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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

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Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Case-Control Multicenter Study.

Khalid Bajunaid¹, Ashwag Alqurashi², Abdullah Alatar²

¹Department of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia; Department of Neurology and Neurosurgery, Montreal Neurological Institute and hospital, McGill University, Montreal, Quebec, Canada.

World Neurosurgery

|July 24, 2020

Summary

The COVID-19 pandemic reduced neurosurgical procedures but maintained emergency case volume. Neurosurgery during the pandemic was safe, with no increase in complications or mortality.

Keywords:

COVID-19 Neurosurgery Pandemic Surgical outcome Triage

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Area of Science:

Neurosurgery
Public Health
Epidemiology

Background:

Limited data exists on the impact of pandemics, like COVID-19, on neurosurgical practices.
Assessing surgical outcomes during outbreaks is crucial for patient care and resource allocation.

Purpose of the Study:

To evaluate the effects of the COVID-19 pandemic on neurosurgical practice in Saudi Arabia.
To determine if neurosurgical procedures during the pandemic increased patient morbidity and mortality.

Main Methods:

A multicenter case-control study compared neurosurgical interventions before and during the COVID-19 pandemic.
Data analyzed included case priority, complications, hospital stay, and 30-day mortality for 850 procedures.

Main Results:

Neurosurgical procedures decreased by 36% during the pandemic, with fewer daily cases (5.5 vs. 12).
Complications, hospital stay, and 30-day mortality showed no significant difference between periods.
Emergency case priority levels (1 and 1-24h) increased significantly during the pandemic.

Conclusions:

The pandemic led to a decline in elective neurosurgery but sustained emergency caseloads, necessitating resource prioritization.
Neurosurgical procedures performed during the COVID-19 pandemic were safe, with no increased risk to patients.
Findings can inform guidelines for surgical subspecialties during future health crises.