Evidence map›Paper›PMID 33731753›Full record

Observational studyScientific reports2021

Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic.

Lukas Grassner, Ondra Petr, Freda M Warner, Michaela Dedeciusova, Andrea Maria Mathis, Daniel Pinggera, Sina Gsellmann, Laura C Meiners, Sascha Freigang, Michael Mokry and 57 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

67 authors.

Lukas Grassner *Department of Neurosurgery, Medical University Innsbruck, Anichstrasse 35, MZA 3rd floor, 6020, Innsbruck, Austria. Lukas.grassner@googlemail.com.
Ondra Petr *Department of Neurosurgery, Medical University Innsbruck, Anichstrasse 35, MZA 3rd floor, 6020, Innsbruck, Austria.
Freda M Warner *International Collaboration On Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Michaela Dedeciusova *Department of Neurosurgery and Neuro-Oncology, 1St Medical Faculty, Charles University, Central Military Hospital, Prague, Czech Republic.
Andrea Maria Mathis *Department of Neurosurgery, Inselspital Bern, Bern University Hospital, Bern, Switzerland.
Daniel PinggeraDepartment of Neurosurgery, Medical University Innsbruck, Anichstrasse 35, MZA 3rd floor, 6020, Innsbruck, Austria.
Sina GsellmannDepartment of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Laura C MeinersDepartment of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Sascha FreigangDepartment of Neurosurgery, Medical University Graz, Graz, Austria.
Michael MokryDepartment of Neurosurgery, Medical University Graz, Graz, Austria.
Alexandra ReschDepartment of Neurosurgery & Neurorestauration Klinikum Klagenfurt, Klagenfurt, Austria.
Thomas KretschmerDepartment of Neurosurgery & Neurorestauration Klinikum Klagenfurt, Klagenfurt, Austria.
Tobias RossmannDepartment of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria.
Francisco Ruiz NavarroDepartment of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria.
Andreas GruberDepartment of Neurosurgery, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria.
Mathias SpendelDepartment of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria.
Peter A WinklerDepartment of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria.
Franz MarholdDepartment of Neurosurgery, University Hospital of St, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.
Camillo SherifDepartment of Neurosurgery, University Hospital of St, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.
Jonathan P WaisDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Karl RösslerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Wolfgang PfistererDepartment of Neurosurgery, Klinik Donaustadt, Vienna, Austria.
Manfred MühlbauerDepartment of Neurosurgery, Klinik Donaustadt, Vienna, Austria.
Felipe A Trivik-BarrientosDepartment of Neurosurgery, General Hospital Wiener Neustadt, Wiener Neustadt, Austria.
Sebastian RathDepartment of Neurosurgery, General Hospital Wiener Neustadt, Wiener Neustadt, Austria.
Richard VoldrichDepartment of Neurosurgery and Neuro-Oncology, 1St Medical Faculty, Charles University, Central Military Hospital, Prague, Czech Republic.
Lukas KrskaDepartment of Neurosurgery, University Hospital Ostrava, Ostrava, Czech Republic.
Radim LipinaDepartment of Neurosurgery, University Hospital Ostrava, Ostrava, Czech Republic.
Martin KerekanicDepartment of Neurosurgery, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic.
Jiri FiedlerDepartment of Neurosurgery, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic.
Petr KasikDepartment of Neurosurgery, Pilsen University Hospital, Pilsen, Czech Republic.
Vladimir PribanDepartment of Neurosurgery, Pilsen University Hospital, Pilsen, Czech Republic.
Michal TichyDepartment of Neurosurgery, Motol University Hospital, Motol, Czech Republic.
Petr KrupaDepartment of Neurosurgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Tomas CesakDepartment of Neurosurgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Robert KroupaUnit of Neurosurgery, Municipal Hospital - Ostrava Fifejdy, Ostrava Fifejdy, Czech Republic.
Andrej CalloDepartment of Neurosurgery, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Pavel HaninecDepartment of Neurosurgery, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Daniel PohlodekDepartment of Neurosurgery, University Hospital Olomouc, Olomouc, Czech Republic.
David KrahulikDepartment of Neurosurgery, University Hospital Olomouc, Olomouc, Czech Republic.
Alena SejkorovaDepartment of Neurosurgery, Usti Nad Labem Hospital, Prague, Czech Republic.
Martin SamesDepartment of Neurosurgery, Usti Nad Labem Hospital, Prague, Czech Republic.
Josef DvorakDepartment of Neurosurgery, Liberec Hospital, Prague, Czech Republic.
Petr SuchomelDepartment of Neurosurgery, Liberec Hospital, Prague, Czech Republic.
Robert TomasUnit of Neurosurgery, Homolka Hospital, Prague, Czech Republic.
Jan KlenerUnit of Neurosurgery, Homolka Hospital, Prague, Czech Republic.
Vilem JuranDepartment of Neurosurgery, University Hospital Brno and Masaryk University, Prague, Czech Republic.
Martin SmrckaDepartment of Neurosurgery, University Hospital Brno and Masaryk University, Prague, Czech Republic.
Petr LinzerUnit of Neurosurgery, Zlin Hospital, Prague, Czech Republic.
Miroslav KaiserUnit of Neurosurgery, Pardubice Hospital, Prague, Czech Republic.
Dusan HrabovskyDepartment of Neurosurgery, St. Anne's University Hospital Brno and Masaryk University, Prague, Czech Republic.
Radim JancalekDepartment of Neurosurgery, St. Anne's University Hospital Brno and Masaryk University, Prague, Czech Republic.
Vincens KälinDepartment of Neurosurgery, Kantonspital St. Gallen, St. Gallen, Switzerland.
Oliver BozinovDepartment of Neurosurgery, Kantonspital St. Gallen, St. Gallen, Switzerland.
Cedric NiggliDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Carlo SerraDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Ramona GuattaClinic of Neurosurgery, Neurocenter of Southern Switzerland, Lugano, Switzerland.
Dominique E KuhlenClinic of Neurosurgery, Neurocenter of Southern Switzerland, Lugano, Switzerland.
Stefan WandererDepartment of Neurosurgery, Kantonspital Aarau, Aarau, Switzerland.
Serge MarbacherDepartment of Neurosurgery, Kantonspital Aarau, Aarau, Switzerland.
Alexandre LavéDepartment of Neurosurgery, Geneva University Hospitals, Geneva, Switzerland.
Karl SchallerDepartment of Neurosurgery, Geneva University Hospitals, Geneva, Switzerland.
Clarinde EsculierDepartment of Neurosurgery, Inselspital Bern, Bern University Hospital, Bern, Switzerland.
Andreas RaabeDepartment of Neurosurgery, Inselspital Bern, Bern University Hospital, Bern, Switzerland.
John L K KramerInternational Collaboration On Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Claudius ThoméDepartment of Neurosurgery, Medical University Innsbruck, Anichstrasse 35, MZA 3rd floor, 6020, Innsbruck, Austria.
David NetukaDepartment of Neurosurgery and Neuro-Oncology, 1St Medical Faculty, Charles University, Central Military Hospital, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCOVID-19EuropeFemaleHumansInfantInfant, NewbornMaleMiddle AgedNeurosurgeryNeurosurgical Procedures

Identifiers

PMID33731753
PMCPMC7969942

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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.