Neurologic consultations in a general hospital. Spectrum of latrogenic disease

Hamilton Moses, Ian Kaden, House Staff of Johns Hopkins Hospital Neurology House Staff of Johns Hopkins Hospital

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


In a prospective study of 1,500 neurologic consultations during 1978 and 1984 within the Johns Hopkins Hospital, iatrogenic neurologic conditions were found in 14 percent of patients. The most common antecedents were angiography, cardiac surgery, and immunosuppression. Neurologists found previously unsuspected significant neurologic conditions in 27 percent of patients. Determining the underlying causes of delirium posed a special diagnostic problem. The accuracy of general physicians and surgeons in the application of criteria for brain death was low. Consultations for solely medical-legal reasons are increasing. These findings indicate the need for improved surveillance of neurological injury in hospitals, earlier recognition of delirium and research into its mechanisms, and additional education about criteria for brain death.

Original languageEnglish (US)
Pages (from-to)955-958
Number of pages4
JournalAmerican Journal of Medicine
Issue number6
StatePublished - 1986

ASJC Scopus subject areas

  • Nursing(all)


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