A snapshot of emergency neurology management in the Lombardy Region, Italy

被引：3

作者：

Zanferrari, Carla ^{[1
]}

Salmaggi, Andrea ^{[2
]}

Belcastro, Vincenzo ^{[3
]}

Domina, Elisabetta ^{[4
]}

Beretta, Sandro ^{[5
]}

Braga, Massimiliano ^{[5
]}

Bonato, Sara ^{[6
]}

Ghione, Isabella ^{[6
]}

Caputi, Luigi ^{[7
]}

Brusaferri, Fabio ^{[7
]}

Cavallini, Anna ^{[8
]}

Persico, Alessandra ^{[8
]}

Ciccone, Alfonso ^{[9
]}

Silvestrelli, Giorgio ^{[9
]}

Clerici, Raffaella ^{[10
]}

De Piazza, Claudio ^{[10
]}

Conti, Giancarlo ^{[11
]}

Cotelli, Maria Sofia ^{[12
]}

Turla, Marinella ^{[12
]}

Dallocchio, Carlo ^{[13
]}

Mazza, Sara ^{[13
]}

Ferrarese, Carlo ^{[14
]}

Piatti, Maria Luisa ^{[14
]}

Ferraro, Bruno ^{[15
]}

Carpo, Marinella ^{[15
]}

Fanucchi, Simona ^{[16
,17
]}

Fiacco, Fabrizio ^{[18
]}

Maggio, Paola ^{[18
]}

Frediani, Fabio ^{[19
]}

Tonietti, Simone ^{[19
]}

Grampa, Giampiero ^{[20
]}

Lo Russo, Lorenzo ^{[21
]}

Lo Savio, Francesco ^{[22
]}

Magni, Eugenio ^{[23
]}

Palmerini, Francesco ^{[23
]}

Magoni, Mauro ^{[24
]}

Marcheselli, Simona ^{[25
]}

Corato, Manuel ^{[25
]}

Mattioli, Mauro ^{[26
,27
]}

Padovani, Alessandro ^{[28
]}

Pantoni, Leonardo ^{[29
]}

Baso, Giacomo ^{[29
]}

Prelle, Alessandro ^{[30
]}

Muscia, Francesco ^{[30
]}

Priori, Alberto ^{[31
]}

Tancredi, Lucia ^{[31
]}

Santilli, Ignazio ^{[32
]}

Scaccabarozzi, Chiara ^{[33
]}

Sessa, Maria ^{[34
]}

La Gioia, Sara ^{[35
]}

机构：

[1] Azienda Osped Melegnano & Martesana, Neurol & Stroke Unit, Milan, Italy

[2] Osped A Manzoni, Neurol Unit, Lecce, Italy

[3] Osped Maggiore Lodi, Lodi, Italy

[4] Osped Codogno, Codogno, Italy

[5] Osped Vimercate, Vimercate, Italy

[6] Fdn IRCSS Policlin, Milan, Italy

[7] Osped Maggiore Crema, Crema, Italy

[8] Fdn IRCCS C Mondino, Pavia, Italy

[9] Osped Mantova, Mantua, Italy

[10] Osped Valduce, Como, Italy

[11] Osped Bassini, Milan, Italy

[12] Osped Esine, Esine, Italy

[13] Osped Voghera, Voghera, Italy

[14] Osped San Gerardo, Monza, Italy

[15] Osped Treviglio, Treviglio, Italy

[16] Osped Melegnano, Melegnano, Italy

[17] Osped Cernusco, Cernusco Sul Naviglio, Italy

[18] Osped Seriate, Seriate, Italy

[19] Osped San Carlo Borromeo Milano, Milan, Italy

[20] Osped S Anna Como, Como, Italy

[21] Osped Merate, Merate, Italy

[22] Osped Saronno, Saronno, Italy

[23] Fdn Poliambulanza, Brescia, Italy

[24] Spedali Civil Brescia, Brescia, Italy

[25] IRCCS Humanitas, Milan, Italy

[26] Osped Garbagnate, Garbagnate, Italy

[27] Osped Rho, Rho, Italy

[28] Univ Brescia, Clin Neurol, Brescia, Italy

[29] Osped L Sacco, Milan, Italy

[30] Osped Legnano, Legnano, Italy

[31] Osped San Paolo, Milan, Italy

[32] Osped Desio, Desio, Italy

[33] Osped Lecco, Lecce, Italy

[34] Osped Papa Giovanni XXIII, Bergamo, Italy

[35] Osped San Giovanni Bianco, Bergamo, Italy

来源：

NEUROLOGICAL SCIENCES | 2022年 / 43卷 / 08期

关键词：

Emergency neurology; Stroke; Healthcare management; Lombardy Region; ROOM NEUROLOGISTS; CARE; TELENEUROLOGY; STROKE;

D O I：

10.1007/s10072-022-06062-3

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：4917 / 4923

页数：7

共 50 条

[1] A snapshot of emergency neurology management in the Lombardy Region, Italy
Carla Zanferrari
Andrea Salmaggi
[J]. Neurological Sciences, 2022, 43 : 4917 - 4923
[2] Correction to: A snapshot of emergency neurology management in the Lombardy Region, Italy
Carla Zanferrari
Andrea Salmaggi
[J]. Neurological Sciences, 2022, 43 : 6625 - 6625
[3] A snapshot of emergency neurology management in the Lombardy Region, Italy (Jun, 10.1007/s10072-022-06062-3, 2022)
Zanferrari, Carla
Salmaggi, Andrea
[J]. NEUROLOGICAL SCIENCES, 2022, 43 (11) : 6625 - 6625
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