Hospitalist medicine has gown rapidly over the past decade in response to increasing complexity of hospitalized patients, financial pressures, and a national call for improved quality and safety outcomes. An adult neurohospitalist model of care has recently emerged to address these factors and the need for inpatient neurologists who offer expertise and immediate availability for emergent neurologic conditions such as acute stroke and status epilepticus. Similarly, hospitalized children with acute neurologic disorders require a uniquely high level of care, which increasingly cannot be delivered by pediatric neurologists with busy outpatient practices or by pediatric hospitalists without specialized training. This perspective explores the concept of a pediatric neurohospitalist model of care, including the potential impact on quality of care, hospitalization costs, and education.
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http://dx.doi.org/10.1212/WNL.0b013e3182840bd3 | DOI Listing |
Neurohospitalist
October 2024
Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Background And Purpose: Neurohospitalists specialize in the care of hospitalized patients with neurological conditions. As the neurohospitalist model of patient care has grown rapidly and in diverse ways, there has been increasing demand for a formal definition of the field, particularly to support curriculum development for learners at multiple levels.
Methods: The Neurohospitalist Society (NHS) formed a Core Competencies Committee in 2021.
Neurohospitalist
September 2024
Department of Neurology, Henry Ford Hospital, Detroit, MI, USA.
Background: High-risk features of non-stenosing (ie, <50%) carotid plaques are emerging as a possible source of embolism in patients with embolic stroke of undetermined source (ESUS). However, in the absence of hemodynamically significant stenosis, neuroradiology reports rarely describe these morphological features. Our aim was to determine how often high-risk features of non-stenosing plaques are included in diagnostic imaging reports.
View Article and Find Full Text PDFNeurohospitalist
October 2024
Division of Neurology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
With increased patient volumes and complexity, stroke occurrence in hospitalized patients has become relatively more common. The process of activating a code stroke in-hospital differs in many institutions. An emergency team-based response to inpatient acute code stroke is warranted, with many protocols modeled similarly to the cardiac arrest response.
View Article and Find Full Text PDFNeurol Educ
June 2024
From the Department of Neurology & Neurological Sciences (S.D., B.J.S., C.A.G., K.A.K.), and Quantitative Sciences Unit (Y.W.), Stanford University, CA.
Neurohospitalist
October 2024
Department of Neurology, Mayo Clinic Arizona, Scottsdale, AZ, USA.
Background: Patients with atrial fibrillation (AF) are at increased risk of ischemic cerebrovascular events despite anticoagulants (AC). We aim to evaluate whether changing AC or adding antiplatelet therapy to anticoagulants (AP + AC) in patients with AF presenting with acute ischemic stroke (AIS) or transient ischemic attack (TIA) despite AC, decreases the risk of recurrent AIS/TIA compared to patients continued on same AC regimen.
Methods: Patients with AF on AC presenting with AIS or TIA at our center between 2011- 2021 were included.
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