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10.1016/j.wneu.2020.12.103 http://scihub22266oqcxt.onion/10.1016/j.wneu.2020.12.103 33385598!7772085!33385598     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33385598&cmd=llinks): Failed to open stream: HTTP request failed! 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Impact of COVID-19 on a Neurosurgical Service: Lessons from the University of California San Diego |pdf=|usr=}}{{33385598}} gab.com Text Impact of COVID-19 on a Neurosurgical Service: Lessons from the University of California San Diego JO: World Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=33385598 #FOAvip BACKGROUND: The institution-wide response of the University of California San Diego Health system to the 2019 novel coronavirus disease (COVID-19) pandemic was founded on rapid development of in-house testing capacity, optimization of personal protective equipment usage, expansion of intensive care unit capacity, development of analytic dashboards for monitoring of institutional status, and implementation of an operating room (OR) triage plan that postponed nonessential/elective procedures. We analyzed the impact of this triage plan on the only academic neurosurgery center in San Diego County, California, USA. METHODS: We conducted a de-identified retrospective review of all operative cases and procedures performed by the Department of Neurosurgery from November 24, 2019, through July 6, 2020, a 226-day period. Statistical analysis involved 2-sample z tests assessing daily case totals over the 113-day periods before and after implementation of the OR triage plan on March 16, 2020. RESULTS: The neurosurgical service performed 1429 surgical and interventional radiologic procedures over the study period. There was no statistically significant difference in mean number of daily total cases in the pre-versus post-OR triage plan periods (6.9 vs. 5.8 mean daily cases; 1-tail P = 0.050, 2-tail P = 0.101), a trend reflected by nearly every category of neurosurgical cases. CONCLUSIONS: During the COVID-19 pandemic, the University of California San Diego Department of Neurosurgery maintained an operative volume that was only modestly diminished and continued to meet the essential neurosurgical needs of a large population. Lessons from our experience can guide other departments as they triage neurosurgical cases to meet community needs. Twit Text FOAVip Impact of COVID-19 on a Neurosurgical Service: Lessons from the University of California San Diego ????World Neurosurg http://www.kidney.de/pget.php?&tw=1&pmid=33385598 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33385598 #FOAvip English Wikipedia <ref>{{Cite pmid|33385598}}</ref> Impact of COVID-19 on a Neurosurgical Service: Lessons from the University of California San Diego #MMPMID33385598 Wali AR; Ryba BE; Kang K; Santiago-Dieppa DR; Steinberg J; Diaz-Aguilar LD; Stone LE; Brandel MG; Longhurst CA; Taylor W; Khalessi AA World Neurosurg 2021[Apr]; 148 (ä): e172-e181 PMID33385598show ga BACKGROUND: The institution-wide response of the University of California San Diego Health system to the 2019 novel coronavirus disease (COVID-19) pandemic was founded on rapid development of in-house testing capacity, optimization of personal protective equipment usage, expansion of intensive care unit capacity, development of analytic dashboards for monitoring of institutional status, and implementation of an operating room (OR) triage plan that postponed nonessential/elective procedures. We analyzed the impact of this triage plan on the only academic neurosurgery center in San Diego County, California, USA. METHODS: We conducted a de-identified retrospective review of all operative cases and procedures performed by the Department of Neurosurgery from November 24, 2019, through July 6, 2020, a 226-day period. Statistical analysis involved 2-sample z tests assessing daily case totals over the 113-day periods before and after implementation of the OR triage plan on March 16, 2020. RESULTS: The neurosurgical service performed 1429 surgical and interventional radiologic procedures over the study period. There was no statistically significant difference in mean number of daily total cases in the pre-versus post-OR triage plan periods (6.9 vs. 5.8 mean daily cases; 1-tail P = 0.050, 2-tail P = 0.101), a trend reflected by nearly every category of neurosurgical cases. CONCLUSIONS: During the COVID-19 pandemic, the University of California San Diego Department of Neurosurgery maintained an operative volume that was only modestly diminished and continued to meet the essential neurosurgical needs of a large population. Lessons from our experience can guide other departments as they triage neurosurgical cases to meet community needs. |Academic Medical Centers/organization & administration[MESH] |Brain Neoplasms/surgery[MESH] |COVID-19 Nucleic Acid Testing[MESH] |COVID-19 Serological Testing[MESH] |COVID-19/diagnosis/*epidemiology[MESH] |California/epidemiology[MESH] |Cerebrospinal Fluid Shunts/statistics & numerical data[MESH] |Elective Surgical Procedures[MESH] |Endovascular Procedures/statistics & numerical data[MESH] |Hospital Bed Capacity[MESH] |Hospital Departments/organization & administration[MESH] |Hospitals, University/*organization & administration[MESH] |Humans[MESH] |Infection Control[MESH] |Information Dissemination/methods[MESH] |Intensive Care Units[MESH] |Laboratories, Hospital[MESH] |Multi-Institutional Systems[MESH] |Neurosurgery/*organization & administration[MESH] |Neurosurgical Procedures/*statistics & numerical data[MESH] |Operating Rooms[MESH] |Organizational Policy[MESH] |Personal Protective Equipment/supply & distribution[MESH] |Retrospective Studies[MESH] |Risk Assessment[MESH] |SARS-CoV-2[MESH] |Surge Capacity[MESH] |Triage[MESH] |Vascular Surgical Procedures/statistics & numerical data[MESH] |Ventilators, Mechanical/supply & distribution[MESH]Impact of COVID-19 on a Neurosurgical Service: Lessons from the Univer(epmc).pdf DeepDyve Pubget Overpricing