tetano
Editor, Senior Moderator
Neurologia. 2020 Apr 23. pii: S0213-4853(20)30073-6. doi: 10.1016/j.nrl.2020.04.008. [Epub ahead of print]
Acute stroke care during the COVID-19 pandemic. Ictus Madrid Program Recommendations.
[Article in English, Spanish]
Rodr?guez-Pardo J[SUP]1[/SUP], Fuentes B[SUP]2[/SUP], de Leci?ana MA[SUP]2[/SUP], Campollo J[SUP]3[/SUP], Casta?o PC[SUP]4[/SUP], Ruiz JC[SUP]5[/SUP], Egido Herrero J[SUP]6[/SUP], Leal RG[SUP]7[/SUP], N??ez AG[SUP]8[/SUP], Cerezo JFG[SUP]9[/SUP], Mart?nez AM[SUP]10[/SUP], Vallejo JM[SUP]11[/SUP], Aguado BP[SUP]12[/SUP], L?pez NR[SUP]13[/SUP], de Las Heras RS[SUP]14[/SUP], Vivancos Mora J[SUP]15[/SUP], Tejedor ED[SUP]16[/SUP]; en nombre del Grupo Multidisciplinar del Plan Ictus Madrid.
Author information
Abstract
BACKGROUND:
The COVID-19 pandemic has forced a reorganization of healthcare systems and an exceptional saturation of their resources. In this context, it is vital to ensure acute stroke care and optimize the care processes of the stroke code to reduce the risk of contagion and rationalize the use of hospital resources. To do this, the Ictus Madrid multidisciplinary group proposes a series of recommendations.
METHODS:
Non-systematic bibliographic review of the available publications with the terms "stroke" and "covid-19" or "coronavirus" or "SARS-COV-2", as well as other already known for the authors. We provide a document of recommendations as a result of the consensus of the Ictus Madrid multidisciplinary group and its Neurology Committee.
RESULTS:
Our recommendations are structured on five lines: (1) Coordinate to guarantee the access to hospital care for stroke patients, (2) Recognize potentially COVID-19 infected stroke patients, (3) Organize to ensure the protection of healthcare professionals from COVID-19 infections, (4) Neuroimaging and other procedures potentially associated to risks for COVID-19 infection should be reduced and secured to avoid contagion, and (5) At home as soon as possible and supported follow-up to optimize hospital occupancy. The procedure is shown summarized under the acronym CORONA (Coordinate, Recognize, Organize, Neuroimaging, At home).
CONCLUSIONS:
These recommendations can support the organization of healthcare services for acute stroke care and the optimization of their resources, guaranteeing the protection of healthcare professionals.
Copyright ? 2020 Sociedad Espa?ola de Neurolog?a. Publicado por Elsevier Espa?a, S.L.U. All rights reserved.
KEYWORDS:
COVID-19; Ictus; SARS-CoV2; Stroke; coronavirus
PMID:32364127DOI:10.1016/j.nrl.2020.04.008
Free full text
Acute stroke care during the COVID-19 pandemic. Ictus Madrid Program Recommendations.
[Article in English, Spanish]
Rodr?guez-Pardo J[SUP]1[/SUP], Fuentes B[SUP]2[/SUP], de Leci?ana MA[SUP]2[/SUP], Campollo J[SUP]3[/SUP], Casta?o PC[SUP]4[/SUP], Ruiz JC[SUP]5[/SUP], Egido Herrero J[SUP]6[/SUP], Leal RG[SUP]7[/SUP], N??ez AG[SUP]8[/SUP], Cerezo JFG[SUP]9[/SUP], Mart?nez AM[SUP]10[/SUP], Vallejo JM[SUP]11[/SUP], Aguado BP[SUP]12[/SUP], L?pez NR[SUP]13[/SUP], de Las Heras RS[SUP]14[/SUP], Vivancos Mora J[SUP]15[/SUP], Tejedor ED[SUP]16[/SUP]; en nombre del Grupo Multidisciplinar del Plan Ictus Madrid.
Author information
Abstract
BACKGROUND:
The COVID-19 pandemic has forced a reorganization of healthcare systems and an exceptional saturation of their resources. In this context, it is vital to ensure acute stroke care and optimize the care processes of the stroke code to reduce the risk of contagion and rationalize the use of hospital resources. To do this, the Ictus Madrid multidisciplinary group proposes a series of recommendations.
METHODS:
Non-systematic bibliographic review of the available publications with the terms "stroke" and "covid-19" or "coronavirus" or "SARS-COV-2", as well as other already known for the authors. We provide a document of recommendations as a result of the consensus of the Ictus Madrid multidisciplinary group and its Neurology Committee.
RESULTS:
Our recommendations are structured on five lines: (1) Coordinate to guarantee the access to hospital care for stroke patients, (2) Recognize potentially COVID-19 infected stroke patients, (3) Organize to ensure the protection of healthcare professionals from COVID-19 infections, (4) Neuroimaging and other procedures potentially associated to risks for COVID-19 infection should be reduced and secured to avoid contagion, and (5) At home as soon as possible and supported follow-up to optimize hospital occupancy. The procedure is shown summarized under the acronym CORONA (Coordinate, Recognize, Organize, Neuroimaging, At home).
CONCLUSIONS:
These recommendations can support the organization of healthcare services for acute stroke care and the optimization of their resources, guaranteeing the protection of healthcare professionals.
Copyright ? 2020 Sociedad Espa?ola de Neurolog?a. Publicado por Elsevier Espa?a, S.L.U. All rights reserved.
KEYWORDS:
COVID-19; Ictus; SARS-CoV2; Stroke; coronavirus
PMID:32364127DOI:10.1016/j.nrl.2020.04.008
Free full text