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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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.
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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