Effect of the COVID-19 Pandemic on Patient Presentation and Perception to a Neurosurgical Outpatient Clinic

Pinggera, Daniel; Kerschbaumer, Johannes; Grassner, Lukas; Demetz, Matthias; Hartmann, Sébastian; Thomé, Claudius

doi:10.1016/j.wneu.2021.02.037

Cited by 9 publications

(11 citation statements)

References 35 publications

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“…The bed availability rate decreased for other patients due to longer hospitalization periods ( 16 ) and difficulty in treatment ( 17 ) of patients with COVID-19. One study reported higher mortality and associated complications in COVID-19-positive patients following hip fracture treatment ( 18 ). It also reported that the same orthopedic treatment is more challenging in a COVID-19-positive patient than in a non-COVID-19 patient.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Coronavirus Disease Pandemic and Related Vaccination in an Orthopedic Clinic in the United Arab Emirates: An Observational Study

et al. 2022

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The coronavirus disease (COVID-19) pandemic has influenced hospital visiting patterns. Although vaccination has decreased infection rates and disease severity, hospital visiting patterns and associated treatment changes related to orthopedics remain unexplored in the Middle East. Therefore, this study aimed to examine the impact of the COVID-19 pandemic and vaccination on individual departments dealing with musculoskeletal disorders in the United Arab Emirates. Relationships between publicly available national data on the number of COVID-19 polymerase chain reaction tests and confirmed and recovered cases during May 2020–July 2021 and hospital data on the number of outpatients, inpatients, operations, and physiotherapy consultations were analyzed. In January 2021, the relationship between vaccination rate and orthopedic unit utilization was evaluated after vaccination campaign initiation. Multifactorial analysis revealed that an increased number of COVID-19-related deaths correlated with a decreased number of joint operations. Negative linear relationships were observed among confirmed and death cases with inpatient treatment and joint operation as well as recovered cases with inpatient treatment. Recovered cases with inpatient treatment and joint operation showed a positive linear relationship. Inpatient spine treatment showed a positive relationship with vaccination rates. The COVID-19 pandemic influenced orthopedic treatment in the Middle East, and vaccination campaigns facilitated inpatient spine treatment.

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Section: Discussionmentioning

confidence: 99%

Impact of the Coronavirus Disease Pandemic and Related Vaccination in an Orthopedic Clinic in the United Arab Emirates: An Observational Study

et al. 2022

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“…Some of these patients incorrectly assumed that their appointments were also affected by the restrictions during the lockdown. In this context, lockdowns, curfews, patientsʼ fear of contracting COVID-19, fear of burdening the health care system, and lack of information about current health care services were reported to be among the most common reasons for delayed access to hospital care during the COVID-19 pandemic 18 , 19 , 20 .…”

Section: Discussionmentioning

confidence: 99%

“…Einige dieser PatientInnen gingen fälschlicherweise davon aus, dass auch ihre Termine von den Einschränkungen während des Lockdowns betroffen waren. In diesem Zusammenhang wurde berichtet, dass Lockdowns, Ausgangssperren, die Angst der PatientInnen, sich mit COVID-19 zu infizieren, die Angst, das Gesundheitssystem zu belasten und mangelnde Informationen über die aktuellen Gesundheitsdienste zu den häufigsten Gründen für den verzögerten Zugang zur Krankenhausversorgung während der COVID-19-Pandemie gehörten 18 , 19 , 20 .…”

Section: Diskussionunclassified

“…Since 2020, severe acute respiratory syndrome-related coronavirus (SARS-CoV-2) [1] has transformed the way we live our daily lives. The disease caused by this virus, Coronavirus Disease 2019 (COVID- 19), was designated as a pandemic by the World Health Organization (WHO) on March 11, 2020 [2]. As case numbers increased exponentially, European governments, including Austria, established a lockdown to reduce infections by isolating citizens from social life and quarantining them.…”

Section: Introductionmentioning

confidence: 99%

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Die Auswirkungen der COVID-19-Pandemie auf die Versorgungsqualität von therapienaiven PatientInnen mit neovaskulärer altersbedingter Makuladegeneration unter intravitrealer Aflibercept-Therapie

