TY - JOUR
T1 - Neuroemergencies in South America
T2 - How to Fill in the Gaps?
AU - The Galapagos Neurocritical Care Summit Investigators
AU - Silva, Gisele Sampaio
AU - Maldonado, Nelson J.
AU - Mejia-Mantilla, Jorge H.
AU - Ortega-Gutierrez, Santiago
AU - Claassen, Jan
AU - Varelas, Panayiotis
AU - Suarez, Jose I.
AU - Abdelhak, Tamer
AU - Bader, Mary K.
AU - Brophy, Gretchen
AU - Calvillo, Eusebia
AU - De Oliveira Manoel, Airton Leonardo
AU - Frontera, Jennifer
AU - Georgiadis, Alexandros
AU - Greene-Chandos, Diana
AU - Jijaba, Manuel
AU - Lazaridis, Christos
AU - Leira, Enrique
AU - Lewandowski, Chris
AU - Moretti, Jose Ignacio
AU - Ontaneda, Daniel
AU - Samaniego, Edgar
AU - Sampaio Silva, Gisele
AU - Silver, Brian
AU - Spanaki, Marianna
AU - Torbey, Michel
AU - Venkatasubba Rao, Chethan P.
AU - Videtta, Walter
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - 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.
AB - 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.
KW - Critical care
KW - Health policy
KW - Neurocritical care
KW - Neurological emergency
KW - Outcome
KW - South America
UR - http://www.scopus.com/inward/record.url?scp=85069630283&partnerID=8YFLogxK
U2 - 10.1007/s12028-019-00775-8
DO - 10.1007/s12028-019-00775-8
M3 - Artículo
C2 - 31342447
AN - SCOPUS:85069630283
SN - 1541-6933
VL - 31
SP - 573
EP - 582
JO - Neurocritical Care
JF - Neurocritical Care
IS - 3
ER -