About: Need for ensuring care for neuro-emergencies—lessons learned from the COVID-19 pandemic

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

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Need for ensuring care for neuro-emergencies—lessons learned from the COVID-19 pandemic
Creator	Vajkoczy, Peter Czabanka, Marcus Finn-Ove, & Hecht, Nils Schneider, Ulf Werft, Wessels, Lars
Source	Medline; PMC
abstract	BACKGROUND: To investigate whether patients with critical emergency conditions are seeking or receiving the medical care that they require, we characterized the reality of care for patients presenting with neuro-emergencies during the first phase of the COVID-19 pandemic. METHODS: In this observational, longitudinal cohort study, all neurosurgical admissions that presented to our department between February 1 and April 15 during the COVID-19 pandemic and during the same time period in 2019 were identified and categorized according to the presence of a neuro-emergency, the route of admission, management, and the category of disease. Further, the clinical course of patients with aneurysmal subarachnoid hemorrhage (aSAH) and chronic subdural hematoma (cSDH) was investigated representatively for severe vascular and semi-urgent traumatic conditions that present with a wide variety of symptoms. RESULTS: During the pandemic, the percentage of neuro-emergencies among all neurosurgical admissions remained similar but a larger proportion presented through the emergency department than through the outpatient clinic or by referral (p = 0.009). The total number of neuro-emergencies was significantly reduced (p = 0.0007) across all types of disease, particularly in vascular (p = 0.036) but also in spinal (p = 0.007) and hydrocephalus (p = 0.048) emergencies. Patients with spinal emergencies presented 48 h later (p = 0.001) despite comparable symptom severity. For aSAH, the number of cases, aSAH grade, aneurysm localization, and treatment modality did not change but strikingly, elderly patients with cSDH presented less frequently, with more severe symptoms (p = 0.046), and were less likely to reach favorable outcome (p = 0.003) at discharge compared with previous years. CONCLUSIONS: Despite pandemic-related restrictive measures and reallocation of resources, patients with neuro-emergencies should be encouraged to present regardless of the severity of symptoms because deferred presentation may result in adverse outcome. Thus, conservation of critical healthcare resources remains essential in spite of fighting COVID-19.
has issue date	2020-06-08(xsd:dateTime)
bibo:doi	10.1007/s00701-020-04437-z
bibo:pmid	32514620
has license	cc-by
sha1sum (hex)	c2e0a815f02c429af60424ad98ee9e1e7d2cced2
schema:url	https://doi.org/10.1007/s00701-020-04437-z
resource representing a document's title	Need for ensuring care for neuro-emergencies—lessons learned from the COVID-19 pandemic
has PubMed Central identifier	PMC7276655
has PubMed identifier	32514620
schema:publication	Acta Neurochir (Wien)
resource representing a document's body	covid:c2e0a815f02c429af60424ad98ee9e1e7d2cced2#body_text
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