Evidence map›Paper›PMID 28765403›Full record

ArticleClinical medicine (London, England)2017

A hyperacute neurology team - transforming emergency neurological care.

Arani Nitkunan, Bridget K MacDonald, Ajay Boodhoo, Andrew Tomkins, Caitlin Smyth, Medina Southam, Fred Schon

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Acute neurology: a suggested approach.Clinical medicine (London, England) · 2018
    Article
  5. Article
  6. Article
  7. The hyperacute neurology team.Clinical medicine (London, England) · 2017
    Article
  8. The hyperacute neurology team.Clinical medicine (London, England) · 2017
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Arani NitkunanCroydon University Hospital, Croydon, UK anitkunan@nhs.net.
Bridget K MacDonaldCroydon University Hospital, Croydon, UK.
Ajay BoodhooCroydon University Hospital, Croydon, UK.
Andrew TomkinsCroydon University Hospital, Croydon, UK.
Caitlin SmythCroydon University Hospital, Croydon, UK.
Medina SouthamCroydon University Hospital, Croydon, UK.
Fred SchonCroydon University Hospital, Croydon, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the results of an 18-month study of a new model of how to care for emergency neurological admissions. We have established a hyperacute neurology team at a single district general hospital. Key features are a senior acute neurology nurse coordinator, an exclusively consultant-delivered service, acute epilepsy nurses, an acute neurophysiology service supported by neuroradiology and acute physicians and based within the acute medical admissions unit. Key improvements are a major increase in the number of patients seen, the speed with which they are seen and the percentage seen on acute medical unit before going to the general wards. We have shown a reduced length of stay and readmission rates for patients with epilepsy. Epilepsy accounted for 30% of all referrals. The cost implications of running this service are modest. We feel that this model is worthy of widespread consideration.

Indexed as

Emergency Service, HospitalNeurologyHumansNeurologistsNurse's RolePatient Care TeamEmergency carehyperacuteneurologyneurology specialist nurse

Identifiers

PMID28765403
PMCPMC6297655

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.