Dados do Trabalho

Título

General neurology outpatient clinic: epidemiological profile

Resumo

Introduction:

The present study is intended to identify the profile of neurology events in a specific period of time in a general neurology outpatient clinic of the Brazilian public health system. In fact, it is a frequent question during the training of the neurologist about the prevalence of the main diseases in the consultations in the neurological area. Thus, we seek to trace this reality by surveying the various diagnoses in neurology in outpatient care, elucidating questions about the field of work itself.

Objective:

To identify the profile of care in general neurological clinics in a given period of time, elucidating the most and/or less commonly identified diseases and, consequently, the profile of work in the neurological field in the outpatient environment of the unified health system.

Method:

The neurological diagnoses were collected in a neurology outpatient clinic of the public health system in a Municipal Hospital of the health network of the city of Poços de Caldas-MG, covering the period from April 2016 to April 2017. In this way, it was possible to trace the profile of disease groups in general neurology care in the public health system.

Results:

A total of 1236 persons were evaluated from April 2016 to April 2017, 1043 male patients, corresponding to 84.38% of the patients in this outpatient clinic in this period. Such care includes: headache: 215 (17.39%), epilepsies: 180 (14.56%), dementia syndromes: 171 (13.83%), cervical-dorsal-lumbar discopathies: 140 (11.32%), neurovascular diseases: 120 (9.70%), movement disorders: 102 (8.25%), peripheral nerve diseases: 64 (5.17%), vestibular disorders: 48 (3.88%), spinal trauma spinal cord and cranioencephalic: 41 (3.31%), mood disorders: 35 (2.83%), central nervous system neoplasms: 25 (2.02%), CNS demyelinating diseases: 23 (1.86%) , neuromuscular diseases: 15 (1.21%), sleep disorders: 13 (1.05%), neuro-infectious diseases: 12 (0.97%), other diagnoses: 32 (2.58%).

Conclusion:

An interesting epidemiological data can be seen with the majority of male patients in this study. It is possible to link this fact to diseases related to the occupational aspect (cervico-dorso-lumbar discopathies, spinal cord and cranioencephalic trauma). On the other hand, aspects already known in the literature are confirmed, such as the high prevalence of headaches and epilepsies, now objectively explained.

Palavras Chave

outpatient, neurology, epidemiology