• Neurologia · May 2020

    Practice Guideline

    Acute stroke care during the COVID-19 pandemic. Ictus Madrid Program recommendations.

    • J Rodríguez-Pardo, B Fuentes, M Alonso de Leciñana, J Campollo, P Calleja Castaño, J Carneado Ruiz, J Egido Herrero, R García Leal, A Gil Núñez, J F Gómez Cerezo, A Martín Martínez, J Masjuán Vallejo, B Palomino Aguado, N Riera López, R Simón de Las Heras, J Vivancos Mora, E Díez Tejedor, and en nombre del Grupo Multidisciplinar del Plan Ictus Madrid.
    • Servicio de Neurología, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Instituto de Investigación IdiPaz, Madrid, España. Electronic address: jrpardodedonlebun@salud.madrid.org.
    • Neurologia. 2020 May 1; 35 (4): 258-263.

    IntroductionThe COVID-19 pandemic has resulted in complete saturation of healthcare capacities, making it necessary to reorganise healthcare systems. In this context, we must guarantee the provision of acute stroke care and optimise code stroke protocols to reduce the risk of SARS-CoV-2 infection and rationalise the use of hospital resources. The Madrid Stroke multidisciplinary group presents a series of recommendations to achieve these goals.MethodsWe conducted a non-systematic literature search using the keywords "stroke" and "COVID-19" or "coronavirus" or "SARS-CoV-2." Our literature review also included other relevant studies known to the authors. Based on this literature review, a series of consensus recommendations were established by the Madrid Stroke multidisciplinary group and its neurology committee.ResultsThese recommendations address 5 main objectives: 1) coordination of action protocols to ensure access to hospital care for stroke patients; 2) recognition of potentially COVID-19-positive stroke patients; 3) organisation of patient management to prevent SARS-CoV-2 infection among healthcare professionals; 4) avoidance of unnecessary neuroimaging studies and other procedures that may increase the risk of infection; and 5) safe, early discharge and follow-up to ensure bed availability. This management protocol has been called CORONA (Coordinate, Recognise, Organise, Neuroimaging, At home).ConclusionsThe recommendations presented here may assist in the organisation of acute stroke care and the optimisation of healthcare resources, while ensuring the safety of healthcare professionals.Copyright © 2020 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

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