Castaño-Leon, Ana MParedes, IgorLagares, AlfonsoGomez, Pedro AGonzález-Leon, PedroPerez-Nuñez, AngelJiménez-Roldán, LuisDelgado-Fernández, JuanEiriz Fernández, CarlaGarcía-Pérez, DanielMoreno-Gómez, Luis MEsteban-Sinovas, OlgaDelgado-López, Pedro DMartín-Alonso, JavierKaen, ArielTirado-Caballero, JorgeOrdóñez-Carmona, MartaArteaga-Romero, FranciscoGonzález-Pombo, MartaF Alén, JoséGil-Simoes, RicardoTorres, Cristina VNavas-García, MartaBlasco García de Andoain, GuillermoFrade-Porto, NataliaGonzález-Tarno, PatriciaMartin Segura, AdrianGelabert-González, MiguelMenéndez-Cortezón, BeatrizRodríguez-Botana, BraisPérez-Alfayate, RebecaFernández-García, CarlaFerrández-Pujante, BorjaVargas-Jiménez, Andres CCotúa, Carlosde la Lama, AdolfoCalero Félix, LourdesRuiz-Juretschke, FernandoGarcía-Leal, RobertoValera-Melé, MarcCasitas Hernando, VicenteRivero, BelénOrduna-Martínez, JavierCasado Pellejero, JuanFustero De Miguel, DavidDíaz Molina, JorgeMoles Herbera, JesúsCastelló-Ruiz, Maria JGomar-Alba, MarioGarcía-Pérez, FernandoHernández-García, Borja JVillaseñor-Ledezma, Jorge JOtero-Rodríguez, ÁlvaroAilagas de Las Heras, Juan JGonçalves-Estella, JesusSousa-Casasnovas, PabloPascual-Argente, DanielRuiz Martín, LauraRoa Montes de Oca, Juan CArandia Guzmán, DanielGarcía Martín, AndoniTorres Carretero, LuisGarrido Ruiz, AlejandraCalvo, MartaMiranda-Lloret, PabloRodríguez-Cadarso, MiguelAntón, JoanRoca Barber, AmparoQuiroz-Tejada, ArnoldCarbayo-Lozano, GuillermoBermúdez, GaraziPaternain Martin, ClaraDe la Fuente Villa, PabloFidalgo De la Rosa, MarinaSistiaga-Gracia, Íñigo LZabalo, Gorka2023-05-032023-05-032022-08-17http://hdl.handle.net/10668/20148The 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.enAttribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/Adult surgeryCOVID-19NEUROSURGERYNeurosurgeryPUBLIC HEALTHPaediatric neurosurgeryCOVID-19HumansNeurosurgical ProceduresPandemicsRetrospective StudiesSARS-CoV-2Spainresearch article35977759open access10.1136/bmjopen-2022-0612082044-6055PMC9388715https://bmjopen.bmj.com/content/bmjopen/12/8/e061208.full.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388715/pdf