Observational studyClinical neurology and neurosurgery2020
The longitudinal impact of COVID-19 pandemic on neurosurgical practice.
Observational study in Clinical neurology and neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Network analysis of neurosurgical literature: an increased focus on training during the COVID-19 pandemic.Neurosurgical review · 2023Review
- A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training.Scientific African · 2023Article
- How has the COVID-19 pandemic impacted clinical care and research in Neuro-Oncology?Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022Review
- The impact of telephone consultations due to COVID-19 on paediatric neurosurgical health services.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Article
- Neurosurgical emergency management during the lockdown period in health care regions in Spain with different COVID-19 impact: lessons learned to improve outcomes on the future waves.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Challenges in Neurosurgery During the COVID-19 Pandemic: The Experience of Kazakhstan.World neurosurgery · 2022Article
- The Impact of COVID-19 Surges in 2019-2021 on Patient-Reported Outcome Measures After Spine Surgery at an Academic Tertiary Referral Center in Taiwan: A Retrospective Observational Cohort Study.Frontiers in surgery · 2022Article
- COVID-19 Pandemic Impact on Orthopaedic Trauma Practice: A Global Perspective.Orthopedic research and reviews · 2022Review
- Article
- Cervical Spinal Cord Injury During Prone Position Ventilation in the COVID-19 Pandemic.Cureus · 2021Article
- In Reply to the Letter to the Editor Regarding "Perception of Neurosurgery Residents and Attendings on Online Webinars During COVID-19 Pandemic and Implications on Future Education".World neurosurgery · 2021Article
- Impact of COVID-19 pandemic on the management of glioma patients around the world. An evidence-based review.Brain disorders (Amsterdam, Netherlands) · 2021Review
- COVID-19 and Changes in Neurosurgical Workload in the United Kingdom.World neurosurgery · 2021Article
Corrections and comments
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Authors and funding
35 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis observational cross-sectional multicenter study aimed to evaluate the longitudinal impact of the coronavirus disease 2019 (COVID-19) pandemic on neurosurgical practice.
methodsWe included 29 participating neurosurgeons in centers from all geographical regions in the Kingdom of Saudi Arabia. The study period, which was between March 5, 2020 and May 20, 2020, was divided into three equal periods to determine the longitudinal effect of COVID-19 measures on neurosurgical practice over time.
resultsDuring the 11-week study period, 474 neurosurgical interventions were performed. The median number of neurosurgical procedures per day was 5.5 (interquartile range [IQR]: 3.5-8). The number of cases declined from 72 in the first week and plateaued at the 30's range in subsequent weeks. The most and least number of performed procedures were oncology (129 [27.2 %]) and functional procedures (6 [1.3 %]), respectively. Emergency (Priority 1) cases were more frequent than non-urgent (Priority 4) cases (178 [37.6 %] vs. 74 [15.6 %], respectively). In our series, there were three positive COVID-19 cases. There was a significant among-period difference in the length of hospital stay, which dropped from a median stay of 7 days (IQR: 4-18) to 6 (IQR: 3-13) to 5 days (IQR: 2-8). There was no significant among-period difference with respect to institution type, complications, or mortality.
conclusionOur study demonstrated that the COVID-19 pandemic decreased the number of procedures performed in neurosurgery practice. The load of emergency neurosurgery procedures did not change throughout the three periods, which reflects the need to designate ample resources to cover emergencies. Notably, with strict screening for COVID -19 infections, neurosurgical procedures could be safely performed during the early pandemic phase. We recommend to restart performing neurosurgical procedures once the pandemic gets stabilized to avoid possible post pandemic health-care system intolerable overload.
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