Management of neurological care during the COVID-19 pandemic
Neurologia (Engl Ed). 2020 May;35(4):233-237.
doi: 10.1016/j.nrl.2020.04.001.
Epub 2020 Apr 10.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Neurología, Instituto de Neurociencias Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España. Electronic address: neurol.hcsc@salud.madrid.
- 2 Servicio de Neurología, Instituto de Neurociencias Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España.
Abstract
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.
Keywords:
Asistencia neurológica; COVID-19; Covid-19; Departamento de neurología; Gestión sanitaria; Healthcare management; Neurological care; Neurology department; SARS-CoV-2; SARS2-CoV.
Copyright © 2020 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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COVID-19
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Coronavirus Infections* / epidemiology
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Coronavirus Infections* / prevention & control
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Decision Making
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Disease Management
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Emergency Medical Services / organization & administration
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Health Priorities
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Home Care Services / organization & administration
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Hospital Departments / organization & administration
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Hospitalization
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Humans
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Nervous System Diseases / diagnosis
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Nervous System Diseases / therapy*
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Neurology / organization & administration
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Outpatient Clinics, Hospital / organization & administration
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Pandemics* / prevention & control
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Patient Isolation
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Pneumonia, Viral* / epidemiology
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Pneumonia, Viral* / prevention & control
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Risk Assessment
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Telemedicine / organization & administration