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Research ArticleOriginal Article
Open Access

Stroke and seizure continue to be the major brunt of in patient neurology care

An observation from teaching hospital

Azra Zafar, Majed Alabdali, Rizwana Shahid, Danah Aljaafari, Fahd A. Al-khamis, Aishah I. Albakr, Saima Nazish, Abdulla A. Al Sulaiman and Alon Abraham
Neurosciences Journal January 2018, 23 (1) 13-17; DOI: https://doi.org/10.17712/nsj.2018.1.20170207
Azra Zafar
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MBBS, FCPS
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  • For correspondence: [email protected]
Majed Alabdali
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MD, FRCPC
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Rizwana Shahid
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MBBS, FCPS
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Danah Aljaafari
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MD, FRCPC
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Fahd A. Al-khamis
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MBBS, UOD
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Aishah I. Albakr
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MD, FRCPC
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Saima Nazish
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MBBS, FCPS
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Abdulla A. Al Sulaiman
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MD, FRCPC
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Alon Abraham
From the Department of Neurology (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), College of Medicine, King Fahad Hospital of the University, Alkhobar, Imam Abdulrahman Bin Faisal University (Zafar, Alabdali, Shahid, Aljaafari, Alkhamis, Albakr, Nazish, Alsulaiman), Dammam, Kingdom of Saudi Arabia, Ellen and Martin Prosserman Centre for Neuromuscular Diseases (Abraham), Division of Neurology, Department of Medicine, University Health Network, University of Toronto, Toronto, Canada
MD, FRCPC
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    Figure 1

    Yearly percentage distribution of patients under different specialties in relation to medicine

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    Figure 2

    Neurological disorders identified in patients admitted under neurology

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    Table 1

    Total admissions in hospital along with number and percentages of admission under neurology and other medicine services.

    Internal medicine and other subspecialties20092010201120122013201420152016
    n (%)
    Neurology n (%)108 (0.95)92 (0.89)70(0.70)78 (0.71)202(1.8)200 (1.77)287 (2.34)280 (2.26)
    Medicine n (%)1398 (12.3)1242 (12.0)1317(13.2)1295 (11.8)1450(12.8)1489 (13.24)1514 (12.38)1144 (9.24)
    Nephrology n (%)228 (2.0)147 (1.42)161(1.62)235 (2.14)155(1.37)157 (1.39)163 (1.33)211 (1.70)
    Cardiology n (%)99 (0.87)88 (0.85)81(0.81)170 (1.55)224(1.99)175 (1.55)389 (3.18)777 (6.28)
    Gastroenterology n (%)101 (0.8)67 (0.65)23(0.23)58 (0.53)51(0.45)122 (1.08)169 (1.38)105 (0.84)
    Total admission in hospital113251029199231093811256112401222912371
    • View popup
    Table 2

    Demographic characteristics of major neurological disorders.

    DiseaseAge (mean±SD)MaleFemaleDiabetesHypertensionIHD
    (%)
    Ischemic stroke59.13±16.3(65.2)(34.7)(60.8)(74)(16.6)
    ICH55.4±17.6(67.3)(32.9)(28.8)(73)(3.8)
    TIA52.2±14.2(73.9)(26.0)(40.5)(60.8)(14.4)
    CVST32.3±10.1(31)(69)(7.7)(46)-
    Seizures36.8±19.7(49)(51)(20)(23)(6.7)
    Multiple sclerosis28.9±8.6(32)(68)(4.8)(3.8)-
    CNS infection37.2±14.3(62.5)(37.5)(28)(15)(1)
    • ICH - intracerebral hemorrhage, TIA - transient ischemic attack, CVST - cerebral venous sinus thrombosis, CNS - central nervous system, IHD - ischemic heart disease

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Neurosciences Journal: 23 (1)
Neurosciences Journal
Vol. 23, Issue 1
1 Jan 2018
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Stroke and seizure continue to be the major brunt of in patient neurology care
Azra Zafar, Majed Alabdali, Rizwana Shahid, Danah Aljaafari, Fahd A. Al-khamis, Aishah I. Albakr, Saima Nazish, Abdulla A. Al Sulaiman, Alon Abraham
Neurosciences Journal Jan 2018, 23 (1) 13-17; DOI: 10.17712/nsj.2018.1.20170207

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Stroke and seizure continue to be the major brunt of in patient neurology care
Azra Zafar, Majed Alabdali, Rizwana Shahid, Danah Aljaafari, Fahd A. Al-khamis, Aishah I. Albakr, Saima Nazish, Abdulla A. Al Sulaiman, Alon Abraham
Neurosciences Journal Jan 2018, 23 (1) 13-17; DOI: 10.17712/nsj.2018.1.20170207
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