RT Journal Article
T1 Patients awaiting surgery for neurosurgical diseases during the first wave of the COVID-19 pandemic in Spain: a multicentre cohort study.
A1 Castaño-Leon, Ana M
A1 Paredes, Igor
A1 Lagares, Alfonso
A1 Gomez, Pedro A
A1 González-Leon, Pedro
A1 Perez-Nuñez, Angel
A1 Jiménez-Roldán, Luis
A1 Delgado-Fernández, Juan
A1 Eiriz Fernández, Carla
A1 García-Pérez, Daniel
A1 Moreno-Gómez, Luis M
A1 Esteban-Sinovas, Olga
A1 Delgado-López, Pedro D
A1 Martín-Alonso, Javier
A1 Kaen, Ariel
A1 Tirado-Caballero, Jorge
A1 Ordóñez-Carmona, Marta
A1 Arteaga-Romero, Francisco
A1 González-Pombo, Marta
A1 F Alén, José
A1 Gil-Simoes, Ricardo
A1 Torres, Cristina V
A1 Navas-García, Marta
A1 Blasco García de Andoain, Guillermo
A1 Frade-Porto, Natalia
A1 González-Tarno, Patricia
A1 Martin Segura, Adrian
A1 Gelabert-González, Miguel
A1 Menéndez-Cortezón, Beatriz
A1 Rodríguez-Botana, Brais
A1 Pérez-Alfayate, Rebeca
A1 Fernández-García, Carla
A1 Ferrández-Pujante, Borja
A1 Vargas-Jiménez, Andres C
A1 Cotúa, Carlos
A1 de la Lama, Adolfo
A1 Calero Félix, Lourdes
A1 Ruiz-Juretschke, Fernando
A1 García-Leal, Roberto
A1 Valera-Melé, Marc
A1 Casitas Hernando, Vicente
A1 Rivero, Belén
A1 Orduna-Martínez, Javier
A1 Casado Pellejero, Juan
A1 Fustero De Miguel, David
A1 Díaz Molina, Jorge
A1 Moles Herbera, Jesús
A1 Castelló-Ruiz, Maria J
A1 Gomar-Alba, Mario
A1 García-Pérez, Fernando
A1 Hernández-García, Borja J
A1 Villaseñor-Ledezma, Jorge J
A1 Otero-Rodríguez, Álvaro
A1 Ailagas de Las Heras, Juan J
A1 Gonçalves-Estella, Jesus
A1 Sousa-Casasnovas, Pablo
A1 Pascual-Argente, Daniel
A1 Ruiz Martín, Laura
A1 Roa Montes de Oca, Juan C
A1 Arandia Guzmán, Daniel
A1 García Martín, Andoni
A1 Torres Carretero, Luis
A1 Garrido Ruiz, Alejandra
A1 Calvo, Marta
A1 Miranda-Lloret, Pablo
A1 Rodríguez-Cadarso, Miguel
A1 Antón, Joan
A1 Roca Barber, Amparo
A1 Quiroz-Tejada, Arnold
A1 Carbayo-Lozano, Guillermo
A1 Bermúdez, Garazi
A1 Paternain Martin, Clara
A1 De la Fuente Villa, Pablo
A1 Fidalgo De la Rosa, Marina
A1 Sistiaga-Gracia, Íñigo L
A1 Zabalo, Gorka
K1 Adult surgery
K1 COVID-19
K1 NEUROSURGERY
K1 Neurosurgery
K1 PUBLIC HEALTH
K1 Paediatric neurosurgery
AB The large number of infected patients requiring mechanical ventilation has led to the postponement of scheduled neurosurgical procedures during the first wave of the COVID-19 pandemic. The aims of this study were to investigate the factors that influence the decision to postpone scheduled neurosurgical procedures and to evaluate the effect of the restriction in scheduled surgery adopted to deal with the first outbreak of the COVID-19 pandemic in Spain on the outcome of patients awaiting surgery. This was an observational retrospective study. A tertiary-level multicentre study of neurosurgery activity between 1 March and 30 June 2020. A total of 680 patients awaiting any scheduled neurosurgical procedure were enrolled. 470 patients (69.1%) were awaiting surgery because of spine degenerative disease, 86 patients (12.6%) due to functional disorders, 58 patients (8.5%) due to brain or spine tumours, 25 patients (3.7%) due to cerebrospinal fluid (CSF) disorders and 17 patients (2.5%) due to cerebrovascular disease. The primary outcome was mortality due to any reason and any deterioration of the specific neurosurgical condition. Second, we analysed the rate of confirmed SARS-CoV-2 infection. More than one-quarter of patients experienced clinical or radiological deterioration. The rate of worsening was higher among patients with functional (39.5%) or CSF disorders (40%). Two patients died (0.4%) during the waiting period, both because of a concurrent disease. We performed a multivariate logistic regression analysis to determine independent covariates associated with maintaining the surgical indication. We found that community SARS-CoV-2 incidence (OR=1.011, p Patients awaiting neurosurgery experienced significant collateral damage even when they were considered for scheduled procedures.
YR 2022
FD 2022-08-17
LK http://hdl.handle.net/10668/20148
UL http://hdl.handle.net/10668/20148
LA en
DS RISalud
RD Apr 9, 2025