Neurosurgery Services in Dr. Sardjito General Hospital, Yogyakarta, Indonesia, During the COVID-19 Pandemic: Experience from a Developing Country

Manusubroto, Wiryawan; Wicaksono, Adiguno Suryo; Tamba, Daniel Agriva; Sudiharto, Paulus; Pramusinto, Handoyo; Hartanto, Rachmat Andi; Basuki, Endro

doi:10.1016/j.wneu.2020.05.124

Cited by 19 publications

(34 citation statements)

References 15 publications

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“…With regard to the trauma cases, there was a decreased number of cases performed throughout the three periods. This is consistent with previous reports, which could be explained by reduced road traffic accidents from the strict curfew imposed by the governments [ 16 , 21 ]. Priority 1 (immediate and 1−24 h) cases were persistently high throughout periods 1, 2, and 3 (28.7 %, 46.7 %, and 42.4 %, respectively) ( Fig.…”

Section: Discussionsupporting

confidence: 94%

“…The impact of the COVID-19 pandemic on neurosurgical practice in our region was similar to that reported in other regions [ [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] ]. We recently compared 50 days during the early phase of the COVID-19 pandemic with a similar period in 2019 [ 9 ].…”

Section: Discussionsupporting

confidence: 88%

“…Consistent with our findings, they reported a decrease in elective procedures in their center from an average of 16 elective operations per week during phase 1, when there were confirmed cases in Indonesia but none in Yogyakarta, to an average of 9 cases per week during phase 2, which is the period between the time of initial detection of the outbreak in Yogyakarta and the time when their government relaxed the strict outbreak-related regulations. This was associated with hospital restrictions regarding intensive care unit beds for postoperative neurosurgical patients and reduced the availability of personal protective equipment in their hospital [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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The longitudinal impact of COVID-19 pandemic on neurosurgical practice

Bajunaid

Alatar

Alqurashi

et al. 2020

Clinical Neurology and Neurosurgery

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Highlights All neurosurgical procedures decreased in number during the COVID-19 pandemic. Surgical complication rates remained within the acceptable range. Emergency procedures numbers remained the same throughout the study period. Neurosurgical oncology cases were the highest in frequency. There is a decline in hospital length of stay as we progressed during the study period.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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The longitudinal impact of COVID-19 pandemic on neurosurgical practice

Bajunaid

Alatar

Alqurashi

et al. 2020

Clinical Neurology and Neurosurgery

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“…Physical distancing and "stay at home" regulations imposed by the government had been associated with such a reduction and might have also contributed to reducing a medical facility's workload. [6][7][8] Nevertheless, some nondeferrable cases were still present. Moreover, some centers continued to perform elective neurosurgical procedures.…”

mentioning

confidence: 99%

“…A previous report described a significant reduction in the number of neurosurgical procedures in a hospital in Indonesia, a similar trend to the one that has occurred globally. 6 Moreover, outpatient visits to the neurosurgery clinic were also reduced. Physical distancing and "stay at home" regulations imposed by the government had been associated with such a reduction and might have also contributed to reducing a medical facility's workload.…”

mentioning

confidence: 99%

The adjustment of neurosurgical procedures during the COVID-19 pandemic: a case study at Dr. Sardjito General Hospital as a part of an academic health system

Pramusinto

Tamba

Subagio

et al. 2020

Neurosurgical Focus

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OBJECTIVEThe recent COVID-19 outbreak has forced notable adjustments to surgical procedure preparation, including neurosurgical services. However, due to the uniqueness of the recent situation, neurosurgical centers, especially those located in low-resource settings, are facing several challenges such as a lack of coordination, poor equipment, and shortage of medical personnel. Therefore, several guidelines from local authorities and international neurosurgical bodies have been published to help clinicians manage their patients. In addition, the academic health system (AHS), which is an integrated system containing a medical institution, universities, and a teaching hospital, may play some role in the management of patients during COVID-19. The objective of this study was to describe how each hospital in the authors’ network adjusted their neurosurgical practice and how the AHS of the Universitas Gadjah Mada (UGM) played its role in the adaptation process during the pandemic.METHODSThe authors gathered both local and national data about the number of COVID-19 infections from the government’s database. To assess the contribution of the AHS to the efforts of each hospital to address the pandemic, questionnaires were given to 6 neurosurgeons, 1 resident, and 2 general surgeons about the management of neurosurgical cases during the pandemic in their hospitals.RESULTSThe data illustrate various strategies to manage neurosurgical cases by hospitals within the authors’ networks. The hospitals were grouped into three categories based on the transmission risk in each region. Most of these hospitals stated that UGM AHS had a positive impact on the changes in their strategies. In the early phase of the outbreak, some hospitals faced a lack of coordination between hospitals and related stakeholders, inadequate amount of personal protective equipment (PPE), and unclear regulations. As the nation enters a new phase, almost all hospitals had performed routine screening tests, had a sufficient amount of PPE for the medical personnel, and followed both national and international guidelines in caring for their neurosurgical patients.CONCLUSIONSThe management of neurosurgical procedures during the outbreak has been a challenging task and a role of the AHS in improving patient care has been experienced by most hospitals in the authors’ network. In the future, the authors expect to develop a better collaboration for the next possible pandemic.

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Approaches to Understanding COVID‐19 and its Neurological Associations

Beghi

Michael

Solomon

et al. 2021

Annals of Neurology

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There is an accumulating volume of research into neurological manifestations of coronavirus disease 2019 (COVID‐19). However, inconsistent study designs, inadequate controls, poorly validated tests, and differing settings, interventions, and cultural norms weaken study quality and comparability, hence the understanding of the spectrum, burden, and pathophysiology of these complications. Therefore, a global COVID‐19 Neuro Research Coalition, together with the World Health Organization, has reviewed reports of COVID‐19 neurological complications and harmonized clinical measures for future research. This will facilitate well‐designed studies using precise, consistent case definitions of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection and neurological complications, with standardized forms for pooled data analyses that nonspecialists can use, including those in low‐income settings. ANN NEUROL 2021;89:1059–1067

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Neurosurgery Services in Dr. Sardjito General Hospital, Yogyakarta, Indonesia, During the COVID-19 Pandemic: Experience from a Developing Country

Cited by 19 publications

References 15 publications

The longitudinal impact of COVID-19 pandemic on neurosurgical practice

The longitudinal impact of COVID-19 pandemic on neurosurgical practice

The adjustment of neurosurgical procedures during the COVID-19 pandemic: a case study at Dr. Sardjito General Hospital as a part of an academic health system

Approaches to Understanding COVID‐19 and its Neurological Associations

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