Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad
Background: Neurological emergencies constitute 10-15% of medical emergencies. Doctor Hernán Henríquez Aravena Hospital has in house neurologists present permanently at the Emergency Room since July 2013. Aim: To estimate the waiting times for neurological consultations; to compare the waiting times between neurovascular (UV) and non-vascular (UNV) emergencies; and to compare the waiting times of two prioritization (triage) models. Material and Methods: A convenience sample of the consultations made during shift # 1 at the emergency room between January and December 2016, was analyzed. Results: There were 859 consultations in the period, 570 for UNV and 289 for UV. Mean age of consultants was 57 years and 52% were women. The median time for having an evaluation by a neurologist was 106 min (132 and 81 min for UNV and UV respectively). Twenty seven percent of patients were evaluated in less than one hour (23 and 36% of UNV and UV, respectively). The change of the prioritization model decreased the waiting time by 81 and 32 min for UNV and UV, respectively. Conclusions: There were significant differences in waiting times between neurovascular and non-vascular emergencies. Most patients were not evaluated in less than 60 minutes. The change in the initial stratification model was associated with a significant reduction in the waiting times for neurological emergencies.
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Sociedad Médica de Santiago
2018
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oai:scielo:S0034-988720180007008852018-09-26Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidadSoto V.,ÁlvaroMorales I.,GladysVega C.,ClaudioEcheverría V.,GonzaloColinas G.,María BelénCanales O.,PedroContreras B.,Daniela Emergency Service, Hospital Neurology Neurologists Stroke Triage Background: Neurological emergencies constitute 10-15% of medical emergencies. Doctor Hernán Henríquez Aravena Hospital has in house neurologists present permanently at the Emergency Room since July 2013. Aim: To estimate the waiting times for neurological consultations; to compare the waiting times between neurovascular (UV) and non-vascular (UNV) emergencies; and to compare the waiting times of two prioritization (triage) models. Material and Methods: A convenience sample of the consultations made during shift # 1 at the emergency room between January and December 2016, was analyzed. Results: There were 859 consultations in the period, 570 for UNV and 289 for UV. Mean age of consultants was 57 years and 52% were women. The median time for having an evaluation by a neurologist was 106 min (132 and 81 min for UNV and UV respectively). Twenty seven percent of patients were evaluated in less than one hour (23 and 36% of UNV and UV, respectively). The change of the prioritization model decreased the waiting time by 81 and 32 min for UNV and UV, respectively. Conclusions: There were significant differences in waiting times between neurovascular and non-vascular emergencies. Most patients were not evaluated in less than 60 minutes. The change in the initial stratification model was associated with a significant reduction in the waiting times for neurological emergencies.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.7 20182018-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700885es10.4067/s0034-98872018000700885 |
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Soto V.,Álvaro Morales I.,Gladys Vega C.,Claudio Echeverría V.,Gonzalo Colinas G.,María Belén Canales O.,Pedro Contreras B.,Daniela |
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Soto V.,Álvaro Morales I.,Gladys Vega C.,Claudio Echeverría V.,Gonzalo Colinas G.,María Belén Canales O.,Pedro Contreras B.,Daniela Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
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Soto V.,Álvaro Morales I.,Gladys Vega C.,Claudio Echeverría V.,Gonzalo Colinas G.,María Belén Canales O.,Pedro Contreras B.,Daniela |
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Soto V.,Álvaro |
title |
Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
title_short |
Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
title_full |
Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
title_fullStr |
Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
title_full_unstemmed |
Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
title_sort |
tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad |
description |
Background: Neurological emergencies constitute 10-15% of medical emergencies. Doctor Hernán Henríquez Aravena Hospital has in house neurologists present permanently at the Emergency Room since July 2013. Aim: To estimate the waiting times for neurological consultations; to compare the waiting times between neurovascular (UV) and non-vascular (UNV) emergencies; and to compare the waiting times of two prioritization (triage) models. Material and Methods: A convenience sample of the consultations made during shift # 1 at the emergency room between January and December 2016, was analyzed. Results: There were 859 consultations in the period, 570 for UNV and 289 for UV. Mean age of consultants was 57 years and 52% were women. The median time for having an evaluation by a neurologist was 106 min (132 and 81 min for UNV and UV respectively). Twenty seven percent of patients were evaluated in less than one hour (23 and 36% of UNV and UV, respectively). The change of the prioritization model decreased the waiting time by 81 and 32 min for UNV and UV, respectively. Conclusions: There were significant differences in waiting times between neurovascular and non-vascular emergencies. Most patients were not evaluated in less than 60 minutes. The change in the initial stratification model was associated with a significant reduction in the waiting times for neurological emergencies. |
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Sociedad Médica de Santiago |
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2018 |
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http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700885 |
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