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Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic
L. Grassner, O. Petr, FM. Warner, M. Dedeciusova, AM. Mathis, D. Pinggera, S. Gsellmann, LC. Meiners, S. Freigang, M. Mokry, A. Resch, T. Kretschmer, T. Rossmann, FR. Navarro, A. Gruber, M. Spendel, PA. Winkler, F. Marhold, C. Sherif, JP. Wais,...
Language English Country Great Britain
Document type Journal Article, Multicenter Study, Observational Study
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- MeSH
- COVID-19 mortality MeSH
- Child MeSH
- Adult MeSH
- Infant MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Neurosurgical Procedures mortality trends MeSH
- Neurosurgery methods MeSH
- Infant, Newborn MeSH
- Pandemics statistics & numerical data MeSH
- Child, Preschool MeSH
- Retrospective Studies MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Infant MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Infant, Newborn MeSH
- Child, Preschool MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Observational Study MeSH
- Geographicals
- Europe MeSH
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.
Clinic of Neurosurgery Neurocenter of Southern Switzerland Lugano Switzerland
Department of Neurosurgery and Neurorestauration Klinikum Klagenfurt Klagenfurt Austria
Department of Neurosurgery Ceske Budejovice Hospital Ceske Budejovice Czech Republic
Department of Neurosurgery Christian Doppler Clinic Paracelsus Medical University Salzburg Austria
Department of Neurosurgery General Hospital Wiener Neustadt Wiener Neustadt Austria
Department of Neurosurgery Geneva University Hospitals Geneva Switzerland
Department of Neurosurgery Inselspital Bern Bern University Hospital Bern Switzerland
Department of Neurosurgery Kantonspital Aarau Aarau Switzerland
Department of Neurosurgery Kantonspital St Gallen St Gallen Switzerland
Department of Neurosurgery Kepler University Hospital GmbH Johannes Kepler University Linz Austria
Department of Neurosurgery Klinik Donaustadt Vienna Austria
Department of Neurosurgery Landeskrankenhaus Feldkirch Feldkirch Austria
Department of Neurosurgery Liberec Hospital Prague Czech Republic
Department of Neurosurgery Medical University Graz Graz Austria
Department of Neurosurgery Medical University of Vienna Vienna Austria
Department of Neurosurgery Motol University Hospital Motol Czech Republic
Department of Neurosurgery Pilsen University Hospital Pilsen Czech Republic
Department of Neurosurgery University Hospital Brno and Masaryk University Prague Czech Republic
Department of Neurosurgery University Hospital Hradec Kralove Hradec Kralove Czech Republic
Department of Neurosurgery University Hospital Kralovske Vinohrady Prague Czech Republic
Department of Neurosurgery University Hospital Olomouc Olomouc Czech Republic
Department of Neurosurgery University Hospital Ostrava Ostrava Czech Republic
Department of Neurosurgery Usti Nad Labem Hospital Prague Czech Republic
International Collaboration On Repair Discoveries University of British Columbia Vancouver BC Canada
Unit of Neurosurgery Homolka Hospital Prague Czech Republic
Unit of Neurosurgery Municipal Hospital Ostrava Fifejdy Ostrava Fifejdy Czech Republic
Unit of Neurosurgery Pardubice Hospital Prague Czech Republic
References provided by Crossref.org
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