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.

Basic information

Original name

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

Authors

ONDRA, Petr (203 Czech Republic, guarantor), Lukas GRASSNER (203 Czech Republic), Freda M. WARNER, Michaela DEDECIUSOVA (203 Czech Republic), Richard VOLDRICH (203 Czech Republic), Philipp GEIGER, Konstantin BRAWANSKI, Sina GSELLMANN, Laura C MEINERS, Richard BAUER, Sascha FREIGANG, Michael MOKRY (203 Czech Republic), 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 (203 Czech Republic), Radim LIPINA (203 Czech Republic), Martin KEREKANIC (203 Czech Republic), Jiri FIEDLER (203 Czech Republic), Petr KASIK (203 Czech Republic), Vladimir PRIBAN (203 Czech Republic), Michal TICHY (203 Czech Republic), Vladimir BENES JR (203 Czech Republic), Petr KRUPA (203 Czech Republic), Tomas CESAK (203 Czech Republic), Robert KROUPA (203 Czech Republic), Andrej CALLO (203 Czech Republic), Pavel HANINEC (203 Czech Republic), Daniel POHLODEK (203 Czech Republic), David KRAHULIK (203 Czech Republic), Alena SEJKOROVA (203 Czech Republic), Martin SAMES (203 Czech Republic), Josef DVORAK (203 Czech Republic), Andriana JURICEKOVA (203 Czech Republic), Pavel BUCHVALD (203 Czech Republic), Robert TOMAS (203 Czech Republic), Jan KLENER (203 Czech Republic), Vilém JURÁŇ (203 Czech Republic, belonging to the institution), Martin SMRČKA (203 Czech Republic, belonging to the institution), Petr LINZER (203 Czech Republic), Miroslav KAISER (203 Czech Republic), Dušan HRABOVSKÝ (703 Slovakia, belonging to the institution), Radim JANČÁLEK (203 Czech Republic, belonging to the institution), John L. K. KRAMER, Claudius THOME and David NETUKA (203 Czech Republic)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.600

RIV identification code

RIV/00216224:14110/22:00128291

Organization unit

Faculty of Medicine

UT WoS

000846428600002

Keywords in English

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

Tags

International impact, Reviewed
Změněno: 26/1/2023 10:58, Mgr. Tereza Miškechová

Abstract

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.