Número de neurólogos y carga de enfermedades neurológicas en Argentina

Somoza, Manuel J.; Melcon, Mario O.

doi:10.1016/j.neuarg.2014.12.001

Cited by 7 publications

(4 citation statements)

References 27 publications

(42 reference statements)

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“…17,19 The large proportion of IS of undetermined etiology due to incomplete workup is a common finding in many urban centers where high-complexity hospitals and specialized medical providers are lacking. 20 Also, the access to ancillary diagnostic tests is limited in many Argentinean health centers, especially in the public setting, 21 offering an additional potential explanation for our findings. MRI scan was less used than CT scan, probably due to costs and the lack of MRI scanners in the city of General Villegas.…”

Section: Discussionmentioning

confidence: 85%

Prevalence of stroke in Argentina: A door-to-door population-based study (EstEPA)

Ameriso

Gómez-Schneider

Hawkes

et al. 2020

International Journal of Stroke

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Background Stroke burden is highest and is still rising in low- and middle-income countries. Epidemiologic stroke data are lacking in many of these countries. Stroke prevalence in Argentina has been unexplored for almost three decades. Aim This population-based study aims to determine prevalence of stroke in a representative sample of the Argentinean population. Methods We performed a door-to-door survey of randomly selected households in a city of 18,650 inhabitants. A structured questionnaire screening for potential stroke cases was used. All subjects screened positive were then evaluated by stroke neurologists for final adjudication. Data about stroke subtypes, neurological status, vascular risk factors, medications, and diagnostic tests were also collected. Results Among 2156 surveys, 294 were screened positive for a possible stroke. After neurological evaluation, there were 41 confirmed cases. The adjusted stroke prevalence was 1,974/100,000 inhabitants older than 40 years, and it was higher in men than in women (26.3‰ vs 13.2‰, p<0.01). Prevalence of ischemic stroke, intracranial hemorrhage, and transient ischemic attack were 15.8‰, 2.93‰, and 2.93‰, respectively. The most prevalent vascular risk factors in stroke survivors were hypertension, obstructive sleep apnea, and dyslipidemia. Conclusion Approximately 2 in every 100 subjects older than 40 years in this population are stroke survivors. Stroke prevalence in Argentina has remained stable over the last 30 years; it is higher than in most Latin American countries and similar to western populations.

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Section: Discussionmentioning

confidence: 85%

Prevalence of stroke in Argentina: A door-to-door population-based study (EstEPA)

Ameriso

Gómez-Schneider

Hawkes

et al. 2020

International Journal of Stroke

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“…The descriptive analysis of the maps in Figure 3 suggests that the introduction of telemedicine for outpatient visits has expanded the area of influence of our center, allowing patients from distant areas of the country and bordering countries to gain access to specialized neurological care. This is particularly important in Latin America because the number of neurologists per 100,000 inhabitants is low in many regions and they tend to concentrate in big cities (23,24).…”

Section: Discussionmentioning

confidence: 99%

Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina

Calandri¹,

Hawkes

Marrodán³

et al. 2021

Front. Neurol.

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Introduction: Healthcare systems are struggling to cope with the rapid evolution of the COVID-19 pandemic. In Argentina, the pandemic is advancing despite prolonged lockdown measures. We aim to analyze the impact of the easing of lockdown measures in the number of visits to the emergency department (ED), and outpatient consultations (OC) to a tertiary neurological center.Methods: We compared the number of ED visits with the social mobility overtime. We also compared the number of OC, and the geographic distribution of patients' addresses between 2019 and 2020.Results: ED visits decreased 48.33% (n = 14,697 in 2019 vs. n = 7,595 in 2020). At the beginning of the lockdown, the social mobility decreased in pharmacies/groceries, and workplaces, along with a reduction in the number of ED visits. With the easing of lockdown restrictions, the social mobility decreased in residential places, slightly increased in workplaces and almost return to normal in pharmacies/groceries. Variations in ED visits correlate better with social mobility in workplaces (coef. =0.75, p < 0.001) than in groceries/pharmacies (coef. =0.68, p < 0.001). OC decreased 43%. Fourteen percent of OC were tele consults. This was associated with an increase of the geographical area of influence of our center (standard distance of 109 km in 2019 and 127 km in 2020).Conclusions: Despite an increase in social mobility, the number of ED visits and OC to an Argentinian tertiary neurological center remain worrisomely low. The pandemic catalyzed the introduction of telemedicine in our country. This has also allowed patients from distant zones to gain access to specialized neurological care.

