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
em Es
| LILACS
| ID: biblio-1043149
Biblioteca responsável:
CL1.1
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Encaminhamento e Consulta
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Serviço Hospitalar de Emergência
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Tempo para o Tratamento
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Doenças do Sistema Nervoso
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile