A snapshot of emergency neurology management in the Lombardy Region, Italy
© 2022. Fondazione Società Italiana di Neurologia..
BACKGROUND: The assessment of human and diagnostic resources is a prerequisite to improving the management of emergency neurology.
OBJECTIVE: To provide a landscape on the organization of the Lombardy Region hospitals for emergency neurological care management.
METHODS: We designed an anonymized questionnaire including 6 sections with 21 questions on facilities, human and diagnostic resources, and intra- and between-hospital connections. The time needed to fill the questionnaire was estimated not to exceed 6 min.
RESULTS: The questionnaire was returned by 33/41 (80.5%) hospitals, 22 classified as level 1 (spoke), and 11 as level 2 (hub). Five of 33 (15%) did not have a neurology unit. The mean annual rate of neurological consultations accounted for 5-6% of all admissions (range 2-8%) and did not differ between levels 1 and 2 hospitals. Neurologists were 24-h available in 21/33 (64%) hospitals, 12-h and on call at night in 6 (18%), less than 12 h without nocturnal availability in 5 (15%), and neither present nor available in 1 (3%). Brain CT and CSF examinations were 24-h universally available, whereas EEG and neurosonology were not in most hospitals. Despite angio-CT was 24-h available in more than 75% of the hospitals, only 45% of them had 24-h availability of diffusion/perfusion imaging, and 43% were not available at any time. Only 12% of the hospitals had 24-h availability of neuroradiologists and 6% of interventional neuroradiologists.
CONCLUSION: Our data, while emphasizing current critical issues, offer clues for identifying priorities and improving the management of emergency and time-dependent neurological diseases.
| Errataetall: | |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology - 43(2022), 8 vom: 20. Aug., Seite 4917-4923 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zanferrari, Carla [VerfasserIn] |
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| Links: |
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| Themen: |
Emergency neurology |
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| Anmerkungen: |
Date Completed 05.08.2022 Date Revised 28.10.2022 published: Print-Electronic ErratumIn: Neurol Sci. 2022 Jun 1;:. - PMID 35641733 Citation Status MEDLINE |
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| doi: |
10.1007/s10072-022-06062-3 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM339745592 |
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| 100 | 1 | |a Zanferrari, Carla |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A snapshot of emergency neurology management in the Lombardy Region, Italy |
| 264 | 1 | |c 2022 | |
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| 500 | |a Date Completed 05.08.2022 | ||
| 500 | |a Date Revised 28.10.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a ErratumIn: Neurol Sci. 2022 Jun 1;:. - PMID 35641733 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022. Fondazione Società Italiana di Neurologia. | ||
| 520 | |a BACKGROUND: The assessment of human and diagnostic resources is a prerequisite to improving the management of emergency neurology | ||
| 520 | |a OBJECTIVE: To provide a landscape on the organization of the Lombardy Region hospitals for emergency neurological care management | ||
| 520 | |a METHODS: We designed an anonymized questionnaire including 6 sections with 21 questions on facilities, human and diagnostic resources, and intra- and between-hospital connections. The time needed to fill the questionnaire was estimated not to exceed 6 min | ||
