About: Impacto de la pandemia covid-19 en la organización asistencial del ictus. Plan ictus madrid

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About: Impacto de la pandemia covid-19 en la organización asistencial del ictus. Plan ictus madrid Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Impacto de la pandemia covid-19 en la organización asistencial del ictus. Plan ictus madrid
Creator	Alonso De Leciñana, María Antonio, Egido-Herrero Antonio, Riera-Lópezálvaro Ximénez-Carrillo Calleja-Castaño, Patricia Carlos, Cruz-Culebras Carneado-Ruiz José, Joaquín Carneado-Ruiz, Calleja-Castaño P De Leciñana, Alonso Exuperio Díez-Tejedor, Gómez-Escalonilla Fuentes, Blanca Gil-Núñez, Egido-Herrero J Jaime, Gil-Núñez Jorge, Vivancos-Mora José, Masjuán-Vallejo Nicolás, Rodríguez-Pardo Riera-López N, Ximénez-Carrilloá, Rodríguez-Pardo J
source	Elsevier; Medline; PMC; WHO
abstract	Resumen Introducción: La sobrecarga asistencial y los cambios organizativos frente a la pandemia COVID-19 podrían estar repercutiendo en la atención al ictus agudo en la Comunidad de Madrid (CM). Métodos: Encuesta estructurada en bloques: características del hospital, cambios en infraestructura y recursos, circuitos de código ictus, pruebas diagnósticas, rehabilitación y atención ambulatoria. Análisis descriptivo según el nivel de complejidad en la atención del ictus (disponibilidad o no de unidad de ictus-UI y de trombectomía mecánica-TM). Resultados: De los 26 hospitales del SERMAS que atienden urgencias en adultos, 22 cumplimentaron la encuesta entre el 16 y 27 de abril. El 95% han cedido neurólogos para atender a pacientes afectados por COVID-19. Se han reducido camas de neurología en el 89,4%, modificado los circuitos en urgencias para ictus en el 81%, con circuitos específicos para sospecha de infección COVID-19 en el 50%, y en el 42% de los hospitales los pacientes con ictus agudo COVID-19 positivos no ingresan en camas de neurología. Ha mejorado el acceso al tratamiento con TM 24h/7d en el propio hospital en 10 hospitales, reduciéndose los traslados interhospitalarios secundarios. Se ha evitado el ingreso de pacientes con AIT o ictus leve (45%) y se han incorporado consultas telefónicas para seguimiento en el 100%. Conclusiones: los cambios organizativos de los hospitales de la CM frente a la pandemia COVID-19 han modificado la dedicación de recursos humanos e infraestructuras de las unidades de neurología y los circuitos de atención del ictus, realización de pruebas diagnósticas, ingreso de los pacientes y seguimiento. Abstract 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 COVID-19 infection established in 50% of hospitals; and COVID-19–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 COVID-19 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.
has issue date	2020-05-21(xsd:dateTime)
bibo:doi	10.1016/j.nrl.2020.05.007
bibo:pmid	32563566
has license	els-covid
sha1sum (hex)	360b3fde60935d8ba253608626f8adc669f9586c
schema:url	https://doi.org/10.1016/j.nrl.2020.05.007
resource representing a document's title	Impacto de la pandemia covid-19 en la organización asistencial del ictus. Plan ictus madrid
has PubMed Central identifier	PMC7241395
has PubMed identifier	32563566
schema:publication	Neurologia
resource representing a document's body	covid:360b3fde60935d8ba253608626f8adc669f9586c#body_text
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