Perceptions Regarding the SARS-CoV-2 Pandemic's Impact on Neurocritical Care Delivery : Results From a Global Survey
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved..
BACKGROUND: The SARS-CoV-2 (COVID-19) pandemic has impacted many facets of critical care delivery.
METHODS: An electronic survey was distributed to explore the pandemic's perceived impact on neurocritical care delivery between June 2020 and March 2021. Variables were stratified by World Bank country income level, presence of a dedicated neurocritical care unit (NCCU) and experiencing a COVID-19 patient surge.
RESULTS: Respondents from 253 hospitals (78.3% response rate) from 47 countries (45.5% low/middle income countries; 54.5% with a dedicated NCCU; 78.6% experienced a first surge) participated in the study. Independent of country income level, NCCU and surge status, participants reported reductions in NCCU admissions (67%), critical care drug shortages (69%), reduction in ancillary services (43%) and routine diagnostic testing (61%), and temporary cancellation of didactic teaching (44%) and clinical/basic science research (70%). Respondents from low/middle income countries were more likely to report lack of surge preparedness (odds ratio [OR], 3.2; 95% confidence interval [CI], 1.8-5.8) and struggling to return to prepandemic standards of care (OR, 12.2; 95% CI, 4.4-34) compared with respondents from high-income countries. Respondents experiencing a surge were more likely to report conversion of NCCUs and general-mixed intensive care units (ICUs) to a COVID-ICU (OR 3.7; 95% CI, 1.9-7.3), conversion of non-ICU beds to ICU beds (OR, 3.4; 95% CI, 1.8-6.5), and deviations in critical care and pharmaceutical practices (OR, 4.2; 95% CI 2.1-8.2). Respondents from hospitals with a dedicated NCCU were less likely to report conversion to a COVID-ICU (OR, 0.5; 95% CI, 0.3-0.9) or conversion of non-ICU to ICU beds (OR, 0.5; 95% CI, 0.3-0.9).
CONCLUSION: This study reports the perceived impact of the COVID-19 pandemic on global neurocritical care delivery, and highlights shortcomings of health care infrastructures and the importance of pandemic preparedness.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
|---|---|
| Enthalten in: |
Journal of neurosurgical anesthesiology - 34(2022), 2 vom: 01. Apr., Seite 209-220 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Lele, Abhijit V [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 09.03.2022 Date Revised 27.08.2023 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1097/ANA.0000000000000825 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM334186730 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM334186730 | ||
| 003 | DE-627 | ||
| 005 | 20231225223156.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1097/ANA.0000000000000825 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1113.xml |
| 035 | |a (DE-627)NLM334186730 | ||
| 035 | |a (NLM)34882104 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Lele, Abhijit V |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Perceptions Regarding the SARS-CoV-2 Pandemic's Impact on Neurocritical Care Delivery |b Results From a Global Survey |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 09.03.2022 | ||
