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

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Richardson, George E, Islim, Abdurrahman I, Albanese, Erminia, Ahmed, Ahmed, Aly, Ahmed, Ammar, Amr, Amoo, Michael, Bhatt, Harsh, Bodkin, Peter, Coulter, Ian et al (show 38 more authors) , Corr, Paula, Elmaadawi, Ibrahim, Elserius, Anne, Fountain, Daniel M, George, K Joshi, Gillespie, Conor S, Goel, Aimee, Grundy, Paul L, Gurusinghe, Nihal, Hartley, Jessica, Hasan, MD Tanvir, Javadpour, Mohsen, Kalra, Neeraj, Mallucci, Conor ORCID: 0000-0002-5509-0547, Millward, Christopher P ORCID: 0000-0001-7727-1157, Mohamed, Belal, Mohamed, Saffwan, Mustafa, Mohammad A, Nannapaneni, Ravindra, Nolan, Deirdre, Patel, Umang J, Piper, Rory J, Rajaraman, Chittoor, Raza-Knight, Saba, Rehman, Kafeel, Rominiyi, Ola, Sage, William, Sharouf, Feras, Sinha, Saurabh, Sitaraman, Murugan, Smith, Stuart, Solth, Anna, Stokes, Stuart, Taweel, Basel A ORCID: 0000-0002-6157-2438, Tyagi, Atul, Zaben, Malik, Jenkinson, Michael D ORCID: 0000-0003-4587-2139 and Prasad, Manjunath (2021) 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. BRITISH JOURNAL OF NEUROSURGERY. pp. 1-6.

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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 (<i>n</i> = 304) and 2019 (<i>n</i> = 868). The current and future impact on UK neurosurgical operative activity has implications for service delivery and neurosurgical training.

Item Type:	Article
Uncontrolled Keywords:	Covid-19, SARS-CoV-2, neurosurgery, training
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Medicine Faculty of Health and Life Sciences > Clinical Directorate Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	02 Mar 2023 11:37
Last Modified:	02 Mar 2023 11:37
DOI:	10.1080/02688697.2021.1968341
Open Access URL:	https://doi.org/10.1080/02688697.2021.1968341
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3168686