Objective: The aim of the presentstudy was to assess emergency neurology management in Italy by comparing patients admitted to the hub and spoke hospitals. Methods: Data obtained from the annual Italian national survey (NEUDay) investigating the activity and facilities of neurology in the emergency room conducted in November 2021 were considered. Information for each patient who received a neurologic consultation after accessing the emergency room was acquired. Data on facilities were also gathered, including hospital classification (hub vs spoke), number of consultations, presence of neurology and stroke unit, number of beds, availability of neurologist, radiologist, neuroradiologist, and instrumental diagnostic accessibility. Results: Overall, 1,111 patients were admitted to the emergency room and had neurological consultation across 153 facilities (out of the 260 Italian ones). Hub hospitals had significantly more beds, availability of neurological staff, and instrumental diagnostic accessibility. Patients admitted to hub hospital had a greater need for assistance (higher number of yellow/red codes at neurologist triage). A higher propensity to be admitted to hub centers for cerebrovascular problems and to receive a diagnosis of stroke was observed. Conclusions: The identification of hub and spoke hospitals is strongly characterized by the presence of beds and instrumentation mainly dedicated to acute cerebrovascular pathologies. Moreover, the similarity in the number and type of accesses between hub and spoke hospitals suggests the need to look for adequate identification of all the neurological pathologies requiring urgent treatment.

Micieli, G., Cortelli, P., Del Sette, M., Cavallini, A., Zanferrari, C., De Falco, A., et al. (2023). The Italian hub-and-spoke network for the emergency neurology management. NEUROLOGICAL SCIENCES, 44(11), 3929-3937 [10.1007/s10072-023-06883-w].

The Italian hub-and-spoke network for the emergency neurology management

Rea, Federico
Ultimo
;
2023

Abstract

Objective: The aim of the presentstudy was to assess emergency neurology management in Italy by comparing patients admitted to the hub and spoke hospitals. Methods: Data obtained from the annual Italian national survey (NEUDay) investigating the activity and facilities of neurology in the emergency room conducted in November 2021 were considered. Information for each patient who received a neurologic consultation after accessing the emergency room was acquired. Data on facilities were also gathered, including hospital classification (hub vs spoke), number of consultations, presence of neurology and stroke unit, number of beds, availability of neurologist, radiologist, neuroradiologist, and instrumental diagnostic accessibility. Results: Overall, 1,111 patients were admitted to the emergency room and had neurological consultation across 153 facilities (out of the 260 Italian ones). Hub hospitals had significantly more beds, availability of neurological staff, and instrumental diagnostic accessibility. Patients admitted to hub hospital had a greater need for assistance (higher number of yellow/red codes at neurologist triage). A higher propensity to be admitted to hub centers for cerebrovascular problems and to receive a diagnosis of stroke was observed. Conclusions: The identification of hub and spoke hospitals is strongly characterized by the presence of beds and instrumentation mainly dedicated to acute cerebrovascular pathologies. Moreover, the similarity in the number and type of accesses between hub and spoke hospitals suggests the need to look for adequate identification of all the neurological pathologies requiring urgent treatment.
Articolo in rivista - Articolo scientifico
Emergency; Hub and Spoke Hospital model; Italian Neurological Wards; NEUDay; Neurological disorders;
English
16-giu-2023
2023
44
11
3929
3937
none
Micieli, G., Cortelli, P., Del Sette, M., Cavallini, A., Zanferrari, C., De Falco, A., et al. (2023). The Italian hub-and-spoke network for the emergency neurology management. NEUROLOGICAL SCIENCES, 44(11), 3929-3937 [10.1007/s10072-023-06883-w].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/466701
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