| Title: |
A snapshot of emergency neurology management in the Lombardy Region, Italy |
| Authors: |
Zanferrari, C; Salmaggi, A; Belcastro, V; Domina, E; Beretta, S; Braga, M; Bonato, S; Ghione, I; Caputi, L; Brusaferri, F; Cavallini, A; Persico, A; Ciccone, A; Silvestrelli, G; Clerici, R; De Piazza, C; Conti, G; Cotelli, M; Turla, M; Dallocchio, C; Mazza, S; Ferrarese, C; Piatti, M; Ferraro, B; Carpo, M; Fanucchi, S; Fiacco, F; Maggio, P; Frediani, F; Tonietti, S; Grampa, G; Russo, L; Savio, F; Magni, E; Palmerini, F; Magoni, M; Marcheselli, S; Corato, M; Mattioli, M; Padovani, A; Pantoni, L; Baso, G; Prelle, A; Muscia, F; Priori, A; Tancredi, L; Santilli, I; Scaccabarozzi, C; Sessa, M; Gioia, S; Zanferrari C.; Salmaggi A.; Belcastro V.; Domina E.; Beretta S.; Braga M.; Bonato S.; Ghione I.; Caputi L.; Brusaferri F.; Cavallini A.; Persico A.; Ciccone A.; Silvestrelli G.; Clerici R.; De Piazza C.; Conti G.; Cotelli M. S.; Turla M.; Dallocchio C.; Mazza S.; Ferrarese C.; Piatti M. L.; Ferraro B.; Carpo M.; Fanucchi S.; Fiacco F.; Maggio P.; Frediani F.; Tonietti S.; Grampa G.; Russo L. L.; Savio F. L.; Magni E.; Palmerini F.; Magoni M.; Marcheselli S.; Corato M.; Mattioli M.; Padovani A.; Pantoni L.; Baso G.; Prelle A.; Muscia F.; Priori A.; Tancredi L.; Santilli I.; Scaccabarozzi C.; Sessa M.; Gioia S. L. |
| Publisher Information: |
Springer-Verlag Italia s.r.l. country:IT 2022 |
| Document Type: |
Electronic Resource |
| Abstract: |
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. |
| Index Terms: |
Emergency neurology; Healthcare management; Lombardy Region; Stroke; Settore MEDS-12/A - Neurologia; info:eu-repo/semantics/article |
| URL: |
https://hdl.handle.net/10281/476511; info:eu-repo/semantics/altIdentifier/pmid/35445306; info:eu-repo/semantics/altIdentifier/wos/WOS:000784833200001; volume:43; issue:8; firstpage:4917; lastpage:4923; numberofpages:7; journal:NEUROLOGICAL SCIENCES |
| Availability: |
Open access content. Open access content |
| Note: |
STAMPA; English |
| Other Numbers: |
ITBAO oai:boa.unimib.it:10281/476511; 10.1007/s10072-022-06062-3; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85128444988; 1434548643 |
| Contributing Source: |
BICOCCA OPEN ARCH; From OAIster®, provided by the OCLC Cooperative. |
| Accession Number: |
edsoai.on1434548643 |
| Database: |
OAIster |