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. 2024 Aug;38(4):998-1003.
doi: 10.1080/02688697.2021.1968341. Epub 2021 Sep 2.

Neurosurgery activity levels in the United Kingdom and republic of Ireland during the first wave of the covid-19 pandemic - a retrospective cross-sectional cohort study

George E Richardson  1   2 , Abdurrahman I Islim  1   2 , Erminia Albanese  3 , Ahmed Ahmed  4 , Ahmed Aly  5 , Amr Ammar  6 , Michael Amoo  7 , Harsh Bhatt  8 , Peter Bodkin  4 , Ian Coulter  9 , Paula Corr  7 , Ibrahim Elmaadawi  10 , Anne Elserius  3 , Daniel M Fountain  11 , K Joshi George  11 , Conor S Gillespie  1   2 , Aimee Goel  3 , Paul L Grundy  12 , Nihal Gurusinghe  13 , Jessica Hartley  14 , Md Tanvir Hasan  11 , Mohsen Javadpour  7 , Neeraj Kalra  15 , Conor Mallucci  5 , Christopher P Millward  1   2 , Belal Mohamed  9 , Saffwan Mohamed  16 , Mohammad A Mustafa  1   2 , Ravindra Nannapaneni  8 , Deirdre Nolan  7 , Umang J Patel  17 , Rory J Piper  17 , Chittoor Rajaraman  18 , Saba Raza-Knight  13 , Kafeel Rehman  18 , Ola Rominiyi  14 , William Sage  6 , Feras Sharouf  8 , Saurabh Sinha  14 , Murugan Sitaraman  6 , Stuart Smith  6 , Anna Solth  10 , Stuart Stokes  18 , Basel A Taweel  1   2 , Atul Tyagi  15 , Malik Zaben  8 , Michael D Jenkinson  1   2 , Manjunath Prasad  16
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Free article

Neurosurgery activity levels in the United Kingdom and republic of Ireland during the first wave of the covid-19 pandemic - a retrospective cross-sectional cohort study

George E Richardson et al. Br J Neurosurg. 2024 Aug.
Free article

Abstract

The impact of Covid-19 on surgical patients worldwide has been substantial. In the United Kingdom (UK) and the Republic of Ireland (RoI), the first wave of the pandemic occurred in March 2020. The aims of this study were to: (1) evaluate the volume of neurosurgical operative activity levels, Covid-19 infection rate and mortality rate in April 2020 with a retrospective cross-sectional cohort study conducted across 16 UK and RoI neurosurgical centres, and (2) compare patient outcomes in a single institution in April-June 2020 with a comparative cohort in 2019. Across the UK and RoI, 818 patients were included. There were 594 emergency and 224 elective operations. The incidence rate of Covid-19 infection was 2.6% (21/818). The overall mortality rate in patients with a Covid-19 infection was 28.6% (6/21). In the single centre cohort analysis, an overall reduction in neurosurgical operative activity by 65% was observed between 2020 (n = 304) and 2019 (n = 868). The current and future impact on UK neurosurgical operative activity has implications for service delivery and neurosurgical training.

Keywords: Covid-19; SARS-CoV-2; neurosurgery; training.

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