Neuroemergencies in South America: How to Fill in the Gaps?

Gisele Silva; Nelson Maldonado; Jorge Mejia-Mantilla; Santiago Ortega-Gutierrez; Jan Claassen; Panayiotis Varelas; Jose Suarez

doi:10.1007/s12028-019-00775-8

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Neuroemergencies in South America: How to Fill in the Gaps?

Journal article

Peer reviewed

Neuroemergencies in South America: How to Fill in the Gaps?

Gisele Silva, Nelson Maldonado, Jorge Mejia-Mantilla, Santiago Ortega-Gutierrez, Jan Claassen, Panayiotis Varelas and Jose Suarez

Neurocritical care, Vol.31(3), pp.573-582

12/2019

DOI: 10.1007/s12028-019-00775-8

PMID: 31342447

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Abstract

South America is a subcontinent with 393 million inhabitants with widely distinct countries and diverse ethnicities, cultures, political and societal organizations. The epidemiological transition that accompanied the technological and demographic evolution is happening in South America and leading to a rise in the incidence of neurodegenerative and cardiovascular diseases that now coexist with the still high burden of infectious diseases. South America is also quite heterogeneous regarding the existence of systems of care for the various neurological emergencies, with some countries having well-organized systems for some diseases, while others have no plan of action for the care of patients with acute neurological symptoms. In this article, we discuss the existing systems of care in different countries of South America for the treatment of neurological emergencies, mainly stroke, status epilepticus, and traumatic brain injury. We also will address existing gaps between the current systems and recommendations from the literature to improve the management of such emergencies, as well as strategies on how to solve these disparities.

South America

Neurology

Health policy

Medicine & Public Health

Outcome

Intensive / Critical Care Medicine

Critical care

Internal Medicine

Neurological emergency

Neurocritical care

Details

Title: Subtitle: Neuroemergencies in South America: How to Fill in the Gaps?
Creators: Gisele Silva - grid.411249.b 0000 0001 0514 7202 Department of Neurology and Neurosurgery Federal University of São Paulo (UNIFESP) and Albert Einstein Hospital Albert Einstein Street, 627, Suite 218 São Paulo SP 05652-900 Brazil
Nelson Maldonado - grid.412251.1 0000 0000 9008 4711 Universidad San Francisco de Quito Quito Ecuador
Jorge Mejia-Mantilla - grid.477264.4 Fundacion Valle del Lili Cali Colombia
Santiago Ortega-Gutierrez - grid.214572.7 0000 0004 1936 8294 University of Iowa Iowa City IA USA
Jan Claassen - grid.21729.3f 0000000419368729 Columbia University New York NY USA
Panayiotis Varelas - grid.413103.4 0000 0001 2160 8953 Henry Ford Hospital Detroit MI USA
Jose Suarez - grid.21107.35 0000 0001 2171 9311 Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery The Johns Hopkins University School of Medicine Baltimore MD USA
Resource Type: Journal article
Publication Details: Neurocritical care, Vol.31(3), pp.573-582
DOI: 10.1007/s12028-019-00775-8
PMID: 31342447
NLM abbreviation: Neurocrit Care
ISSN: 1541-6933
eISSN: 1556-0961
Publisher: Springer US; New York
Grant note: Universidad San Francisco de Quito (http://dx.doi.org/10.13039/501100010654)
Language: English
Date published: 12/2019
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984070319402771

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