J 2021

Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic

GRASSNER, L.; O. PETR; F. M. WARNER; M. DEDECIUSOVA; A. M. MATHIS et al.

Základní údaje

Originální název

Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic

Autoři

GRASSNER, L.; O. PETR; F. M. WARNER; M. DEDECIUSOVA; A. M. MATHIS; D. PINGGERA; S. GSELLMANN; L. C. MEINERS; S. FREIGANG; M. MOKRY; A. RESCH; T. KRETSCHMER; T. ROSSMANN; F. R. NAVARRO; A. GRUBER; M. SPENDEL; P. A. WINKLER; F. MARHOLD; C. SHERIF; J. P. WAIS; K. ROSSLER; W. PFISTERER; M. MUHLBAUER; F. A. TRIVIK-BARRIENTOS; S. RATH; R. VOLDRICH; L. KRSKA; R. LIPINA; M. KEREKANIC; J. FIEDLER; P. KASIK; V. PRIBAN; M. TICHY; P. KRUPA; T. CESAK; R. KROUPA; A. CALLO; P. HANINEC; D. POHLODEK; D. KRAHULIK; A. SEJKOROVA; M. SAMES; J. DVORAK; P. SUCHOMEL; R. TOMAS; J. KLENER; V. JURAN; Martin SMRČKA; P. LINZER; M. KAISER; Dušan HRABOVSKÝ; Radim JANČÁLEK; V. KALIN; O. BOZINOV; C. NIGGLI; C. SERRA; R. GUATTA; D. E. KUHLEN; S. WANDERER; S. MARBACHER; A. LAVE; K. SCHALLER; C. ESCULIER; A. RAABE; J. L. K. KRAMER; C. THOME a D. NETUKA

Vydání

Nature Scientific Reports, London, NATURE RESEARCH, 2021, 2045-2322

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.997

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/21:00123480

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

non-elective neurosurgical procedures; COVID-19 pandemic; Central Europe

Štítky

Změněno: 4. 1. 2022 12:19, Mgr. Tereza Miškechová

Anotace

V originále

The world currently faces the novel severe acute respiratory syndrome coronavirus 2 pandemic. Little is known about the effects of a pandemic on non-elective neurosurgical practices, which have continued under modified conditions to reduce the spread of COVID-19. This knowledge might be critical for the ongoing second coronavirus wave and potential restrictions on health care. We aimed to determine the incidence and 30-day mortality rate of various non-elective neurosurgical procedures during the COVID-19 pandemic. A retrospective, multi-centre observational cohort study among neurosurgical centres within Austria, the Czech Republic, and Switzerland was performed. Incidence of neurosurgical emergencies and related 30-day mortality rates were determined for a period reflecting the peak pandemic of the first wave in all participating countries (i.e. March 16th-April 15th, 2020), and compared to the same period in prior years (2017, 2018, and 2019). A total of 4,752 emergency neurosurgical cases were reviewed over a 4-year period. In 2020, during the COVID-19 pandemic, there was a general decline in the incidence of non-elective neurosurgical cases, which was driven by a reduced number of traumatic brain injuries, spine conditions, and chronic subdural hematomas. Thirty-day mortality did not significantly increase overall or for any of the conditions examined during the peak of the pandemic. The neurosurgical community in these three European countries observed a decrease in the incidence of some neurosurgical emergencies with 30-day mortality rates comparable to previous years (2017-2019). Lower incidence of neurosurgical cases is likely related to restrictions placed on mobility within countries, but may also involve delayed patient presentation.