Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement

Meyer Mikael; Prost Solène; Farah Kaissar; Denis Jean-Baptiste; Dufour Henry; Blondel Benjamin; Fuentes Stéphane

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저자정보: Meyer Mikael (CHU Timone Marseille France) Prost Solène (CHU Timone Marseille France) Farah Kaissar (CHU Timone Marseille France) Denis Jean-Baptiste (CHU Timone Marseille France) Dufour Henry (CHU Timone Marseille France) Blondel Benjamin (CHU Timone Marseille France) Fuentes Stéphane (CHU Timone Marseille France)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.14 No.3

발행연도: 2020.1

수록면: 336 - 340 (5page)

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Study Design: Observational study.Purpose: The actual sanitary crisis led to a massive mobilization of the sanitary system toward intensive care units and management of coronavirus disease 2019 (COVID-19) patients. However, some patients still require spinal interventions. The present study aimed to assess the impact of the COVID-19 pandemic on spine surgical in a moderate COVID-19 cluster region.Overview of Literature: Previous studies have reported screening and management of patients with spinal conditions during the COVID-19 pandemic. However, to date, knowledge, no observational study on spine surgeries during the pandemic has not been reported.Methods: Between March 17, 2020 and April 17, 2020, information on spine surgical activity was prospectively collected at our institution. This surgical activity related to the first month of confinement in France was compared to the activity during the same period in 2019 to evaluate the impact of the COVID-19 pandemic on surgical activities.Results: In order to reduce the contamination rate of patients and medical staff during hospitalization, the spine department was completely reorganized. Non-urgent elective spine surgeries were cancelled. When considering the global amount of surgeries procedures during the first month of confinement, a decrease of almost 50% was observed in the number of surgical procedures. During the study period, 62 patients were eligible for spine surgery. The numbers of patients managed for tumor and infectious cases were stable, while a considerable reduction was observed in the number of trauma and degenerative cases. During the follow-up period, two patients were tested as COVID+ during the postoperative course, and no cases of medical or paramedical staff contamination were reported using polymerase chain reaction-testing.Conclusions: During the COVID-19 pandemic, it is possible to maintain spine surgical activity. Each surgical procedure must be discussed and organized with all the caregivers involved. Indications for surgery must be in line with the scientific guidelines and adapted to each healthcare facility.

#Spine #COVID-19 #Organizations #Surgery

참고문헌 (8)

참고문헌 신청

World Health Organization / 2020 / WHO Director-General’s opening remarks at the media briefing on COVID-19

Ministere des Solidarites et de la Sante / 2020 / Preparing for the COVID-19 epidemic risk: methodological guide / Ministere des Solidarites et de la Sante

Agence Regionale de Sante Provence Alpes Cote d’Azur / 2020 / Coronavirus: update on March 16, 2020 / Agence Regionale de Sante Provence Alpes Cote d’Azur

Societe Francaise de Chirugie du Rachis(SFCR) / 2020 / Modalities of treatment of the spinal surgery patients in the period of COVID-19 related crisis / Societe Francaise de Chirugie du Rachis (SFCR)

Jun Zou / 2020 / Advice on Standardized Diagnosis and Treatment for Spinal Diseases during the Coronavirus Disease 2019 Pandemic / Asian Spine Journal 14(2):258~263

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