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]

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.

Publication types

  • Review

MeSH terms

  • COVID-19
  • Coronavirus Infections* / epidemiology
  • Coronavirus Infections* / prevention & control
  • Decision Making
  • Disease Management
  • Emergency Medical Services / organization & administration
  • Health Priorities
  • Home Care Services / organization & administration
  • Hospital Departments / organization & administration
  • Hospitalization
  • Humans
  • Nervous System Diseases / diagnosis
  • Nervous System Diseases / therapy*
  • Neurology / organization & administration
  • Outpatient Clinics, Hospital / organization & administration
  • Pandemics* / prevention & control
  • Patient Isolation
  • Pneumonia, Viral* / epidemiology
  • Pneumonia, Viral* / prevention & control
  • Risk Assessment
  • Telemedicine / organization & administration