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DOI: 10.1055/s-0042-1757203
Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned
Funding None.Abstract
Objective The COVID-19 pandemic has challenged the basic functioning of the health care system. There has been an adverse impact on non-COVID-19 patients due to a shift in healthcare delivery, which is underreported. This study aims to explore the impact of the pandemic on various aspects of non-COVID neurosurgical patients.
Methods This descriptive cross-sectional study was conducted with a structured questionnaire to assess the physical, economic, and psychological impacts of the COVID-19 pandemic and lockdown measures on neurosurgical patients presenting to our hospital after a nationwide lockdown.
Results Among 203 patients, non-neurotrauma and neurotrauma cases were 175 (86%) and 28 (16%), respectively. Among non-neurotrauma patients, 130 (64%) patients had cranial pathology. All 56 (27.6%) preoperative patients experienced rescheduling of surgery. Among 52 postsurgical patients, 47 (90%) had their adjuvant therapy delayed. Forty patients experienced deterioration in their neurological symptoms. Seventy-six (37%) patients sought medical attention from private hospitals. A severe contraction of income (≥ 25% of the income before lockdown) was experienced by families of 29 (14.3%) patients. Severe and very severe stress have been experienced by 24 (11.8%) and 14 (6.9%) patients, respectively. Severe and very severe anxiety was experienced by 32 (15.8%) and 9 (4.4%) patients.
Conclusion The COVID-19 pandemic and nationwide lockdown had a tremendous impact on the physical, social, and psychological well-being of patients with non-COVID illnesses. We are yet to face the long-term implications of the delay due to this pandemic in scheduled surgical and adjuvant treatments of non-COVID neurosurgical patients.
Ethical Approval
The study was approved by the institute ethics committee (IEC/21/19) of All India Institute of Medical Science, Rishikesh, and Uttarakhand, India.
Consent to Participate
Informed consent was taken from all study participants.
Consent for Publication
The authors affirm that human research participants provided informed consent for publication of their data.
Research Involving Animals
This study did not involve any animals.
Publikationsverlauf
Artikel online veröffentlicht:
24. November 2022
© 2022. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Coronavirus N. (2019-nCoV) situation report-1. Accessed on October 19, 2020 at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn=20a99c10_4
- 2 Coronavirus disease. 2019 (COVID-19) Situation Report –51. Accessed on October 19, 2020 at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10
- 3 Kondziolka D, Couldwell WT, Rutka JT. Introduction. On pandemics: the impact of COVID-19 on the practice of neurosurgery. J Neurosurg 2020; 10: 1-2
- 4 Lee ZD, Chyi Yeu DL, Ang BT, Ng WH, Seow WT. Editorial. COVID-19 and its impact on neurosurgery: our early experience in Singapore. J Neurosurg 2020; 17: 1-2 DOI: 10.3171/2020.4.JNS201026.
- 5 Grasso G, Munakomi S. Neurosurgical ractice at the time of COVID-19. World Neurosurg 2020; 138: 565-566 DOI: 10.1016/j.wneu.2020.04.092.
- 6 Jean WC, Ironside NT, Sack KD, Felbaum DR, Syed HR. The impact of COVID-19 on neurosurgeons and the strategy for triaging non-emergent operations: a global neurosurgery study. Acta Neurochir (Wien) 2020; 162 (06) 1229-1240 DOI: 10.1007/s00701-020-04342-5.
- 7 Burke JF, Chan AK, Mummaneni V. et al. Letter: the coronavirus disease 2019 global pandemic: a neurosurgical treatment algorithm. Neurosurgery 2020; 87 (01) E50-E56 DOI: 10.1093/neuros/nyaa116.
- 8 Arnaout O, Patel A, Carter B, Chiocca EA. Letter: adaptation under fire: two harvard neurosurgical services during the COVID-19 pandemic. Neurosurgery 2020; 87 (02) E173-E177 DOI: 10.1093/neuros/nyaa146.
- 9 Gupta P, Muthukumar N, Rajshekhar V. et al. Neurosurgery and neurology practices during the novel COVID-19 pandemic: a consensus statement from India. Neurol India 2020; 68 (02) 246-254 DOI: 10.4103/0028-3886.283130.
- 10 Sharma A, Minh Duc NT, Luu Lam Thang T. et al. A consensus-based checklist for reporting of survey studies (CROSS). J Gen Intern Med 2021; 36 (10) 3179-3187 DOI: 10.1007/s11606-021-06737-1.
- 11 Andrews MA, Areekal B, Rajesh KR. et al. First confirmed case of COVID-19 infection in India: a case report. Indian J Med Res 2020; 151 (05) 490-492 DOI: 10.4103/ijmr.IJMR_2131_20.
