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1.
Sci Rep ; 11(1): 6171, 2021 03 17.
Article in English | MEDLINE | ID: covidwho-1139756

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.


Subject(s)
COVID-19/mortality , Neurosurgical Procedures/mortality , Neurosurgical Procedures/trends , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Europe , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Neurosurgery/methods , Pandemics/statistics & numerical data , Retrospective Studies , Young Adult
2.
Neurosurgery ; 87(2): E241-E242, 2020 08 01.
Article in English | MEDLINE | ID: covidwho-1109296
4.
Neurosurgery ; 87(4): 854-856, 2020 09 15.
Article in English | MEDLINE | ID: covidwho-641027

ABSTRACT

Even though neurosurgeons exercise these enormous and versatile skills, the COVID-19 pandemic has shaken the fabrics of the global neurosurgical family, jeopardizing human lives, and forcing the entire world to be locked down. We stand on the shoulders of the giants and will not forget their examples and their teachings. We will work to the best of our ability to honor their memory. Professor Harvey Cushing said: "When to take great risks; when to withdraw in the face of unexpected difficulties; whether to force an attempted enucleation of a pathologically favorable tumor to its completion with the prospect of an operative fatality, or to abandon the procedure short of completeness with the certainty that after months or years even greater risks may have to be faced at a subsequent session-all these require surgical judgment which is a matter of long experience." It is up to us, therefore, to keep on the noble path that we have decided to undertake, to accumulate the surgical experience that these icons have shown us, the fruit of sacrifice and obstinacy. Our tribute goes to them; we will always remember their excellent work and their brilliant careers that will continue to enlighten all of us.


Subject(s)
Betacoronavirus , Coronavirus Infections/history , Neurosurgery/history , Pandemics/history , Pneumonia, Viral/history , COVID-19 , Coronavirus Infections/mortality , History, 21st Century , Humans , Pneumonia, Viral/mortality , SARS-CoV-2
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