Evidence map›Paper›PMID 32563566›Full record

ArticleNeurologia

Impact of the COVID-19 pandemic on the organisation of stroke care. Madrid Stroke Care Plan.

B Fuentes, M Alonso de Leciñana, P Calleja-Castaño, J Carneado-Ruiz, J Egido-Herrero, A Gil-Núñez, J Masjuán-Vallejo, J Vivancos-Mora, J Rodríguez-Pardo, N Riera-López and 5 more

Abstract read
In one paragraph

Article in Neurologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  7. The Effects of Severe Acute Respiratory Syndrome Coronavirus 2 on the Reported Mental Health Symptoms of Nonprofessional Carers: An Analysis Across Europe.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022
    Article
  8. Article
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  10. Stroke management during the coronavirus disease 2019 (COVID-19) pandemic: experience from three regions of the north east of Italy (Veneto, Friuli-Venezia-Giulia, Trentino-Alto-Adige).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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  14. The impact of the COVID-19 pandemic on people with neurological disorders: an urgent need to enhance the health care system's preparedness.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

B FuentesServicio de Neurología y Centro de Ictus, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPAZ, Madrid, España. Electronic address: blanca.fuentes@salud.madrid.org.
M Alonso de LeciñanaServicio de Neurología y Centro de Ictus, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPAZ, Madrid, España.
P Calleja-CastañoServicio de Neurología, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, España.
J Carneado-RuizServicio de Neurología, Hospital Universitario Puerta de Hierro, Universidad Autónoma de Madrid, Madrid, España.
J Egido-HerreroServicio de Neurología, Hospital Clínico Universitario San Carlos, Universidad Complutense de Madrid, Madrid, España.
A Gil-NúñezServicio de Neurología, Hospital Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España.
J Masjuán-VallejoServicio de Neurología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, ALcalá de Henares (Madrid), España.
J Vivancos-MoraServicio de Neurología, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, España.
J Rodríguez-PardoServicio de Neurología y Centro de Ictus, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPAZ, Madrid, España.
N Riera-LópezServicio de Urgencias Médicas de Madrid, SUMMA 112, Madrid, España.
Á Ximénez-CarrilloServicio de Neurología, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, España.
A Cruz-CulebrasServicio de Neurología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, ALcalá de Henares (Madrid), España.
C Gómez-EscalonillaServicio de Neurología, Hospital Clínico Universitario San Carlos, Universidad Complutense de Madrid, Madrid, España.
E Díez-TejedorServicio de Neurología y Centro de Ictus, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPAZ, Madrid, España.
en representación de los hospitales del Plan Ictus Madrid

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe overload of the healthcare system and the organisational changes made in response to the COVID-19 pandemic may be having an impact on acute stroke care in the Region of Madrid.

methodsWe conducted a survey with sections addressing hospital characteristics, changes in infrastructure and resources, code stroke clinical pathways, diagnostic testing, rehabilitation, and outpatient care. We performed a descriptive analysis of results according to the level of complexity of stroke care (availability of stroke units and mechanical thrombectomy).

resultsThe survey was completed by 22 of the 26 hospitals in the Madrid Regional Health System that attend adult emergencies, between 16 and 27 April 2020. Ninety-five percent of hospitals had reallocated neurologists to care for patients with COVID-19. The numbers of neurology ward beds were reduced in 89.4% of hospitals; emergency department stroke care pathways were modified in 81%, with specific pathways for suspected SARS-CoV2 infection established in 50% of hospitals; and SARS-CoV2-positive patients with acute stroke were not admitted to neurology wards in 42%. Twenty-four hour on-site availability of mechanical thrombectomy was improved in 10 hospitals, which resulted in a reduction in the number of secondary hospital transfers. The admission of patients with transient ischaemic attack or minor stroke was avoided in 45% of hospitals, and follow-up through telephone consultations was implemented in 100%.

conclusionsThe organisational changes made in response to the SARS-Co2 pandemic in hospitals in the Region of Madrid have modified the allocation of neurology department staff and infrastructure, stroke units and stroke care pathways, diagnostic testing, hospital admissions, and outpatient follow-up.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsPneumonia, ViralStroke RehabilitationAcute DiseaseAmbulatory CareAppointments and SchedulesBed ConversionCOVID-19Critical PathwaysDelivery of Health CareEmergency Service, HospitalHealth Care SurveysHealth Services AccessibilityHospital Bed CapacityClinical managementCOVID-19Gestión clínicaHealthcare organisationIctusOrganización asistencialStroke

Identifiers

PMID32563566
PMCPMC7241395

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.