Management of neurological care during the COVID-19 pandemic

The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. We report the measures taken, including the preparation of a functional reorganisation plan, strate...

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Published in:	Neurología (Barcelona, English ed. ) Vol. 35; no. 4; pp. 233 - 237
Main Authors:	Matías-Guiu, J., Porta-Etessam, J., Lopez-Valdes, E., Garcia-Morales, I., Guerrero-Solá, A., Matias-Guiu, J.A.
Format:	Journal Article
Language:	English
Published:	Elsevier España, S.L.U 01.05.2020 Sociedad Española de Neurología. Published by Elsevier España, S.L.U Elsevier España
Subjects:	Asistencia neurológica COVID-19 Departamento de neurología Gestión sanitaria Healthcare management Internal Medicine Neurological care Neurology Neurology department Review SARS-CoV-2 SARS2-CoV COVID-19 Covid 19 SARS-CoV-2 Neurological care SARS2-CoV Neurology department Asistencia neurológica Healthcare management Departamento de neurología Gestión sanitaria
ISSN:	2173-5808, 2173-5808
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Abstract	The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures. Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated. La pandemia de Covid-19 ha supuesto la necesidad de tomar decisiones para mantener la asistencia neurológica, sin precedentes. En este artículo se analiza esa toma de decisiones operativas. Los autores refieren las fórmulas empleadas como son la realización de un plan de reorganización funcional, estrategias para la hospitalización y urgencias, la realización de consultas telefónicas para el mantenimiento de la atención neurológica, la asistencia en un área externa al hospital para pacientes preferentes, las decisiones sobre exploraciones complementarias y tratamientos intrahospitalarios periódicos o implantar un teléfono para la priorización de crisis epilépticas. A pesar de la situación de aislamiento, los servicios de neurología deben mantener la atención de sus pacientes a través de distintas fórmulas operativas, que como cualquier elemento de gestión, deberán evaluarse.
AbstractList	The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures. Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated. La pandemia de Covid-19 ha supuesto la necesidad de tomar decisiones para mantener la asistencia neurológica, sin precedentes. En este artículo se analiza esa toma de decisiones operativas. Los autores refieren las fórmulas empleadas como son la realización de un plan de reorganización funcional, estrategias para la hospitalización y urgencias, la realización de consultas telefónicas para el mantenimiento de la atención neurológica, la asistencia en un área externa al hospital para pacientes preferentes, las decisiones sobre exploraciones complementarias y tratamientos intrahospitalarios periódicos o implantar un teléfono para la priorización de crisis epilépticas. A pesar de la situación de aislamiento, los servicios de neurología deben mantener la atención de sus pacientes a través de distintas fórmulas operativas, que como cualquier elemento de gestión, deberán evaluarse. AbstractIntroductionThe COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. DevelopmentWe report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures. ConclusionDespite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated. Introduction: The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses operational decision-making during the epidemic. Development: We report the measures taken, including the preparation of a functional reorganisation plan, strategies for hospitalisation and emergency management, the use of telephone consultations to maintain neurological care, provision of care at a unit outside the hospital for priority patients, decisions about complementary testing and periodic in-hospital treatments, and the use of a specific telephone service to prioritise patients with epileptic seizures. Conclusion: Despite the situation of confinement, neurology departments must continue to provide patient care through different means of operation. Like all elements of management, these must be evaluated. Resumen: Introducción: La pandemia de Covid-19 ha supuesto la necesidad de tomar decisiones para mantener la asistencia neurológica, sin precedentes. En este artículo se analiza esa toma de decisiones operativas. Desarrollo: Los autores refieren las fórmulas empleadas como son la realización de un plan de reorganización funcional, estrategias para la hospitalización y urgencias, la realización de consultas telefónicas para el mantenimiento de la atención neurológica, la asistencia en un área externa al hospital para pacientes preferentes, las decisiones sobre exploraciones complementarias y tratamientos intrahospitalarios periódicos o implantar un teléfono para la priorización de crisis epilépticas. Conclusión: A pesar de la situación de aislamiento, los servicios de neurología deben mantener la atención de sus pacientes a través de distintas fórmulas operativas, que como cualquier elemento de gestión, deberán evaluarse.
Author	Lopez-Valdes, E. Garcia-Morales, I. Matías-Guiu, J. Matias-Guiu, J.A. Guerrero-Solá, A. Porta-Etessam, J.
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Cites_doi	10.1186/s13643-017-0529-0 10.1001/jamainternmed.2018.1314 10.1021/acschemneuro.0c00122 10.1016/S0140-6736(20)30183-5 10.1136/bmj.m998 10.1038/nrneurol.2018.31 10.1212/WNL.0000000000009494 10.1016/S0140-6736(20)30211-7 10.1212/WNL.0000000000009455 10.1056/NEJMp2003539 10.1136/bmj.m606 10.1186/s13054-020-2828-4 10.1016/j.annonc.2020.03.286 10.2196/18810 10.23736/S0393-2249.20.03861-8 10.1016/S2213-2600(20)30079-5 10.1136/esmoopen-2020-000759 10.1177/1357633X20916567 10.1161/STROKEAHA.120.029701 10.1089/tmj.2017.0237 10.1212/WNL.0000000000009508 10.1136/bmj.l1
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Keywords	COVID-19 Covid 19 SARS-CoV-2 Neurological care SARS2-CoV Neurology department Asistencia neurológica Healthcare management Departamento de neurología Gestión sanitaria
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Snippet	The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article addresses... AbstractIntroductionThe COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This... Introduction: The COVID-19 epidemic has led to the need for unprecedented decisions to be made to maintain the provision of neurological care. This article...
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SubjectTerms	Asistencia neurológica COVID-19 Departamento de neurología Gestión sanitaria Healthcare management Internal Medicine Neurological care Neurology Neurology department Review SARS-CoV-2 SARS2-CoV
Title	Management of neurological care during the COVID-19 pandemic
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