIs
StatePublished - Jan 1 1998

Keywords

  • Diagnosis
  • Geriatrics
  • Management
  • Neurologic disorders
  • Prevalence

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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