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 tim...

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Autores principales:	Soto V.,Álvaro, Morales I.,Gladys, Vega C.,Claudio, Echeverría V.,Gonzalo, Colinas G.,María Belén, Canales O.,Pedro, Contreras B.,Daniela
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Emergency Service, Hospital Neurology Neurologists Stroke Triage
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700885
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spelling	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
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Emergency Service, Hospital Neurology Neurologists Stroke Triage
spellingShingle	Emergency Service, Hospital Neurology Neurologists Stroke Triage 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
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.
author	Soto V.,Álvaro Morales I.,Gladys Vega C.,Claudio Echeverría V.,Gonzalo Colinas G.,María Belén Canales O.,Pedro Contreras B.,Daniela
author_facet	Soto V.,Álvaro Morales I.,Gladys Vega C.,Claudio Echeverría V.,Gonzalo Colinas G.,María Belén Canales O.,Pedro Contreras B.,Daniela
author_sort	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
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700885
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Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad

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