J 2022

Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic

ONDRA, Petr; Lukas GRASSNER; Freda M. WARNER; Michaela DEDECIUSOVA; Richard VOLDRICH et al.

Základní údaje

Originální název

Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic

Autoři

ONDRA, Petr; Lukas GRASSNER; Freda M. WARNER; Michaela DEDECIUSOVA; Richard VOLDRICH; Philipp GEIGER; Konstantin BRAWANSKI; Sina GSELLMANN; Laura C MEINERS; Richard BAUER; Sascha FREIGANG; Michael MOKRY; Alexandra RESCH; Thomas KRETSCHMER; Tobias ROSSMANN; Francisco Ruiz NAVARRO; Harald STEFANITS; Andreas GRUBER; Mathias SPENDEL; Christoph SCHWARTZ; Christoph GRIESSENAUER; Franz MARHOLD; Camillo SHERIF; Jonathan P WAIS; Karl ROESSLER; Jakob J ZAGATA; Martin ORTLER; Wolfgang PFISTERER; Manfred MUEHLBAUER; Felipe A TRIVIK-BARRIENTOS; Johannes BURTSCHER; Lukas KRSKA; Radim LIPINA; Martin KEREKANIC; Jiri FIEDLER; Petr KASIK; Vladimir PRIBAN; Michal TICHY; Vladimir BENES JR; Petr KRUPA; Tomas CESAK; Robert KROUPA; Andrej CALLO; Pavel HANINEC; Daniel POHLODEK; David KRAHULIK; Alena SEJKOROVA; Martin SAMES; Josef DVORAK; Andriana JURICEKOVA; Pavel BUCHVALD; Robert TOMAS; Jan KLENER; Vilém JURÁŇ; Martin SMRČKA; Petr LINZER; Miroslav KAISER; Dušan HRABOVSKÝ; Radim JANČÁLEK; John L. K. KRAMER; Claudius THOME a David NETUKA

Vydání

Scientific Reports, Berlin, NATURE RESEARCH, 2022, 2045-2322

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.600

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/22:00128291

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

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

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 26. 1. 2023 10:58, Mgr. Tereza Miškechová

Anotace

V originále

Reflecting the first wave COVID-19 pandemic in Central Europe (i.e. March 16th-April 15th, 2020) the neurosurgical community witnessed a general diminution in the incidence of emergency neurosurgical cases, which was impelled by a reduced number of traumatic brain injuries (TBI), spine conditions, and chronic subdural hematomas (CSDH). This appeared to be associated with restrictions imposed on mobility within countries but also to possible delayed patient introduction and interdisciplinary medical counseling. In response to one year of COVID-19 experience, also mapping the third wave of COVID-19 in 2021 (i.e. March 16 to April 15, 2021), we aimed to reevaluate the current prevalence and outcomes for emergency non-elective neurosurgical cases in COVID-19-negative patients across Austria and the Czech Republic. The primary analysis was focused on incidence and 30-day mortality in emergency neurosurgical cases compared to four preceding years (2017-2020). A total of 5077 neurosurgical emergency cases were reviewed. The year 2021 compared to the years 2017-2019 was not significantly related to any increased odds of 30 day mortality in Austria or in the Czech Republic. Recently, there was a significant propensity toward increased incidence rates of emergency non-elective neurosurgical cases during the third COVID-19 pandemic wave in Austria, driven by their lower incidence during the first COVID-19 wave in 2020. Selected neurosurgical conditions commonly associated with traumatic etiologies including TBI, and CSDH roughly reverted to similar incidence rates from the previous non-COVID-19 years. Further resisting the major deleterious effects of the continuing COVID-19 pandemic, it is edifying to notice that the neurosurgical community ' s demeanor to the recent third pandemic culmination keeps the very high standards of non-elective neurosurgical care alongside with low periprocedural morbidity. This also reflects the current state of health care quality in the Czech Republic and Austria.