Evidence map›Paper›PMID 33385598›Full record

ArticleWorld neurosurgery2021

Impact of COVID-19 on a Neurosurgical Service: Lessons from the University of California San Diego.

Arvin R Wali, Bryan E Ryba, Keiko Kang, David R Santiago-Dieppa, Jeffrey Steinberg, Luis Daniel Diaz-Aguilar, Lauren E Stone, Michael G Brandel, Christopher A Longhurst, William Taylor and 1 more

Abstract read
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. 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 · 2022
    Review
  4. Article
  5. Article
  6. Article
  7. Impact on neurosurgical management in a Level 1 trauma center post COVID-19 shelter-in-place restrictions.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Arvin R WaliDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Bryan E RybaDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA. Electronic address: bryba@health.ucsd.edu.
Keiko KangDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
David R Santiago-DieppaDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Jeffrey SteinbergDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Luis Daniel Diaz-AguilarDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Lauren E StoneDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Michael G BrandelDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Christopher A LonghurstDepartment of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.
William TaylorDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.
Alexander A KhalessiDepartment of Neurosurgery, University of California San Diego, La Jolla, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsWe 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.

resultsThe 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.

conclusionsDuring 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.

Indexed as

Academic Medical CentersBrain NeoplasmsCaliforniaCerebrospinal Fluid ShuntsCOVID-19COVID-19 Nucleic Acid TestingCOVID-19 Serological TestingElective Surgical ProceduresEndovascular ProceduresHospital Bed CapacityHospital DepartmentsHospitals, UniversityHumansInfection ControlInformation DisseminationIntensive Care UnitsCOVID-19ElectiveEssentialOperative volume

Identifiers

PMID33385598
PMCPMC7772085

What OpenQuestion holds

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Registered trials

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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.