Characteristics and operation outcomes of neuro-oncology patients after COVID-19 pandemic — A case series
| Autor: | Chengshi Xu, Yichun Zou, Pian Gong, Jincao Chen, Jichun Si, Zhongwei Xiong, Yu Feng, Tingbao Zhang, Jiangjiang Zhang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) RD1-811 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Midline shift Case Reports & Case Series Diabetes mellitus Glioma Pandemic Neuro-oncology medicine RC346-429 Pathological Past medical history COVID-19 Coronavirus disease 2019 business.industry KPS Karnofsky Performance Score Medical record COVID-19 medicine.disease SARS-CoV-2 Severe Acute Respiratory Syndrome Coronavirus 2 Surgery Neurology (clinical) Neurology. Diseases of the nervous system business 030217 neurology & neurosurgery IQRs Interquartile Ranges |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 25, Iss, Pp 101172-(2021) Interdisciplinary Neurosurgery |
| ISSN: | 2214-7519 |
| Popis: | Background COVID-19 has been spreading worldwide at hitherto unknown speed, and the treatment of neuro-oncology patients without COVID-19 has been greatly affected. Methods To compare the medical records and surgical results of surgical patients before and after the pandemic. We collected a total of 80 patients form April 2020 to May 2020 after pandemic and from April 2019 to May 2019 before pandemic. The patient's demographics, past medical history, comorbidities, imaging, pathology, laboratory teat, and Karnofsky Performance Score (KPS) were analyzed. Results The most common presenting symptom was intracranial hypertension and neurological deficit. Hypertension and diabetes were the most common comorbid diseases. The pre-operation KPS were 83.21 ± 15.60, 80 ± 14.77, 78.57 ± 12.83 and 74.14 ± 12.72, respectively. The post-operation KPS were 94.64 ± 8.65, 95.45 ± 6.56, 91.43 ± 10.82 and 84.21 ± 22.55, respectively. The tumor volume was larger and the midline shift distance was greater after the pandemic than before. For pathological grade, meningiomas were mostly grade I, while gliomas were mainly grade III and IV. Conclusion Although affected by the COVID-19 pandemic, patients with glioma should be operated as soon as possible to obtain better surgical results, however, for patients with meningiomas, their operation can be postponed slightly when the patients are tolerable. |
| Databáze: | OpenAIRE |
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