Evidence map›Paper›PMID 36030282›Full record

ArticleScientific reports2022

Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic.

Ondra Petr, Lukas Grassner, Freda M Warner, Michaela Dedeciusová, Richard Voldřich, Philipp Geiger, Konstantin Brawanski, Sina Gsellmann, Laura C Meiners, Richard Bauer and 52 more

Abstract read
In one paragraph

Article in Scientific reports, 2022. 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.

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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

62 authors.

Ondra Petr *Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria. ondra.petr@yahoo.com.
Lukas Grassner *Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Freda M Warner *International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Michaela Dedeciusová *Department of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic.
Richard Voldřich *Department of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic.
Philipp GeigerDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Konstantin BrawanskiDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Sina GsellmannDepartment of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Laura C MeinersDepartment of Neurosurgery, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Richard BauerDepartment 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.
Harald StefanitsDepartment 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.
Christoph SchwartzDepartment of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria.
Christoph GriessenauerDepartment of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Salzburg, Austria.
Franz MarholdDepartment of Neurosurgery, University Hospital of St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.
Camillo SherifDepartment of Neurosurgery, University Hospital of St. Poelten, 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.
Jakob J ZagataUnit of Neurosurgery, Klinik Landstrasse, Vienna, Austria.
Martin OrtlerUnit of Neurosurgery, Klinik Landstrasse, 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.
Johannes BurtscherDepartment of Neurosurgery, General Hospital Wiener Neustadt, Wiener Neustadt, Austria.
Lukáš KrškaDepartment of Neurosurgery, University Hospital Ostrava, Ostrava, Czech Republic.
Radim LipinaDepartment of Neurosurgery, University Hospital Ostrava, Ostrava, Czech Republic.
Martin KerekaničDepartment of Neurosurgery, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic.
Jiří FiedlerDepartment of Neurosurgery, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic.
Petr KasíkDepartment of Neurosurgery, Pilsen University Hospital, Pilsen, Czech Republic.
Vladimír PřibáňDepartment of Neurosurgery, Pilsen University Hospital, Pilsen, Czech Republic.
Michal TichýDepartment of Neurosurgery, Motol University Hospital, Prague, Czech Republic.
Vladimír BenešDepartment of Neurosurgery, Motol University Hospital, Prague, Czech Republic.
Petr KrůpaDepartment of Neurosurgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Tomáš ČesákDepartment of Neurosurgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Robert KroupaUnit of Neurosurgery, Municipal Hospital - Ostrava Fifejdy, Ostrava, 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 KrahulíkDepartment of Neurosurgery, University Hospital Olomouc, Olomouc, Czech Republic.
Alena SejkorováDepartment of Neurosurgery, Usti Nad Labem Hospital, Usti Nad Labem, Czech Republic.
Martin SamešDepartment of Neurosurgery, Usti Nad Labem Hospital, Usti Nad Labem, Czech Republic.
Josef DvořákDepartment of Neurosurgery, Liberec Hospital, Liberec, Czech Republic.
Andriana JuričekováDepartment of Neurosurgery, Liberec Hospital, Liberec, Czech Republic.
Pavel BuchvaldDepartment of Neurosurgery, Liberec Hospital, Liberec, Czech Republic.
Robert TomášUnit of Neurosurgery, Homolka Hospital, Prague, Czech Republic.
Jan KlenerUnit of Neurosurgery, Homolka Hospital, Prague, Czech Republic.
Vilém JuráňDepartment of Neurosurgery, University Hospital Brno and Masaryk University, Brno, Czech Republic.
Martin SmrčkaDepartment of Neurosurgery, University Hospital Brno and Masaryk University, Brno, Czech Republic.
Petr LinzerUnit of Neurosurgery, Zlin Hospital, Zlin, Czech Republic.
Miroslav KaiserUnit of Neurosurgery, Pardubice Hospital, Pardubice, Czech Republic.
Dušan HrabovskýDepartment of Neurosurgery, St. Anne's University Hospital Brno and Masaryk University, Brno, Czech Republic.
Radim JančálekDepartment of Neurosurgery, St. Anne's University Hospital Brno and Masaryk University, Brno, Czech Republic.
John L K KramerInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Claudius ThoméDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
David NetukaDepartment of Neurosurgery and Neuro-Oncology, 1st Medical Faculty, Central Military Hospital, Charles University, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reflecting the first wave COVID-19 pandemic in Central Europe (i.e. March 16th-April 15th, 2020) the neurosurgical community witnessed a general diminution in the incidence of emergency neurosurgical cases, which was impelled by a reduced number of traumatic brain injuries (TBI), spine conditions, and chronic subdural hematomas (CSDH). This appeared to be associated with restrictions imposed on mobility within countries but also to possible delayed patient introduction and interdisciplinary medical counseling. In response to one year of COVID-19 experience, also mapping the third wave of COVID-19 in 2021 (i.e. March 16 to April 15, 2021), we aimed to reevaluate the current prevalence and outcomes for emergency non-elective neurosurgical cases in COVID-19-negative patients across Austria and the Czech Republic. The primary analysis was focused on incidence and 30-day mortality in emergency neurosurgical cases compared to four preceding years (2017-2020). A total of 5077 neurosurgical emergency cases were reviewed. The year 2021 compared to the years 2017-2019 was not significantly related to any increased odds of 30 day mortality in Austria or in the Czech Republic. Recently, there was a significant propensity toward increased incidence rates of emergency non-elective neurosurgical cases during the third COVID-19 pandemic wave in Austria, driven by their lower incidence during the first COVID-19 wave in 2020. Selected neurosurgical conditions commonly associated with traumatic etiologies including TBI, and CSDH roughly reverted to similar incidence rates from the previous non-COVID-19 years. Further resisting the major deleterious effects of the continuing COVID-19 pandemic, it is edifying to notice that the neurosurgical community´s demeanor to the recent third pandemic culmination keeps the very high standards of non-elective neurosurgical care alongside with low periprocedural morbidity. This also reflects the current state of health care quality in the Czech Republic and Austria.

Indexed as

COVID-19Hematoma, Subdural, ChronicEuropeHumansNeurosurgical ProceduresPandemics

Identifiers

PMID36030282
PMCPMC9420122

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