| 500 | |a Date Revised 27.08.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: The SARS-CoV-2 (COVID-19) pandemic has impacted many facets of critical care delivery | ||
| 520 | |a METHODS: An electronic survey was distributed to explore the pandemic's perceived impact on neurocritical care delivery between June 2020 and March 2021. Variables were stratified by World Bank country income level, presence of a dedicated neurocritical care unit (NCCU) and experiencing a COVID-19 patient surge | ||
| 520 | |a RESULTS: Respondents from 253 hospitals (78.3% response rate) from 47 countries (45.5% low/middle income countries; 54.5% with a dedicated NCCU; 78.6% experienced a first surge) participated in the study. Independent of country income level, NCCU and surge status, participants reported reductions in NCCU admissions (67%), critical care drug shortages (69%), reduction in ancillary services (43%) and routine diagnostic testing (61%), and temporary cancellation of didactic teaching (44%) and clinical/basic science research (70%). Respondents from low/middle income countries were more likely to report lack of surge preparedness (odds ratio [OR], 3.2; 95% confidence interval [CI], 1.8-5.8) and struggling to return to prepandemic standards of care (OR, 12.2; 95% CI, 4.4-34) compared with respondents from high-income countries. Respondents experiencing a surge were more likely to report conversion of NCCUs and general-mixed intensive care units (ICUs) to a COVID-ICU (OR 3.7; 95% CI, 1.9-7.3), conversion of non-ICU beds to ICU beds (OR, 3.4; 95% CI, 1.8-6.5), and deviations in critical care and pharmaceutical practices (OR, 4.2; 95% CI 2.1-8.2). Respondents from hospitals with a dedicated NCCU were less likely to report conversion to a COVID-ICU (OR, 0.5; 95% CI, 0.3-0.9) or conversion of non-ICU to ICU beds (OR, 0.5; 95% CI, 0.3-0.9) | ||
| 520 | |a CONCLUSION: This study reports the perceived impact of the COVID-19 pandemic on global neurocritical care delivery, and highlights shortcomings of health care infrastructures and the importance of pandemic preparedness | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Wahlster, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Alunpipachathai, Bhunyawee |e verfasserin |4 aut | |
| 700 | 1 | |a Awraris Gebrewold, Meron |e verfasserin |4 aut | |
| 700 | 1 | |a Chou, Sherry H-Y |e verfasserin |4 aut | |
| 700 | 1 | |a Crabtree, Gretchen |e verfasserin |4 aut | |
| 700 | 1 | |a English, Shane |e verfasserin |4 aut | |
| 700 | 1 | |a Der-Nigoghossian, Caroline |e verfasserin |4 aut | |
| 700 | 1 | |a Gagnon, David J |e verfasserin |4 aut | |
| 700 | 1 | |a Kim-Tenser, May |e verfasserin |4 aut | |
| 700 | 1 | |a Karanjia, Navaz |e verfasserin |4 aut | |
| 700 | 1 | |a Kirkman, Matthew A |e verfasserin |4 aut | |
| 700 | 1 | |a Lamperti, Massimo |e verfasserin |4 aut | |
| 700 | 1 | |a Livesay, Sarah L |e verfasserin |4 aut | |
| 700 | 1 | |a Mejia-Mantilla, Jorge |e verfasserin |4 aut | |
| 700 | 1 | |a Melmed, Kara |e verfasserin |4 aut | |
| 700 | 1 | |a Prabhakar, Hemanshu |e verfasserin |4 aut | |
| 700 | 1 | |a Tumino, Leandro |e verfasserin |4 aut | |
| 700 | 1 | |a Venkatasubba Rao, Chethan P |e verfasserin |4 aut | |
| 700 | 1 | |a Udy, Andrew A |e verfasserin |4 aut | |
| 700 | 1 | |a Videtta, Walter |e verfasserin |4 aut | |