- 12 Extension of Lockdown up to May 31, 2020. Order No. 40–3/2020-DM-I(A), Ministry of Home Affairs, Government of India. Accessed on June 07, 2022 at; https://pib.gov.in/PressReleasePage.aspx?PRID=1624763
- 13 Meter W. COVID-19 Coronavirus Pandemic. Accessed on February 07, 2020 at: https://www.worldometers.info/coronavirus/#countries
- 14 Spinelli A, Pellino G. COVID-19 pandemic: perspectives on an unfolding crisis. Br J Surg 2020; 107 (07) 785-787 DOI: 10.1002/bjs.11627.
- 15 Nasta AM, Goel R, Kanagavel M, Easwaramoorthy S. Impact of COVID-19 on general surgical practice in India. Indian J Surg 2020; 82 (03) 259-263 DOI: 10.1007/s12262-020-02443-0.
- 16 Rosenbaum L. The untold toll - the pandemic's effects on patients without Covid-19. N Engl J Med 2020; 382 (24) 2368-2371 DOI: 10.1056/NEJMms2009984.
- 17 Clark VE. Editorial. Impact of COVID-19 on neurosurgery resident research training. J Neurosurg 2020; 1-2 DOI: 10.3171/2020.4.JNS201034.
- 18 Carter BS, Chiocca EA. Editorial. COVID-19 and academic neurosurgery. J Neurosurg 2020; 1-2 DOI: 10.3171/2020.4.JNS201013.
- 19 Papa SM, Brundin P, Fung VSC. et al; MDS-Scientific Issues Committee. Impact of the COVID-19 pandemic on Parkinson's disease and movement disorders. Mov Disord 2020; 35 (05) 711-715 DOI: 10.1002/mds.28067.
- 20 Prasad S, Holla VV, Neeraja K. et al. Parkinson's disease and COVID-19: perceptions and implications in patients and caregivers. Mov Disord 2020; 35 (06) 912-914 DOI: 10.1002/mds.28088.
- 21 Al-Quteimat OM, Amer AM. The impact of the COVID-19 pandemic on cancer patients. Am J Clin Oncol 2020; 43 (06) 452-455 DOI: 10.1097/COC.0000000000000712.
- 22 Li SY, Tang YS, Chan YJ, Tarng DC. Impact of the COVID-19 pandemic on the management of patients with end-stage renal disease. J Chin Med Assoc 2020; 83 (07) 628-633 DOI: 10.1097/JCMA.0000000000000356.
- 23 Goulabchand R, Claret PG, Lattuca B. What if the worst consequences of COVID-19 concerned non-COVID patients?. J Infect Public Health 2020; 13 (09) 1237-1239 DOI: 10.1016/j.jiph.2020.06.014.
- 24 Baranidharan G, Bretherton B, Eldabe S. et al. The impact of the COVID-19 pandemic on patients awaiting spinal cord stimulation surgery in the United Kingdom: a multi-centre patient survey. Br J Pain 2021; 15 (03) 282-290 DOI: 10.1177/2049463720948092.
- 25 Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry 2020; 63 (01) e32 DOI: 10.1192/j.eurpsy.2020.35.
- 26 Roy A, Singh AK, Mishra S, Chinnadurai A, Mitra A, Bakshi O. Mental health implications of COVID-19 pandemic and its response in India. Int J Soc Psychiatry 2021; 67 (05) 587-600 DOI: 10.1177/0020764020950769.
- 27 Hao F, Tan W, Jiang L. et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun 2020; 87: 100-106 DOI: 10.1016/j.bbi.2020.04.069.
- 28 Wang C, Pan R, Wan X. et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17 (05) 1729 DOI: 10.3390/ijerph17051729.
- 29 How are Indian Households coping under the COVID-19 lockdown?. (2020) Accessed on October 19, 2020 at: https://www.chicagobooth.edu/research/rustandy/blog/2020/how-are-indian-households-coping-under-the-covid19-lockdown
- 30 Impact of COVID-19 on people's livelihoods, their health and our food systems- Joint statement by ILO, FAO, IFAD and WHO. Accessed on November 24, 2020 at: https://www.who.int/news/item/13-10-2020-impact-of-covid-19-on-people's-livelihoods-their-health-and-our-food-systems
- 31 Greven ACM, Rich CW, Malcolm JG. et al. Letter: neurosurgical management of spinal pathology via telemedicine during the COVID-19 pandemic: early experience and unique challenges. Neurosurgery 2020; 87 (02) E192-E196 DOI: 10.1093/neuros/nyaa165.
- 32 Telemedicine practice guidelines by Government of India (2020). Accessed on October 19, 2020 at: https://www.mohfw.gov.in/pdf/Telemedicine.pdf
- 33 Chellaiyan VG, Nirupama AY, Taneja N. Telemedicine in India: where do we stand?. J Family Med Prim Care 2019; 8 (06) 1872-1876 DOI: 10.4103/jfmpc.jfmpc_264_19.
- 34 Sadhasivam S, Arora RK, Rekapalli R. et al. A systematic review on the impact of the COVID-19 pandemic on neurosurgical practice and Indian perspective. Asian J Neurosurg 2021; 16 (01) 24-32 DOI: 10.4103/ajns.AJNS_379_20.