ABSTRACT Objective: To analyze neurosurgical consultations in emergency department admissions, to reveal the characteristics of patients in need of neurosurgery and to analyze mortality in patients. Materials and Methods: The study was conducted retrospectively in the emergency department of a secondary care hospital. All patients consulted to the neurosurgery clinic from the adult emergency department between 01.01.2023-31.12.2023 were evaluated in the study. Demographic data, admission and/or admission complaint, diagnosis, comorbid disease status, anticoagulant use, surgical procedure status, Glasgow Coma Score at the time of arrival to the emergency department, duration of hospitalization and in-hospital mortality status were analyzed. Results: 595 patients were evaluated in the study. 59.5% of the patients were male and the mean age was 45.17±25.77 years. The most common type of admission was general body trauma due to fall (48.9%). The most common diagnosis was isolated lumbar vertebral fracture (15%). Intensive care unit hospitalization, surgical procedures and mortality rates were significantly higher in patients with a lower Glasgow Coma Score at admission (p