Dergiler / Şişli Etfal Hastanesi Tıp Bülteni / 2021 / Cilt: 55 - Sayı: 4

Analysis and Differences of the Neurosurgical Complications During COVID-19 Pandemic

Sayfa
[469]–476
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Treatment should be performed by taking the precautions and informing the patients about additional risks.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objectives: The objective of the study was to analyze the complications of neurosurgical operations during the COVID-19 pandemic by comparing them with the complications observed in the pre-pandemic period.
📊
Temel Bulgular & Veri:Methods: Two groups were formed: (1) Patients who were operated in the 5-month period of the pandemic (March–July 2020) and (2) those who were operated the same operations in the same period 1 year before (March–July 2019).
💡
Sonuç & Katkı:Treatment should be performed by taking the precautions and informing the patients about additional risks.
🔬Tür:Araştırma Makalesi
📍Kapsam:2020 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objectives: The objective of the study was to analyze the complications of neurosurgical operations during the COVID-19 pandemic by comparing them with the complications observed in the pre-pandemic period. Methods: Two groups were formed: (1) Patients who were operated in the 5-month period of the pandemic (March–July 2020) and (2) those who were operated the same operations in the same period 1 year before (March–July 2019). Demographics, characteristics, medical follow-up data, complications, and outcome compared between the groups. Results: Similar demographics were observed between the groups. The number of all neurosurgical cases and neurotrauma cases decreased by 79% and 68% in pandemic period, respectively. The rate of emergency surgeries was significantly higher in pandemic group (p<0.001). The operation time was significantly longer in pandemic group (p=0.014). Total complication rate was significantly higher in pandemic group (p=0.002). Specifically, the rate of pulmonary complications was significantly higher during pandemic period (p<0.001). The infection rate (p<0.001), antibiotic use (p<0.001), and intensive care unit stay (p=0.023) were significantly higher in pandemic group. Conclusion: During pandemic period complication rates increased and a higher risk than expected was encountered. Treatment should be performed by taking the precautions and informing the patients about additional risks.

🔖

Bu Makaleye Atıf Yap

SAHİN, B., KİLİC, M., AYDIN, L., SAHİN, S. A., ÖZÖNER, B., AKKAYA, E., YILMAZ, A., MÜSLÜMAN, A. M. (2021). Analysis and Differences of the Neurosurgical Complications During COVID-19 Pandemic. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 55 - Sayı: 4, [469]–476. https://ajindex.com/articles/398694

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (10)

  1. World Health Organization: Available at: https://www.who.int/ emergencies/diseases/novelcoronavirus-2019/events-as-theyhappen. Accessed Jul 01, 2020 2. World Health Organization: Available at https://www.who.int/ publications/m/item/weekly-epidemiological-update. Available at: Dec 04, 2021. 3. Jansson M, Liao X, Rello J. Strengthening ICU health security for a coronavirus epidemic. Intensive Crit Care Nurs 2020
  2. 102812. 4. ECDC Technical Report. Infection prevention and control and preparedness for COVID-19 in healthcare settings. 2nd update. Available at: https://www.ecdc.europa.eu/sites/default/files/documents/ Infection-prevention-control-for-the-care-of-patientswith- 2019-nCoV-healthcare-settings_update-31-March-2020. pdf. Accessed Nov 16, 2021. 5. Tsermoulas G, Zisakis A, Flint G, Belli A. Challenges to neurosurgery during the coronavirus disease 2019 (COVID-19) pandemic. World Neurosurg 2020
  3. 519–25. 6. Ozoner B, Gungor A, Hasanov T, Toktas ZO, Kilic T. Neurosurgical practice during coronavirus disease 2019 (COVID-19) pandemic. World Neurosurg 2020
  4. 198–207. 7. COVID-19 (koronavirüs) pandemisine bağlı riskler, ek bilgilendirme ve onam formu. Available at: https://www.turknorosirurji. org.tr/TNDData/userfiles/file/Covid19-onam-27052020.pdf. Accessed Nov 17, 2021. 8. Liang T, Yu L. Handbook of COVID-19 Prevention and Treatment. Zhejiang, China: The First Affiliated Hospital, Zhejiang University School of Medicine
  5. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004
  6. 205–13. 10. Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 2009
  7. 187–96. 11. Jean WC, Ironside NT, Sack KD, Felbaum DR, Syed HR. The impact of COVID-19 on neurosurgeons and the strategy for triaging non emergent operations: a global neurosurgery study. Acta Neurochir (Wien) 2020
  8. 1229–40. 12. Zoia C, Bongetta D, Veiceschi P, Cenzato M, Di Meco F, Locatelli D, et al. Neurosurgery during the COVID-19 pandemic: update from Lombardy, northern Italy. Acta Neurochir (Wien) 2020
  9. 1221– 2. 13. Borsa S, Bertani G, Pluderi M, Locatelli M. Our darkest hours (being neurosurgeons during the COVID-19 war). Acta Neurochir (Wien) 2020
  10. 1227–8. 14. Dobran M, Paracino R, Iacoangeli M. Letter to the editor by Dobran Mauro, Paracino