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CC BY 4.0 · Arq Neuropsiquiatr 2023; 81(01): 027-032
DOI: 10.1055/s-0042-1759763
Original Article

Profile of neurological disorders in a tertiary center of education in orthopedics

Perfil de diagnósticos neurológicos em um centro terciário de ensino em ortopedia
Celmir de Oliveira Vilaça 
1   Universidade Federal do Rio de Janeiro, Serviço de Neurologia, Rio de Janeiro RJ, Brazil.
2   Universidade Federal Fluminense, Programa de Pós-Graduação em Neurologia/Neurociências, Rio de Janeiro RJ, Brazil.
3   Instituto de Traumatologia e Ortopedia Jammil Haddad, Rio de Janeiro RJ, Brazil.
,
Fabio de Souza 
3   Instituto de Traumatologia e Ortopedia Jammil Haddad, Rio de Janeiro RJ, Brazil.
4   Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro RJ, Brazil.
,
Kelly Biancardini Gomes Barbato 
3   Instituto de Traumatologia e Ortopedia Jammil Haddad, Rio de Janeiro RJ, Brazil.
5   Escola Médica Souza Marques, Rio de Janeiro RJ, Brazil.
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Abstract

Background Neurological conditions can cause secondary orthopedic disorders and can result from orthopedic surgical procedures. In addition, misdiagnosis and overtreatment involve both specialties. Epidemiological studies of neurological patients in tertiary units are often performed in emergency departments of general hospitals or rehabilitation centers.

Objective Describe the clinical and epidemiologic profile of neurological disorders in a Brazilian federal tertiary center and education hospital in orthopedics in Rio de Janeiro.

Methods We performed a retrospective study of the medical records of patients attended by neurology specialists of the internal medicine's department of the National Institute of Traumatology and Orthopedics from February 2014 to March 2020.

Results We reviewed neurological referrals in the medical records of 1,349 patients in the period. The mean age of patients was 49.67 years (standard deviation [SD] ± 18.99). There was a predominance of females, corresponding to 751 (55.7%) patients. Regarding ethnicity, 684 (50.7%) participants were white, 550 (40.8%) non-white, and 115 (8.5%) non-classified. Peripheral neuropathies (34.1%), osteoarticular diseases (10%), epilepsy (8.3%), developmental disorders (7.9%), and neuromuscular diseases (7.3%) were the 5 groups with the largest numbers of cases.

Conclusion The sample consisted mostly of females and white individuals, and approximately one third of the cases were of peripheral neuropathies. Epidemiological studies in neurology from tertiary centers of another medical specialty can improve the professional development of both specialties. This interdisciplinary approach can also optimize resources, help avoid misdiagnosis, and reduce disability.

Resumo

Antecedentes Condições neurológicas tanto podem causar distúrbios ortopédicos secundários como podem ser consequências de procedimentos cirúrgicos ortopédicos. Além disso, erros de diagnóstico e sobre tratamento também envolvem ambas as especialidades. Estudos epidemiológicos de atendimento neurológico em unidades terciárias de saúde são geralmente realizados em serviços de emergência ou em centros de reabilitação.

Objetivo Descrever o perfil clínico e epidemiológico de diagnósticos em neurologia em um centro terciário de saúde no Brasil e hospital de educação em ortopedia no Rio de Janeiro.

Métodos Realizamos um estudo retrospectivo com revisão de prontuários dos pacientes atendidos pela neurologia do setor de clínica médica do Instituto Nacional de Traumatologia e Ortopedia no período de fevereiro de 2014 a março de 2020.

Resultados Revisamos os prontuários de 1.349 pacientes atendidos pela neurologia no período. A média de idade dos pacientes foi de 49,67 anos (desvio padrão [DP] ± 18,99). Houve predomínio do sexo feminino correspondendo a 751 (55,7%) dos atendimentos. Quanto à etnia, a amostra foi composta de 684 (50,7%) de brancos, 550 (40,8%) de não brancos e 115 (8,5%) de não classificados. Neuropatias periféricas (34,1%), doenças osteoarticulares (10%), epilepsias (8,3%), transtornos do desenvolvimento (7,9%) e doenças neuromusculares (7,3%) corresponderam aos 5 grupos com os maiores números de casos.

Conclusão A amostra se constituiu predominante de indivíduos do sexo feminino, brancos, e cerca de um terço dos casos corresponderam às neuropatias periféricas. Estudos de perfil de atendimento neurológico em hospitais terciários de outra especialidade médica podem aperfeiçoar a capacitação de ambos os profissionais. Esta abordagem interdisciplinar também pode otimizar recursos, contribuir para evitar erros diagnósticos e reduzir incapacidades.

Keywords

Neurology - Orthopedics - Education - Medical - Peripheral Nervous System Diseases - Epilepsy

Palavras-chave

Neurologia - Ortopedia - Educação Médica - Doenças do Sistema Nervoso Periférico - Epilepsia

Authors' Contributions

COV: data curation, formal analysis, research, methodology, and original draft writing; FS: conceptualization, formal analysis, and project management; KBB: conceptualization, formal analysis, methodology, project management, supervision, writing, proofreading, and editing.




Publication History

Received: 29 March 2022

Accepted: 24 May 2022

Article published online:
14 March 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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