The Demand for Elective Neurosurgery at a German University Hospital during the First Wave of COVID-19
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Numbers of Patients and Procedures | 2019 | 2020 | p Value |
---|---|---|---|
Outpatients, January | 931 | 950 | 0.773 |
Outpatients, February | 660 | 695 | 0.909 |
Outpatients, March | 677 | 596 | 0.225 |
Outpatients, April | 748 | 531 | 0.010 (*) |
Outpatients, May | 788 | 752 | 1 |
Outpatients, June | 645 | 815 | 0.085 |
Outpatients, January–June | 4449 | 4339 | 0.601 |
Non-oncological elective procedures, January–June | 302 | 240 | 0.032 (*) |
Oncological elective procedures, January–June | 171 | 174 | 0.697 |
All elective procedures, January–June | 473 | 414 | 0.023 (*) |
Main Indications | 2019 | 2020 | Test | p Value |
---|---|---|---|---|
March and April | March and April | |||
Cranial EP | ||||
Aphasia | 6 | 2 | Fisher’s exact | 0.287 |
Functional | 18 | 7 | chi square | 0.0699 (§) |
Hydrocephalus | 32 | 19 | chi square | 0.1507 |
Incidentaloma | 16 | 6 | chi square | 0.0832 (§) |
Infectious lesion | 2 | 3 | Fisher’s exact | 0.6679 |
Motor deficit | 5 | 15 | chi square | 0.0167 (*) |
Seizures | 8 | 12 | chi square | 0.3251 |
Tumor progression | 6 | 8 | chi square | 0.6124 |
Visual disturbance | 2 | 8 | Fisher’s exact | 0.0488 (*) |
Other | 21 | 16 | ||
Cranial EP, total | 116 | 103 | ||
Spinal EP | ||||
Infectious lesion | 13 | 5 | chi square | 0.3024 |
Low back pain | 5 | 0 | Fisher’s exact | 0.0748 (§) |
Motor deficit | 7 | 13 | chi square | 0.0267 (*) |
Myelopathy | 3 | 1 | Fisher’s exact | 0.64 |
Radicular pain | 18 | 5 | chi square | 0.0489 (*) |
Spinal claudication | 1 | 2 | Fisher’s exact | 0.5659 |
Spinal instability | 1 | 9 | Fisher’s exact | 0.0012 (*) |
Spinal EP, total | 50 | 35 | ||
Peripheral nerve EP | ||||
Peripheral nerve EP, Total | 3 | 1 | ||
EP, total | 169 | 139 |
Outcome and Length of Stay | 2019 | 2020 | Test | p Value |
---|---|---|---|---|
March and April | March and April | |||
Patients who received cranial EP | ||||
Length of stay | 8 (2 … 48) days | 9 (3 … 77) days | Wilcoxon rank sum | 0.0946 (§) |
Inhouse mortality | 2 | 1 | Fisher’s exact | 1 |
Discharged to palliative care | 3 | 2 | Fisher’s exact | 1 |
Discharged to nursing home | 4 | 2 | Fisher’s exact | 0.6955 |
Discharged home, dependent on care | 5 | 3 | Fisher’s exact | 1 |
Discharged home, independent | 71 | 60 | chi square | 0.6365 |
Discharged to rehabilitation facility | 26 | 20 | chi square | 1 |
Patients who received cranial EP, total | 111 | 88 | ||
Patients who received spinal EP | ||||
Length of stay | 9 (3 … 67) days | 12 (3 … 111) days | Wilcoxon rank sum | 0.2674 |
Inhouse mortality | 2 | 0 | Fisher’s exact | 0.5055 |
Discharged to palliative care | 0 | 0 | Fisher’s exact | 1 |
Discharged to nursing home | 0 | 0 | Fisher’s exact | 1 |
Discharged home, dependent on care | 0 | 2 | Fisher’s exact | 0.1731 |
Discharged home, independent | 27 | 15 | chi square | 0.2821 |
Discharged to rehabilitation facility | 11 | 12 | chi square | 0.3429 |
Patients who received spinal EP, total | 40 | 29 | ||
Patients who received cranial or spinal EP | ||||
Length of stay | 8 (2 … 67) days | 10 (3 … 111) days | Wilcoxon rank sum | 0.0497 (*) |
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Rupa, R.; Sass, B.; Morales Lema, M.A.; Nimsky, C.; Voellger, B. The Demand for Elective Neurosurgery at a German University Hospital during the First Wave of COVID-19. Healthcare 2020, 8, 483. https://doi.org/10.3390/healthcare8040483
Rupa R, Sass B, Morales Lema MA, Nimsky C, Voellger B. The Demand for Elective Neurosurgery at a German University Hospital during the First Wave of COVID-19. Healthcare. 2020; 8(4):483. https://doi.org/10.3390/healthcare8040483
Chicago/Turabian StyleRupa, Rosita, Benjamin Sass, Maria Alejandra Morales Lema, Christopher Nimsky, and Benjamin Voellger. 2020. "The Demand for Elective Neurosurgery at a German University Hospital during the First Wave of COVID-19" Healthcare 8, no. 4: 483. https://doi.org/10.3390/healthcare8040483