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 and D. NETUKA. Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic. Nature Scientific Reports. London: NATURE RESEARCH, 2021, vol. 11, No 1, p. 1-7. ISSN 2045-2322. Available from: https://dx.doi.org/10.1038/s41598-021-85526-6.
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Basic information
Original name Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic
Authors GRASSNER, L., O. PETR (203 Czech Republic), F. M. WARNER, M. DEDECIUSOVA (203 Czech Republic), A. M. MATHIS, D. PINGGERA, S. GSELLMANN, L. C. MEINERS, S. FREIGANG, M. MOKRY (203 Czech Republic), 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 Czech Republic, guarantor), L. KRSKA (203 Czech Republic), R. LIPINA (203 Czech Republic), M. KEREKANIC (203 Czech Republic), J. FIEDLER (203 Czech Republic), P. KASIK (203 Czech Republic), V. PRIBAN (203 Czech Republic), M. TICHY (203 Czech Republic), P. KRUPA (203 Czech Republic), T. CESAK (203 Czech Republic), R. KROUPA (203 Czech Republic), A. CALLO, P. HANINEC (203 Czech Republic), D. POHLODEK (203 Czech Republic), D. KRAHULIK (203 Czech Republic), A. SEJKOROVA (203 Czech Republic), M. SAMES (203 Czech Republic), J. DVORAK (203 Czech Republic), P. SUCHOMEL (203 Czech Republic), R. TOMAS (203 Czech Republic), J. KLENER (203 Czech Republic), V. JURAN (203 Czech Republic), Martin SMRČKA (203 Czech Republic, belonging to the institution), P. LINZER, M. KAISER, Dušan HRABOVSKÝ (703 Slovakia, belonging to the institution), Radim JANČÁLEK (203 Czech Republic, belonging to the institution), 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 and D. NETUKA (203 Czech Republic).
Edition Nature Scientific Reports, London, NATURE RESEARCH, 2021, 2045-2322.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher Germany
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.996
RIV identification code RIV/00216224:14110/21:00123480
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1038/s41598-021-85526-6
UT WoS 000630511700015
Keywords in English non-elective neurosurgical procedures; COVID-19 pandemic; Central Europe
Tags 14110131, 14110224, rivok
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 4/1/2022 12:19.
Abstract
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.
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