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Neurosurgical Practice During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic: A Worldwide Survey.
Fontanella, Marco M; De Maria, Lucio; Zanin, Luca; Saraceno, Giorgio; Terzi di Bergamo, Lodovico; Servadei, Franco; Chaurasia, Bipin; Olivi, Alessandro; Vajkoczy, Peter; Schaller, Karl; Cappabianca, Paolo; Doglietto, Francesco.
  • Fontanella MM; Neurosurgery, University of Brescia, Brescia, Italy.
  • De Maria L; Neurosurgery, University of Brescia, Brescia, Italy. Electronic address: l.demaria@unibs.it.
  • Zanin L; Neurosurgery, University of Brescia, Brescia, Italy.
  • Saraceno G; Neurosurgery, University of Brescia, Brescia, Italy.
  • Terzi di Bergamo L; Institute of Oncology Research, Bellinzona, Switzerland.
  • Servadei F; Neurosurgery, Humanitas University and Research Institute, Milan, Italy.
  • Chaurasia B; Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • Olivi A; Neurosurgery, Agostino Gemelli Foundation, Rome, Italy.
  • Vajkoczy P; Neurosurgery, Charité University Medicine, Berlin, Germany.
  • Schaller K; Neurosurgery, University of Geneva, Geneva, Switzerland.
  • Cappabianca P; Neurosurgery, Federico II University, Naples, Italy.
  • Doglietto F; Neurosurgery, University of Brescia, Brescia, Italy.
World Neurosurg ; 139: e818-e826, 2020 07.
Article in English | MEDLINE | ID: covidwho-324728
Semantic information from SemMedBD (by NLM)
1. 2019 novel coronavirus PROCESS_OF Patients
Subject
2019 novel coronavirus
Predicate
PROCESS_OF
Object
Patients
2. 2019 novel coronavirus PROCESS_OF Patients
Subject
2019 novel coronavirus
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
BACKGROUND AND

OBJECTIVE:

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has consistently changed medical practice throughout specialties, regardless of their contribution in facing the disease itself. We surveyed neurosurgeons worldwide to investigate the situation they are experiencing.

METHODS:

A 17-question, web-based survey was administered to neurosurgeons worldwide through the World Federation of Neurosurgical Societies and the Neurosurgery Cocktail from March 28 to April 5, 2020, by web link or e-mail invitation. Questions were divided into 3 subgroups general information, health system organization, and institutional plans for the SARS-CoV-2 outbreak. Collected data were initially elaborated using SurveyMonkey software. Country-specific data were extracted from the World Health Organization website. Statistical analysis was performed using R, version 3.6.3.

RESULTS:

Of the 446 respondents, most were from Italy (20%), India (19%), and Pakistan (5%). Surgical activity was significantly reduced in most centers (79%) and dedicated in-hospital routes were created for patients with SARS-CoV-2 (58%). Patient screening was performed only when there were symptoms (57%) and not routinely before surgery (18%). The preferred methods included a nasopharyngeal swab and chest radiograph. Health professionals were rarely screened (20%) and sometimes, even if SARS-CoV-2 positive, were asked to work if asymptomatic (26%). Surgical planning was changed in most institutions (92%), whereas indications were modified for nonurgent procedures (59%) and remained unchanged for subarachnoid hemorrhages (85%).

CONCLUSIONS:

Most neurosurgeons worldwide reported work reorganization and practices that respond to current international guidelines. Differences in practice might be related to the perception of the pandemic and significant differences in the health systems. Sharing data and experiences will be of paramount importance to address the present moment and challenges in the near future.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Global Health / Surveys and Questionnaires / Coronavirus Infections / Pandemics / Neurosurgeons / Betacoronavirus Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2020 Document Type: Article Affiliation country: J.wneu.2020.04.204

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Global Health / Surveys and Questionnaires / Coronavirus Infections / Pandemics / Neurosurgeons / Betacoronavirus Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2020 Document Type: Article Affiliation country: J.wneu.2020.04.204