Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Department of Neurosurgery, Sino-German Neuro-Oncology Molecular Laboratory, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Neurosurg Rev. 2021 Dec;44(6):3509-3517. doi: 10.1007/s10143-021-01531-3. Epub 2021 Apr 10.
COVID-19 has spread globally, causing a pandemic and medical interruptions. As more countries control the epidemic, the resumption of work is imperative. However, asymptomatic carriers become the main source of infection. After several months of recovery, Wuhan had much experience with facing the challenge of work resumption. The purpose of this study was to investigate the safety of the resumption strategies, as well as the outcome of the resumption efforts, in the early post-epidemic period. A retrospective study was conducted in patients admitted between April 8 and June 30 to the neurosurgery department of Tongji Hospital, Wuhan. The medical information, past medical history, COVID-19 tests, laboratory parameters, CT results, and management were reviewed and recorded. 768 patients were admitted to the neurosurgery department at Tongji Hospital, and none of them became new infections. Our department recovered to 70% efficiency one month after the resumption of work. Two patients were found to have asymptomatic infections in the outpatient department. Two patients who recovered from COVID-19 underwent the surgery without recurrence of COVID-19. Tumor patients accounted for more than 50% of the surgery patients in the early period. It is feasible and helpful to follow our strict admission algorithm in the early post-epidemic period, even though the challenges of asymptomatic infectors exist. Two COVID-19 tests in 3 days are suggested within the early period. Protective downgrades should be based on the testing of asymptomatic patients in the area. Recovered COVID-19 patients can undergo surgery without recurrence.
COVID-19 已在全球范围内传播，导致大流行和医疗中断。随着越来越多的国家控制疫情，复工势在必行。然而，无症状携带者成为感染的主要来源。经过数月的康复，武汉在面对复工挑战方面积累了丰富的经验。本研究旨在调查疫情后期复工策略的安全性以及复工努力的结果。采用回顾性研究方法，对 2020 年 4 月 8 日至 6 月 30 日期间入住武汉同济医院神经外科的患者进行了研究。回顾并记录了患者的医疗信息、既往病史、COVID-19 检测、实验室参数、CT 结果和管理情况。共有 768 名患者入住武汉同济医院神经外科，没有新的感染病例。复工一个月后，我科恢复到 70%的效率。在门诊发现 2 例无症状感染者。2 例从 COVID-19 中康复的患者在没有 COVID-19 复发的情况下接受了手术。肿瘤患者在早期手术患者中占比超过 50%。在疫情后期，遵循我们严格的入院算法是可行且有益的，尽管存在无症状感染者的挑战。建议在早期进行 3 天内进行 2 次 COVID-19 检测。应根据该地区无症状患者的检测情况进行保护性降级。康复的 COVID-19 患者可以在没有复发的情况下接受手术。
