Letter: Academic Neurosurgery Department Response to COVID-19 Pandemic: The University of Miami/Jackson Memorial Hospital Model

Eichberg, Daniel G.; Shah, Ashish H.; Luther, Evan; Menendez, Ingrid; Jimenez, Andrea; Perez-Dickens, Maggy; O’Phelan, Kristine; Ivan, Michael E.; Komotar, Ricardo J.; Levi, Allan D.

doi:10.1093/neuros/nyaa118

Cited by 73 publications

(145 citation statements)

References 10 publications

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“…Emergent case such as head and spine trauma, cauda equina syndrome, embolic stroke, ruptured aneurysms, and acute hydrocephalus are relatively noncontroversial; however, urgent cases such as malignant brain tumors and progressive cervical spondylotic myelopathy may require a more nuanced discussion." 4 Responses from our analysis disclosed that only 23% of respondent believe that brain tumor or compressive spinal cord tumor surgeries should be postponed. In terms of skill set, a trustworthy neurosurgical team should be able to treat patients with infectious diseases who also require emergency operations.…”

Section: Discussionmentioning

confidence: 92%

“…This pandemic is evolving rapidly worldwide, disrupting personal and professional life, including that of neurosurgeons and neurosurgical residents. 4 Most programs have seen a significant decrease in elective or nonessential surgical volume, affecting functional neurosurgery cases foremost. 7 Regarding surgery, around 57.7% of respondents in our study agreed that elective neurosurgical procedures should not be resumed during this pandemic ( Figure 3A).…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…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. 7 Almost all neurosurgery programs worldwide have changed their academic meetings to online communication in an attempt to reduce physical contact.…”

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: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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“…Except in emergency cases, we advocate using multidisciplinary conferences to gather consensus regarding surgical urgency. [1][2][3][4] Table 1 outlines our stratification used to guide surgical timing.…”

Section: Intracranial Tumor Surgical Case Stratificationmentioning

confidence: 99%

Letter: Surgical Management of Brain Tumor Patients in the COVID-19 Era

Zacharia¹,

Eichberg²,

Ivan³

et al. 2020

Neurosurg.

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The influence of the COVID-19 pandemic on traumatic brain injuries in Tyrol: experiences from a state under lockdown

Pinggera

Klein

Thomé

et al. 2020

Eur J Trauma Emerg Surg

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Purpose In February 2020, the federal state of Tyrol in Austria has become one of the epicenters of the COVID-19 pandemic. Tyrol is known for numerous skiing areas. Thus, winter sport resorts became a starting point for COVID-19 infections spreading towards the rest of the state, Austria and other countries, leading to a mandatory quarantine for almost a million people, who were placed under a curfew and restrictions in daily life. Additionally, all ski resorts and hotels were closed. We aimed to analyze the influence of the COVID-19 quarantine on traumatic brain injury (TBI) cases in Tyrol. Methods We retrospectively compared demographical and injury characteristics from all TBI patients within the 2020 strict quarantine period with the respective time periods from 2016 to 2019. As our department is the only neurosurgical unit in Tyrol, all patients with moderate or severe TBI are transferred to our hospital. Results During 3 weeks of the full quarantine period, the weekly TBI cases load decreased significantly in comparison to the same time periods in the years 2016-2019. Furthermore, concomitant skull fractures decreased significantly (p < 0.016), probably reflecting different causative mechanisms. The other demographical and injury characteristics and particularly falls at home stayed relatively unchanged. Conclusion TBI remained an important contributor to the neurosurgical workflow during the COVID-19 pandemic. Strategies to ensure neurosurgical care also under pandemic-induced lockdown are important.

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Letter: Academic Neurosurgery Department Response to COVID-19 Pandemic: The University of Miami/Jackson Memorial Hospital Model

Cited by 73 publications

References 10 publications

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

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

Letter: Surgical Management of Brain Tumor Patients in the COVID-19 Era

The influence of the COVID-19 pandemic on traumatic brain injuries in Tyrol: experiences from a state under lockdown

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