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The Impact of the Pandemic of COVID-19 on the Head Injury Fast-Track System and Surgical Outcome. | LitMetric

AI Article Synopsis

  • The study assessed how the COVID-19 pandemic affected the head injury fast-track system and surgical outcomes by comparing patient data before and during the pandemic.
  • A total of 128 patients were analyzed from the prepandemic period and 119 from the pandemic period, showing longer emergency room processing times during COVID but no significant changes in mortality or functional outcomes.
  • Though there were delays in treatment during the pandemic, the overall health outcomes for head injury patients remained comparable to the prepandemic period.

Article Abstract

 This study aims to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the head injury fast-track system and surgical treatment outcomes.  A retrospective review was conducted on patients who underwent emergency neurological procedures according to the head injury fast-track system. Data from April 2018 to April 2020 (pre-COVID) were compared with data from May 2020 to May 2022 (during COVID).  The analysis comprised 128 patients in the prepandemic group and 119 patients in the pandemic group, with 5 patients diagnosed with COVID infection during the pandemic. Acute subdural hematoma resulting from motorcycle accidents was the most common diagnosis in both groups (56.3 and 47.5%, respectively). The initial Glasgow coma scale (GCS) score was significantly lower during the pandemic compared to the prepandemic period (  = 0.025). Time metrics in the emergency department, including door to computed tomography (CT), emergency room (ER) exit, and incision times, were significantly longer in the pandemic group (  < 0.05). However, there were no statistically significant differences in in-hospital mortality rates (25.8 and 17.7%, respectively;  = 0.12) or the percentage of patients with a favorable functional outcome (Glasgow outcome scale ≥4). At 1 month, a favorable functional outcome was observed in 51.6% of prepandemic patients and 57.1% of pandemic patients (  = 0.69), while at 6 months, the percentages were 56.8 and 64.5%, respectively (  = 0.23).  Our study revealed significant delays in hospital processes for head injuries during the COVID-19 pandemic. However, we found no significant impact on mortality rates or functional outcomes of patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588609PMC
http://dx.doi.org/10.1055/s-0044-1791267DOI Listing

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