Path to reopening surgery in the COVID-19 pandemic: Neurosurgery experience
Fecha
2020Autor
De Biase, Gaetano
Freeman, William
Elder, Benjamin
Nottmeier, Eric
Smith, Nathan
Jerreld, Daniel
O’Connor, Devon
Abel, Martin
Quiñones-Hinojosa, Alfredo
Abode-Iyamah, Kingsley
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Resumen
Objective: To test the efficacy of an innovative coronavirus disease 2019 (COVID-19) preoperative triage
protocol as a way to gradually reopen and ramp-up elective surgeries.
Patients and Methods: We reviewed clinical, radiographic, and laboratory data for all patients who
underwent surgery within the neurosurgery department from March 26 through April 22, 2020. We
collected data on demographic information, comorbidities, preoperative COVID-19 test results, whether
COVID-19 respiratory or other symptoms were developed during hospitalization, hospital length of stay,
discharge disposition, and postoperative COVID-19 test results.
Results: Using a combination of both preoperative outpatient COVID-19 drive-through and inpatient
testing to obtain surgical clearance with selected telemedicine evaluations, 103 nonelective neurosurgical
procedures were performed in 102 patients. No patients tested positive for severe acute respiratory
syndrome coronavirus-2 (SARS-CoV-2) 48 hours before surgery. None of the patients developed any
COVID-19 symptoms during their hospitalization or were readmitted to our emergency department
postoperatively for COVID-19 symptoms.
Conclusion: We describe a multifaceted preoperative triage protocol for safely performing nonelective
neurosurgical procedures during the COVID-19 pandemic, which could help other neurosurgical departments and hospitals minimize coronavirus exposure for patients and health care workers. We believe
this triage strategy could be implemented at other centers to gradually restart a process toward elective
surgeries in a safe way.
Palabras clave
COVID-19; Surgery; Pandemic; Neurosurgery experienceEnlace al recurso
https://doi.org/10.1016/j.mayocpiqo.2020.06.003Colecciones
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