The longitudinal impact of COVID-19 pandemic on neurosurgical practice.

Autor: Bajunaid K; Department of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia; Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada., Alatar A; Neurosurgery Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alqurashi A; Neurosurgery Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alkutbi M; Department of Neurosurgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia., Alzahrani AH; Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Sabbagh AJ; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alobaid A; Department of Adult Neurosurgery, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia., Barnawi A; Department of Neurosurgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia., Alferayan AA; Division of Neurosurgery, Department of Surgery, Specialized Medical Center, Riyadh, Saudi Arabia., Alkhani AM; Division of Neurosurgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia., Bin Salamah A; Department of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia., Sheikh BY; Vascular Endovascular and Skull Base Neurosurgery, College of Medicine, Taibah University, Madinah, Saudi Arabia., Alotaibi FE; Department of Pediatric Neurosurgery, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia., Alabbas F; Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Farrash F; Department of Neuroscience, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia., Al-Jehani HM; Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Alhabib H; Department of Spine Surgery, Dr Sulaiman Alhabib Hospital, Khobar, Saudi Arabia., Alnaami I; Division of Neurosurgery, Department of Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia., Altweijri I; Division of Neurosurgery, Department of Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia., Khoja I; Department of Neurosurgery, International Medical Center, Jeddah, Saudi Arabia., Taha M; Department of Neurosurgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia., Alzahrani M; Division of Neurosurgery, Department of Surgery, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia., Bafaquh MS; Department of Adult Neurosurgery, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia., Binmahfoodh M; Neurosciences Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Algahtany MA; Division of Neurosurgery, Department of Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia., Al-Rashed S; Department of Neurosurgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia., Raza SM; Department of Neurosurgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia., Elwatidy S; Neurosurgery Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alomar SA; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Al-Issawi W; Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Khormi YH; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia., Ammar A; Department of Neurosurgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Al-Habib A; Neurosurgery Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Baeesa SS; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Ajlan A; Neurosurgery Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia. Electronic address: abdajlan@ksu.edu.sa.
Jazyk: angličtina
Zdroj: Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2020 Nov; Vol. 198, pp. 106237. Date of Electronic Publication: 2020 Sep 17.
DOI: 10.1016/j.clineuro.2020.106237
Abstrakt: Objective: This observational cross-sectional multicenter study aimed to evaluate the longitudinal impact of the coronavirus disease 2019 (COVID-19) pandemic on neurosurgical practice.
Methods: We included 29 participating neurosurgeons in centers from all geographical regions in the Kingdom of Saudi Arabia. The study period, which was between March 5, 2020 and May 20, 2020, was divided into three equal periods to determine the longitudinal effect of COVID-19 measures on neurosurgical practice over time.
Results: During the 11-week study period, 474 neurosurgical interventions were performed. The median number of neurosurgical procedures per day was 5.5 (interquartile range [IQR]: 3.5-8). The number of cases declined from 72 in the first week and plateaued at the 30's range in subsequent weeks. The most and least number of performed procedures were oncology (129 [27.2 %]) and functional procedures (6 [1.3 %]), respectively. Emergency (Priority 1) cases were more frequent than non-urgent (Priority 4) cases (178 [37.6 %] vs. 74 [15.6 %], respectively). In our series, there were three positive COVID-19 cases. There was a significant among-period difference in the length of hospital stay, which dropped from a median stay of 7 days (IQR: 4-18) to 6 (IQR: 3-13) to 5 days (IQR: 2-8). There was no significant among-period difference with respect to institution type, complications, or mortality.
Conclusion: Our study demonstrated that the COVID-19 pandemic decreased the number of procedures performed in neurosurgery practice. The load of emergency neurosurgery procedures did not change throughout the three periods, which reflects the need to designate ample resources to cover emergencies. Notably, with strict screening for COVID -19 infections, neurosurgical procedures could be safely performed during the early pandemic phase. We recommend to restart performing neurosurgical procedures once the pandemic gets stabilized to avoid possible post pandemic health-care system intolerable overload.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: