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10.1016/j.wneu.2020.08.015

http://scihub22266oqcxt.onion/10.1016/j.wneu.2020.08.015
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suck abstract from ncbi


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pmid32777390      World+Neurosurg 2020 ; 143 (ä): e550-e560
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  • Case Volumes and Perioperative Coronavirus Disease 2019 Incidence in Neurosurgical Patients During a Pandemic: Experiences at Two Tertiary Care Centers in Washington, DC #MMPMID32777390
  • Dowlati E; Zhou T; Sarpong K; Pivazyan G; Briscoe J; Fayed I; Mualem W; Black J; Kalhorn CG; Nair MN; Felbaum DR
  • World Neurosurg 2020[Nov]; 143 (ä): e550-e560 PMID32777390show ga
  • OBJECTIVE: The true incidence of perioperative coronavirus disease 2019 (COVID-19) has not been well elucidated in neurosurgical studies. We reviewed the effects of the pandemic on the neurosurgical case volume to study the incidence of COVID-19 in patients undergoing these procedures during the perioperative period and compared the characteristics and outcomes of this group to those of patients without COVID-19. METHODS: The neurosurgical and neurointerventional procedures at 2 tertiary care centers during the pandemic were reviewed. The case volume, type, and acuity were compared to those during the same period in 2019. The perioperative COVID-19 tests and results were evaluated to obtain the incidence. The baseline characteristics, including a modified Medically Necessary Time Sensitive (mMeNTS) score, and outcome measures were compared between those with and without COVID-19. RESULTS: A total of 405 cases were reviewed, and a significant decrease was found in total spine, cervical spine, lumbar spine, and functional/pain cases. No significant differences were found in the number of cranial or neurointerventional cases. Of the 334 patients tested, 18 (5.4%) had tested positive for COVID-19. Five of these patients were diagnosed postoperatively. The mMeNTS score, complications, and case acuity were significantly different between the patients with and without COVID-19. CONCLUSION: A small, but real, risk exists of perioperative COVID-19 in neurosurgical patients, and those patients have tended to have a greater complication rate. Use of the mMeNTS score might play a role in decision making for scheduling elective cases. Further studies are warranted to develop risk stratification and validate the incidence.
  • |Adult[MESH]
  • |COVID-19/*virology[MESH]
  • |District of Columbia[MESH]
  • |Elective Surgical Procedures/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Neurosurgery/*statistics & numerical data[MESH]
  • |Neurosurgical Procedures/statistics & numerical data[MESH]
  • |SARS-CoV-2/*pathogenicity[MESH]
  • |Tertiary Care Centers[MESH]


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