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“…En Argentina se estima que de la población médica, menos del 1% son neurólogos (1 neurólogo cada 116 médicos) de lo que se infiriere que hay aproximadamente 2.9 neurólogos cada 100 000 habitantes, con una distribución muy heterogénea. Por ejemplo, la Ciudad Autónoma de Buenos Aires posee el 31% de los neurólogos, mientras que en la provincia de Entre Ríos es de 0.8%, representando el 7.7% y 3.2% de la población del país respectivamente 17 .…”

Section: Situación Epidemiológica Del Accidente Cerebro Vascular Isquémico En Argentinaunclassified

“…A. Vía aérea permeable; B. Mantenimiento de la ventilación y respiración -Monitoreo continuo de la frecuencia respiratoria y de la saturación arterial de oxígeno 19 -Colocar oxígeno suplementario si presenta saturación arterial de oxígeno < 94% 19 -Evaluar requerimiento de intubación según Score de Coma Glasgow ≤ 8 puntos y colocación de sonda nasogástrica C. Circulación: Valores a tener en cuenta -Control estricto de la frecuencia cardíaca y de la presión arterial (PA límite 185/110 mmHg en los que van a ser sometidos a trombolisis mientras que se acepta PA límite 220/110 mmHg a los que no sean candidatos a dicho tratamiento) 19,45,46 -Colocación de 2 vías periféricas de preferencia en región antero-cubital en brazo no parético -Monitoreo continuo del ritmo cardíaco 1 -Realizar ECG, aunque no debe retrasar la neuroimagen 1,17,33,[40][41][42] -Comenzar hidratación con soluciones osmóticas al 0.9% 1 manteniendo la euvolemia. No se recomienda la administración de soluciones glucosadas en los no hipoglucémicos -Prueba de glucemia por punción digital con tira reactiva 19,45,46 , con corrección inmediata de la hipoglucemia ( < 60 mg/dl) o de la hiperglucemia, sugiriéndose atención en las primeras 24 horas con objetivo entre 140-180 mg/dl 48 -Laboratorio con recuento de plaquetas, glucemia, urea, creatinina, ionograma, coagulograma, marcadores de isquemia cardíaca (troponina) 1,19,33,[45][46][47] .…”

Section: Conducta Inicial En El Servicio De Emergenciasunclassified

Construção de vídeo instrucional para a regulação de vaga do acidente vascular cerebral fase hiperaguda.

Santos

Fontes

Ferreira

et al. 2021

Com. Ciências Saúde

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Objetivo: Elaborar um vídeo instrucional sobre o processo de regulação de vagas. Métodos: Foi utilizado a produção de roteiro de imagens e gravação de áudio com os softwares: Pixton®; Adobe Photoshop®; Camtasia®; Powtoon®. Resultados: o vídeo contém orientações de preenchimento da ficha de regulação para capacitação profissional para otimizar o tempo, beneficiar o tratamento e diminuir sequelas, garantindo o acesso à assistência especializada. Conclusões: O vídeo instrucional produzido pode colaborar na educação em serviço de profissionais que atuam em núcleos de regulação de vagas de acordo com a linha de cuidado do AVC hiperagudo e em unidades solicitantes.

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Número de neurólogos y carga de enfermedades neurológicas en Argentina

Cited by 7 publications

References 27 publications

Prevalence of stroke in Argentina: A door-to-door population-based study (EstEPA)

Prevalence of stroke in Argentina: A door-to-door population-based study (EstEPA)

Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina

Construção de vídeo instrucional para a regulação de vaga do acidente vascular cerebral fase hiperaguda.

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