The longitudinal impact of COVID-19 pandemic on neurosurgical practice

Bajunaid, Khalid; Alatar, Abdullah; Alqurashi, Ashwag; Alkutbi, Mohammad; Alzahrani, Anas H.; Sabbagh, Abdulrahman J.; Alobaid, Abdullah; Barnawi, Abdulwahed; Alferayan, Ahmed Abdulrahman; Alkhani, Ahmed; Salamah, Ali Bin; Sheikh, Bassem Y.; Alotaibi, Fahad E.; Alabbas, Faisal; Farrash, Faisal; Al-Jehani, Hosam; Al-Habib, Husam; Alnaami, Ibrahim; Altweijri, Ikhlass; Khoja, Isam; Taha, Mahmoud; Alzahrani, Moajeb; Bafaquh, Mohammed; Binmahfoodh, Mohammed; Al-Gahtany, Mubarak; Al-Rashed, Sabah; Raza, Syed Muhammad Muslim; Elwatidy, Sherif; Alomar, Soha; Al-Issawi, Wisam; Khormi, Yahya H.; Ahmad, Ammar; Al‐Habib, Amro; Baeesa, Saleh; Ajlan, Abdulrazag

doi:10.1016/j.clineuro.2020.106237

Cited by 22 publications

(19 citation statements)

References 21 publications

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“…The priority of admissions is urgency, but most cases are being admitted. [ 16 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] USA Some hospitals have taken early precautions to avoid the spread of COVID-19, which was done by regulating the admissions; some of the hospitals discriminated between admissions for COVID-19 positive and COVID-19 negative glioma cases. Admissions were mostly including urgent fatal glioma cases.…”

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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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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“…4 ). Other single-country studies have tried to longitudinally analyze the impact of the pandemic by setting a timeline along the 2020’s March–May period [ 19 ]. Despite the restricted national framework of the present study, we consider that this subdivision based on the pandemic timing widens its international applicability.…”

Section: Discussionmentioning

confidence: 99%

Neurosurgical emergency management during the lockdown period in health care regions in Spain with different COVID-19 impact: lessons learned to improve outcomes on the future waves

Gandía-González¹,

Viñuela-Prieto²,

Barrios

et al. 2021

Eur J Trauma Emerg Surg

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Background COVID-19 has overloaded health care systems, testing the capacity and response in every European region. Concerns were raised regarding the impact of resources’ reorganization on certain emergency pathology management. The aim of the present study was to assess the impact of the outbreak (in terms of reduction of neurosurgical emergencies) during lockdown in different regions of Spain. Methods We analyzed the impact of the outbreak in four different affected regions by descriptive statistics and univariate comparison with same period of two previous years. These regions differed in their incidence level (high/low) and in the time of excess mortality with respect to lockdown declaration. That allowed us to analyze their influence on the characteristics of neurosurgical emergencies registered for every region. Results 1185 patients from 18 neurosurgical centers were included. Neurosurgical emergencies that underwent surgery dropped 24.41% and 28.15% in 2020 when compared with 2019 and 2018, respectively. A higher reduction was reported for the most affected regions by COVID-19. Non-traumatic spine experienced the most significant decrease in number of cases. Life-threatening conditions did not suffer a reduction in any health care region. Conclusions COVID-19 affected dramatically the neurosurgical emergency management. The most significant reduction in neurosurgical emergencies occurred on those regions that were hit unexpectedly by the pandemic, as resources were focused on fighting the virus. As a consequence, life-threating and non-life-threatening conditions’ mortality raised. Results in regions who had time to prepare for the hit were congruent with an organized and sensible neurosurgical decision-making.

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“…After surgery, patients needed to be hospitalized for a period (23)(24)(25). Patients hospitalized after a surgery had both a risk of infection and transmission.…”

Section: Discussionmentioning

confidence: 99%

Managing Neurosurgery in the Covid-19 Pandemic

Aminmansour

Mahmoudkhani

Shafiei

et al. 2021

Preprint

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BackgroundCovid-19 quickly spread around the world as an epidemic with potentially unknown hazards. Like its impacts on various occupations, neurosurgery has undergone changes due to the virus, including changes in surgical planning, inpatient and outpatient clinics, emergency management, and even academic activities. The present study was performed to determine neurosurgery challenges during the Covid-19 pandemic in Iran.MethodsThe present study was conducted as a mixed qualitative and quantitative study in 2021. In the qualitative section using the targeted sampling method, 11 members of the target community were selected using the available sampling method and completed a questionnaire. The qualitative part was conducted in two stages of reviewing texts and interviewing experts and in the quantitative part we evaluated the validity of the structure and the reliability of the questionnaire.ResultsThis study examined in detail all aspects of the effects of Covid-19 on neurosurgery. 9 dimensions and 61 items were identified as the challenges of neurosurgery during the Covid-19 pandemic. In order of importance, the aspects were: treatment outcome, manpower, management psychological and physical diseases, education and research, tools and physical space, ethics, financial implications and information technology.ConclusionThe outbreak of epidemics has different risks for specialties, among them neurosurgery. Accordingly, to observe patients' right to treatment, all necessary measures were first taken to provide instructions, regulations, policies and ethical guidelines.

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The longitudinal impact of COVID-19 pandemic on neurosurgical practice

Cited by 22 publications

References 21 publications

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

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

Neurosurgical emergency management during the lockdown period in health care regions in Spain with different COVID-19 impact: lessons learned to improve outcomes on the future waves

Managing Neurosurgery in the Covid-19 Pandemic

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