Lamas-Pérez R, Viguera-Romero F J, Sánchez-Caballero F, Martínez-Simón J, Gómez-Camello A, González-Oria C
Hospital Universitario Virgen del Rocío, Sevilla, España.
Hospital Universitario Virgen Macarena, 41003 Sevilla, España.
Rev Neurol. 2022 Jan 16;74(2):55-60. doi: 10.33588/rn.7402.2021258.
The SARS-CoV-2 pandemic has given rise to a major change in healthcare and brought teleconsultation to the forefront. In neurology, headaches are the most frequent reason for visits.
To assess the impact of the COVID-19 pandemic on the structure of headache units in Andalusia and the adaptations made to healthcare that are potentially useful innovations that can continue to be developed when the pandemic is over.
Cross-sectional observational study using an online survey of neurologists responsible for headache units and specialised consultations in Andalusia.
During the state of alarm, all respondents used teleconsultation. The vast majority (92.8%) maintained some face-to-face activity, mostly for invasive techniques and new patients, using individual protection measures and as a way to avoid crowds. Half of them (50%) maintained botulinum toxin administrations at the scheduled times and 78.6% continued to prescribe monoclonal antibodies against calcitonin gene-related peptide. Altogether 78.5% are generally satisfied with the use of teleconsultation and 57.1% think it could be quite useful in the future. The main advantages reported were avoiding the need for the patient to travel and time savings; the disadvantages were the absence of physical examinations and difficulties in communicating. The most frequently expressed need for improvement was the use of video-calls.
Some of the changes adopted during this time could continue to be useful in the future and, in the case of headaches, teleconsultation could be used as an option for following up patients who have already been diagnosed and do not require any invasive techniques.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行给医疗保健带来了重大变革，并使远程会诊成为焦点。在神经病学领域，头痛是就诊最常见的原因。
评估2019冠状病毒病（COVID-19）大流行对安达卢西亚头痛诊疗单元结构的影响，以及为医疗保健所做的调整，这些调整是潜在有用的创新，在大流行结束后仍可继续发展。
采用在线调查对安达卢西亚负责头痛诊疗单元和专科会诊的神经科医生进行横断面观察性研究。
在警报状态期间，所有受访者都使用了远程会诊。绝大多数（92.8%）维持了一些面对面活动，主要针对侵入性技术和新患者，采用了个人防护措施并以此避免人群聚集。其中一半（50%）按预定时间维持了肉毒毒素注射，78.6%继续开具针对降钙素基因相关肽的单克隆抗体。总体而言，78.5%的人对远程会诊的使用普遍满意，57.1%的人认为其在未来可能非常有用。报告的主要优点是避免患者出行和节省时间；缺点是无法进行体格检查和沟通困难。最常表达的改进需求是使用视频通话。
这段时间所采用的一些改变在未来可能仍然有用，对于头痛患者，远程会诊可作为对已确诊且不需要任何侵入性技术的患者进行随访的一种选择。
