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Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Sci+Rep 2021 ; 11 (1): 6171 Nephropedia Template TP
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Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic #MMPMID33731753
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; Rossler K; Pfisterer W; Muhlbauer 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; Kalin V; Bozinov O; Niggli C; Serra C; Guatta R; Kuhlen DE; Wanderer S; Marbacher S; Lave A; Schaller K; Esculier C; Raabe A; Kramer JLK; Thome C; Netuka D
Sci Rep 2021[Mar]; 11 (1): 6171 PMID33731753show ga
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.
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Sci+Rep 2021 ; 11 (1): 6171
