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Intensive care of traumatic brain injury and aneurysmal subarachnoid hemorrhage in Helsinki during the Covid-19 pandemic.
Luostarinen, Teemu; Virta, Jyri; Satopää, Jarno; Bäcklund, Minna; Kivisaari, Riku; Korja, Miikka; Raj, Rahul.
  • Luostarinen T; Division of Anaesthesiology, Department of Anaesthesiology, Intensive Care and Pain Medicine, Helsinki University Hospital, Topeliuksenkatu 5, PO BOX 266, 00029 HUS, Helsinki, Finland. teemu.luostarinen@hus.fi.
  • Virta J; Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  • Satopää J; Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  • Bäcklund M; Division of Intensive Care, Department of Anaesthesiology, Intensive Care and Pain Medicine, Helsinki University Hospital, Helsinki, Finland.
  • Kivisaari R; Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  • Korja M; Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  • Raj R; Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Acta Neurochir (Wien) ; 162(11): 2715-2724, 2020 11.
Article in English | MEDLINE | ID: covidwho-793657
ABSTRACT

BACKGROUND:

To ensure adequate intensive care unit (ICU) capacity for SARS-CoV-2 patients, elective neurosurgery and neurosurgical ICU capacity were reduced. Further, the Finnish government enforced strict restrictions to reduce the spread. Our objective was to assess changes in ICU admissions and prognosis of traumatic brain injury (TBI) and aneurysmal subarachnoid hemorrhage (SAH) during the Covid-19 pandemic.

METHODS:

Retrospective review of all consecutive patients with TBI and aneurysmal SAH admitted to the neurosurgical ICU in Helsinki from January to May of 2019 and the same months of 2020. The pre-pandemic time was defined as weeks 1-11, and the pandemic time was defined as weeks 12-22. The number of admissions and standardized mortality rates (SMRs) were compared to assess the effect of the Covid-19 pandemic on these. Standardized mortality rates were adjusted for case mix.

RESULTS:

Two hundred twenty-four patients were included (TBI n = 123, SAH n = 101). There were no notable differences in case mix between TBI and SAH patients admitted during the Covid-19 pandemic compared with before the pandemic. No notable difference in TBI or SAH ICU admissions during the pandemic was noted in comparison with early 2020 or 2019. SMRs were no higher during the pandemic than before.

CONCLUSION:

In the area of Helsinki, Finland, there were no changes in the number of ICU admissions or in prognosis of patients with TBI or SAH during the Covid-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subarachnoid Hemorrhage / Coronavirus Infections / Pandemics / Brain Injuries, Traumatic / Hospitalization Type of study: Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Acta Neurochir (Wien) Year: 2020 Document Type: Article Affiliation country: S00701-020-04583-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subarachnoid Hemorrhage / Coronavirus Infections / Pandemics / Brain Injuries, Traumatic / Hospitalization Type of study: Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Acta Neurochir (Wien) Year: 2020 Document Type: Article Affiliation country: S00701-020-04583-4