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.
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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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.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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