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3% of cases, resulting in a modification of the diagnosis or treatment in 66% of these referrals. The results of this study suggest that a formal referral system between the emergency department and pediatric neurologists would be useful. The results of this study suggest that a formal referral system between the emergency department and pediatric neurologists would be useful. Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality, especially in cases of chronic hypercapnic respiratory failure. Followin