AI Article Synopsis
- A study over 18 months introduced a hyperacute neurology team at a district hospital, featuring a senior nurse coordinator, consultant-led service, and support from acute epilepsy nurses and neurophysiology.
- The model resulted in a significant increase in patient volume and faster treatment times, with many patients being treated in the acute medical unit rather than general wards.
- Notably, there was a decrease in length of stay and readmission rates for epilepsy patients, who made up 30% of referrals, and the service's operating costs were found to be modest.
Article Abstract
We present the results of an 18-month study of a new model of how to care for emergency neurological admissions. We have established a hyperacute neurology team at a single district general hospital. Key features are a senior acute neurology nurse coordinator, an exclusively consultant-delivered service, acute epilepsy nurses, an acute neurophysiology service supported by neuroradiology and acute physicians and based within the acute medical admissions unit. Key improvements are a major increase in the number of patients seen, the speed with which they are seen and the percentage seen on acute medical unit before going to the general wards. We have shown a reduced length of stay and readmission rates for patients with epilepsy. Epilepsy accounted for 30% of all referrals. The cost implications of running this service are modest. We feel that this model is worthy of widespread consideration.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297655 | PMC |
| http://dx.doi.org/10.7861/clinmedicine.17-4-298 | DOI Listing |
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