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

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dc.contributor.author Calandri, Ismael Luis
dc.contributor.author Hawkes, Maximiliano Alberto
dc.contributor.author Marrodán, Mariano
dc.contributor.author Ameriso, Sebastián Francisco
dc.contributor.author Correale, Jorge
dc.contributor.author Allegri, Ricardo Francisco
dc.date.accessioned 2021-10-19T14:55:39Z
dc.date.available 2021-10-19T14:55:39Z
dc.date.issued 2021-09-03
dc.identifier.citation Calandri IL, Hawkes MA, Marrodan M, Ameriso SF, Correale J, Allegri RF. Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina. Front Neurol. 2021 Sep 3;12:613838. doi: 10.3389/fneur.2021.613838 es_ES
dc.identifier.uri https://doi.org/10.3389/fneur.2021.613838
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/606
dc.description.abstract 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. es_ES
dc.language.iso eng es_ES
dc.publisher Frontiers Research Foundation es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Nervous System Diseases es_ES
dc.subject Enfermedades del Sistema Nervioso es_ES
dc.subject COVID-19 es_ES
dc.subject Latin America es_ES
dc.subject América Latina es_ES
dc.subject Telemedicine es_ES
dc.subject Telemedicina es_ES
dc.title Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Calandri, Ismael Luis. Fleni. Departamento de Neurología. Servicio de Neurología Cognitiva, Neuropsicología y Neuropsiquiatría; Argentina.
dc.description.fil Fil: Hawkes, Maximiliano Alberto. University of Nebraska Medical Center; Estados Unidos.
dc.description.fil Fil: Marrodán, Mariano. Fleni. Departamento de Neurología. Servicio de Neuroinmunología y Enfermedades Desmielinizantes; Argentina.
dc.description.fil Fil: Ameriso, Sebastián Francisco. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Correale, Jorge. Fleni. Departamento de Neurología. Servicio de Neuroinmunología y Enfermedades Desmielinizantes; Argentina.
dc.description.fil Fil: Allegri, Ricardo Francisco. Fleni. Departamento de Neurología. Servicio de Neurología Cognitiva, Neuropsicología y Neuropsiquiatría; Argentina.
dc.relation.ispartofCOUNTRY Suiza
dc.relation.ispartofCITY Lausana
dc.relation.ispartofTITLE Frontiers in neurology
dc.relation.ispartofISSN 1664-2295
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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