Models of care in emergency neurology: from the Neuro Fast Track to the emergency neurologist-a position paper of the Italian Association for Emergency Neurology (ANEU).

Autor: Micieli G; Former Department of Emergency Neurology, IRCCS C. Mondino Foundation, Pavia, Italy. giuseppe.micieli53@gmail.com., Cortelli P; IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy.; DIBINEM, University of Bologna, Bologna, Italy., Del Sette M; Neurology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy., Quatrale R; Dipartimento Di Scienze Neurologiche, UOC di Neurologia - Ospedale dell'AngeloAULSS 3 Serenissima, Venice Mestre, Italy., Cavallini A; Emergency Neurology and Stroke Unit, IRCCS Fondazione Mondino-IRCCS Policlinico San Matteo, Pavia, Italy., Zedde ML; Neurology and Stroke Unit, Azienda Unità Sanitaria Locale - IRCCS Di Reggio Emilia, Reggio Emilia, Italy., Zanferrari C; Neurology and Stroke Unit, ASST Melegnano-Martesana, Vizzolo Predabissi, Milan, Italy., de Falco A; Neurology and Stroke Unit, Ospedale del Mare, ASL Napoli 1 Centro, Naples, Italy., Guarino M; Neurology, IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy., Cossu G; SSD Neurophysiology and Movement Disorders, Dept of Neuroscience, ARNAS Brotzu, Cagliari, Italy., Haggiag S; Dipartimento Di Neuroscienze, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy., Pezzella FR; Dipartimento Di Neuroscienze, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy., Porreca A; Prospero Multilab Srl, Bologna, Italy., Pistoia F; Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy., Andreone V; UOC Neurologia E Stroke Unit, AORN Antonio Cardarelli, Naples, Italy., Giometto B; UOM Neurologia, Università Di Trento, Trento, Italy., Gasperini C; Department of Neurosciences, S Camillo Forlanini Hospital, Rome, Italy., Giorli E; SC Neurologia Ospedale Sant'Andrea La Spezia, La Spezia, Italy., Salmaggi A; UOC Neurologia Presidio A. Manzoni ASST Lecco, Lecco, Italy., Lattanzi S; Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy., Labate CR; SC Neurologia, Ospedale Civile Edoardo Agnelli Di Pinerolo, Pinerolo, Italy., Rinaldi G; S.C. Neurologia-Stroke Unit, Ospedale Di Venere, Bari, Italy., Melis M; SC Neurologia E Stroke Unit, ARNAS G. Brotzu, Cagliari, Italy., Caggia E; UO Neurologia Ospedale Giovanni Paolo II, Ragusa, Italy., Volpi G; S.O.C. Neurologia E Stroke Unit, Ospedale San Jacopo, Pistoia, Italy., Passadore P; SC Neurologia, Azienda Sanitaria Friuli Occidentale, Pordenone, Italy., Corea F; UO Neurologia Ospedale San Giovanni Battista, Foligno, Italy., Franco GM; UOC Stroke Unit E Neurologia, Ospedale G. Jazzolino, Vibo Valentia, Italy.
Jazyk: angličtina
Zdroj: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [Neurol Sci] 2023 Sep; Vol. 44 (9), pp. 3307-3317. Date of Electronic Publication: 2023 Jun 29.
DOI: 10.1007/s10072-023-06917-3
Abstrakt: I n the context of an adequate health care organization, the figure of the neurologist as an emergency operator (in the emergency room-ER-and/or in a dedicated outpatient clinic) is crucial for an effective functional connection with the territory (and therefore with general practitioners), a reduction in inappropriate ER accesses, specific diagnostic and therapeutic approaches to neurological emergencies in the ER and a reduction in nonspecific or even unnecessary instrumental investigations. In this position paper of the Italian Association of Emergency Neurology (ANEU: Associazione Neurologia dell'Emergenza Urgenza), these issues are addressed, and two important organizational solutions are proposed: 1) The Neuro Fast Track, as an outpatient organization approach strongly linked to general practitioners and non-neurological specialists and dedicated to cases with deferrable urgency (to be assessed within 72 h) 2) The identification of an emergency neurologist, who is engaged in ER assessments as a consultant and involved in the management of the semi-intensive care unit of the emergency neurology and the stroke unit according to an appropriate rotation, as well as in consultations for patients with neurological emergencies in inpatient wards The possibility of computerizing the screening of patients with deferrable urgency in the Neuro Fast Track is described. A dedicated app represents an important tool that can facilitate the identification of patients for whom deferred assessment is appropriate, the scheduling of neurological examinations and reductions in the booking time through a more rapid approach to specialist assessment and subsequent investigations.
(© 2023. Fondazione Società Italiana di Neurologia.)
Databáze: MEDLINE
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