Department of Neurosurgery, University Hospital Leipzig, 04103 Leipzig, Germany.
Department for Medical Controlling, University Hospital Leipzig, 04103 Leipzig, Germany.
Int J Environ Res Public Health. 2021 Nov 16;18(22):12034. doi: 10.3390/ijerph182212034.
The healthcare system has been placed under an enormous burden by the SARS-CoV-2 (COVID-19) pandemic. In addition to the challenge of providing sufficient care for COVID-19 patients, there is also a need to ensure adequate care for non-COVID-19 patients. We investigated neurosurgical care in a university hospital during the pandemic. We examined the second wave of the pandemic from 1 October 2020 to 15 March 2021 in this retrospective single-center study and compared it to a pre-pandemic period from 1 October 2019 to 15 March 2020. Any neurosurgical intervention, along with patient- and treatment-dependent factors, were recorded. We also examined perioperative complications and unplanned readmissions. A statistical comparison of the study groups was performed. We treated 535 patients with a total of 602 neurosurgical surgeries during the pandemic. This compares to 602 patients with 717 surgeries during the pre-pandemic period. There were 67 fewer patients (reduction to 88.87%) admitted and 115 fewer surgeries (reduction to 83.96%) performed, which were essentially highly elective procedures, such as cervical spinal stenosis, intracranial neurinomas, and peripheral nerve lesions. Regarding complication rates and unplanned readmissions, there was no significant difference between the COVID-19 pandemic and the non-pandemic patient group. Operative capacities were slightly reduced to 88% due to the pandemic. Nevertheless, comprehensive emergency and elective care was guaranteed in our university hospital. This speaks for the sufficient resources and high-quality processes that existed even before the pandemic.
在 SARS-CoV-2（COVID-19）大流行期间，医疗系统承受了巨大的压力。除了为 COVID-19 患者提供足够的护理的挑战之外，还需要确保为非 COVID-19 患者提供足够的护理。我们调查了大流行期间一家大学医院的神经外科护理情况。在这项回顾性单中心研究中，我们研究了 2020 年 10 月 1 日至 2021 年 3 月 15 日的第二波大流行，并将其与 2019 年 10 月 1 日至 2020 年 3 月 15 日的大流行前时期进行了比较。记录了任何神经外科干预以及与患者和治疗相关的因素。我们还检查了围手术期并发症和非计划再入院。对研究组进行了统计学比较。在大流行期间，我们共治疗了 535 名患者，共进行了 602 次神经外科手术。这与大流行前时期的 602 名患者和 717 次手术相比。入院患者减少了 67 人（减少到 88.87%），手术减少了 115 人（减少到 83.96%），这些手术基本上都是高度选择性的手术，如颈椎狭窄症、颅内神经瘤和周围神经病变。关于并发症发生率和非计划再入院，COVID-19 大流行组和非大流行组之间没有显著差异。由于大流行，手术能力略有下降到 88%。尽管如此，我们的大学医院还是保证了全面的急症和择期护理。这说明即使在大流行之前，我们也拥有足够的资源和高质量的流程。
