神经外科医生在抗击 2019 年冠状病毒病（COVID-19）前线的部署。
Deployment of Neurosurgeons at the Warfront Against Coronavirus Disease of 2019 (COVID-19).
机构信息
Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
出版信息
World Neurosurg. 2020 Dec;144:e561-e567. doi: 10.1016/j.wneu.2020.09.009. Epub 2020 Sep 8.
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has taken the world by storm, especially the health care system. Medical practitioners of all specialties are being assigned to treat patients of COVID-19. In this article, two authors (T.V. and N.G.) from the Department of Neurosurgery who were deployed in the COVID-19 testing ward between April 25 and May 31, 2020 share their experience.
METHODS
A prospective observational study was conducted including all those who were admitted in this ward. The patients were studied according to their demographic profiles, diagnoses, admitting departments, travel history, and presence/absence of COVID-19-related symptoms. Relevant history regarding occupation, contact with patient with known COVID-19, and comorbid illness was noted. Those who tested positive for COVID-19 were studied further. The data from the institute's official record were updated until August 14, 2020.
RESULTS
During the study period, there were 256 admissions in the ward, of whom 148 (92 male, 56 female) were patients and 108 were patients' attendants/relatives. Most patients were admitted under the departments of internal medicine (33, 22.3%) and general surgery (19, 12.8%). Of 148 patients, 46 (31.1%) were admitted as they were planned for a surgery/intervention. Among 148 patients, 29 (19.6%) had history of travel to or were residents of a red zone, 4 (2.7%) had history of contact with a confirmed case of COVID-19, whereas 6 (4.1%) were health care workers. One hundred four patients (70.2%) showed no COVID-19-related symptoms. Thirty-four patients (22.9%) had associated comorbid conditions. Eight patients (5 male, 3 female) with mean age of 37.6 years (range 4-69 years) tested positive for COVID-19.
CONCLUSIONS
The authors share their experience and their institute's protocol in various facets during this war against COVID-19 pandemic. Preadmission and presurgical testing of patients is important in preventing the spread of the disease amongst health care workers.
背景
2019 年冠状病毒病（COVID-19）大流行席卷全球，尤其是医疗保健系统。所有专业的医务人员都被指派来治疗 COVID-19 患者。在本文中，两位来自神经外科的作者（T.V.和 N.G.）分享了他们在 2020 年 4 月 25 日至 5 月 31 日期间在 COVID-19 检测病房工作的经验。
方法
对所有入住该病房的患者进行前瞻性观察研究。根据患者的人口统计学特征、诊断、入院科室、旅行史以及是否存在 COVID-19 相关症状对患者进行研究。记录与职业、与已知 COVID-19 患者的接触以及合并症相关的病史。对 COVID-19 检测呈阳性的患者进行进一步研究。截至 2020 年 8 月 14 日，更新了来自研究所官方记录的数据。
结果
在研究期间，病房共收治 256 例患者，其中 148 例（92 例男性，56 例女性）为患者，108 例为患者的陪护/亲属。大多数患者被收入内科（33 例，22.3%）和普通外科（19 例，12.8%）。在 148 例患者中，46 例（31.1%）因计划进行手术/介入而入院。在 148 例患者中，29 例（19.6%）有旅行史或居住在红色区域，4 例（2.7%）有接触过确诊 COVID-19 病例的病史，6 例（4.1%）为医务人员。104 例（70.2%）患者无 COVID-19 相关症状。34 例（22.9%）患者存在合并症。8 例（5 例男性，3 例女性）患者年龄为 37.6 岁（4-69 岁），COVID-19 检测结果呈阳性。
结论
作者分享了他们在这场对抗 COVID-19 大流行的战争中的经验以及他们所在机构的各个方面的方案。对患者进行入院前和术前检测对于防止疾病在医务人员中传播非常重要。
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