Descriptive analysis of the activity in a movement disorder unit in a tertiary hospital in Catalonia

Roser Ribosa-Nogué, Alexandre Gironell, Javier Pagonabarraga, Carolina Villa-Bonomo, Berta Pascual-Sedano, Jaume Kulisevsky

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Abstract

Introduction. Movement disorders are an important part of the activity of a Neurology service, but there are few studies examining their health care demand. Aims. To analyze the first visits of the Movement Disorders Unit of the Hospital de la Santa Creu i Sant Pau in Barcelona and to compare the results with those of previous studies. Patients and methods. Prospective study of the first neurological assessments carried out during 2010. Demographic variables of patients were collected and diagnoses were reviewed 12 months later. Results. 423 first visits were done (application rate of 1.41 per 1000 inhabitants-year): 54% females, median age 68.8 ± 14.2 years-old. 74.3% of referrals came from the family doctor. The most frequent reasons for consultation were tremor (40%) and parkinsonism-motor clumsiness (26%). The most prevalent diagnoses were Parkinson's disease (36%) and essential tremor (19%). After the first assessment, 84% of patients continued controls in the Unit. One year later, in the 8% of cases there was a change in the initial diagnosis. Taking into account the incidence of each disorder, the number of patients seen was fewer compared to the estimated (19,5 times lower), especially marked in cases of restless legs syndrome, essential tremor and Tourette syndrome. Conclusions. In our Unit the most frequent reason for consultation is tremor and the most prevalent diagnosis is Parkinson's disease. The number of patients treated is clearly lower than the estimated according to the incidence of the diseases in the population. © 2012 Revista de Neurología.
Original languageEnglish
Pages (from-to)330-336
JournalRevista de Neurologia
Volume55
Issue number6
Publication statusPublished - 25 Oct 2012

Keywords

  • Epidemiology
  • Essential tremor
  • Movement disorders
  • Parkinson's disease
  • Pharmacological parkinsonism
  • Reasons for consultation

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    Ribosa-Nogué, R., Gironell, A., Pagonabarraga, J., Villa-Bonomo, C., Pascual-Sedano, B., & Kulisevsky, J. (2012). Descriptive analysis of the activity in a movement disorder unit in a tertiary hospital in Catalonia. Revista de Neurologia, 55(6), 330-336.