Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic

Ondra Petr, Lukas Grassner, Freda M Warner, Michaela Dedeciusová, Richard Voldřich, Philipp Geiger, Konstantin Brawanski, Sina Gsellmann, Laura C Meiners, Richard Bauer, Sascha Freigang, Michael Mokry, Alexandra Resch, Thomas Kretschmer, Tobias Rossmann, Francisco Ruiz Navarro, Harald Stefanits, Andreas Gruber, Mathias Spendel, Christoph SchwartzChristoph Griessenauer, Franz Marhold, Camillo Sherif, Jonathan P Wais, Karl Rössler, Jakob J Zagata, Martin Ortler, Wolfgang Pfisterer, Manfred Mühlbauer, Felipe A Trivik-Barrientos, Johannes Burtscher, Lukáš Krška, Radim Lipina, Martin Kerekanič, Jiří Fiedler, Petr Kasík, Vladimír Přibáň, Michal Tichý, Vladimír Beneš, Petr Krůpa, Tomáš Česák, Robert Kroupa, Andrej Callo, Pavel Haninec, Daniel Pohlodek, David Krahulík, Alena Sejkorová, Martin Sameš, Josef Dvořák, Andriana Juričeková, Pavel Buchvald, Robert Tomáš, Jan Klener, Vilém Juráň, Martin Smrčka, Petr Linzer, Miroslav Kaiser, Dušan Hrabovský, Radim Jančálek, John L K Kramer, Claudius Thomé, David Netuka

Research output: Journal article (peer-reviewed)Journal article

5 Citations (Scopus)

Abstract

Reflecting the first wave COVID-19 pandemic in Central Europe (i.e. March 16th-April 15th, 2020) the neurosurgical community witnessed a general diminution in the incidence of emergency neurosurgical cases, which was impelled by a reduced number of traumatic brain injuries (TBI), spine conditions, and chronic subdural hematomas (CSDH). This appeared to be associated with restrictions imposed on mobility within countries but also to possible delayed patient introduction and interdisciplinary medical counseling. In response to one year of COVID-19 experience, also mapping the third wave of COVID-19 in 2021 (i.e. March 16 to April 15, 2021), we aimed to reevaluate the current prevalence and outcomes for emergency non-elective neurosurgical cases in COVID-19-negative patients across Austria and the Czech Republic. The primary analysis was focused on incidence and 30-day mortality in emergency neurosurgical cases compared to four preceding years (2017-2020). A total of 5077 neurosurgical emergency cases were reviewed. The year 2021 compared to the years 2017-2019 was not significantly related to any increased odds of 30 day mortality in Austria or in the Czech Republic. Recently, there was a significant propensity toward increased incidence rates of emergency non-elective neurosurgical cases during the third COVID-19 pandemic wave in Austria, driven by their lower incidence during the first COVID-19 wave in 2020. Selected neurosurgical conditions commonly associated with traumatic etiologies including TBI, and CSDH roughly reverted to similar incidence rates from the previous non-COVID-19 years. Further resisting the major deleterious effects of the continuing COVID-19 pandemic, it is edifying to notice that the neurosurgical community´s demeanor to the recent third pandemic culmination keeps the very high standards of non-elective neurosurgical care alongside with low periprocedural morbidity. This also reflects the current state of health care quality in the Czech Republic and Austria.

Original languageEnglish
Article number14631
Pages (from-to)14631
JournalScientific Reports
Volume12
Issue number1
DOIs
Publication statusPublished - Dec 2022

Keywords

  • COVID-19
  • Europe
  • Hematoma, Subdural, Chronic
  • Humans
  • Neurosurgical Procedures
  • Pandemics

Fingerprint

Dive into the research topics of 'Current trends and outcomes of non-elective neurosurgical care in Central Europe during the second year of the COVID-19 pandemic'. Together they form a unique fingerprint.

Cite this