| 700 | 1 | |a Moheet, Asma M |e verfasserin |4 aut | |
| 700 | 0 | |a NCC-COVID Study Collaborators |e verfasserin |4 aut | |
| 700 | 1 | |a Hinson, H E |e investigator |4 oth | |
| 700 | 1 | |a Olm-Shipman, Casey M |e investigator |4 oth | |
| 700 | 1 | |a Da Silva, Ivan |e investigator |4 oth | |
| 700 | 1 | |a Cervantes-Arslanian, Anna M |e investigator |4 oth | |
| 700 | 1 | |a Carlson, Andrew P |e investigator |4 oth | |
| 700 | 1 | |a Sivakumar, Sanjeev |e investigator |4 oth | |
| 700 | 1 | |a Shah, Vishank A |e investigator |4 oth | |
| 700 | 1 | |a Bonomo, Jordan B |e investigator |4 oth | |
| 700 | 1 | |a Hatton, Kevin W |e investigator |4 oth | |
| 700 | 1 | |a Kapinos, Gregory |e investigator |4 oth | |
| 700 | 1 | |a Hughes, Christopher G |e investigator |4 oth | |
| 700 | 1 | |a Rodríguez-Vega, Gloria M |e investigator |4 oth | |
| 700 | 1 | |a Mainali, Shraddha |e investigator |4 oth | |
| 700 | 1 | |a Chang, Cherylee W J |e investigator |4 oth | |
| 700 | 1 | |a Dissin, Jonathan |e investigator |4 oth | |
| 700 | 1 | |a Wang, Jing |e investigator |4 oth | |
| 700 | 1 | |a Mailloux, Patrick T |e investigator |4 oth | |
| 700 | 1 | |a Dhar, Rajat |e investigator |4 oth | |
| 700 | 1 | |a Naik, Bhiken I |e investigator |4 oth | |
| 700 | 1 | |a Sarwal, Aarti |e investigator |4 oth | |
| 700 | 1 | |a Muehlschlegel, Susanne |e investigator |4 oth | |
| 700 | 1 | |a Nobleza, Christa O'Hana S |e investigator |4 oth | |
| 700 | 1 | |a Shapshak, Angela Hays |e investigator |4 oth | |
| 700 | 1 | |a Wyler, David A |e investigator |4 oth | |
| 700 | 1 | |a Latorre, Julius Gene S |e investigator |4 oth | |
| 700 | 1 | |a Varelas, Panayiotis N |e investigator |4 oth | |
| 700 | 1 | |a Ansari, Safdar A |e investigator |4 oth | |
| 700 | 1 | |a Krishnamoorthy, Vijay |e investigator |4 oth | |
| 700 | 1 | |a Rao, Shyam S |e investigator |4 oth | |
| 700 | 1 | |a Ivan Da Silva, Demetrios J Kutsogiannis |e investigator |4 oth | |
| 700 | 1 | |a Akbari, Yama |e investigator |4 oth | |
| 700 | 1 | |a Rosenblatt, Kathryn |e investigator |4 oth | |
| 700 | 1 | |a Roberts, Debra E |e investigator |4 oth | |
| 700 | 1 | |a Kim, Jennifer A |e investigator |4 oth | |
| 700 | 1 | |a Batra, Ayush |e investigator |4 oth | |
| 700 | 1 | |a Srinivasan, Vasisht |e investigator |4 oth | |
| 700 | 1 | |a Williamson, Craig A |e investigator |4 oth | |
| 700 | 1 | |a Cai, Xuemei |e investigator |4 oth | |
| 700 | 1 | |a George, Pravin |e investigator |4 oth | |
| 700 | 1 | |a Pizzi, Michael A |e investigator |4 oth | |
| 700 | 1 | |a Luk, K H Kevin |e investigator |4 oth | |
| 700 | 1 | |a Berger, Karen |e investigator |4 oth | |
| 700 | 1 | |a Babi, Marc-Alain |e investigator |4 oth | |
| 700 | 1 | |a Hirsch, Karen G |e investigator |4 oth | |
| 700 | 1 | |a Lay, Cappi C |e investigator |4 oth | |
| 700 | 1 | |a Fontaine, Gabriel V |e investigator |4 oth | |
| 700 | 1 | |a Lewis, Ariane |e investigator |4 oth | |
| 700 | 1 | |a Lamer-Rosen, Amanda B |e investigator |4 oth | |
| 700 | 1 | |a Kalanuria, Atul |e investigator |4 oth | |
| 700 | 1 | |a Khawaja, Ayaz M |e investigator |4 oth | |
| 700 | 1 | |a Rabinstein, Alejandro A |e investigator |4 oth | |
| 700 | 1 | |a Andrews, Charles M |e investigator |4 oth | |
| 700 | 1 | |a Badjatia, Neeraj |e investigator |4 oth | |
