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10.1016/j.wneu.2020.07.093 http://scihub22266oqcxt.onion/10.1016/j.wneu.2020.07.093 32702490!7370909!32702490     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       World+Neurosurg 2020 ; 143 (ä): e179-e187 Nephropedia Template TP {{tp|p=32702490|t=2020. Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Case-Control Multicenter Study |pdf=|usr=}}{{32702490}} gab.com Text Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Case-Control Multicenter Study JO: World Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=32702490 #FOAvip OBJECTIVE: Quantitative documentation of the effects of outbreaks, including the coronavirus disease 2019 (COVID-19) pandemic, is limited in neurosurgery. Our study aimed to evaluate the effects of the COVID-19 pandemic on neurosurgical practice and to determine whether surgical procedures are associated with increased morbidity and mortality. METHODS: A multicenter case-control study was conducted, involving patients who underwent neurosurgical intervention in the Kingdom of Saudi Arabia during 2 periods: pre-COVID-19 and during the COVID-19 pandemic. The surgical intervention data evaluated included diagnostic category, case priority, complications, length of hospital stay, and 30-day mortality. RESULTS: A total of 850 procedures were included, 36% during COVID-19. The median number of procedures per day was significantly lower during the COVID-19 period (5.5 cases) than during the pre-COVID-19 period (12 cases; P < 0.0001). Complications, length of hospital stay, and 30-day mortality did not differ during the pandemic. In a multivariate analysis comparing both periods, case priority levels 1 (immediate) (odds ratio [OR], 1.82; 95% confidence interval [CI], 1.24-2.67), 1 (1-24 h) (OR, 1.63; 95% CI, 1.10-2.41), and 4 (OR, 0.28; 95% CI, 0.19-0.42) showed significant differences. CONCLUSIONS: During the early phase of the COVID-19 pandemic, the overall number of neurosurgical procedures declined, but the load of emergency procedures remained the same, thus highlighting the need to allocate sufficient resources for emergencies. More importantly, performing neurosurgical procedures during the pandemic in regions with limited effects of the outbreak on the health care system was safe. Our findings may aid in developing guidelines for acute and long-term care during pandemics in surgical subspecialties. Twit Text FOAVip Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Case-Control Multicenter Study ????World Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=32702490 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32702490 #FOAvip English Wikipedia <ref>{{Cite pmid|32702490}}</ref> Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Case-Control Multicenter Study #MMPMID32702490 Bajunaid K; Alqurashi A; Alatar A; Alkutbi M; Alzahrani AH; Sabbagh AJ; Alobaid A; Barnawi A; Alferayan AA; Alkhani AM; Salamah AB; Sheikh BY; Alotaibi FE; Alabbas F; Farrash F; Al-Jehani HM; Alhabib H; Alnaami I; Altweijri I; Khoja I; Taha M; Alzahrani M; Bafaquh MS; Binmahfoodh M; Algahtany MA; Al-Rashed S; Raza SM; Elwatidy S; Alomar SA; Al-Issawi W; Khormi YH; Ammar A; Al-Habib A; Baeesa SS; Ajlan A World Neurosurg 2020[Nov]; 143 (ä): e179-e187 PMID32702490show ga OBJECTIVE: Quantitative documentation of the effects of outbreaks, including the coronavirus disease 2019 (COVID-19) pandemic, is limited in neurosurgery. Our study aimed to evaluate the effects of the COVID-19 pandemic on neurosurgical practice and to determine whether surgical procedures are associated with increased morbidity and mortality. METHODS: A multicenter case-control study was conducted, involving patients who underwent neurosurgical intervention in the Kingdom of Saudi Arabia during 2 periods: pre-COVID-19 and during the COVID-19 pandemic. The surgical intervention data evaluated included diagnostic category, case priority, complications, length of hospital stay, and 30-day mortality. RESULTS: A total of 850 procedures were included, 36% during COVID-19. The median number of procedures per day was significantly lower during the COVID-19 period (5.5 cases) than during the pre-COVID-19 period (12 cases; P < 0.0001). Complications, length of hospital stay, and 30-day mortality did not differ during the pandemic. In a multivariate analysis comparing both periods, case priority levels 1 (immediate) (odds ratio [OR], 1.82; 95% confidence interval [CI], 1.24-2.67), 1 (1-24 h) (OR, 1.63; 95% CI, 1.10-2.41), and 4 (OR, 0.28; 95% CI, 0.19-0.42) showed significant differences. CONCLUSIONS: During the early phase of the COVID-19 pandemic, the overall number of neurosurgical procedures declined, but the load of emergency procedures remained the same, thus highlighting the need to allocate sufficient resources for emergencies. More importantly, performing neurosurgical procedures during the pandemic in regions with limited effects of the outbreak on the health care system was safe. Our findings may aid in developing guidelines for acute and long-term care during pandemics in surgical subspecialties. |*Neurosurgery[MESH] |*Neurosurgical Procedures/methods[MESH] |Adolescent[MESH] |Adult[MESH] |Aged[MESH] |COVID-19/surgery/*virology[MESH] |Case-Control Studies[MESH] |Female[MESH] |Humans[MESH] |Length of Stay/statistics & numerical data[MESH] |Male[MESH] |Middle Aged[MESH] |SARS-CoV-2/*pathogenicity[MESH]Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Ca(epmc).pdf DeepDyve Pubget Overpricing