Services Delivered by the Department of Paediatric Neuroscienc at Walk- in Clinic: A Study in Tertiary Care Children Hospital in Bangladesh

Abstract

Introduction: Outpatient services usually cost less, because you don't need to stay overnight. Staff members at outpatient centers are well trained in the service they provide. Neurodevelopmental Disorders (NDDs) are a heterogeneous group of conditions that share a commonality of abnormal development and functioning of the brain. Paediatric Neurscience Department of Dhaka Shishu Hospiatal provides outpatient services for the children having neurodevelopmental problem without an overnight stay. Aim of the study: The aim of the study was to evaluate the clinical patterns of neurological and neurodevelopmental disorders of children attending in the OPD in the clinic. Materials and methodology: This retrospective study was conducted in the Outpatient department of Neuroscience Department of Dhaka Shishu (Children) Hospital where a multi-disciplinary team comprising a physician, developmental therapist and child psychologist used to give service. Patients were contacted in Outpatient department of Neuroscience Department who were enrolled in OPD registration from March’2019 to August’2019. A total 3632 out patients were selected for the study. Data were organized and prepared on a spreadsheet. All statistical tests were run on SPSS for Windows version 16.0 software. Results: Total 3632 patients attended the OPD clinic. Nine hundred and two (902) patients were referred to other clinics. Most of the patients (400) were referred for general assessment and ( 400) mental health clinic, Ninety (90) for psychological assessment, Seventy nine(79)for admission, Seventy one (71) to SAHIC for hearing assessment and the lest fifty five(55) patients were referred to SLC(speech, language clinic) respectively. From the patients most of them (24.59%) had motor delay. Then 21.28% had cerebral palsy. After that20.76% had epilepsy/seizure, 14.84% had other neurological disease, 8.89% had speech problem, 6.53% had mental health problem (ASD/ ADHD/ Behavoural problem). 0.85% had ...........