RT Journal Article
T1 Impact of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients: a nationwide study in Spain.
A1 Paredes, Igor
A1 Castaño Leon, Ana Maria
A1 Lagares, Alfonso
A1 Jimenez Roldan, Luis
A1 Perez-Nuñez, Angel
A1 González-Leon, Pedro
A1 Delgado-Fernandez, Juan
A1 Eiriz, Carla
A1 García-Pérez, Daniel
A1 Moreno-Gomez, Luis Miguel
A1 Esteban-Sinovas, Olga
A1 Delgado-López, Pedro
A1 Martín-Alonso, Javier
A1 Kaen, Ariel
A1 Tirado-Caballero, Jorge
A1 Ordóñez Carmona, Marta
A1 Arteaga Romero, Francisco
A1 Gonzalez Pombo, Marta
A1 Alén, José F
A1 Gil-Simoes, Ricardo
A1 Torres, Cristina V
A1 Navas Garcia, Marta
A1 Blasco, Guillermo
A1 Frade-Porto, Natalia
A1 González-Tarno, Patricia
A1 Martin Segura, Adrian
A1 Gelabert-Gonzalez, Miguel
A1 Menendez Cortezon, Beatriz
A1 Rodriguez Botana, Brais
A1 Pérez-Alfayate, Rebeca
A1 Fernandez Garcia, Carla
A1 Ferrandez Pujante, Borja
A1 Vargas-Jiménez, Andres
A1 Cotúa, Carlos
A1 de la Lama, Adolfo
A1 Calero, Lourdes
A1 Ruiz-Juretschke, Fernando
A1 Garcia Leal, Roberto
A1 Valera Mele, Marc
A1 Casitas Hernando, Vicente
A1 Rivero Martín, Belén
A1 Orduna, Javier
A1 Casado Pellejero, Juan
A1 Fustero De Miguel, David
A1 Diaz-Molina, Jorge
A1 Moles Herbera, Jesus
A1 Castello Ruiz, Maria Jose
A1 Gomar Alba, Mario
A1 Garcia Perez, Fernando
A1 Hernandez Garcia, Borja Jesus
A1 Villaseñor Ledezma, Javier
A1 Otero Rodríguez, Álvaro
A1 Ailagas, Juan José
A1 Goncalves-Estella, Jesús
A1 Sousa Casasnovas, Pablo
A1 Pascual Argente, Daniel
A1 Ruiz Martín, Laura
A1 Roa Montes de Oca, Juan Carlos
A1 Arandia Guzmán, Daniel
A1 García Martín, Andoni
A1 Torres Carretero, Luis
A1 Garrido Ruíz, Patricia Alejandra
A1 Calvo, Marta
A1 Miranda-Lloret, Pablo
A1 Rodriguez-Cadarso Suarez-Vence, Miguel
A1 Anotn Oltra, Joan
A1 Roca Barber, Amparo
A1 Quiroz Tejada, Arnold
A1 Carbayo Lozano, Guillermo
A1 Bermudez Vilar, Garazi
A1 Paternain Martin, Clara
A1 Dela FuenteVilla, Pablo
A1 Fidalgo De la Rosa, Marina
A1 Sistiaga García, Íñigo L
A1 Zabalo San Juan, Gorka
K1 adult surgery
K1 neurological injury
K1 neurological oncology
K1 neurosurgery
AB To assess the effect of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients in Spain. The initial flood of COVID-19 patients overwhelmed an unprepared healthcare system. Different measures were taken to deal with this overburden. The effect of these measures on neurosurgical patients, as well as the effect of COVID-19 itself, has not been thoroughly studied. This was a multicentre, nationwide, observational retrospective study of patients who underwent any neurosurgical operation from March to July 2020. An exploratory factorial analysis was performed to select the most relevant variables of the sample. Univariate and multivariate analyses were performed to identify independent predictors of mortality and postoperative SARS-CoV-2 infection. Sixteen hospitals registered 1677 operated patients. The overall mortality was 6.4%, and 2.9% (44 patients) suffered a perioperative SARS-CoV-2 infection. Of those infections, 24 were diagnosed postoperatively. Age (OR 1.05), perioperative SARS-CoV-2 infection (OR 4.7), community COVID-19 incidence (cases/105 people/week) (OR 1.006), postoperative neurological worsening (OR 5.9), postoperative need for airway support (OR 5.38), ASA grade ≥3 (OR 2.5) and preoperative GCS 3-8 (OR 2.82) were independently associated with mortality. For SARS-CoV-2 postoperative infection, screening swab test  Perioperative SARS-CoV-2 infection in neurosurgical patients was associated with an increase in mortality by almost fivefold. Community COVID-19 incidence (cases/105 people/week) was a statistically independent predictor of mortality. CEIM 20/217.
YR 2021
FD 2021-12-10
LK https://hdl.handle.net/10668/24916
UL https://hdl.handle.net/10668/24916
LA en
DS RISalud
RD Apr 17, 2025