Angermann

Franchi

Frede

et al. 2022

Klin Monbl Augenheilkd

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Zusammenfassung Fragestellung: Ziel dieser Studie war es, die Versorgungsqualität von therapie-naiven PatientInnen mit neovaskulärer altersbedingter Makuladegeneration (nAMD), die vor der Pandemie der Coronavirus-Krankheit 2019 (COVID-19) eine intravitreale Aflibercept-Therapie erhielten, mit PatientInnen zu vergleichen, die während der Pandemie dieselbe Therapie erhielten. Methode: Es wurden von 297 therapie-naiven PatientInnen unter anderem die bestkorrigierte Sehschärfe (BCVA) als Logarithmus des minimalen Auflösungswinkels (logMAR) und die anatomischen Ergebnisse bei Diagnosestellung und bei jeder Nachuntersuchung erfasst. Therapie-naive PatientInnen, bei denen mindestens 24 Monate vor dem ersten pandemiebedingten Lockdown eine Therapie begonnen und somit ausschließlich vor der Pandemie (n=123) behandelt wurden, wurden mit PatientInnen verglichen, die innerhalb von 12 Monaten vor dem ersten Lockdown die Therapie starteten und somit während der Pandemie (n=174) behandelt wurden. Es wurden beide Gruppen über einen Zeitraum von zwei Jahren beobachtet. Resultate: In der Gruppe, die vor der COVID-19 Pandemie behandelt wurde, blieb die Sehschärfe, verglichen zum Ausgangswert (0,58±0,41 logMAR) bis zum Ende des Beobachtungszeitraums (0,54±0,34 logMAR) stabil (p=0,228). Der BCVA von PatientInnen, die während der COVID-19-Pandemie behandelt wurden, verschlechterte sich von 0,56±0,35 bei Therapiestart zu 0,79±0,43 logMAR (p=0,010) zum Ende des Beobachtungszeitraums. Im Vergleich zu den PatientInnen, die vor der COVID-19-Pandemie behandelt wurden, zeigte die Gruppe die während der Pandemie behandelt wurde eine signifikant schlechtere Sehschärfe nach 6 Monaten (p=0,041), 12 Monaten (p=0,040), 18 Monaten (p=0,024), 21 Monaten (p=0,035) sowie nach 24 Monaten (p=0,004). Darüber hinaus erhielt die während der COVID-19-Pandemie behandelte Gruppe im zweiten Behandlungsjahr im Vergleich zur Gruppe, die vor der COVID-19-Pandemie behandelt wurde, weniger Aflibercept-Injektionen (3,94±1,9 vs. 3,30±1,6; p=0,007) und weniger Nachsorgeuntersuchungen (2,71±1 ,2 vs. 2,16±0,9; p<0,001) Schlussfolgerung: PatientInnen mit nAMD, die während der COVID-19-Pandemie behandelt wurden, hatten ein signifikant schlechtere Visusentwicklung über einen Beobachtungszeitraum von zwei Jahren als PatientInnen die vor der Pandemie behandelt wurden. Der erschwerte Zugang zur Versorgung könnte auf die Einschränkungen zurückzuführen sein, die aufgrund der COVID-19-Pandemie auferlegt wurden. ABSTRACT Objective: This study aimed to compare the quality of care of treatment-naïve patients with neovascular age-related macular degeneration (nAMD) receiving intravitreal aflibercept therapy before the coronavirus disease 2019 (COVID-19) pandemic with patients receiving the same therapy during the pandemic. Methods: We enrolled 297 treatment-naïve patients who received intravitreal aflibercept and measured visual acuity (VA) as the logarithm of the minimum angle of resolution (logMAR) and anatomical outcomes at each follow-up. These outcome criteria were compared between patients that started therapy within one year before the COVID-19 pandemic (n=174) and those that started therapy in 2017 (n=123, control group) with a two-year follow-up. Results: Baseline characteristics were comparable between the two groups. Patients treated before the COVID-19 pandemic did not lose vision during their follow up and at their 24-month visit (0.58±0.41 logMAR) compared to baseline (0.54±0.34 logMAR; p=0.228). VA in patients treated during the COVID-19 pandemic dropped below the baseline (0.56±0.35 logMAR) within 24-month of follow-up (0.79±0.43 logMAR; p=0.010). Compared to the patients treated before the COVID-19 pandemic, the latter group showed a significantly worse VA at the 6-month (p=0.041), 12-month (p=0.040), 18-month (p=0.024), 21-month (p=0.035), and 24-month (p=0.004) follow-up. Additionally, the group treated during the COVID-19 pandemic received significantly fewer aflibercept injections (3,94±1,9 vs. 3,30±1,6; p=0,007) and less follow-up examinations (2,71±1,2 vs. 2,16±0,9; p<0,001) in the second year compared to the group that was treated before the COVID-19 pandemic. Conclusion: We confirmed significantly worse VA outcomes in the group treated during the COVID-19 pandemic. Impeded access to care could be attributed to the restrictions imposed owing to the COVID-19 pandemic.

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“…We found that 35.1% of patients delayed or avoided medical care because of COVID-19-related concerns. The reason why patients are hesitant to seek medical help is that they may be afraid of getting infected at the hospital (22). Additionally, patients who are admitted to internal medical science (47.3%) and those who regularly visited doctors (46.7%) had higher levels of COVID-19-related fear and anxiety.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Fear, Obsession, and Anxiety Associated with COVID-19: A Cross-Sectional Study in Patients Admitted to University Hospital Outpatient Clinics

Şavkın¹

2021

Erciyes Med J

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Effect of the COVID-19 Pandemic on Patient Presentation and Perception to a Neurosurgical Outpatient Clinic

Cited by 9 publications

References 35 publications

Impact of the Coronavirus Disease Pandemic and Related Vaccination in an Orthopedic Clinic in the United Arab Emirates: An Observational Study

Impact of the Coronavirus Disease Pandemic and Related Vaccination in an Orthopedic Clinic in the United Arab Emirates: An Observational Study

Die Auswirkungen der COVID-19-Pandemie auf die Versorgungsqualität von therapienaiven PatientInnen mit neovaskulärer altersbedingter Makuladegeneration unter intravitrealer Aflibercept-Therapie

Factors Affecting Fear, Obsession, and Anxiety Associated with COVID-19: A Cross-Sectional Study in Patients Admitted to University Hospital Outpatient Clinics

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