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10.1007/s00415-021-10641-3

http://scihub22266oqcxt.onion/10.1007/s00415-021-10641-3
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suck abstract from ncbi


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pmid34117527      J+Neurol 2022 ; 269 (1): 26-38
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  • Global survey on disruption and mitigation of neurological services during COVID-19: the perspective of global international neurological patients and scientific associations #MMPMID34117527
  • Triki CC; Leonardi M; Mallouli SZ; Cacciatore M; Karlshoej KC; Magnani FG; Newton CR; Pilotto A; Saylor D; Westenberg E; Walsh D; Winkler AS; Thakur KT; Okubadejo NU; Garcia-Azorin D
  • J Neurol 2022[Jan]; 269 (1): 26-38 PMID34117527show ga
  • BACKGROUND: The COVID-19 pandemic outbreak has dramatically disrupted healthcare systems. Two rapid WHO pulse surveys studied disruptions in mental health services, but did not particularly focus on neurology. Here, a global survey was conducted and addresses the impact of the pandemic on neurology services. METHODS: A cross-sectional study was carried out in which 34 international neurological associations were asked to distribute the survey to national associations. The responses represented the national situation, in November-December 2020, with regard to the main disrupted neurological services, reasons and the mitigation strategies implemented as well as the disruption on training of residents and on neurological research. A comparison with the situation in February-April 2020, first pandemic wave, was also requested. FINDINGS: 54 completed surveys came from 43 countries covering all the 6 WHO regions. Overall, neurological services disruption was reported as mild by 26%, moderate by 30%, complete by 13% of associations. The most affected services were cross-sectoral neurological services (57%) and neurorehabilitation (56%). The second wave of the pandemic, however, was associated with the improvement of service provision for diagnostics services (44%) and for neurorehabilitation (41%). Governmental directives were the major cause of services' disruption (56%). Mitigation strategies were mostly established through telemedicine (48%). Almost half of respondents reported a significant impact on neurological research (48%) and educational activities (60%). Most associations (67%) were not involved in decision making for neurological patients' issues by their national government. INTERPRETATION: The COVID-19 pandemic affects neurological services and raises the universal need for the development of neurological health care at the policy, systems and services levels. A global national plan on mitigation strategies for disruption of neurological services during pandemic situations should be established and neurological scientific and patients associations should get involved in decision making.
  • |*COVID-19[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]


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