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2020 ; 35
(4
): 258-263
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Atención al ictus agudo durante la pandemia por COVID-19 Recomendaciones Plan
Ictus Madrid
#MMPMID32364127
Rodríguez-Pardo J
; Fuentes B
; Alonso de Leciñana M
; Campollo J
; Calleja Castaño P
; Carneado Ruiz J
; Egido Herrero J
; García Leal R
; Gil Núñez A
; Gómez Cerezo JF
; Martín Martínez A
; Masjuán Vallejo J
; Palomino Aguado B
; Riera López N
; Simón de Las Heras R
; Vivancos Mora J
; Díez Tejedor E
Neurologia (Engl Ed)
2020[May]; 35
(4
): 258-263
PMID32364127
show ga
INTRODUCTION: The COVID-19 pandemic has resulted in complete saturation of
healthcare capacities, making it necessary to reorganise healthcare systems. In
this context, we must guarantee the provision of acute stroke care and optimise
code stroke protocols to reduce the risk of SARS-CoV-2 infection and rationalise
the use of hospital resources. The Madrid Stroke multidisciplinary group presents
a series of recommendations to achieve these goals. METHODS: We conducted a
non-systematic literature search using the keywords "stroke" and "COVID-19" or
"coronavirus" or "SARS-CoV-2." Our literature review also included other relevant
studies known to the authors. Based on this literature review, a series of
consensus recommendations were established by the Madrid Stroke multidisciplinary
group and its neurology committee. RESULTS: These recommendations address 5 main
objectives: 1) coordination of action protocols to ensure access to hospital care
for stroke patients; 2) recognition of potentially COVID-19-positive stroke
patients; 3) organisation of patient management to prevent SARS-CoV-2 infection
among healthcare professionals; 4) avoidance of unnecessary neuroimaging studies
and other procedures that may increase the risk of infection; and 5) safe, early
discharge and follow-up to ensure bed availability. This management protocol has
been called CORONA (Coordinate, Recognise, Organise, Neuroimaging, At home).
CONCLUSIONS: The recommendations presented here may assist in the organisation of
acute stroke care and the optimisation of healthcare resources, while ensuring
the safety of healthcare professionals.
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