Abstract
Abstract
Background
To ensure adequate intensive care unit (ICU) capacity for SARS-CoV-2 patients, elective neurosurgery and neurosurgical ICU capacity were reduced. Further, the Finnish government enforced strict restrictions to reduce the spread. Our objective was to assess changes in ICU admissions and prognosis of traumatic brain injury (TBI) and aneurysmal subarachnoid hemorrhage (SAH) during the Covid-19 pandemic.
Methods
Retrospective review of all consecutive patients with TBI and aneurysmal SAH admitted to the neurosurgical ICU in Helsinki from January to May of 2019 and the same months of 2020. The pre-pandemic time was defined as weeks 1–11, and the pandemic time was defined as weeks 12–22. The number of admissions and standardized mortality rates (SMRs) were compared to assess the effect of the Covid-19 pandemic on these. Standardized mortality rates were adjusted for case mix.
Results
Two hundred twenty-four patients were included (TBI n = 123, SAH n = 101). There were no notable differences in case mix between TBI and SAH patients admitted during the Covid-19 pandemic compared with before the pandemic. No notable difference in TBI or SAH ICU admissions during the pandemic was noted in comparison with early 2020 or 2019. SMRs were no higher during the pandemic than before.
Conclusion
In the area of Helsinki, Finland, there were no changes in the number of ICU admissions or in prognosis of patients with TBI or SAH during the Covid-19 pandemic.
Funder
University of Helsinki including Helsinki University Central Hospital
Publisher
Springer Science and Business Media LLC
Subject
Clinical Neurology,Surgery
Reference19 articles.
1. Alko (2020) Alkon myynti tuoteryhmittäin, laaja raportti Retrieved from https://www.alko.fi/alko-oy/uutishuone/myyntitilastot/myynti/tuoteryhmittain.laaja. https://www.alko.fi/INTERSHOP/static/WFS/Alko-OnlineShop-Site/-/Alko-OnlineShop/fi_FI/pdf_t/Uutishuoneen%20pdf_t/Myyntitilastot%202020/Kes%c3%a4kuu%202020/WWW_Myynti_tuoteryhmittain_laaja_202006.pdf. Accessed 13 August 2020
2. Backes D, Rinkel GJE, Algra A, Vaartjes I, Donker GA, Vergouwen MDI (2016) Increased incidence of subarachnoid hemorrhage during cold temperatures and influenza epidemics. J Neurosurg 125(3):737–745
3. Diegoli H, Magalhães PSC, Martins SCO, Moro CHC, França PHC, Safanelli J, Nagel V, Venancio VG, Liberato RB, Longo AL (2020) Decrease in hospital admissions for transient ischemic attack, mild, and moderate stroke during the COVID-19 era. Stroke 51(8):2315–2321. https://doi.org/10.1161/STROKEAHA.120.030481
4. Filippo OD, D’Ascenzo F, Angelini F et al (2020) Reduced rate of hospital admissions for ACS during Covid-19 outbreak in Northern Italy. New Engl J Medicine 383(1):88–89
5. Hecht N, Wessels L, Werft F-O, Schneider UC, Czabanka M, Vajkoczy P (2020) Need for ensuring care for neuro-emergencies—lessons learned from the COVID-19 pandemic. Acta Neurochir 162(8):1795–1801
Cited by
33 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献