About: Impact of the COVID-19 pandemic on the organisation of stroke care. Madrid Stroke Care Plan

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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	Impact of the COVID-19 pandemic on the organisation of stroke care. Madrid Stroke Care Plan
source	Elsevier; PMC
abstract	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 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.
has issue date	2020-07-04(xsd:dateTime)
bibo:doi	10.1016/j.nrleng.2020.05.013
has license	els-covid
sha1sum (hex)	782355c65a533433c5be793f99454743a08cef28
schema:url	https://doi.org/10.1016/j.nrleng.2020.05.013
resource representing a document's title	Impact of the COVID-19 pandemic on the organisation of stroke care. Madrid Stroke Care Plan
has PubMed Central identifier	PMC7334907
resource representing a document's body	covid:782355c65a533433c5be793f99454743a08cef28#body_text
is schema:about of	named entity 'Electronic Data Capture' named entity 'stroke' named entity 'Stroke' named entity 'SARS-CoV-2' named entity 'SARS-CoV-2' »more»

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