Neurosurgery activity levels in the United Kingdom and republic of Ireland during the first wave of the covid-19 pandemic - a retrospective cross-sectional cohort study.

IF 1 4区 医学 Q4 CLINICAL NEUROLOGY
British Journal of Neurosurgery Pub Date : 2024-08-01 Epub Date: 2021-09-02 DOI:10.1080/02688697.2021.1968341
George E Richardson, Abdurrahman I Islim, Erminia Albanese, Ahmed Ahmed, Ahmed Aly, Amr Ammar, Michael Amoo, Harsh Bhatt, Peter Bodkin, Ian Coulter, Paula Corr, Ibrahim Elmaadawi, Anne Elserius, Daniel M Fountain, K Joshi George, Conor S Gillespie, Aimee Goel, Paul L Grundy, Nihal Gurusinghe, Jessica Hartley, Md Tanvir Hasan, Mohsen Javadpour, Neeraj Kalra, Conor Mallucci, Christopher P Millward, Belal Mohamed, Saffwan Mohamed, Mohammad A Mustafa, Ravindra Nannapaneni, Deirdre Nolan, Umang J Patel, Rory J Piper, Chittoor Rajaraman, Saba Raza-Knight, Kafeel Rehman, Ola Rominiyi, William Sage, Feras Sharouf, Saurabh Sinha, Murugan Sitaraman, Stuart Smith, Anna Solth, Stuart Stokes, Basel A Taweel, Atul Tyagi, Malik Zaben, Michael D Jenkinson, Manjunath Prasad
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引用次数: 0

Abstract

The impact of Covid-19 on surgical patients worldwide has been substantial. In the United Kingdom (UK) and the Republic of Ireland (RoI), the first wave of the pandemic occurred in March 2020. The aims of this study were to: (1) evaluate the volume of neurosurgical operative activity levels, Covid-19 infection rate and mortality rate in April 2020 with a retrospective cross-sectional cohort study conducted across 16 UK and RoI neurosurgical centres, and (2) compare patient outcomes in a single institution in April-June 2020 with a comparative cohort in 2019. Across the UK and RoI, 818 patients were included. There were 594 emergency and 224 elective operations. The incidence rate of Covid-19 infection was 2.6% (21/818). The overall mortality rate in patients with a Covid-19 infection was 28.6% (6/21). In the single centre cohort analysis, an overall reduction in neurosurgical operative activity by 65% was observed between 2020 (n = 304) and 2019 (n = 868). The current and future impact on UK neurosurgical operative activity has implications for service delivery and neurosurgical training.

科维德-19 大流行第一波期间英国和爱尔兰共和国的神经外科活动水平--一项回顾性横断面队列研究。
Covid-19 对全球外科手术患者的影响是巨大的。在英国(UK)和爱尔兰共和国(RoI),第一波大流行发生在 2020 年 3 月。本研究的目的是(1) 通过在英国和爱尔兰共和国的 16 个神经外科中心开展回顾性横断面队列研究,评估 2020 年 4 月神经外科手术活动量、Covid-19 感染率和死亡率;(2) 将 2020 年 4 月至 6 月单个机构的患者预后与 2019 年的对比队列进行比较。英国和爱尔兰共和国共纳入了 818 名患者。其中急诊手术 594 例,择期手术 224 例。Covid-19感染发生率为2.6%(21/818)。Covid-19感染患者的总死亡率为28.6%(6/21)。在单中心队列分析中观察到,2020 年(n = 304)至 2019 年(n = 868)期间,神经外科手术活动总体减少了 65%。当前和未来对英国神经外科手术活动的影响对服务提供和神经外科培训具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British Journal of Neurosurgery
British Journal of Neurosurgery 医学-临床神经学
CiteScore
2.30
自引率
9.10%
发文量
139
审稿时长
3-8 weeks
期刊介绍: The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide. Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.
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