The longitudinal impact of COVID-19 pandemic on neurosurgical practice.
Adult
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Cross-Sectional Studies
Female
Humans
Infection Control
/ organization & administration
Male
Middle Aged
Neurosurgery
/ organization & administration
Neurosurgical Procedures
/ statistics & numerical data
Pandemics
/ prevention & control
Pneumonia, Viral
/ epidemiology
Practice Patterns, Physicians'
/ statistics & numerical data
SARS-CoV-2
Saudi Arabia
Young Adult
COVID-19
Impact
Neurosurgery
Neurosurgical practice
Pandemic
Journal
Clinical neurology and neurosurgery
ISSN: 1872-6968
Titre abrégé: Clin Neurol Neurosurg
Pays: Netherlands
ID NLM: 7502039
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
17
07
2020
revised:
21
08
2020
accepted:
12
09
2020
pubmed:
2
10
2020
medline:
27
11
2020
entrez:
1
10
2020
Statut:
ppublish
Résumé
This observational cross-sectional multicenter study aimed to evaluate the longitudinal impact of the coronavirus disease 2019 (COVID-19) pandemic on neurosurgical practice. We included 29 participating neurosurgeons in centers from all geographical regions in the Kingdom of Saudi Arabia. The study period, which was between March 5, 2020 and May 20, 2020, was divided into three equal periods to determine the longitudinal effect of COVID-19 measures on neurosurgical practice over time. During the 11-week study period, 474 neurosurgical interventions were performed. The median number of neurosurgical procedures per day was 5.5 (interquartile range [IQR]: 3.5-8). The number of cases declined from 72 in the first week and plateaued at the 30's range in subsequent weeks. The most and least number of performed procedures were oncology (129 [27.2 %]) and functional procedures (6 [1.3 %]), respectively. Emergency (Priority 1) cases were more frequent than non-urgent (Priority 4) cases (178 [37.6 %] vs. 74 [15.6 %], respectively). In our series, there were three positive COVID-19 cases. There was a significant among-period difference in the length of hospital stay, which dropped from a median stay of 7 days (IQR: 4-18) to 6 (IQR: 3-13) to 5 days (IQR: 2-8). There was no significant among-period difference with respect to institution type, complications, or mortality. Our study demonstrated that the COVID-19 pandemic decreased the number of procedures performed in neurosurgery practice. The load of emergency neurosurgery procedures did not change throughout the three periods, which reflects the need to designate ample resources to cover emergencies. Notably, with strict screening for COVID -19 infections, neurosurgical procedures could be safely performed during the early pandemic phase. We recommend to restart performing neurosurgical procedures once the pandemic gets stabilized to avoid possible post pandemic health-care system intolerable overload.
Identifiants
pubmed: 33002677
pii: S0303-8467(20)30580-1
doi: 10.1016/j.clineuro.2020.106237
pmc: PMC7497779
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
106237Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
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