Evidence map›Paper›PMID 33271378›Full record

ArticleWorld neurosurgery2021

Perioperative Coronavirus Disease 2019 (COVID-19) Incidence and Outcomes in Neurosurgical Patients at Two Tertiary Care Centers in Washington, DC, During a Pandemic: A 6-Month Follow-up.

Kwadwo Sarpong, Ehsan Dowlati, Charles Withington, Kelsi Chesney, William Mualem, Kathryn Hay, Tianzan Zhou, Jordan Black, Matthew Shashaty, Christopher G Kalhorn and 2 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in World neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Kwadwo SarpongGeorgetown University School of Medicine, Washington, DC, USA.
Ehsan DowlatiDepartment of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA. Electronic address: edowlati@gmail.com.
Charles WithingtonGeorgetown University School of Medicine, Washington, DC, USA.
Kelsi ChesneyDepartment of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA.
William MualemGeorgetown University School of Medicine, Washington, DC, USA.
Kathryn HayGeorgetown University School of Medicine, Washington, DC, USA.
Tianzan ZhouDepartment of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Jordan BlackGeorgetown University School of Medicine, Washington, DC, USA.
Matthew ShashatyGeorgetown University School of Medicine, Washington, DC, USA.
Christopher G KalhornDepartment of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Mani N NairDepartment of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Daniel R FelbaumDepartment of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA; Department of Neurosurgery, MedStar Washington Hospital Center, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCoronavirus disease 2019 (COVID-19) continues to affect all aspects of health care delivery, and neurosurgical practices are not immune to its impact. We aimed to evaluate neurosurgical practice patterns as well as the perioperative incidence of COVID-19 in neurosurgical patients and their outcomes.

methodsA retrospective review of neurosurgical and neurointerventional cases at 2 tertiary centers during the first 3 months of the first peak of COVID-19 pandemic (March 8 to June 8) as well as following 3 months (post-peak pandemic; June 9 to September 9) was performed. Baseline characteristics, perioperative COVID-19 test results, modified Medically Necessary, Time-Sensitive (mMeNTS) score, and outcome measures were compared between COVID-19-positive and-negative patients through bivariate and multivariate analysis.

resultsIn total, 652 neurosurgical and 217 neurointerventional cases were performed during post-peak pandemic period. Cervical spine, lumbar spine, functional/pain, cranioplasty, and cerebral angiogram cases were significantly increased in the postpandemic period. There was a 2.9% (35/1197) positivity rate for COVID-19 testing overall and 3.6% (13/363) positivity rate postoperatively. Age, mMeNTS score, complications, length of stay, case acuity, American Society of Anesthesiologists status, and disposition were significantly different between COVID-19-positive and-negative patients.

conclusionsA significant increase in elective case volume during the post-peak pandemic period is feasible with low and acceptable incidence of COVID-19 in neurosurgical patients. COVID-19-positive patients were younger, less likely to undergo elective procedures, had increased length of stay, had more complications, and were discharged to a location other than home. The mMeNTS score plays a role in decision-making for scheduling elective cases.

Indexed as

AdultAgedCOVID-19District of ColumbiaFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedNeurosurgical ProceduresPandemicsPerioperative CareRetrospective StudiesTertiary Care CentersTime FactorsCOVID-19NeurointerventionalNeurosurgeryNosocomial infectionPandemic responseSARS-CoV-2

Identifiers

PMID33271378
PMCPMC7703227

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.