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Recomendaciones para el establecimiento de centros primarios de ictus. El ataque cerebral de la Coalición de Ataques
M J Alberts1, G Hademenos, R E Latchaw
1PO Box 3392, Bryan Research Bldg, Room 227E, Duke University Medical Center, Durham, NC 27710, USA. alber002@mc.duke.edu
JAMA
|June 24, 2000
Resumen
El establecimiento de centros primarios de ictus con equipos especializados, unidades, protocolos y sistemas integrados de respuesta de emergencia puede mejorar significativamente la atención al paciente y los resultados para el ictus agudo. Este enfoque mejora las intervenciones diagnósticas y terapéuticas al tiempo que reduce las complicaciones.
Área de la Ciencia:
- Neurología Neurología.
- Medicina de emergencia Medicina de emergencia.
- Gestión de la Gestión de la Atención Médica.
Sus antecedentes:
- El cuidado del accidente cerebrovascular requiere enfoques multidisciplinarios especializados para mejorar los resultados de los pacientes.
- La Coalición de Ataques Cerebrales (BAC, por sus siglas en inglés) identificó la necesidad de centros estandarizados de tratamiento de accidentes cerebrovasculares primarios.
- Se revisó la literatura existente de 1966-2000 para informar las recomendaciones.
Objetivo del estudio:
- Establecer recomendaciones para los centros primarios de accidente cerebrovascular.
- Para mejorar la atención médica y los resultados para los pacientes con accidente cerebrovascular.
- Para definir los componentes esenciales para el funcionamiento del centro de accidente cerebrovascular.
Principales métodos:
- Revisión de la literatura de más de 600 artículos (1966-2000) con el uso de MEDLINE.
- La inclusión de pruebas de ensayos clínicos aleatorizados, metanálisis y directrices.
- Consenso de expertos multidisciplinarios de la Coalición de Ataques Cerebrales (BAC, por sus siglas en inglés).
Principales resultados:
- Los elementos clave incluyen equipos de accidente cerebrovascular agudo, unidades de accidente cerebrovascular y protocolos de atención.
- Los sistemas integrados de respuesta a emergencias son cruciales.
- La disponibilidad las 24 horas del día, los 7 días de la semana de tomografías computarizadas y pruebas rápidas de laboratorio son servicios de apoyo vitales.
Conclusiones:
- Los centros primarios de accidente cerebrovascular mejoran la atención al paciente y los resultados.
- Los componentes esenciales incluyen equipos especializados, unidades, protocolos y sistemas integrados.
- El apoyo administrativo y la educación continua son vitales para una implementación exitosa.
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