M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati

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SUMMARY
RETROSPECTIVE STUDY TO REFFERALS IN ELECTROMIOGRAPHIC
DIAGNOSTICS
Merita Ismaili-Marku, Emilija Cvetkovska, Tatjana Cepreganova-Cangovska,
Fatlume Adili, Vera Petrova
PHI, University Clinic of Neurology, Skopje
Introduction: Clinical neurophysiology department have observed a number of
examines referred to electromyography (EMG) laboratory without symptoms or signs of
the peripheral nervous system, disorder or with the wrong and inadequate diagnose on
referral. Such referrals do not improve patient management, and only burden examines
and laboratory personal. The aim of the present study was to check the appropriateness of
referrals to EMG, look for reasons for these problems and suggest possible improvement.
Data on examines, diagnoses, and electro diagnostic findings were evaluated using
statistical parameters. Material and methods: 491 patients, 254 man (51, 73%) and 237
(48, 28%) women were included. The age was a wide range: the youngest patient was 6
month old and 83 years the oldest. From the database of the Clinic of neurology,
neurophysiology department in Skopje all the patients where evaluated in EMG
laboratory for the period of six months. The patients are referred to our laboratory from
neurologists, orthopedists, otorinolaringologists, neurosurgeons, GP and pediatricians.
Results: Neurological diagnosis was provided in most of the referrals 335 ( 68,08%).
Without referral diagnose 19 patients (3.89%), with a referral diagnose and the normal
result 62 patients (12, 68%). Definitive diagnose different from referral was found in 75