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 (203 Česká republika), F. M. WARNER, M. DEDECIUSOVA (203 Česká republika), A. M. MATHIS, D. PINGGERA, S. GSELLMANN, L. C. MEINERS, S. FREIGANG, M. MOKRY (203 Česká republika), 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 (203 Česká republika, garant), L. KRSKA (203 Česká republika), R. LIPINA (203 Česká republika), M. KEREKANIC (203 Česká republika), J. FIEDLER (203 Česká republika), P. KASIK (203 Česká republika), V. PRIBAN (203 Česká republika), M. TICHY (203 Česká republika), P. KRUPA (203 Česká republika), T. CESAK (203 Česká republika), R. KROUPA (203 Česká republika), A. CALLO, P. HANINEC (203 Česká republika), D. POHLODEK (203 Česká republika), D. KRAHULIK (203 Česká republika), A. SEJKOROVA (203 Česká republika), M. SAMES (203 Česká republika), J. DVORAK (203 Česká republika), P. SUCHOMEL (203 Česká republika), R. TOMAS (203 Česká republika), J. KLENER (203 Česká republika), V. JURAN (203 Česká republika), Martin SMRČKA (203 Česká republika, domácí), P. LINZER, M. KAISER, Dušan HRABOVSKÝ (703 Slovensko, domácí), Radim JANČÁLEK (203 Česká republika, domácí), 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 (203 Česká republika)

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: 4.996

Kód RIV

RIV/00216224:14110/21:00123480

Organizační jednotka

Lékařská fakulta

UT WoS

000630511700015

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.