Case Volumes and Perioperative COVID-19 Incidence in Neurosurgical Patients During a Pandemic: Experiences at Two Tertiary Care Centers in Washington, DC.

MedStar author(s):
Citation: World Neurosurgery. 143:e550-e560, 2020 11.PMID: 32777390Institution: MedStar Washington Hospital CenterDepartment: Neurosurgery | Surgery/General SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Elective Surgical Procedures/sn [Statistics & Numerical Data] | *Neurosurgery/sn [Statistics & Numerical Data] | Adult | District of Columbia | Female | Humans | Incidence | Male | Neurosurgical Procedures/sn [Statistics & Numerical Data] | Tertiary Care Centers | Young AdultYear: 2020ISSN:
  • 1878-8750
Name of journal: World neurosurgeryAbstract: CONCLUSION: There is a small but real risk of perioperative COVID-19 in neurosurgical patients, and those patients tend to have a higher complication rate. The mMeNTS score may play a role in decision making for scheduling elective cases. Further studies are warranted to develop risk stratification and validate incidence. Copyright (c) 2020 Elsevier Inc. All rights reserved.METHODS: Neurosurgical and neurointerventional procedures at two tertiary care centers during the pandemic were reviewed. Case volume, type, and acuity were compared to same time period in 2019. Perioperative COVID-19 tests and results were evaluated to obtain incidence. Baseline characteristics, including a modified Medically Necessary Time Sensitive (mMeNTS) score, and outcome measures were compared between COVID-19 positive and negative patients.OBJECTIVE: The true incidence of perioperative COVID-19 is not well elucidated in the neurosurgical literature. We aim to review the impact of the pandemic on neurosurgical case volume, to study the incidence of COVID-19 in patients undergoing these procedures during the perioperative period, and to compare characteristics and outcomes of this group to COVID-19 negative patients.RESULTS: 405 cases were reviewed and there was a significant decrease in total spine, cervical spine, lumbar spine, and functional/pain cases. There were no significant differences in cranial and neurointerventional cases. Of patients tested, 5.4% (18/334) were positive for COVID-19. Five of these patients were diagnosed postoperatively. mMeNTS score, complications, and case acuity were significantly different between COVID-19 positive and negative patients.All authors: Black J, Briscoe J, Dowlati E, Fayed I, Felbaum DR, Kalhorn CG, Mualem W, Nair MN, Pivazyan G, Sarpong K, Zhou TOriginally published: World Neurosurgery. 2020 Aug 07Fiscal year: FY2021Digital Object Identifier: Date added to catalog: 2020-09-02
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Journal Article MedStar Authors Catalog Article 32777390 Available 32777390

CONCLUSION: There is a small but real risk of perioperative COVID-19 in neurosurgical patients, and those patients tend to have a higher complication rate. The mMeNTS score may play a role in decision making for scheduling elective cases. Further studies are warranted to develop risk stratification and validate incidence. Copyright (c) 2020 Elsevier Inc. All rights reserved.

METHODS: Neurosurgical and neurointerventional procedures at two tertiary care centers during the pandemic were reviewed. Case volume, type, and acuity were compared to same time period in 2019. Perioperative COVID-19 tests and results were evaluated to obtain incidence. Baseline characteristics, including a modified Medically Necessary Time Sensitive (mMeNTS) score, and outcome measures were compared between COVID-19 positive and negative patients.

OBJECTIVE: The true incidence of perioperative COVID-19 is not well elucidated in the neurosurgical literature. We aim to review the impact of the pandemic on neurosurgical case volume, to study the incidence of COVID-19 in patients undergoing these procedures during the perioperative period, and to compare characteristics and outcomes of this group to COVID-19 negative patients.

RESULTS: 405 cases were reviewed and there was a significant decrease in total spine, cervical spine, lumbar spine, and functional/pain cases. There were no significant differences in cranial and neurointerventional cases. Of patients tested, 5.4% (18/334) were positive for COVID-19. Five of these patients were diagnosed postoperatively. mMeNTS score, complications, and case acuity were significantly different between COVID-19 positive and negative patients.

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