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2020 ; 35
(6
): 363-371
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English Wikipedia
Impacto de la pandemia de COVID-19 en la organización asistencial del ictus Plan
Ictus Madrid
#MMPMID32563566
Fuentes B
; Alonso de Leciñana M
; Calleja-Castaño P
; Carneado-Ruiz J
; Egido-Herrero J
; Gil-Núñez A
; Masjuán-Vallejo J
; Vivancos-Mora J
; Rodríguez-Pardo J
; Riera-López N
; Ximénez-Carrillo Á
; Cruz-Culebras A
; Gómez-Escalonilla C
; Díez-Tejedor E
Neurologia (Engl Ed)
2020[Jul]; 35
(6
): 363-371
PMID32563566
show ga
INTRODUCTION: The overload of the healthcare system and the organisational
changes made in response to the COVID-19 pandemic may be having an impact on
acute stroke care in the Region of Madrid. METHODS: We conducted a survey with
sections addressing hospital characteristics, changes in infrastructure and
resources, code stroke clinical pathways, diagnostic testing, rehabilitation, and
outpatient care. We performed a descriptive analysis of results according to the
level of complexity of stroke care (availability of stroke units and mechanical
thrombectomy). RESULTS: The survey was completed by 22 of the 26 hospitals in the
Madrid Regional Health System that attend adult emergencies, between 16 and 27
April 2020. Ninety-five percent of hospitals had reallocated neurologists to care
for patients with COVID-19. The numbers of neurology ward beds were reduced in
89.4% of hospitals; emergency department stroke care pathways were modified in
81%, with specific pathways for suspected SARS-CoV2 infection established in 50%
of hospitals; and SARS-CoV2-positive patients with acute stroke were not admitted
to neurology wards in 42%. Twenty-four hour on-site availability of mechanical
thrombectomy was improved in 10 hospitals, which resulted in a reduction in the
number of secondary hospital transfers. The admission of patients with transient
ischaemic attack or minor stroke was avoided in 45% of hospitals, and follow-up
through telephone consultations was implemented in 100%. CONCLUSIONS: The
organisational changes made in response to the SARS-Co2 pandemic in hospitals in
the Region of Madrid have modified the allocation of neurology department staff
and infrastructure, stroke units and stroke care pathways, diagnostic testing,
hospital admissions, and outpatient follow-up.
|*Betacoronavirus
[MESH]
|*Coronavirus Infections/diagnosis
[MESH]
|*Pandemics
[MESH]
|*Pneumonia, Viral/diagnosis
[MESH]
|*Stroke Rehabilitation/statistics & numerical data
[MESH]
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