| 520 | |a RESULTS: The questionnaire was returned by 33/41 (80.5%) hospitals, 22 classified as level 1 (spoke), and 11 as level 2 (hub). Five of 33 (15%) did not have a neurology unit. The mean annual rate of neurological consultations accounted for 5-6% of all admissions (range 2-8%) and did not differ between levels 1 and 2 hospitals. Neurologists were 24-h available in 21/33 (64%) hospitals, 12-h and on call at night in 6 (18%), less than 12 h without nocturnal availability in 5 (15%), and neither present nor available in 1 (3%). Brain CT and CSF examinations were 24-h universally available, whereas EEG and neurosonology were not in most hospitals. Despite angio-CT was 24-h available in more than 75% of the hospitals, only 45% of them had 24-h availability of diffusion/perfusion imaging, and 43% were not available at any time. Only 12% of the hospitals had 24-h availability of neuroradiologists and 6% of interventional neuroradiologists | ||
| 520 | |a CONCLUSION: Our data, while emphasizing current critical issues, offer clues for identifying priorities and improving the management of emergency and time-dependent neurological diseases | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Emergency neurology | |
| 650 | 4 | |a Healthcare management | |
| 650 | 4 | |a Lombardy Region | |
| 650 | 4 | |a Stroke | |
| 700 | 1 | |a Salmaggi, Andrea |e verfasserin |4 aut | |
| 700 | 0 | |a Lombardy section of the Italian Association for Emergency Neurology (ANEU) |e verfasserin |4 aut | |
| 700 | 1 | |a Belcastro, Vincenzo |e investigator |4 oth | |
| 700 | 1 | |a Domina, Elisabetta |e investigator |4 oth | |
| 700 | 1 | |a Beretta, Sandro |e investigator |4 oth | |
| 700 | 1 | |a Braga, Massimiliano |e investigator |4 oth | |
| 700 | 1 | |a Bonato, Sara |e investigator |4 oth | |
| 700 | 1 | |a Ghione, Isabella |e investigator |4 oth | |
| 700 | 1 | |a Caputi, Luigi |e investigator |4 oth | |
| 700 | 1 | |a Brusaferri, Fabio |e investigator |4 oth | |
| 700 | 1 | |a Cavallini, Anna |e investigator |4 oth | |
| 700 | 1 | |a Persico, Alessandra |e investigator |4 oth | |
| 700 | 1 | |a Ciccone, Alfonso |e investigator |4 oth | |
| 700 | 1 | |a Silvestrelli, Giorgio |e investigator |4 oth | |
| 700 | 1 | |a Clerici, Raffaella |e investigator |4 oth | |
| 700 | 1 | |a De Piazza, Claudio |e investigator |4 oth | |
| 700 | 1 | |a Conti, Giancarlo |e investigator |4 oth | |
| 700 | 1 | |a Cotelli, Maria Sofia |e investigator |4 oth | |
| 700 | 1 | |a Turla, Marinella |e investigator |4 oth | |
| 700 | 1 | |a Dallocchio, Carlo |e investigator |4 oth | |
| 700 | 1 | |a Mazza, Sara |e investigator |4 oth | |
| 700 | 1 | |a Ferrarese, Carlo |e investigator |4 oth | |
| 700 | 1 | |a Piatti, Maria Luisa |e investigator |4 oth | |
| 700 | 1 | |a Ferraro, Bruno |e investigator |4 oth | |
| 700 | 1 | |a Carpo, Marinella |e investigator |4 oth | |
| 700 | 1 | |a Fanucchi, Simona |e investigator |4 oth | |
| 700 | 1 | |a Fiacco, Fabrizio |e investigator |4 oth | |
| 700 | 1 | |a Maggio, Paola |e investigator |4 oth | |
| 700 | 1 | |a Frediani, Fabio |e investigator |4 oth | |
| 700 | 1 | |a Tonietti, Simone |e investigator |4 oth | |
| 700 | 1 | |a Grampa, Giampiero |e investigator |4 oth | |
| 700 | 1 | |a Russo, Lorenzo Lo |e investigator |4 oth | |
| 700 | 1 | |a Savio, Francesco Lo |e investigator |4 oth | |
| 700 | 1 | |a Magni, Eugenio |e investigator |4 oth | |
| 700 | 1 | |a Palmerini, Francesco |e investigator |4 oth | |
| 700 | 1 | |a Magoni, Mauro |e investigator |4 oth | |
| 700 | 1 | |a Marcheselli, Simona |e investigator |4 oth | |
| 700 | 1 | |a Corato, Manuel |e investigator |4 oth | |
| 700 | 1 | |a Mattioli, Mauro |e investigator |4 oth | |
| 700 | 1 | |a Padovani, Alessandro |e investigator |4 oth | |
| 700 | 1 | |a Pantoni, Leonardo |e investigator |4 oth | |
| 700 | 1 | |a Baso, Giacomo |e investigator |4 oth | |
| 700 | 1 | |a Prelle, Alessandro |e investigator |4 oth | |
| 700 | 1 | |a Muscia, Francesco |e investigator |4 oth | |
| 700 | 1 | |a Priori, Alberto |e investigator |4 oth | |
| 700 | 1 | |a Tancredi, Lucia |e investigator |4 oth | |
| 700 | 1 | |a Santilli, Ignazio |e investigator |4 oth | |
| 700 | 1 | |a Scaccabarozzi, Chiara |e investigator |4 oth | |
| 700 | 1 | |a Sessa, Maria |e investigator |4 oth | |
| 700 | 1 | |a Gioia, Sara La |e investigator |4 oth | |
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