Fontanella Marco M, Saraceno Giorgio, Lei Ting, Bederson Joshua B, You Namkyu, Rubiano Andres M, Hutchinson Peter, Wiemeijer-Timmer Frédérique, Servadei Franco
Unit of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Unit of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy -
J Neurosurg Sci. 2020 Aug;64(4):383-388. doi: 10.23736/S0390-5616.20.04994-2. Epub 2020 Apr 29.
More than a million and a half people are infected worldwide with more than 90,000 casualties. The ongoing COVID-19 pandemic is radically altering both socio-economic and health care scenarios.
On April 4th, 2020, at 13:30 CET, a webinar was broadcasted, organized by Global Neuro and supported by WFNS. Expert neurosurgeons from six different countries (China, Italy, South Korea, the USA, Colombia, and the UK) reported on the impact of the COVID-19 pandemic on their health care systems and neurosurgical activity.
The first part focused on the epidemiology until that date. The USA were the most affected State with 450,000 cases, followed by Italy (140,000 cases and 19,000 casualties), China (83,305 cases and 3345 have died), South Korea (10,156 cases with 177 casualties), the UK (38,168 cases and 3605 deaths) and Colombia (1267 cases and 25 deaths). The second part concerned Institution and staff reorganization. In every country all surgical plans have been modified. The third part was about neurosurgical practice during the COVID-19 pandemic. The fourth and last part touched upon how to perform safe surgery and re-start after the pandemic.
In general, the pandemic scenario was presented as a thought-provoking challenge in all countries which requires tireless efforts for both maintaining emergency and elective neurosurgical procedures.
全球有超过150万人感染，死亡人数超过9万。持续的新冠疫情正在从根本上改变社会经济和医疗保健状况。
2020年4月4日13:30（欧洲中部时间），由全球神经外科学会组织并得到世界神经外科联合会支持的网络研讨会进行了直播。来自六个不同国家（中国、意大利、韩国、美国、哥伦比亚和英国）的神经外科专家报告了新冠疫情对其医疗保健系统和神经外科手术活动的影响。
第一部分聚焦截至当时的流行病学情况。美国是受影响最严重的国家，有45万病例，其次是意大利（14万病例和1.9万例死亡）、中国（83305例和3345例死亡）、韩国（10156例和177例死亡）、英国（38168例和3605例死亡）以及哥伦比亚（1267例和25例死亡）。第二部分涉及机构和人员重组。在每个国家，所有手术计划都已修改。第三部分是关于新冠疫情期间的神经外科手术实践。第四部分也是最后一部分涉及如何在疫情后进行安全手术和恢复手术。
总体而言，疫情形势在所有国家都被视为一个发人深省的挑战，需要不懈努力以维持急诊和择期神经外科手术。
