Management of neurotrauma during COVID-19: a single centre experience and lessons for the future
نویسندگان
چکیده
Introduction Traumatic brain injury (TBI) is amongst the leading causes of morbidity and mortality worldwide. The unprecedented emergence COVID-19 has mandated neurosurgeons to limit viral spread spare hospital resources whilst trying adapt management plans for TBI. We aimed characterize how this affects decision-making on TBI drive strategies cope with future expected waves.Methods Retrospective data collection from a single tertiary referral unit was performed between: 01/04/2019 – 30/06/2019 (‘Pre-Epidemic’) 01/04/2020 30/06/20 (‘Epidemic’). Demographics, mechanism injury, severity, radiological findings, alcohol/anticoagulants/antiplatelets use, decisions were extracted.Results 646 referrals received in ‘Pre-Epidemic’ (N = 317) ‘Epidemic’ 280) groups. There reduction RTA-associated (14.8 vs 9.3%; p .04) increase patients anticoagulants (14.2 23.6%; .003) group. Despite similarities between other TBI-associated variables, significantly greater proportion managed conservatively local referring units without neurosurgical services (39.1 56.8%; < .0001), predominantly constituted by mild TBI.Conclusion public health measures, burden remains eminent. Increases warrant vigilance primary healthcare meet post-TBI needs community.
منابع مشابه
Healthcare Resource Management and Pandemic Preparedness for COVID-19: A Single Centre Experience From Jodhpur, India
متن کامل
Challenges of Iranian Environmental Health during the COVID-19 Epidemic: Lessons for the Future
Emerging and communicable infectious diseases are one of the major public health challenges that adherence to the principles of primary health care can prevent the rising of morbidity and mortality in communities. This study investigates the environmental health challenges of Iran in Covid-19 epidemic as an emerging infectious disease. Insufficient readiness of the health system, delays in qua...
متن کاملRe-organising Junior Doctors During the COVID-19 Outbreak: A Single Centre Experience in the United Kingdom
متن کامل
Management of Perinatal Testicular Torsion: A Single Centre Experience
Perinatal testicular torsion (PTT) is a rare entity. The management of PTT is controversial, due to the low viability of the testis and the possibility of bilateral torsion. This is a review of our experience with six cases of PTT, highlighting diagnostic and therapeutic difficulties of this condition.
متن کاملCOVID-19 in Iran: A model for Crisis Management and Current Experience
In February 2020, the first sample test was confirmed as positive for corona virus in Masih Daneshvari Hospital that is the reference center in Iran for all pulmonary and respiratory diseases. The decisions made in a hospital or organization to manage a crisis is very vital. Success in managing any crisis requires a scientific and scholarly attitude. This paper was distilled from experiences ga...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Brain Injury
سال: 2021
ISSN: ['0269-9052', '1362-301X']
DOI: https://doi.org/10.1080/02699052.2021.1934731