About: Tracking the Volume of Neurosurgical Care during the COVID-19 Pandemic

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Tracking the Volume of Neurosurgical Care during the COVID-19 Pandemic
Creator	Ba, Katherine Patel, Pious Rosenbloom, S Salwi, Sanjana Ba, Pious Ba, S Ba, Sanjana Bonfield, Christopher Kelly, Katherine Naftel, Robert Reynolds, Rebecca Rosenbloom, Turer, Robert
source	Elsevier; Medline; PMC
abstract	Abstract Objective This study quantifies the impact of COVID-19 on the volume of adult and pediatric neurosurgical procedures, inpatient consults, and clinic visits at an academic medical center. Methods Neurosurgical procedures, inpatient consults, and outpatient appointments at Vanderbilt University Medical Center were identified in the time periods of March 23, 2020 through May 8, 2020 (%22During COVID-19%22) and March 25, 2019 through May 10, 2019 (%22Before COVID-19%22). Neurosurgical volume was compared between these periods. Results A 40% reduction in weekly procedural volume was demonstrated during COVID-19 (median 75 [IQR 72-80] to 45 [43-47], p<0.001). There was a 42% reduction for weekly adult procedures (62 [54-70] to 36 [34-39], p<0.001), and 31% reduction for weekly pediatric procedures (13 [12-14] to 9 [8-10], p=0.004). Among adult procedures, the most significant decreases were seen for spine (p<0.001), endovascular (p<0.001), and cranioplasty (p<0.001). There was not a significant change for adult open vascular (p=0.291), functional (p=0.263), cranial tumor (p=0.143), or hydrocephalus (p=0.173) procedural volume. Weekly inpatient consults to neurosurgery decreased by 24% (99 [94-114] to 75 [68-84], p=0.008) for adults. Weekly in-person adult and pediatric outpatient clinic visits witnessed a 91% decrease (329 [326-374] to 29 [26-39], p<0.001). Weekly telehealth encounters increased from 0 [0-0] to 151 [126-156] (p<0.001). Conclusion There were significant reductions in neurosurgical operations, clinic visits, and inpatient consults during COVID-19. Telehealth was increasingly used for assessment. The long-term impacts of reduced neurosurgical volume and increased telehealth utilization on patient outcomes should be explored.
has issue date	2020-06-27(xsd:dateTime)
bibo:doi	10.1016/j.wneu.2020.06.176
bibo:pmid	32599201
has license	els-covid
sha1sum (hex)	778b37eb2fb293efc7f2e905fa7d56adf852b989
schema:url	https://doi.org/10.1016/j.wneu.2020.06.176
resource representing a document's title	Tracking the Volume of Neurosurgical Care during the COVID-19 Pandemic
has PubMed Central identifier	PMC7319935
has PubMed identifier	32599201
schema:publication	World Neurosurg
resource representing a document's body	covid:778b37eb2fb293efc7f2e905fa7d56adf852b989#body_text
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