Models of care in emergency neurology: from the Neuro Fast Track to the emergency neurologist—a position paper of the Italian Association for Emergency Neurology (ANEU).

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Title: Models of care in emergency neurology: from the Neuro Fast Track to the emergency neurologist—a position paper of the Italian Association for Emergency Neurology (ANEU).
Authors: Micieli, Giuseppe (AUTHOR), Cortelli, Pietro (AUTHOR), Del Sette, Massimo (AUTHOR), Quatrale, Rocco (AUTHOR), Cavallini, Anna (AUTHOR), Zedde, Maria Luisa (AUTHOR), Zanferrari, Carla (AUTHOR), de Falco, Arturo (AUTHOR), Guarino, Maria (AUTHOR), Cossu, Giovanni (AUTHOR), Haggiag, Shalom (AUTHOR), Pezzella, Francesca Romana (AUTHOR), Porreca, Alessandro (AUTHOR), Pistoia, Francesca (AUTHOR), Andreone, Vincenzo (AUTHOR), Giometto, Bruno (AUTHOR), Gasperini, Claudio (AUTHOR), Giorli, Elisa (AUTHOR), Salmaggi, Andrea (AUTHOR), Lattanzi, Simona (AUTHOR)
Source: Neurological Sciences. Sep2023, Vol. 44 Issue 9, p3307-3317. 11p. 1 Diagram, 3 Charts.
Subjects: Neurologists, Stroke units, General practitioners, Neurological emergencies, Neurology, Medical care
Abstract: I n the context of an adequate health care organization, the figure of the neurologist as an emergency operator (in the emergency room—ER—and/or in a dedicated outpatient clinic) is crucial for an effective functional connection with the territory (and therefore with general practitioners), a reduction in inappropriate ER accesses, specific diagnostic and therapeutic approaches to neurological emergencies in the ER and a reduction in nonspecific or even unnecessary instrumental investigations. In this position paper of the Italian Association of Emergency Neurology (ANEU: Associazione Neurologia dell'Emergenza Urgenza), these issues are addressed, and two important organizational solutions are proposed: The Neuro Fast Track, as an outpatient organization approach strongly linked to general practitioners and non-neurological specialists and dedicated to cases with deferrable urgency (to be assessed within 72 h) The identification of an emergency neurologist, who is engaged in ER assessments as a consultant and involved in the management of the semi-intensive care unit of the emergency neurology and the stroke unit according to an appropriate rotation, as well as in consultations for patients with neurological emergencies in inpatient wards The possibility of computerizing the screening of patients with deferrable urgency in the Neuro Fast Track is described. A dedicated app represents an important tool that can facilitate the identification of patients for whom deferred assessment is appropriate, the scheduling of neurological examinations and reductions in the booking time through a more rapid approach to specialist assessment and subsequent investigations. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Models of care in emergency neurology: from the Neuro Fast Track to the emergency neurologist—a position paper of the Italian Association for Emergency Neurology (ANEU).
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  Data: <searchLink fieldCode="AR" term="%22Micieli%2C+Giuseppe%22">Micieli, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cortelli%2C+Pietro%22">Cortelli, Pietro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Del+Sette%2C+Massimo%22">Del Sette, Massimo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Quatrale%2C+Rocco%22">Quatrale, Rocco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cavallini%2C+Anna%22">Cavallini, Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zedde%2C+Maria+Luisa%22">Zedde, Maria Luisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zanferrari%2C+Carla%22">Zanferrari, Carla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Falco%2C+Arturo%22">de Falco, Arturo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guarino%2C+Maria%22">Guarino, Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cossu%2C+Giovanni%22">Cossu, Giovanni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haggiag%2C+Shalom%22">Haggiag, Shalom</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pezzella%2C+Francesca+Romana%22">Pezzella, Francesca Romana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Porreca%2C+Alessandro%22">Porreca, Alessandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pistoia%2C+Francesca%22">Pistoia, Francesca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andreone%2C+Vincenzo%22">Andreone, Vincenzo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giometto%2C+Bruno%22">Giometto, Bruno</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gasperini%2C+Claudio%22">Gasperini, Claudio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giorli%2C+Elisa%22">Giorli, Elisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salmaggi%2C+Andrea%22">Salmaggi, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lattanzi%2C+Simona%22">Lattanzi, Simona</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Sep2023, Vol. 44 Issue 9, p3307-3317. 11p. 1 Diagram, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Neurologists%22">Neurologists</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+units%22">Stroke units</searchLink><br /><searchLink fieldCode="DE" term="%22General+practitioners%22">General practitioners</searchLink><br /><searchLink fieldCode="DE" term="%22Neurological+emergencies%22">Neurological emergencies</searchLink><br /><searchLink fieldCode="DE" term="%22Neurology%22">Neurology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink>
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  Data: I n the context of an adequate health care organization, the figure of the neurologist as an emergency operator (in the emergency room—ER—and/or in a dedicated outpatient clinic) is crucial for an effective functional connection with the territory (and therefore with general practitioners), a reduction in inappropriate ER accesses, specific diagnostic and therapeutic approaches to neurological emergencies in the ER and a reduction in nonspecific or even unnecessary instrumental investigations. In this position paper of the Italian Association of Emergency Neurology (ANEU: Associazione Neurologia dell'Emergenza Urgenza), these issues are addressed, and two important organizational solutions are proposed: The Neuro Fast Track, as an outpatient organization approach strongly linked to general practitioners and non-neurological specialists and dedicated to cases with deferrable urgency (to be assessed within 72 h) The identification of an emergency neurologist, who is engaged in ER assessments as a consultant and involved in the management of the semi-intensive care unit of the emergency neurology and the stroke unit according to an appropriate rotation, as well as in consultations for patients with neurological emergencies in inpatient wards The possibility of computerizing the screening of patients with deferrable urgency in the Neuro Fast Track is described. A dedicated app represents an important tool that can facilitate the identification of patients for whom deferred assessment is appropriate, the scheduling of neurological examinations and reductions in the booking time through a more rapid approach to specialist assessment and subsequent investigations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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