Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic.

Autor: Petr O; Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria. ondra.petr@yahoo.com.; Department of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic. ondra.petr@yahoo.com., Grassner L; Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria., Warner FM; International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada., Dedeciusová M; Department of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic., Voldřich R; Department of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic., Geiger P; Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria., Brawanski K; Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria., Gsellmann S; Department of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria., Meiners LC; Department of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria., Bauer R; Department of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria., Freigang S; Department of Neurosurgery, Medical University Graz, Graz, Austria., Mokry M; Department of Neurosurgery, Medical University Graz, Graz, Austria., Resch A; Department of Neurosurgery & Neurorestauration, Klinikum Klagenfurt, Klagenfurt, Austria., Kretschmer T; Department of Neurosurgery & Neurorestauration, Klinikum Klagenfurt, Klagenfurt, Austria., Rossmann T; Department of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria., Navarro FR; Department of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria., Stefanits H; Department of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria., Gruber A; Department of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria., Spendel M; Department of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria., Schwartz C; Department of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria., Griessenauer C; Department of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria., Marhold F; Department of Neurosurgery, University Hospital of St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria., Sherif C; Department of Neurosurgery, University Hospital of St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria., Wais JP; Department of Neurosurgery, Medical University of Vienna, Vienna, Austria., Rössler K; Department of Neurosurgery, Medical University of Vienna, Vienna, Austria., Zagata JJ; Unit of Neurosurgery, Klinik Landstrasse, Vienna, Austria., Ortler M; Unit of Neurosurgery, Klinik Landstrasse, Vienna, Austria., Pfisterer W; Department of Neurosurgery, Klinik Donaustadt, Vienna, Austria., Mühlbauer M; Department of Neurosurgery, Klinik Donaustadt, Vienna, Austria., Trivik-Barrientos FA; Department of Neurosurgery, General Hospital Wiener Neustadt, Wiener Neustadt, Austria., Burtscher J; Department of Neurosurgery, General Hospital Wiener Neustadt, Wiener Neustadt, Austria., Krška L; Department of Neurosurgery, University Hospital Ostrava, Ostrava, Czech Republic., Lipina R; Department of Neurosurgery, University Hospital Ostrava, Ostrava, Czech Republic., Kerekanič M; Department of Neurosurgery, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic., Fiedler J; Department of Neurosurgery, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic., Kasík P; Department of Neurosurgery, Pilsen University Hospital, Pilsen, Czech Republic., Přibáň V; Department of Neurosurgery, Pilsen University Hospital, Pilsen, Czech Republic., Tichý M; Department of Neurosurgery, Motol University Hospital, Prague, Czech Republic., Beneš V Jr; Department of Neurosurgery, Motol University Hospital, Prague, Czech Republic., Krůpa P; Department of Neurosurgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic., Česák T; Department of Neurosurgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic., Kroupa R; Unit of Neurosurgery, Municipal Hospital - Ostrava Fifejdy, Ostrava, Czech Republic., Callo A; Department of Neurosurgery, University Hospital Kralovske Vinohrady, Prague, Czech Republic., Haninec P; Department of Neurosurgery, University Hospital Kralovske Vinohrady, Prague, Czech Republic., Pohlodek D; Department of Neurosurgery, University Hospital Olomouc, Olomouc, Czech Republic., Krahulík D; Department of Neurosurgery, University Hospital Olomouc, Olomouc, Czech Republic., Sejkorová A; Department of Neurosurgery, Usti Nad Labem Hospital, Usti Nad Labem, Czech Republic., Sameš M; Department of Neurosurgery, Usti Nad Labem Hospital, Usti Nad Labem, Czech Republic., Dvořák J; Department of Neurosurgery, Liberec Hospital, Liberec, Czech Republic., Juričeková A; Department of Neurosurgery, Liberec Hospital, Liberec, Czech Republic., Buchvald P; Department of Neurosurgery, Liberec Hospital, Liberec, Czech Republic., Tomáš R; Unit of Neurosurgery, Homolka Hospital, Prague, Czech Republic., Klener J; Unit of Neurosurgery, Homolka Hospital, Prague, Czech Republic., Juráň V; Department of Neurosurgery, University Hospital Brno and Masaryk University, Brno, Czech Republic., Smrčka M; Department of Neurosurgery, University Hospital Brno and Masaryk University, Brno, Czech Republic., Linzer P; Unit of Neurosurgery, Zlin Hospital, Zlin, Czech Republic., Kaiser M; Unit of Neurosurgery, Pardubice Hospital, Pardubice, Czech Republic., Hrabovský D; Department of Neurosurgery, St. Anne's University Hospital Brno and Masaryk University, Brno, Czech Republic., Jančálek R; Department of Neurosurgery, St. Anne's University Hospital Brno and Masaryk University, Brno, Czech Republic., Kramer JLK; International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada., Thomé C; Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria., Netuka D; Department of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2022 Aug 27; Vol. 12 (1), pp. 14631. Date of Electronic Publication: 2022 Aug 27.
DOI: 10.1038/s41598-022-18426-y
Abstrakt: Reflecting the first wave COVID-19 pandemic in Central Europe (i.e. March 16th-April 15th, 2020) the neurosurgical community witnessed a general diminution in the incidence of emergency neurosurgical cases, which was impelled by a reduced number of traumatic brain injuries (TBI), spine conditions, and chronic subdural hematomas (CSDH). This appeared to be associated with restrictions imposed on mobility within countries but also to possible delayed patient introduction and interdisciplinary medical counseling. In response to one year of COVID-19 experience, also mapping the third wave of COVID-19 in 2021 (i.e. March 16 to April 15, 2021), we aimed to reevaluate the current prevalence and outcomes for emergency non-elective neurosurgical cases in COVID-19-negative patients across Austria and the Czech Republic. The primary analysis was focused on incidence and 30-day mortality in emergency neurosurgical cases compared to four preceding years (2017-2020). A total of 5077 neurosurgical emergency cases were reviewed. The year 2021 compared to the years 2017-2019 was not significantly related to any increased odds of 30 day mortality in Austria or in the Czech Republic. Recently, there was a significant propensity toward increased incidence rates of emergency non-elective neurosurgical cases during the third COVID-19 pandemic wave in Austria, driven by their lower incidence during the first COVID-19 wave in 2020. Selected neurosurgical conditions commonly associated with traumatic etiologies including TBI, and CSDH roughly reverted to similar incidence rates from the previous non-COVID-19 years. Further resisting the major deleterious effects of the continuing COVID-19 pandemic, it is edifying to notice that the neurosurgical community´s demeanor to the recent third pandemic culmination keeps the very high standards of non-elective neurosurgical care alongside with low periprocedural morbidity. This also reflects the current state of health care quality in the Czech Republic and Austria.
(© 2022. The Author(s).)
Databáze: MEDLINE
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