TY  - BOOK
AU  - Briscoe, Jessica
AU  - Dowlati, Ehsan
AU  - Fayed, Islam
AU  - Felbaum, Daniel R
AU  - Pivazyan, Gnel
AU  - Zhou, Tianzan
TI  - Case Volumes and Perioperative COVID-19 Incidence in Neurosurgical Patients During a Pandemic: Experiences at Two Tertiary Care Centers in Washington, DC
SN  - 1878-8750
PY  - 2020///
KW  - *Elective Surgical Procedures/sn [Statistics & Numerical Data]
KW  - *Neurosurgery/sn [Statistics & Numerical Data]
KW  - Adult
KW  - District of Columbia
KW  - Female
KW  - Humans
KW  - Incidence
KW  - Male
KW  - Neurosurgical Procedures/sn [Statistics & Numerical Data]
KW  - Tertiary Care Centers
KW  - Young Adult
KW  - MedStar Washington Hospital Center
KW  - Neurosurgery
KW  - Surgery/General Surgery
KW  - Journal Article
N2  - 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
UR  - https://dx.doi.org/10.1016/j.wneu.2020.08.015
UR  - https://dx.doi.org/10.1016/j.wneu.2020.08.015
ER  -