Neurosurgery activity levels in the United Kingdom and republic of Ireland during the first wave of the covid-19 pandemic - a retrospective cross-sectional cohort study.

Autor: Richardson GE; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Islim AI; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Albanese E; Department of Neurosurgery, North Staffordshire Hospital Trust, Stoke on Trent, UK., Ahmed A; Department of Neurosurgery, Aberdeen Royal Infirmary, Aberdeen, UK., Aly A; Department of Neurosurgery, Alder Hey Children's NHS Foundation Trust, Liverpool, UK., Ammar A; Department of Neurosurgery, Queen's Medical Centre, Nottingham, UK., Amoo M; Department of Neurosurgery, Beaumont Hospital, Dublin, Republic of Ireland., Bhatt H; Department of Neurosurgery, University Hospital of Wales, Cardiff, UK., Bodkin P; Department of Neurosurgery, Aberdeen Royal Infirmary, Aberdeen, UK., Coulter I; Department of Neurosurgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK., Corr P; Department of Neurosurgery, Beaumont Hospital, Dublin, Republic of Ireland., Elmaadawi I; Department of Neurosurgery, Ninewells Hospital, Dundee, UK., Elserius A; Department of Neurosurgery, North Staffordshire Hospital Trust, Stoke on Trent, UK., Fountain DM; Manchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK., George KJ; Manchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK., Gillespie CS; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Goel A; Department of Neurosurgery, North Staffordshire Hospital Trust, Stoke on Trent, UK., Grundy PL; Wessex Neurological Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK., Gurusinghe N; Department of Neurosurgery, Royal Preston Hospital, Preston, UK., Hartley J; Department of Neurosurgery, Royal Hallamshire Hospital, Sheffield, UK., Hasan MT; Manchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK., Javadpour M; Department of Neurosurgery, Beaumont Hospital, Dublin, Republic of Ireland., Kalra N; Department of Neurosurgery, Leeds General Infirmary, Leeds, UK., Mallucci C; Department of Neurosurgery, Alder Hey Children's NHS Foundation Trust, Liverpool, UK., Millward CP; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Mohamed B; Department of Neurosurgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK., Mohamed S; Department of Neurosurgery, The James Cook University Hospital, Middlesbrough, UK., Mustafa MA; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Nannapaneni R; Department of Neurosurgery, University Hospital of Wales, Cardiff, UK., Nolan D; Department of Neurosurgery, Beaumont Hospital, Dublin, Republic of Ireland., Patel UJ; Department of Neurosurgery, John Radcliffe Hospital, Oxford, UK., Piper RJ; Department of Neurosurgery, John Radcliffe Hospital, Oxford, UK., Rajaraman C; Department of Neurosurgery, Hull Royal Infirmary, Hull, UK., Raza-Knight S; Department of Neurosurgery, Royal Preston Hospital, Preston, UK., Rehman K; Department of Neurosurgery, Hull Royal Infirmary, Hull, UK., Rominiyi O; Department of Neurosurgery, Royal Hallamshire Hospital, Sheffield, UK., Sage W; Department of Neurosurgery, Queen's Medical Centre, Nottingham, UK., Sharouf F; Department of Neurosurgery, University Hospital of Wales, Cardiff, UK., Sinha S; Department of Neurosurgery, Royal Hallamshire Hospital, Sheffield, UK., Sitaraman M; Department of Neurosurgery, Queen's Medical Centre, Nottingham, UK., Smith S; Department of Neurosurgery, Queen's Medical Centre, Nottingham, UK., Solth A; Department of Neurosurgery, Ninewells Hospital, Dundee, UK., Stokes S; Department of Neurosurgery, Hull Royal Infirmary, Hull, UK., Taweel BA; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Tyagi A; Department of Neurosurgery, Leeds General Infirmary, Leeds, UK., Zaben M; Department of Neurosurgery, University Hospital of Wales, Cardiff, UK., Jenkinson MD; Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.; Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK., Prasad M; Department of Neurosurgery, The James Cook University Hospital, Middlesbrough, UK.
Jazyk: angličtina
Zdroj: British journal of neurosurgery [Br J Neurosurg] 2024 Aug; Vol. 38 (4), pp. 998-1003. Date of Electronic Publication: 2021 Sep 02.
DOI: 10.1080/02688697.2021.1968341
Abstrakt: The impact of Covid-19 on surgical patients worldwide has been substantial. In the United Kingdom (UK) and the Republic of Ireland (RoI), the first wave of the pandemic occurred in March 2020. The aims of this study were to: (1) evaluate the volume of neurosurgical operative activity levels, Covid-19 infection rate and mortality rate in April 2020 with a retrospective cross-sectional cohort study conducted across 16 UK and RoI neurosurgical centres, and (2) compare patient outcomes in a single institution in April-June 2020 with a comparative cohort in 2019. Across the UK and RoI, 818 patients were included. There were 594 emergency and 224 elective operations. The incidence rate of Covid-19 infection was 2.6% (21/818). The overall mortality rate in patients with a Covid-19 infection was 28.6% (6/21). In the single centre cohort analysis, an overall reduction in neurosurgical operative activity by 65% was observed between 2020 ( n  = 304) and 2019 ( n  = 868). The current and future impact on UK neurosurgical operative activity has implications for service delivery and neurosurgical training.
Databáze: MEDLINE