Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Grassner, L; Petr, O; Warner, FM; Dedeciusova, M; Mathis, AM; Pinggera, D; Gsellmann, S; Meiners, LC; Freigang, S; Mokry, M; Resch, A; Kretschmer, T; Rossmann, T; Navarro, FR; Gruber, A; Spendel, M; Winkler, PA; Marhold, F; Sherif, C; Wais, JP; Rössler, K; Pfisterer, W; Mühlbauer, M; Trivik-Barrientos, FA; Rath, S; Voldrich, R; Krska, L; Lipina, R; Kerekanic, M; Fiedler, J; Kasik, P; Priban, V; Tichy, M; Krupa, P; Cesak, T; Kroupa, R; Callo, A; Haninec, P; Pohlodek, D; Krahulik, D; Sejkorova, A; Sames, M; Dvorak, J; Suchomel, P; Tomas, R; Klener, J; Juran, V; Smrcka, M; Linzer, P; Kaiser, M; Hrabovsky, D; Jancalek, R; Kälin, V; Bozinov, O; Niggli, C; Serra, C; Guatta, R; Kuhlen, DE; Wanderer, S; Marbacher, S; Lavé, A; Schaller, K; Esculier, C; Raabe, A; Kramer, JLK; Thomé, C; Netuka, D.
Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic.
Sci Rep. 2021; 11(1):6171-6171
Doi: 10.1038/s41598-021-85526-6
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- Co-Autor*innen der Med Uni Graz
- Freigang Sascha
- Mokry Michael
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- Abstract:
- The world currently faces the novel severe acute respiratory syndrome coronavirus 2 pandemic. Little is known about the effects of a pandemic on non-elective neurosurgical practices, which have continued under modified conditions to reduce the spread of COVID-19. This knowledge might be critical for the ongoing second coronavirus wave and potential restrictions on health care. We aimed to determine the incidence and 30-day mortality rate of various non-elective neurosurgical procedures during the COVID-19 pandemic. A retrospective, multi-centre observational cohort study among neurosurgical centres within Austria, the Czech Republic, and Switzerland was performed. Incidence of neurosurgical emergencies and related 30-day mortality rates were determined for a period reflecting the peak pandemic of the first wave in all participating countries (i.e. March 16th-April 15th, 2020), and compared to the same period in prior years (2017, 2018, and 2019). A total of 4,752 emergency neurosurgical cases were reviewed over a 4-year period. In 2020, during the COVID-19 pandemic, there was a general decline in the incidence of non-elective neurosurgical cases, which was driven by a reduced number of traumatic brain injuries, spine conditions, and chronic subdural hematomas. Thirty-day mortality did not significantly increase overall or for any of the conditions examined during the peak of the pandemic. The neurosurgical community in these three European countries observed a decrease in the incidence of some neurosurgical emergencies with 30-day mortality rates comparable to previous years (2017-2019). Lower incidence of neurosurgical cases is likely related to restrictions placed on mobility within countries, but may also involve delayed patient presentation.