| 700 | 1 | |a McDonagh, David L |e investigator |4 oth | |
| 700 | 1 | |a Rajajee, Venkatakrishna |e investigator |4 oth | |
| 700 | 1 | |a Dombrowski, Keith E |e investigator |4 oth | |
| 700 | 1 | |a Daniels, Justin D |e investigator |4 oth | |
| 700 | 1 | |a O'Phelan, Kristine H |e investigator |4 oth | |
| 700 | 1 | |a Birrer, Kara L |e investigator |4 oth | |
| 700 | 1 | |a Davis, Nicole C |e investigator |4 oth | |
| 700 | 1 | |a Marino, Kaylee K |e investigator |4 oth | |
| 700 | 1 | |a Li, Fanny |e investigator |4 oth | |
| 700 | 1 | |a Sharma, Archit |e investigator |4 oth | |
| 700 | 1 | |a Tesoro, Eljim P |e investigator |4 oth | |
| 700 | 1 | |a Sadan, Ofer |e investigator |4 oth | |
| 700 | 1 | |a Mehta, Yatin B |e investigator |4 oth | |
| 700 | 1 | |a Boone, Myles Dustin |e investigator |4 oth | |
| 700 | 1 | |a Barthol, Colleen |e investigator |4 oth | |
| 700 | 1 | |a López Delgado, Hubiel J |e investigator |4 oth | |
| 700 | 1 | |a Maricela, García Arellano |e investigator |4 oth | |
| 700 | 1 | |a Mijangos-Mendez, Julio C |e investigator |4 oth | |
| 700 | 1 | |a Lopez-Pulgarin, Jose A |e investigator |4 oth | |
| 700 | 1 | |a Terrett, Luke A |e investigator |4 oth | |
| 700 | 1 | |a Rigamonti, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Couillard, Philippe |e investigator |4 oth | |
| 700 | 1 | |a Chassé, Michaël |e investigator |4 oth | |
| 700 | 1 | |a Al-Jehani, Hosam M |e investigator |4 oth | |
| 700 | 1 | |a Cunto, Eleonora R |e investigator |4 oth | |
| 700 | 1 | |a Villalobos, Luis M |e investigator |4 oth | |
| 700 | 1 | |a Rocchetti, Nicolás S |e investigator |4 oth | |
| 700 | 1 | |a Aparicio, Gabriela |e investigator |4 oth | |
| 700 | 1 | |a Domeniconi, Gustavo G |e investigator |4 oth | |
| 700 | 1 | |a Gemelli, Nicolas A |e investigator |4 oth | |
| 700 | 1 | |a Badano, Mariana F |e investigator |4 oth | |
| 700 | 1 | |a Costilla, Cesar M |e investigator |4 oth | |
| 700 | 1 | |a Caporal, Paula |e investigator |4 oth | |
| 700 | 1 | |a Camerlingo, Sebastián |e investigator |4 oth | |
| 700 | 1 | |a Balasini, Carina |e investigator |4 oth | |
| 700 | 1 | |a López, Rossana G |e investigator |4 oth | |
| 700 | 1 | |a Mario, Mauri |e investigator |4 oth | |
| 700 | 1 | |a Ilutovich, Santiago A |e investigator |4 oth | |
| 700 | 1 | |a Torresan, Gabriela V |e investigator |4 oth | |
| 700 | 1 | |a Mazzola, Ana M |e investigator |4 oth | |
| 700 | 1 | |a Daniela, E |e investigator |4 oth | |
| 700 | 1 | |a Olmos, K |e investigator |4 oth | |
| 700 | 1 | |a Maldonado, Roberto Mérida |e investigator |4 oth | |
| 700 | 1 | |a La Fuente Zerain, Gustavo |e investigator |4 oth | |
| 700 | 1 | |a Paiva, Wellingson Silva |e investigator |4 oth | |
| 700 | 1 | |a Falcão, Antônio Eiras |e investigator |4 oth | |
| 700 | 1 | |a Rojas, Salomón |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of neurosurgical anesthesiology |d 1989 |g 34(2022), 2 vom: 01. Apr., Seite 209-220 |w (DE-627)NLM074810103 |x 1537-1921 |7 nnns |
| 773 | 1 | 8 | |g volume:34 |g year:2022 |g number:2 |g day:01 |g month:04 |g pages:209-220 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1097/ANA.0000000000000825 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 34 |j 2022 |e 2 |b 01 |c 04 |h 209-220 | ||