COVID-19 Impact on Neurosurgical Practice: Lockdown Attitude and Experience of a European Academic Center

Lubansu, Alphonse; Assamadi, M.; Barrit, Sami; Dembour, Victoria; Yao, Gedeon; Hadwe, Salim El; Witte, Olivier De

doi:10.1016/j.wneu.2020.08.168

Cited by 26 publications

(17 citation statements)

References 23 publications

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“…As a response to COVID-19 pandemic, hospitals and medical institutions across the world have undergone various changes such as restructuring of dedicated COVID-19 areas, doing widespread COVID-19 testing, rationing of material and human resources, and rescheduling of “non-emergent” surgeries. [ 1 , 3 , 7 , 13 , 15 , 16 , 20 , 22 , 27 , 28 ] Even though head injury is an “emergency,” which cannot be “rescheduled” or “postponed,” changes in typical head injury patterns are expected with most people staying inside their homes, especially during the “lockdown,” resulting in less interpersonal contact and decreased traffic on roads. To assess these possible changes, we conducted this study where data regarding all head injury patients admitted to our center during the COVID-19 pandemic was compared to data from the pre-COVID-19 era.…”

Section: Introductionmentioning

confidence: 99%

“Locked up inside home” – Head injury patterns during coronavirus disease of 2019 pandemic

Goyal

Swain

Gupta

et al. 2020

Surgical Neurology International

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Background: As citizens have been forced to stay home during coronavirus disease of 2019 (COVID-19) pandemic, the crisis created unique trends in the neurotrauma patterns with changes in mode, severity, and outcome of head injured patients. Methods: Details of neurotrauma admissions under the neurosurgery department at our institute since the onset of COVID-19 pandemic in the country were collected retrospectively and compared to the same period last year in terms of demographic profile, mode of injury, GCS at admission, severity of head injury, radiological diagnosis, management (surgical/conservative), and outcome. The patients were studied according to which phase of pandemic they were admitted in – “lockdown” period (March 25 to May 31, 2020) or “unlock” period (June 1 to September 15, 2020). Results: The number of head injuries decreased by 16.8% during the COVID-19 pandemic. Furthermore, during the lockdown period, the number of admissions was 2.7/week while it was 6.8/week during the “unlock” period. RTA was the mode of injury in 29.6% patients during the lockdown, while during the unlock period, it was 56.9% (P = 0.000). Mild and moderate head injuries decreased by 41% and severe head injuries increased by 156.25% during the COVID-19 pandemic (P = 0.000). The mortality among neurotrauma patients increased from 12.4% to 22.5% during the COVID-19 era (P = 0.009). Conclusion: We observed a decline in the number of head injury admissions during the pandemic, especially during the lockdown. At the same time, there was increase in the severity of head injuries and associated injuries, resulting in significantly higher mortality in our patients during the ongoing COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

“Locked up inside home” – Head injury patterns during coronavirus disease of 2019 pandemic

Goyal

Swain

Gupta

et al. 2020

Surgical Neurology International

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“…Surgical admissions for non-urgent cases were postponed; Outpatient visits numbers were decreased in social distancing precautions. Similar to the pandemic phase N/A [ 12 , 30 , 31 ] China Regular practice routine, all emergent surgical cases were performed commonly without screening for COVID-19 positive and COVID-19 negative cases; no special precautions were made. Non-urgent cases were partially postponed depending on the status of each patient individually.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review

Azab

Azzam

2021

Brain Disorders

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Background The coronavirus pandemic has affected many health care services worldwide since the emergence of the first case in Wuhan. Surgical neuro-oncology care is a fundamental part of hospital services, making it susceptible to strategic changes amid the COVID-19 pandemic. Methods An electronic search on several databases (PubMed/Medline, Scopus, and Google Scholar) from the beginning of the pandemic to the end of 2020, each paper was reviewed independently. The publication inclusion and exclusion criteria were done using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Results Eight studies were found to be eligible for our meta-analysis. Most of the studies were on a retrospective basis, except one which was retrospective and prospective. An overall of 951 glioma patients’ were included for surgical admission from the beginning of the pandemic until 2020. Seventy-four patients' had mortality outcomes, and 250 patients had complications for both surgical admitted and non-surgical admitted purposes. Conclusions To our knowledge, we made the first systematic review and meta-analysis regarding the management of glioma patients’ during the pandemic of COVID-19. Our main findings are that the number of surgical admissions for glioma patients’ did not significantly differ between COVID-19 negative and COVD-19 positive cases; however, surprisingly, we found that both overall complications and mortality outcomes were more significant COVID-19 negative patients’ from the reported studies.

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“… 2 , 4 , 5 Neurosurgical centers from across the world have been forced to restrict their operative and outpatient volumes and change from physical outpatient encounters to telemedicine, which is likely to have an adverse impact on resident training. 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25…”

mentioning

confidence: 99%

Letter to the Editor Regarding “Early Changes to Neurosurgery Resident Training During the COVID-19 Pandemic at a Large United States Academic Medical Center”

et al. 2021

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COVID-19 Impact on Neurosurgical Practice: Lockdown Attitude and Experience of a European Academic Center

Cited by 26 publications

References 23 publications

“Locked up inside home” – Head injury patterns during coronavirus disease of 2019 pandemic

“Locked up inside home” – Head injury patterns during coronavirus disease of 2019 pandemic

Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review

Letter to the Editor Regarding “Early Changes to Neurosurgery Resident Training During the COVID-19 Pandemic at a Large United States Academic Medical Center”

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