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Tiempos de atención de urgencias neurológicas en un hospital regional de alta complejidad / Waiting times for neurological emergencies in an emergency room
Soto V, Álvaro; Morales I, Gladys; Vega C, Claudio; Echeverría V, Gonzalo; Colinas G, María Belén; Canales O, Pedro; Contreras B, Daniela.
Afiliação
  • Soto V, Álvaro; Universidad de La Frontera. Facultad de Medicina. Departamento de Especialidades Médicas. Temuco. CL
  • Morales I, Gladys; Universidad de La Frontera. Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN). Temuco. CL
  • Vega C, Claudio; Hospital Dr. Hernán Henríquez Aravena. Temuco. CL
  • Echeverría V, Gonzalo; s.af
  • Colinas G, María Belén; s.af
  • Canales O, Pedro; s.af
  • Contreras B, Daniela; s.af
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 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Encaminhamento e Consulta / Serviço Hospitalar de Emergência / Tempo para o Tratamento / Doenças do Sistema Nervoso Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / 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

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Encaminhamento e Consulta / Serviço Hospitalar de Emergência / Tempo para o Tratamento / Doenças do Sistema Nervoso Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / 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