ArticleClinical medicine (London, England)2019
Hyperacute neurology at a regional neurosciences centre: a 1-year experience of an innovative service model.
Article in Clinical medicine (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Prospective Evaluation of the Neurology Same Day Emergency Care (NeuroSDEC) Model in Secondary Care: data from 931 patients over the first 12 months.BMJ neurology open · 2026Article
- Hyperacute vestibular syndrome: the role of an acute vertigo service.Frontiers in stroke · 2023Article
- Fast Neuro: A Care Model to Expedite Access to Neurology Clinic.Neurology. Clinical practice · 2022Article
- Prevalence of acute neurology: a 2-week snapshot in a district general hospital.Clinical medicine (London, England) · 2020Article
- Rapid access neurology: a 2-year evaluation of 'hot clinics' in a tertiary neuroscience centre.Future healthcare journal · 2020Article
- Acute neurology service.Clinical medicine (London, England) · 2019Article
- Getting involved withClinical medicine (London, England) · 2019Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
St George's Hospital hyperacute neurology service (HANS) is a comprehensive, consultant-delivered service set in a teaching hospital regional neuroscience centre. The service addresses deficiencies in acute neurological care previously highlighted by the Royal College of Physicians and the Association of British Neurologists. HANS adopts a disease-agnostic approach to acute neurology, prioritising the emergency department (ED) management of both stroke and stroke mimics alike alongside proactive daily support to the acute medical unit and acute medical take. Rapid access clinics provide a means to assess ambulatory patients, providing an outlet to reduce the burden of referral from primary care to acute medicine. This paper reports the results from the first year of the service. Admission was avoided in 25% of the cases reviewed in the ED. Compared to historic data, there was a significant improvement in the length of stay for non-stroke disorders while the occupancy of stroke beds by non-stroke cases reduced by 50%. The configuration of this service is replicable in other neuroscience centres and provides a framework to reduce the barriers facing patients who present with acute neurological symptoms.
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