Editorial. Neurosurgery in the storm of COVID-19: suggestions from the Lombardy region, Italy (ex malo bonum)

Cenzato, Marco; DiMeco, Francesco; Fontanella, Marco Maria; Locatelli, Davide; Servadei, Franco

doi:10.3171/2020.3.jns20960

Cited by 60 publications

(66 citation statements)

References 2 publications

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“…As the number of individuals infected with this virus rapidly increases, neurosurgeons from different nations are significantly affected in multiple ways. [4][5][6][7] Neurosurgery residents face a major challenge, especially those who work in hospitals with a high number of patients with COVID-19. In addition, some residents are fully responsible for patients with this infection.…”

Section: Introductionmentioning

confidence: 99%

“…The strategies to increase the regional intensive care unit (ICU) allowance included the reduction of all surgical activities, starting with elective and also including some urgent cases. 6 Most neurosurgical centers have postponed their elective surgeries because of the burden of this infection. 4,5,8,9 Furthermore, several programs have reduced the number of residents by 50% of normal, thus keeping the remainder of the residents at home.…”

Section: Introductionmentioning

confidence: 99%

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Neurosurgery Residents' Perspective on COVID-19: Knowledge, Readiness, and Impact of this Pandemic

et al. 2020

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BACKGROUND: The novel coronavirus disease (COVID-19) is a life-threatening illness, which represents a challenge to all health care workers. Neurosurgeons worldwide are affected in different ways.-OBJECTIVE: This is the first study regarding the readiness of neurosurgery residents for the COVID-19 pandemic and its impact. The aim is to identify the level of knowledge and readiness and the impact of this virus among neurosurgery residents in different programs.-METHODS: A cross-sectional analysis was performed in which 52 neurosurgery residents from different centers were selected to complete a questionnaire-based survey. The questionnaire comprised 3 sections and 27 questions that ranged from knowledge to impact of the pandemic on various features.-RESULTS: The median knowledge score was 4 out of 5. The proportion of participants with a satisfactory level of knowledge was 60%. There was a statistically significant difference between the knowledge score and location of the program. Around 48% of the neurosurgery residents dealt directly with patients with COVID-19. Receiving a session about personal protective equipment was reported by 57.7%. Neurosurgery training at the hospital was affected. About 90% believed that this pandemic had influenced their mental health.-CONCLUSIONS: Neurosurgery residents have a relatively good knowledge about COVID-19. The location of the program was associated with knowledge level. Most participants did not receive sufficient training about personal protective equipment. Almost all responders agreed that their training at the hospital had been affected. Further studies are needed to study the impact of this pandemic on neurosurgery residents.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neurosurgery Residents' Perspective on COVID-19: Knowledge, Readiness, and Impact of this Pandemic

et al. 2020

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“…Hospitals rapidly reduced scheduled clinical and surgical activities often until closure. Hub centers for neurosurgical emergencies have been settled in various ways [2]. During this period, a significant reduction in access to the emergency departments for both minor and major pathologies has been observed overall, even in the absence of outpatient activities [1].…”

Section: Dear Editorsmentioning

confidence: 99%

Are we forgetting non-COVID-19-related diseases during lockdown?

Tartara

Cofano²,

Zenga³

et al. 2020

Acta Neurochir

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“…; so far, we managed to keep it as a COVID-19-free hospital, enforcing a strict control policy for all admitted patients, relatives, and visitors. Because of these peculiar features, in an effort to preserve the availability of ICU beds for COVID-19 patients as much as possible, the C. Besta Institute has been designated as the regional centralizing neurosurgery HUB for neuro-oncology [2], while all other Centers' activity has been progressively quenched, according to a Hub and Spoke organizational scheme. This operative network became effective on March 16th, allowing SPOKE neurosurgical équipes from Lombardy to come to our Institute and to operate themselves on their patients.…”

Section: Sirmentioning

confidence: 99%