title: Liaison neurologists facilitate accurate neurological diagnosis and management, resulting in substantial savings in the cost of inpatient care.
abstract: BACKGROUND
  Despite understaffing of neurology services in Ireland, the demand for liaison neurologist input into the care of hospital inpatients is increasing. This aspect of the workload of the neurologist is often under recognised.
  
  
  OBJECTIVE
  We prospectively recorded data on referral and service delivery patterns to a liaison neurology service, the neurological conditions encountered, and the impact of neurology input on patient care.
  
  
  RESULTS
  Over a 13-month period, 669 consults were audited. Of these, 79% of patients were seen within 48 h and 86% of patients were assessed by a consultant neurologist before discharge. Management was changed in 69% cases, and discharge from hospital expedited in 50%. If adequate resources for neurological assessment had been available, 28% could have been seen as outpatients, with projected savings of 857 bed days.
  
  
  CONCLUSIONS
  Investment in neurology services would facilitate early accurate diagnosis, efficient patient and bed management, with substantial savings.
authors.affiliation: Department of Neurology, The Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital, Trinity College Dublin, Tallaght, Dublin 24, Ireland.
authors.forename: L
authors.initials: L
authors.lastname: Costelloe
authors.forename: D
authors.initials: D
authors.lastname: O'Rourke
authors.forename: T S
authors.initials: TS
authors.lastname: Monaghan
authors.forename: A J
authors.initials: AJ
authors.lastname: McCarthy
authors.forename: R
authors.initials: R
authors.lastname: McCormack
authors.forename: J A
authors.initials: JA
authors.lastname: Kinsella
authors.forename: A
authors.initials: A
authors.lastname: Smith
authors.forename: R P
authors.initials: RP
authors.lastname: Murphy
authors.forename: D J H
authors.initials: DJ
authors.lastname: McCabe
mesh_terms: D006760:Hospitalization / Q000191:economics*; D006801:Humans; D007494:Ireland; D007902:Length of Stay; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000628:therapy; D009462:Neurology; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D013997:Time Factors; D000078329:Workforce
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