Letter to the Editor
Workload of on-call emergency room neurologists in a Spanish tertiary care centre. A one-year prospective study. Reply to a letter
Labor asistencial del equipo de guardia de neurología en un hospital terciario de Madrid: análisis prospectivo durante un año. Contestación a réplica
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Reply to a letter" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor</span>:" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "578" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P.M. Rodríguez Cruz, J.P. Cuello, F. Díaz Otero, D. Ezpeleta, A. García Pastor, A. Gil Núñez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "P.M." "apellidos" => "Rodríguez Cruz" "email" => array:1 [ 0 => "rodriguezcruzpm@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.P." "apellidos" => "Cuello" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Díaz Otero" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "D." "apellidos" => "Ezpeleta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "García Pastor" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "A." "apellidos" => "Gil Núñez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Ictus, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Neurología, Hospital Universitario Quirón, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Labor asistencial del equipo de guardia de neurología en un hospital terciario de Madrid: análisis prospectivo durante un año. Contestación a réplica" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with great attention the comments by Matías-Guiu et al.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> about our article on the workload of on-call emergency neurologists at Hospital Gregorio Marañón, in Madrid, and we thank the authors for their interest. At our hospital, the neurology team was called to 3.5% of all medical emergencies taking place between August 2010 and July 2011. Matías-Guiu et al. stress that the percentage of neurological diseases treated in emergency departments may be greater if we consider patients who are not assessed by the on-call neurologist. Examples offered by these authors include patients treated for headache or epilepsy at the emergency department of a tertiary care university hospital in which neurologists were consulted in 28% and 55% of these cases, respectively.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We agree with this observation. In a study carried out in the neurology departments in our hospital's healthcare district, on-call neurologists were contacted to help manage only 41% of the patients referred by the emergency department; this percentage was especially low for headache cases (20.4%).<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> This is probably due to the fact that patients whose main reason for consultation is headache will initially be assessed by the department of internal medicine. This is not the case for patients with epilepsy, the second most frequent disease in our study at 16.17%: these patients are either initially assessed by the neurology department or referred to the neurology department by another department. This shows that the criteria for emergency assessment by a neurologist vary from one hospital to another.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Our study evaluated only the workload of on-call neurologists and therefore did not analyse the prevalence of neurological emergencies. However, exploring that topic may be very useful to improve the planning and management of healthcare resources.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Interest in the management of neurological patients in emergency departments is growing.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> Neurology consults ordered by the emergency department are not only more frequent<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">4,5</span></a> but also more technically complex due to advances in neuroimaging and the implementation of advanced treatments for acute stroke care.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a> These data underscore the importance of providing hospitals with the technical and human resources necessary to meet current needs.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez Cruz PM, Cuello JP, Díaz Otero F, Ezpeleta D, García Pastor A, Gil Núñez A. Labor asistencial del equipo de guardia de neurología en un hospital terciario de Madrid: análisis prospectivo durante un año. Contestación a réplica. Neurología. 2016;31:578.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Labor asistencial del equipo de guardia de neurología en un hospital terciario de Madrid: análisis prospectivo durante un año" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.M. Rodríguez Cruz" 1 => "J.R. Pérez Sánchez" 2 => "J.P. Cuello" 3 => "P. Sobrino García" 4 => "G. Vicente Peracho" 5 => "A. 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| 2021 October | 15 | 12 | 27 |
| 2021 September | 12 | 13 | 25 |
| 2021 August | 12 | 8 | 20 |
| 2021 July | 17 | 5 | 22 |
| 2021 June | 10 | 10 | 20 |
| 2021 May | 29 | 8 | 37 |
| 2021 April | 53 | 15 | 68 |
| 2021 March | 24 | 5 | 29 |
| 2021 February | 12 | 5 | 17 |
| 2021 January | 9 | 14 | 23 |
| 2020 December | 12 | 8 | 20 |
| 2020 November | 14 | 9 | 23 |
| 2020 October | 12 | 8 | 20 |
| 2020 September | 12 | 5 | 17 |
| 2020 August | 17 | 7 | 24 |
| 2020 July | 10 | 9 | 19 |
| 2020 June | 10 | 10 | 20 |
| 2020 May | 12 | 7 | 19 |
| 2020 April | 13 | 2 | 15 |
| 2020 March | 21 | 1 | 22 |
| 2020 February | 15 | 3 | 18 |
| 2020 January | 11 | 5 | 16 |
| 2019 December | 27 | 7 | 34 |
| 2019 November | 16 | 7 | 23 |
| 2019 October | 9 | 4 | 13 |
| 2019 September | 16 | 1 | 17 |
| 2019 August | 14 | 2 | 16 |
| 2019 July | 8 | 10 | 18 |
| 2019 June | 33 | 15 | 48 |
| 2019 May | 74 | 8 | 82 |
| 2019 April | 20 | 1 | 21 |
| 2019 March | 6 | 8 | 14 |
| 2019 February | 10 | 5 | 15 |
| 2019 January | 3 | 3 | 6 |
| 2018 December | 9 | 0 | 9 |
| 2018 November | 11 | 8 | 19 |
| 2018 October | 16 | 6 | 22 |
| 2018 September | 3 | 0 | 3 |
| 2018 August | 5 | 2 | 7 |
| 2018 July | 2 | 2 | 4 |
| 2018 June | 4 | 1 | 5 |
| 2018 May | 2 | 2 | 4 |
| 2018 April | 1 | 1 | 2 |
| 2018 March | 3 | 1 | 4 |
| 2018 February | 1 | 0 | 1 |
| 2018 January | 4 | 1 | 5 |
| 2017 December | 7 | 0 | 7 |
| 2017 November | 4 | 0 | 4 |
| 2017 October | 8 | 1 | 9 |
| 2017 September | 6 | 3 | 9 |
| 2017 August | 7 | 1 | 8 |
| 2017 July | 10 | 1 | 11 |
| 2017 June | 14 | 2 | 16 |
| 2017 May | 7 | 2 | 9 |
| 2017 April | 9 | 0 | 9 |
| 2017 March | 8 | 30 | 38 |
| 2017 February | 13 | 1 | 14 |
| 2017 January | 7 | 1 | 8 |
| 2016 December | 14 | 5 | 19 |
| 2016 November | 26 | 7 | 33 |
| 2016 October | 45 | 8 | 53 |
| 2016 September | 5 | 1 | 6 |
| 2016 August | 3 | 2 | 5 |
Show all
