Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad / Waiting times for neurological emergencies in an emergency room
Rev. méd. Chile
;
146(7): 885-889, jul. 2018. tab
Article
in Spanish
| LILACS
| ID: biblio-1043149
ABSTRACT
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 andMethods:
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Referral and Consultation
/
Emergency Service, Hospital
/
Time-to-Treatment
/
Nervous System Diseases
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2018
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Dr. Hernán Henríquez Aravena/CL
/
Universidad de La Frontera/CL
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