EAN consensus statement for management of patients with neurological diseases during the COVID-19 pandemic - Sorbonne Université
Article Dans Une Revue European Journal of Neurology Année : 2020

EAN consensus statement for management of patients with neurological diseases during the COVID-19 pandemic

1 JKU - University of Linz - Johannes Kepler Universität Linz
2 The Walton Centre NHS Foundation Trust
3 University of Liverpool
4 IRCCS - Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale Casa Sollievo della Sofferenza [San Giovanni Rotondo]
5 IRCCS - Istituti di Ricovero e Cura a Carattere Scientifico
6 Head Office - European Academy of Neurology [Vienna, Austria]
7 Faculty of Medicine [Selcuk University Konya, Turkey]
8 UNIBE - Universität Bern = University of Bern = Université de Berne
9 Semmelweis University of Medicine [Budapest]
10 Faculté de médecine [Genève]
11 IMU - Innsbruck Medical University = Medizinische Universität Innsbruck
12 IdISSC - Instituto de Investigación Sanitaria del Hospital Clínico San Carlos [Madrid, Spain]
13 UCM - Universidad Complutense de Madrid = Complutense University of Madrid [Madrid]
14 Università degli Studi di Roma Tor Vergata [Roma, Italia] = University of Rome Tor Vergata [Rome, Italy] = Université de Rome Tor Vergata [Rome, Italie]
15 University Hospital of Cologne [Cologne]
16 TUM - Technische Universität Munchen - Technical University Munich - Université Technique de Munich
17 UNITO - Università degli studi di Torino = University of Turin
18 UNIMORE - Università degli Studi di Modena e Reggio Emilia = University of Modena and Reggio Emilia
19 CHU Saint-Antoine [AP-HP]
20 SU FM - Sorbonne Université - Faculté de Médecine
21 UNIMI - Università degli Studi di Milano = University of Milan
22 Centro Hospitalar do Porto
23 University of Maribor
24 University of Tartu
25 GIN - [GIN] Grenoble Institut des Neurosciences
26 University of Sheffield [Sheffield]
M. Rakusa
  • Fonction : Auteur
P. Taba
  • Fonction : Auteur

Résumé

Background and purpose: The recent SARS-CoV-2 pandemic has posed multiple challenges to the practice of clinical neurology including recognition of emerging neurological complications and management of coexistent neurological diseases. In a fast-evolving pandemic, evidence-based studies are lacking in many areas. This paper presents European Academy of Neurology (EAN) expert consensus statements to guide neurologists caring for patients with COVID-19. Methods: A refined Delphi methodology was applied. In round 1, statements were provided by EAN scientific panels (SPs). In round 2, these statements were circulated to SP members not involved in writing them, asking for agreement/disagreement. Items with agreement >70% were retained for round 3, in which SP co-chairs rated importance on a five-point Likert scale. Results were graded by importance and reported as consensus statements. Results: In round one, 70 statements were provided by 23 SPs. In round two, 259/1061 SP member responses were received. Fifty-nine statements obtained >70% agreement and were retained. In round three, responses were received from 55 co-chairs of 29 SPs. Whilst general recommendations related to prevention of COVID-19 transmission had high levels of agreement and importance, opinion was more varied concerning statements related to therapy. Conclusion: This is the first structured consensus statement on good clinical practice in patients with neurological disease during the COVID-19 pandemic that provides immediate guidance for neurologists. In this fast-evolving pandemic, a rapid response using refined Delphi methodology is possible, but guidance may be subject to change as further evidence emerges.
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Dates et versions

hal-02978582 , version 1 (26-10-2020)

Identifiants

Citer

T. J von Oertzen, A. Macerollo, M. A Leone, E. Beghi, M. Crean, et al.. EAN consensus statement for management of patients with neurological diseases during the COVID-19 pandemic. European Journal of Neurology, 2020, 2020, pp.1 - 8. ⟨10.1111/ene.14521⟩. ⟨hal-02978582⟩
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