Neurosurgery and coronavirus: impact and challenges-lessons learnt from the first wave of a global pandemic.

Acta neurochirurgica
Keyoumars AshkanRichard Gullan

Abstract

The novel severe acute respiratory syndrome coronavirus 2 (COVID-19) pandemic has had drastic effects on global healthcare with the UK amongst the countries most severely impacted. The aim of this study was to examine how COVID-19 challenged the neurosurgical delivery of care in a busy tertiary unit serving a socio-economically diverse population. A prospective single-centre cohort study including all patients referred to the acute neurosurgical service or the subspecialty multidisciplinary teams (MDT) as well as all emergency and elective admissions during COVID-19 (18th March 2020-15th May 2020) compared to pre-COVID-19 (18th of January 2020-17th March 2020). Data on demographics, diagnosis, operation, and treatment recommendation/outcome were collected and analysed. Overall, there was a reduction in neurosurgical emergency referrals by 33.6% and operations by 55.6% during the course of COVID-19. There was a significant increase in the proportion of emergency operations performed during COVID-19 (75.2% of total, n=155) when compared to pre-COVID-19 (n = 198, 43.7% of total, p < 0.00001). In contrast to other published series, the 30-day perioperative mortality remained low (2.0%) with the majority of post-operative COVID-19-i...Continue Reading

References

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Apr 22, 2020·BMJ : British Medical Journal·Kamlesh KhuntiWasim Hanif
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May 29, 2020·World Neurosurgery·Adham M KhalafallahDebraj Mukherjee
Jun 10, 2020·Acta neurochirurgica·Nils HechtPeter Vajkoczy
Jun 24, 2020·Frontiers in Cell and Developmental Biology·Gangqiang GuoXiangyang Xue
Aug 24, 2020·Clinical Oncology : a Journal of the Royal College of Radiologists·P GhimireK Ashkan

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Citations

Aug 25, 2021·BMJ Case Reports·Ioannis ChristodoulidesChristopher Chandler

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