Mehdi Mahmoodkhani; Soroush Najafi; Mehdi Shafiei; Shohreh Jafari
Abstract
Background: The COVID‑19 pandemic has caused severe complications, deaths, and damage to societies, and the disease course is unpredictable and ranges from asymptomatic infections to multi‑organ failure and death.Objectives: The present study determined the frequency of neurosurgeries canceled owing ...
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Background: The COVID‑19 pandemic has caused severe complications, deaths, and damage to societies, and the disease course is unpredictable and ranges from asymptomatic infections to multi‑organ failure and death.Objectives: The present study determined the frequency of neurosurgeries canceled owing to the asymptomatic COVID‑19 in the patients.Methods: The present study was descriptive‑analytical and was conducted on all neurosurgeries in Kashani hospital, Isfahan, Iran in 2021. Moreover, 116 (52.5%) out of 2100 neurosurgeries were canceled, among which 41 cases (35.4%) were related to asymptomatic COVID‑19. The necessary data were extracted from the information in the patients’ medical files and were included in the data collection forms. The data were analyzed in SPSS 22 after collection.Results: Among 41 people, whose neurosurgery was canceled, 7 had asymptomatic COVID‑19 with few or mild symptoms, and 34 were asymptomatic. The patients of the two groups with asymptomatic and symptomatic COVID‑19 were significantly different in age, albumin level, C‑reactive protein, and serum creatinine (P<0.05) as the mean age, albumin, and C‑reactive protein levels were lower, and serum creatinine was higher in the group of patients with asymptomatic COVID‑19.Conclusion: The prevention of asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infections played a crucial role in the unhindered transmission of this virus and was the turning point in controlling the pandemic.
Bahram Aminmansour; Mehdi Shafiei; Masih Sabouri; Mehdi Mahmoodkhani; Mehrnaz Hematzadeh; Donya Sheibani Tehrani
Abstract
Background: COVID-19 quickly spread around the world as an epidemic with potentially unknown hazards. Like its impacts on various occupations, neurosurgery has undergone changes due to the virus, including changes in surgical planning, inpatient and outpatient clinics, emergency management, and even ...
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Background: COVID-19 quickly spread around the world as an epidemic with potentially unknown hazards. Like its impacts on various occupations, neurosurgery has undergone changes due to the virus, including changes in surgical planning, inpatient and outpatient clinics, emergency management, and even academic activities.Objectives: The present study was performed to determine neurosurgery challenges during the COVID-19 pandemic in Iran.Methods: The present study was conducted as a mixed qualitative and quantitative study in 2021. In the qualitative section using the targeted sampling method, 11 members of the target community were selected using the available sampling method and completed a questionnaire. The qualitative part was conducted in two stages of reviewing texts and interviewing experts and in the quantitative part we evaluated the validity of the structure and the reliability of the questionnaire.Results: This study examined in detail all aspects of the effects of COVID-19 on neurosurgery. 9 dimensions and 61 items were identified as the challenges of neurosurgery during the COVID-19 pandemic. In order of importance, the aspects were: treatment outcome, manpower, management psychological and physical diseases, education and research, tools and physical space, ethics, financial implications and information technology.Conclusion: The outbreak of epidemics has different risks for specialties, among them neurosurgery. Accordingly, to observe patients’ right to treatment, all necessary measures were first taken to provide instructions, regulations, policies and ethical guidelines.