De la Cerda-Vargas María F, Stienen Martin N, Soriano-Sánchez José A, Campero Álvaro, Borba Luis A B, Nettel-Rueda Bárbara, Castillo-Rangel Carlos, Ley-Urzaiz Luis, Ramírez-Silva Luis H, Sandoval-Bonilla B A
Department of Neurosurgery, Hospital de Especialidades N(o) 71, Instituto Mexicano del Seguro Social (IMSS), Torreón Coahuila, Mexico.
Department of Neurosurgery, Gallen, Switzerland.
World Neurosurg. 2021 Jun;150:e182-e202. doi: 10.1016/j.wneu.2021.02.137. Epub 2021 Mar 6.
The coronavirus disease 2019 (COVID-19) pandemic has exerted a significant impact on health care workers. Recent studies have reported the detrimental effects of the pandemic on neurosurgery residents in North America, Asia, and Italy. However, the impact of the pandemic on neurosurgical training in Latin America and Spain has not yet been reported. In the present report, we describe effects of COVID-19 on training and working conditions of neurosurgery residents in these countries.
An electronic survey with 33 questions was sent to neurosurgery residents between September 7, 2020 and October 7, 2020. Statistical analysis was made in SPSS version 25.
A total of 293 neurosurgery residents responded. The median age was 29.47 ± 2.6 years, and 79% (n = 231) were male. Of respondents, 36.5% (n = 107) were residents training from Mexico; 42% surveyed reported COVID symptoms and 2 (0.7%) received intensive care unit care; 61.4% of residents had been tested for COVID and 21.5% had a positive result; 84% of the respondents mentioned persisted with the same workload (≥70 hours per week) during the pandemic. Most residents from Mexico were assigned to management of patients with COVID compared with the rest of the countries (88% vs. 68.3%; P < 0.001), mainly in medical care (65.4% vs. 40.9%; P < 0.001), mechanical ventilators (16.8% vs. 5.9%; P = 0.003), and neurologic surgeries (94% vs. 83%; P = 0.006).
Our results offer a first glimpse of the changes imposed by the COVID-19 pandemic on neurosurgical work and training in Latin America and Spain, where health systems rely strongly on a resident workforce.
2019冠状病毒病（COVID-19）大流行对医护人员产生了重大影响。最近的研究报告了该大流行对北美、亚洲和意大利神经外科住院医师的不利影响。然而，大流行对拉丁美洲和西班牙神经外科培训的影响尚未见报道。在本报告中，我们描述了COVID-19对这些国家神经外科住院医师培训和工作条件的影响。
2020年9月7日至2020年10月7日期间，向神经外科住院医师发送了一份包含33个问题的电子调查问卷。使用SPSS 25版进行统计分析。
共有293名神经外科住院医师做出回应。中位年龄为29.47±2.6岁，79%（n = 231）为男性。在受访者中，36.5%（n = 107）是来自墨西哥的住院医师；42%的受访者报告有COVID症状，2人（0.7%）接受了重症监护；61.4%的住院医师接受了COVID检测，21.5%结果呈阳性；84%的受访者表示在大流行期间工作量维持不变（每周≥70小时）。与其他国家相比，大多数来自墨西哥的住院医师被分配管理COVID患者（88%对68.3%；P < 0.001），主要是在医疗护理方面（65.4%对40.9%；P < 0.001）、机械通气方面（16.8%对5.9%；P = 0.003）以及神经外科手术方面（94%对83%；P = 0.006）。
我们的结果初步展现了COVID-19大流行给拉丁美洲和西班牙的神经外科工作及培训带来的变化，这些地区的卫生系统严重依赖住院医师劳动力。
