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1.
Interv Neuroradiol ; 27(1_suppl): 44-45, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1477213

ABSTRACT

The Japan healthcare system is considered as one of the world's finest. However, medical facilities across Japan are struggling to cope with the recent surge in novel coronavirus infections, leaving the medical care system in many areas on the brink of collapse. Physician burnout was already a growing problem, and the coronavirus disease 2019 pandemic has only made it worse. The personal impact of coronavirus disease 2019 in Japan is reported.


Subject(s)
COVID-19 , Pandemics , Humans , Japan/epidemiology , SARS-CoV-2 , Triage
2.
J Neurointerv Surg ; 12(8): 726-730, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-629793

ABSTRACT

BACKGROUND: This survey was focused on the provision of neurointerventional services, the current practices of managing patients under COVID-19 conditions, and the expectations for the future. METHODS: Invitations for this survey were sent out as a collaborative effort of the European Society of Minimally Invasive Neurological Therapy (ESMINT), the Society of NeuroInterventional Surgery (SNIS), the Sociedad Iberolatinoamericana de Neuroradiologia Diagnostica y Terapeutica (SILAN), the Society of Vascular and Interventional Neurology (SVIN), and the World Federation of Interventional and Therapeutic Neuroradiology (WFITN). RESULTS: Overall, 475 participants from 61 countries responded (six from Africa (1%), 81 from Asia (17%), 156 from Europe (33%), 53 from Latin America (11%), and 172 from North America (11%)). The majority of participants (96%) reported being able to provide emergency services, though 26% of these reported limited resources. A decrease in emergency procedures was reported by 69% of participants (52% in ischemic and hemorrhagic stroke, 11% ischemic, and 6% hemorrhagic stroke alone). Only 4% reported an increase in emergency cases. The emerging need for social distancing and the rapid adoption of remote communication was reflected in the interest in establishing case discussion forums (43%), general online forums (37%), and access to angio video streaming for live mentoring and support (33%). CONCLUSION: Neurointerventional emergency services are available in almost all centers, while the number of emergency patients is markedly decreased. Half of the participants have abandoned neurointerventions in non-emergent situations. There are considerable variations in the management of neurointerventions and in the expectations for the future.


Subject(s)
Betacoronavirus , Coronavirus Infections , Minimally Invasive Surgical Procedures , Pandemics , Pneumonia, Viral , COVID-19 , Coronavirus Infections/epidemiology , Humans , Neurosurgical Procedures , Pneumonia, Viral/epidemiology , SARS-CoV-2 , Surveys and Questionnaires
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