About: Collateral damage caused by COVID-19: Change in volume and spectrum of neurosurgery patients

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Collateral damage caused by COVID-19: Change in volume and spectrum of neurosurgery patients
Creator	Chaturvedi, Jitender Goyal, Nishant Singh, Vineet Venkataram, Tejas
Source	Elsevier; PMC
abstract	BACKGROUND: There has been a dramatic change in the pattern of patients being seen in hospitals and surgeries performed during the ongoing COVID-19 pandemic. The objective of this study is to study the change in the volume and spectrum of surgeries performed during the ongoing COVID-19 pandemic compared to pre-COVID-19 era. METHODS: Details of all patients who were operated under department of neurosurgery at our institute since the onset of COVID-19 pandemic in India were collected and compared to the same time period last year. The demographic profile, diagnosis, surgery performed, type of surgery (routine/emergency, cranial/spinal and major/minor) in these two groups were compared. They were further categorized into various categories [neuro-oncology (brain and spine tumors), neuro-trauma (head injury and spinal trauma), congenital cases, degenerative spine, neuro-vascular, CSF diversion procedures, etc.] and compared between the two groups. RESULTS: Our study showed a drastic fall (52.2%) in the number of surgeries performed during the pandemic compared to pre-COVID era. 11.3% of patients operated during COVID-19 pandemic were non-emergent surgeries compared to 57.7% earlier (p = 0.000). There was increase in proportion of minor cases from 28.8% to 41.5% (p = 0.106). The proportion of spinal cases decreased from 27.9% to 11.3% during the COVID-19 pandemic (p = 0.043). CONCLUSIONS: The drastic decrease in the number of surgeries performed will result in large backlog of patients waiting for ‘elective’ surgery. There is a risk of these patients presenting at a later stage with progressed disease and the best way forward would be to resume work with necessary precautions and universal effective COVID-19 testing.
has issue date	2020-08-19(xsd:dateTime)
bibo:doi	10.1016/j.jocn.2020.07.055
has license	no-cc
sha1sum (hex)	c7380183d6c1c6f6d5fea29dbd07b6429f9ed9f9
schema:url	https://doi.org/10.1016/j.jocn.2020.07.055
resource representing a document's title	Collateral damage caused by COVID-19: Change in volume and spectrum of neurosurgery patients
has PubMed Central identifier	PMC7438073
schema:publication	J Clin Neurosci
resource representing a document's body	covid:c7380183d6c1c6f6d5fea29dbd07b6429f9ed9f9#body_text
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