Neurosurgical emergency transfers to academic centers in Cook County: a prospective multicenter study

Neurosurgery
Richard W ByrneThomas C Origitano

Abstract

The absence of surgical subspecialty emergency care in the United States is a growing public health concern. Neurosurgery is a field lacking coverage in many areas of the country; however, this is generally thought to be of greater concern in rural areas. Because of decreasing numbers of neurosurgeons, medical malpractice, and liability concerns, neurosurgery coverage is becoming a public health crisis in urban areas. Our objective was to quantify neurosurgical emergency transfers to academic medical centers in Cook County, IL, including patient demographics, reasons for transfer, time lapse in transfer, and effects on patient condition. Data on neurosurgery emergency transfers was gathered prospectively by all five of the academic neurosurgery departments in Cook County, IL, over a 2-month period. Patient demographics devoid of identifiers, diagnosis, transfer origin, time lapse of transfer, and patient condition at the time of transfer and at the receiving hospital were recorded. Two-hundred thirty emergent neurosurgical transfers occurred during the study period. The most common diagnoses were parenchymal intracerebral hemorrhage (33%) and subarachnoid hemorrhage (28%). Sixty-six percent of neurosurgical transfers to academi...Continue Reading

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Citations

Nov 17, 2009·Neurocritical Care·Neeraj Sunderrajan Naval, J Ricardo Carhuapoma
Dec 16, 2010·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Cian J O'KellyM Christopher Wallace
Nov 4, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Zamir MeraliEric M Massicotte
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Aug 19, 2015·The Journal of Emergency Medicine·Rochelle T SweisKatharina M Busl
Mar 16, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·Doniel DrazinChad Miller
Apr 24, 2012·Journal of Critical Care·Neeraj S NavalRafael J Tamargo
Apr 22, 2015·Teaching and Learning in Medicine·Darlene A LobelJulie G Pilitsis
Nov 2, 2016·Journal of Neurosurgery. Pediatrics·Aditya VedantamAndrew Jea
May 28, 2017·World Neurosurgery·Zane SchnurmanPaul P Huang
Jun 30, 2018·Journal of Neurosurgery. Pediatrics·Charles E MackelSteven W Hwang
Jan 13, 2018·Neurosurgery·Aladine A ElsamadicyShivanand P Lad
Mar 30, 2019·Journal of Neurosurgery. Spine·Brandon SherrodAndrew T Dailey
Mar 23, 2017·Neurosurgery·Ali AlarajFady T Charbel
Jan 7, 2021·Neurocritical Care·Priyanka ChilakamarriArjun K Venkatesh
Nov 24, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Nima AlanRaymond F Sekula
Sep 30, 2009·Pediatrics·Debraj MukherjeeAlfredo Quiñones-Hinojosa

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