Atención al ictus agudo durante la pandemia por COVID-19. Recomendaciones Plan Ictus Madrid./ Atención al ictus agudo durante la pandemia por COVID-19. Recomendaciones Plan Ictus Madrid./ Acute stroke care during the COVID-19 pandemic. Ictus Madrid Program recommendations.

INTRODUCTION: The pandemic has resulted in complete saturation of healthcare capacities, making it necessary to reorganise healthcare systems. In this context, we must guarantee the provision of acute care and optimise code protocols to reduce the risk of SARS-CoV-2 infection and rationalise the use of hospital resources. The Madrid Stroke multidisciplinary group presents a series of recommendations to achieve these goals. METHODS: We conducted a non-systematic literature search using the keywords stroke and COVID-19 or coronavirus or SARS-CoV-2. Our literature review also included other relevant studies known to the authors. Based on this literature review, a series of consensus recommendations were established by the Madrid Stroke multidisciplinary group and its neurology committee. RESULTS: These recommendations address 5 main objectives: 1) coordination of action protocols to ensure access to hospital care for patients; 2) recognition of potentially COVID-19-positive patients; 3) organisation of patient management to prevent SARS-CoV-2 infection among healthcare professionals; 4) avoidance of unnecessary neuroimaging studies and other procedures that may increase the risk of infection; and 5) safe, early discharge and follow-up to ensure bed availability. This management protocol has been called CORONA (Coordinate, Recognise, Organise, Neuroimaging, At home). CONCLUSIONS: The recommendations presented here may assist in the organisation of acute care and the optimisation of healthcare resources, while ensuring the safety of healthcare professionals.