Waiting times for neurological emergencies in an emergency room

Primer Autor
Soto, Alvaro, V
Co-autores
Morales, Gladys, I#Vega C, Claudio#Echeverria, Gonzalo, V#Colinas G, Maria Belen#Canales O, Pedro#Contreras B, Daniela
Título
Waiting times for neurological emergencies in an emergency room
Editorial
SOC MEDICA SANTIAGO
Revista
REVISTA MEDICA DE CHILE
Lenguaje
es
Resumen
Background: Neurological emergencies constitute 10-15% of medical emergencies. Doctor Hernan Henriquez 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.
Tipo de Recurso
Artículo original
doi
10.4067/s0034-98872018000700885
Formato Recurso
pdf
Palabras Claves
Emergency Service# Hospital# Neurology# Neurologists# Stroke# Triage
Ubicación del archivo
http://dx.doi.org/10.4067/s0034-98872018000700885
Categoría OCDE
Medicine, General & Internal
Materias
Servicio de Emergencia# Hospital# Neurología# Neurólogos# Ataque# Triaje
Disciplinas de la OCDE
Neurología Clínica
Medicina de Emergencia y de Cuidados Críticos
Servicios y Cuidados en Ciencias de la Salud
Id de Web of Science
WOS:000445782000009
Título de la cita (Recomendado-único)
Waiting times for neurological emergencies in an emergency room
Identificador del recurso (Mandatado-único)
Artículo original
Versión del recurso (Recomendado-único)
version publicada
Editorial
SOC MEDICA SANTIAGO
Revista/Libro
REVISTA MEDICA DE CHILE
Categoría WOS
Medicina general e interna
ISSN
0034-9887
Idioma
es
Formato
pdf
Tipo de ruta
dorada#verde
Access Rights
acceso abierto
Derechos de acceso
acceso abierto
Página de inicio (Recomendado-único)
49
Página final (Recomendado-único)
61
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