The LINK-Lombardia NeuroIntensive care Network.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Guglielmi Angelo, Graziano Francesca, Vargiolu Alessia, Amigoni Maria, Berselli Angela, Cabrini Luca, Chieregato Arturo, Dell'Acqua Antonio, Dell'Avanzo Giacomo, Fassini Paola, Galassini Elena, Gemma Marco, Grappa Elena, Gritti Paolo, Iaquaniello Carolina, Mangili Paolo, Mazza Giovanni Maria, Mistraletti Giovanni, Muttini Stefano, Nguyen Maia, Ortolano Fabrizio, Pagani Michele, Panzeri Cristina, Piva Simone, Pressato Lorenzo Simone, Rasulo Frank, Sangalli Fabio, Villa Federico, Viscone Andrea, Zerbi Simone Maria, Zoerle Tommaso, Citerio Giuseppe
Аннотация
METHODS: In 2024, along with other initiatives, a web-based survey was performed, focusing on hospitals with neurosurgical capabilities and intensive care units (ICUs) to identify variations in service delivery and adherence to evidence-based practices, guiding quality improvement across centers.
RESULTS: Responses were obtained from 19 acute care hospitals with neurosurgical facilities within the regional health service. Ten hospitals (52%) host dedicated neuro-ICUs, including five (26%) that also admit pediatric patients, accounting for a total of 85 beds. In the remaining nine hospitals (47%), neurocritical care is delivered within general ICUs without dedicated beds. Continuous in-house neurosurgical coverage is available in 9 centers (47%), while the others rely on a 24/7 on-call model. All 19 centers (100%) report 24/7 availability of neurologists and neuroradiologists, either in-house or on call. However, access to advanced diagnostic and monitoring technologies remains heterogeneous across sites. Participating centers identified a clear need for standardized protocols and clinical pathways to improve care quality and support evidence-based practices. Priority areas defined by the clinicians include neuroprognostication, end-of-life care and donor management, pediatric neurocritical care, neurointerventional procedures, management of delayed cerebral ischemia following subarachnoid hemorrhage, and post-discharge follow-up. To address these gaps, several multidisciplinary working groups have been established.
CONCLUSION: Neurocritical care in Lombardia remains highly heterogeneous, with bed availability significantly below international benchmarks. The establishment of a regional network seeks to enhance the quality and equity of care for neurocritical patients, while also fostering clinical research, data sharing, and multidisciplinary collaboration across centers.