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

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.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

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

Abstract

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.

Citovat

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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   author = {Grassner, L. and Petr, O. and Warner, F. M. and Dedeciusova, M. and Mathis, A. M. and Pinggera, D. and Gsellmann, S. and Meiners, L. C. and Freigang, S. and Mokry, M. and Resch, A. and Kretschmer, T. and Rossmann, T. and Navarro, F. R. and Gruber, A. and Spendel, M. and Winkler, P. A. and Marhold, F. and Sherif, C. and Wais, J. P. and Rossler, K. and Pfisterer, W. and Muhlbauer, M. and TrivikandBarrientos, F. A. and Rath, S. and Voldrich, R. and Krska, L. and Lipina, R. and Kerekanic, M. and Fiedler, J. and Kasik, P. and Priban, V. and Tichy, M. and Krupa, P. and Cesak, T. and Kroupa, R. and Callo, A. and Haninec, P. and Pohlodek, D. and Krahulik, D. and Sejkorova, A. and Sames, M. and Dvorak, J. and Suchomel, P. and Tomas, R. and Klener, J. and Juran, V. and Smrčka, Martin and Linzer, P. and Kaiser, M. and Hrabovský, Dušan and Jančálek, Radim and Kalin, V. and Bozinov, O. and Niggli, C. and Serra, C. and Guatta, R. and Kuhlen, D. E. and Wanderer, S. and Marbacher, S. and Lave, A. and Schaller, K. and Esculier, C. and Raabe, A. and Kramer, J. L. K. and Thome, C. and Netuka, D.},
   article_location = {London},
   article_number = {1},
   doi = {http://dx.doi.org/10.1038/s41598-021-85526-6},
   keywords = {non-elective neurosurgical procedures; COVID-19 pandemic; Central Europe},
   language = {eng},
   issn = {2045-2322},
   journal = {Nature Scientific Reports},
   title = {Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic},
   url = {https://www.nature.com/articles/s41598-021-85526-6.pdf},
   volume = {11},
   year = {2021}
}

TY  - JOUR
ID  - 1816305
AU  - Grassner, L. - Petr, O. - Warner, F. M. - Dedeciusova, M. - Mathis, A. M. - Pinggera, D. - Gsellmann, S. - Meiners, L. C. - Freigang, S. - Mokry, M. - Resch, A. - Kretschmer, T. - Rossmann, T. - Navarro, F. R. - Gruber, A. - Spendel, M. - Winkler, P. A. - Marhold, F. - Sherif, C. - Wais, J. P. - Rossler, K. - Pfisterer, W. - Muhlbauer, M. - Trivik-Barrientos, F. A. - Rath, S. - Voldrich, R. - Krska, L. - Lipina, R. - Kerekanic, M. - Fiedler, J. - Kasik, P. - Priban, V. - Tichy, M. - Krupa, P. - Cesak, T. - Kroupa, R. - Callo, A. - Haninec, P. - Pohlodek, D. - Krahulik, D. - Sejkorova, A. - Sames, M. - Dvorak, J. - Suchomel, P. - Tomas, R. - Klener, J. - Juran, V. - Smrčka, Martin - Linzer, P. - Kaiser, M. - Hrabovský, Dušan - Jančálek, Radim - Kalin, V. - Bozinov, O. - Niggli, C. - Serra, C. - Guatta, R. - Kuhlen, D. E. - Wanderer, S. - Marbacher, S. - Lave, A. - Schaller, K. - Esculier, C. - Raabe, A. - Kramer, J. L. K. - Thome, C. - Netuka, D.
PY  - 2021
TI  - Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic
JF  - Nature Scientific Reports
VL  - 11
IS  - 1
SP  - 1-7
EP  - 1-7
PB  - NATURE RESEARCH
SN  - 20452322
KW  - non-elective neurosurgical procedures
KW  - COVID-19 pandemic
KW  - Central Europe
UR  - https://www.nature.com/articles/s41598-021-85526-6.pdf
N2  - 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.
ER  -

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. \textit{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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