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.
Identifieur interne : 000585 ( Main/Exploration ); précédent : 000584; suivant : 000586Spine 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.
Auteurs : Mikael Meyer [France] ; Solène Prost [France] ; Kaissar Farah [France] ; Jean-Baptiste Denis [France] ; Henry Dufour [France] ; Benjamin Blondel [France] ; Stéphane Fuentes [France]Source :
- Asian spine journal [ 1976-1902 ] ; 2020.
Abstract
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.
DOI: 10.31616/asj.2020.0197
PubMed: 32380582
PubMed Central: PMC7280921
Affiliations:
Links toward previous steps (curation, corpus...)
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Results of an Observational Study in the First Month of Confinement.</title><author><name sortKey="Meyer, Mikael" sort="Meyer, Mikael" uniqKey="Meyer M" first="Mikael" last="Meyer">Mikael Meyer</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Prost, Solene" sort="Prost, Solene" uniqKey="Prost S" first="Solène" last="Prost">Solène Prost</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Farah, Kaissar" sort="Farah, Kaissar" uniqKey="Farah K" first="Kaissar" last="Farah">Kaissar Farah</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Denis, Jean Baptiste" sort="Denis, Jean Baptiste" uniqKey="Denis J" first="Jean-Baptiste" last="Denis">Jean-Baptiste Denis</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Dufour, Henry" sort="Dufour, Henry" uniqKey="Dufour H" first="Henry" last="Dufour">Henry Dufour</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Blondel, Benjamin" sort="Blondel, Benjamin" uniqKey="Blondel B" first="Benjamin" last="Blondel">Benjamin Blondel</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author><author><name sortKey="Fuentes, Stephane" sort="Fuentes, Stephane" uniqKey="Fuentes S" first="Stéphane" last="Fuentes">Stéphane Fuentes</name><affiliation wicri:level="4"><nlm:affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName><orgName type="university">Université d'Aix-Marseille</orgName></affiliation></author></analytic><series><title level="j">Asian spine journal</title><idno type="ISSN">1976-1902</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Observational study.</p></div><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>OVERVIEW OF LITERATURE</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32380582</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1976-1902</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Asian spine journal</Title><ISOAbbreviation>Asian Spine J</ISOAbbreviation></Journal><ArticleTitle>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.</ArticleTitle><Pagination><MedlinePgn>336-340</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.31616/asj.2020.0197</ELocationID><Abstract><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Observational study.</AbstractText><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">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.</AbstractText><AbstractText Label="OVERVIEW OF LITERATURE" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Meyer</LastName><ForeName>Mikael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prost</LastName><ForeName>Solène</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Farah</LastName><ForeName>Kaissar</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Denis</LastName><ForeName>Jean-Baptiste</ForeName><Initials>JB</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dufour</LastName><ForeName>Henry</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blondel</LastName><ForeName>Benjamin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fuentes</LastName><ForeName>Stéphane</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Unité de Chirurgie Rachidienne, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Marseille, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>Asian Spine J</MedlineTA><NlmUniqueID>101314177</NlmUniqueID><ISSNLinking>1976-1902</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Organizations</Keyword><Keyword MajorTopicYN="N">Spine</Keyword><Keyword MajorTopicYN="N">Surgery</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32380582</ArticleId><ArticleId IdType="pii">asj.2020.0197</ArticleId><ArticleId IdType="doi">10.31616/asj.2020.0197</ArticleId><ArticleId IdType="pmc">PMC7280921</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Can J Anaesth. 2020 Jun;67(6):732-745</Citation><ArticleIdList><ArticleId IdType="pubmed">32162212</ArticleId></ArticleIdList></Reference><Reference><Citation>Asian Spine J. 2020 Apr;14(2):258-263</Citation><ArticleIdList><ArticleId IdType="pubmed">32222720</ArticleId></ArticleIdList></Reference><Reference><Citation>World J Emerg Surg. 2020 Apr 7;15(1):25</Citation><ArticleIdList><ArticleId IdType="pubmed">32264898</ArticleId></ArticleIdList></Reference><Reference><Citation>Asian Spine J. 2020 Jun;14(3):385-387</Citation><ArticleIdList><ArticleId IdType="pubmed">32326671</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement><orgName><li>Université d'Aix-Marseille</li></orgName></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Meyer, Mikael" sort="Meyer, Mikael" uniqKey="Meyer M" first="Mikael" last="Meyer">Mikael Meyer</name></region><name sortKey="Blondel, Benjamin" sort="Blondel, Benjamin" uniqKey="Blondel B" first="Benjamin" last="Blondel">Benjamin Blondel</name><name sortKey="Denis, Jean Baptiste" sort="Denis, Jean Baptiste" uniqKey="Denis J" first="Jean-Baptiste" last="Denis">Jean-Baptiste Denis</name><name sortKey="Dufour, Henry" sort="Dufour, Henry" uniqKey="Dufour H" first="Henry" last="Dufour">Henry Dufour</name><name sortKey="Farah, Kaissar" sort="Farah, Kaissar" uniqKey="Farah K" first="Kaissar" last="Farah">Kaissar Farah</name><name sortKey="Fuentes, Stephane" sort="Fuentes, Stephane" uniqKey="Fuentes S" first="Stéphane" last="Fuentes">Stéphane Fuentes</name><name sortKey="Prost, Solene" sort="Prost, Solene" uniqKey="Prost S" first="Solène" last="Prost">Solène Prost</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32380582" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidFranceV1
| This area was generated with Dilib version V0.6.37. |  |