Department of Radiation Oncology, AP-HP, Inserm Unit 955 Team 21, University of Paris-Est Creteil (UPEC), Créteil, France.
Department of Neurosurgery, DMU Care, FHU adapt, Mondor Institute of Biomedical Research, Translational psychiatry, AP-HP, Inserm Unit 955 Team 15, University of Paris-Est Creteil (UPEC), Créteil, France.
Neurochirurgie. 2022 Oct;68(5):e22-e26. doi: 10.1016/j.neuchi.2022.04.006. Epub 2022 May 24.
The global healthcare system has been overwhelmed by the Coronavirus disease-2019 (COVID-19). In order to mitigate the risk of spread of the virus, most elective surgical procedures have been cancelled especially during the lockdown periods. The purpose of this study was to assess the financial impact of the COVID outbreak due to the supposed reduced workload from our neurosurgery department in 2020.
Number of neurosurgical procedures (NSP) within the Department of Neurosurgery and their associated estimated income were retrospectively reviewed globally and month wise from administrative records of billing in 2020 and 2019 based on the Diagnosis related group (DRG) and severity of illness (4 levels).
Overall, 824 and 818 inpatient surgical procedures were performed in 2019 and 2020 respectively. The total estimate revenue generated from inpatient surgeries was moderately decreased (3%): 9 498 226.41 euros in 2020 versus 9 817 361.65 euros in 2019 without significant difference across DRG (P=0.96) and severity of illness.
Our data suggests a moderate negative impact of the COVID-19 pandemic had on neurosurgical and financial activity. However, a more in-depth medico-economic analysis need to be performed to assess the real financial impact.
全球医疗体系已不堪新冠肺炎疫情重负。为降低病毒传播风险，大多数择期手术已被取消，尤其是在封锁期间。本研究旨在评估 2020 年我院神经外科工作量减少导致的财务影响。
我们回顾性地审查了神经外科的神经外科手术数量（NSP）及其相关估计收入，这些数据来源于全球行政记录中的计费记录，基于诊断相关组（DRG）和疾病严重程度（4 个级别），按月进行分析，时间为 2019 年和 2020 年。
2019 年和 2020 年，分别有 824 例和 818 例住院手术。住院手术产生的总收入适度下降（3%）：2020 年为 949.82 万欧元，2019 年为 981.7361.65 欧元，但 DRG（P=0.96）和疾病严重程度之间无显著差异。
我们的数据表明，新冠肺炎疫情对神经外科和财务活动产生了适度的负面影响。然而，需要进行更深入的医学经济学分析，以评估实际的财务影响。
