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Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic
We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493796/ https://www.ncbi.nlm.nih.gov/pubmed/34574385 http://dx.doi.org/10.3390/ijerph18189461 |
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author | Jung, Yong-Won Ha, Sang-Ook Kim, Jin-Hyouk Yang, Won-Seok Park, Young-Sun |
author_facet | Jung, Yong-Won Ha, Sang-Ook Kim, Jin-Hyouk Yang, Won-Seok Park, Young-Sun |
author_sort | Jung, Yong-Won |
collection | PubMed |
description | We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were treated by a neuro-emergency expert. We retrospectively obtained and analyzed the data on patients’ clinical characteristics and outcome. The neuro-emergency expert treated 1155 patients (mean age, 62.9 years). The proportion of aged 18–40 years was the lowest, and the most common modes of arrival were public ambulance (50.6%) and walk-in (42.3%). CT and MRI examinations were performed in 94.4 and 33.1% of cases, respectively. The most frequent complaints were dizziness (31.8%), motor weakness (24.2%), and altered mental status (15.8%). The ED diagnoses were acute ischemic stroke (19.8%), benign paroxysmal positional vertigo (14.2%), vestibular neuritis (9.9%), and seizure (8.8%). The mean length of stay in the ED was 207 min. Of the patients, 55.0% were admitted to the hospital, and 41.8% were discharged for outpatient follow-up. Despite the longer stay and the complexity and difficulty of neurological diseases during the COVID-19 pandemic, the accurate diagnosis and treatment provided by a neuro-emergency expert can be presented as a good model in the ED. |
format | Online Article Text |
id | pubmed-8493796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84937962021-10-07 Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic Jung, Yong-Won Ha, Sang-Ook Kim, Jin-Hyouk Yang, Won-Seok Park, Young-Sun Int J Environ Res Public Health Article We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were treated by a neuro-emergency expert. We retrospectively obtained and analyzed the data on patients’ clinical characteristics and outcome. The neuro-emergency expert treated 1155 patients (mean age, 62.9 years). The proportion of aged 18–40 years was the lowest, and the most common modes of arrival were public ambulance (50.6%) and walk-in (42.3%). CT and MRI examinations were performed in 94.4 and 33.1% of cases, respectively. The most frequent complaints were dizziness (31.8%), motor weakness (24.2%), and altered mental status (15.8%). The ED diagnoses were acute ischemic stroke (19.8%), benign paroxysmal positional vertigo (14.2%), vestibular neuritis (9.9%), and seizure (8.8%). The mean length of stay in the ED was 207 min. Of the patients, 55.0% were admitted to the hospital, and 41.8% were discharged for outpatient follow-up. Despite the longer stay and the complexity and difficulty of neurological diseases during the COVID-19 pandemic, the accurate diagnosis and treatment provided by a neuro-emergency expert can be presented as a good model in the ED. MDPI 2021-09-08 /pmc/articles/PMC8493796/ /pubmed/34574385 http://dx.doi.org/10.3390/ijerph18189461 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Jung, Yong-Won Ha, Sang-Ook Kim, Jin-Hyouk Yang, Won-Seok Park, Young-Sun Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic |
title | Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic |
title_full | Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic |
title_fullStr | Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic |
title_full_unstemmed | Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic |
title_short | Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic |
title_sort | experience of a neuro-emergency expert in the emergency department during one year of the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493796/ https://www.ncbi.nlm.nih.gov/pubmed/34574385 http://dx.doi.org/10.3390/ijerph18189461 |
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