TY  - BOOK
AU  - Chesney, Kelsi
AU  - Dowlati, Ehsan
AU  - Felbaum, Daniel R
AU  - Zhou, Tianzan
TI  - Perioperative Coronavirus Disease 2019 (COVID-19) Incidence and Outcomes in Neurosurgical Patients at Two Tertiary Care Centers in Washington, DC, During a Pandemic: A 6-Month Follow-up
SN  - 1878-8750
PY  - 2021///
KW  - *COVID-19/ep [Epidemiology]
KW  - *COVID-19/pc [Prevention & Control]
KW  - *Neurosurgical Procedures/td [Trends]
KW  - *Perioperative Care/td [Trends]
KW  - *Tertiary Care Centers/td [Trends]
KW  - Adult
KW  - Aged
KW  - COVID-19/di [Diagnosis]
KW  - District of Columbia/ep [Epidemiology]
KW  - Female
KW  - Follow-Up Studies
KW  - Humans
KW  - Incidence
KW  - Male
KW  - Middle Aged
KW  - Neurosurgical Procedures/mt [Methods]
KW  - Pandemics/pc [Prevention & Control]
KW  - Perioperative Care/mt [Methods]
KW  - Retrospective Studies
KW  - Time Factors
KW  - Treatment Outcome
KW  - MedStar Washington Hospital Center
KW  - Neurosurgery
KW  - Journal Article
N2  - CONCLUSIONS: A significant increase in elective case volume during the post-peak pandemic period is feasible with low and acceptable incidence of COVID-19 in neurosurgical patients. COVID-19-positive patients were younger, less likely to undergo elective procedures, had increased length of stay, had more complications, and were discharged to a location other than home. The mMeNTS score plays a role in decision-making for scheduling elective cases. Copyright (c) 2020 Elsevier Inc. All rights reserved; METHODS: A retrospective review of neurosurgical and neurointerventional cases at 2 tertiary centers during the first 3 months of the first peak of COVID-19 pandemic (March 8 to June 8) as well as following 3 months (post-peak pandemic; June 9 to September 9) was performed. Baseline characteristics, perioperative COVID-19 test results, modified Medically Necessary, Time-Sensitive (mMeNTS) score, and outcome measures were compared between COVID-19-positive and-negative patients through bivariate and multivariate analysis; OBJECTIVE: Coronavirus disease 2019 (COVID-19) continues to affect all aspects of health care delivery, and neurosurgical practices are not immune to its impact. We aimed to evaluate neurosurgical practice patterns as well as the perioperative incidence of COVID-19 in neurosurgical patients and their outcomes; RESULTS: In total, 652 neurosurgical and 217 neurointerventional cases were performed during post-peak pandemic period. Cervical spine, lumbar spine, functional/pain, cranioplasty, and cerebral angiogram cases were significantly increased in the postpandemic period. There was a 2.9% (35/1197) positivity rate for COVID-19 testing overall and 3.6% (13/363) positivity rate postoperatively. Age, mMeNTS score, complications, length of stay, case acuity, American Society of Anesthesiologists status, and disposition were significantly different between COVID-19-positive and-negative patients
UR  - https://dx.doi.org/10.1016/j.wneu.2020.11.133
ER  -