Article Text

PDF
Audit of resource use in patients with non-organic disorders admitted to a UK neurology unit
  1. A M Parry1,
  2. B Murray2,
  3. Y Hart3,
  4. C Bass4
  1. 1Department of Neurology, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK
  2. 2Department of Psychiatry, Oxford, UK
  3. 3Department of Neurology, Oxford Radcliffe Hospitals NHS Trust
  4. 4Department of Psychological Medicine, Oxford, UK
  1. Correspondence to:
 Dr Allyson Parry
 Department of Neurology, Oxford Radcliffe Hospitals NHS Trust, Oxford, OX2 6HE, UK; allysonparry{at}hotmail.com

Statistics from Altmetric.com

Patients with non-organic disorders are commonly seen in neurology outpatient clinics1 and use a considerable amount of health service resources.2 Less is known, however, about the prevalence of these disorders among patients who occupy inpatient neurology beds in the UK.3,4

We set out to establish the number of patients with non-organic neurological disorders admitted to the neurology ward in Oxford, UK, during a 12-month period and to estimate the hospital resources used by these patients.

METHODS

The ward serves a population of about 2.4 million. A relatively small proportion of inpatients are admitted through their general practitioners (GPs). The unit provides a regional and supraregional videotelemetry service. We acknowledge that these factors may limit the generalisability of some of our results.

We studied 693 consecutive neurology ward admissions (563 patients) between August 2001 and August 2002. These admissions were split into two lists on the basis of apparent specificity of the diagnostic coding term (DCT) assigned by the hospital coding office: list 1 (n = 380), DCT organic and unambiguous (eg, Myasthenia gravis); and list 2 (n = 313), DCT non-specific (eg, epilepsy, unspecified). We predicted that any admissions with a non-organic diagnosis would be contained within list 2.

After reviewing the medical discharge summary (and subsequent correspondence if necessary), each admission from list …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.