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Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study

AIMS: With resumption of elective spine surgery services in the UK following the first wave of the COVID-19 pandemic, we conducted a multicentre British Association of Spine Surgeons (BASS) collaborative study to examine the complications and deaths due to COVID-19 at the recovery phase of the pande...

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Autores principales: Mohammed, Riaz, Shah, Pranav, Durst, Alexander, Mathai, Naveen J., Budu, Alexandru, Woodfield, Julie, Marjoram, Tom, Sewell, Matthew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone & Joint Surgery 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8711666/
https://www.ncbi.nlm.nih.gov/pubmed/34939428
http://dx.doi.org/10.1302/2633-1462.212.BJO-2021-0116.R1
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author Mohammed, Riaz
Shah, Pranav
Durst, Alexander
Mathai, Naveen J.
Budu, Alexandru
Woodfield, Julie
Marjoram, Tom
Sewell, Matthew
author_facet Mohammed, Riaz
Shah, Pranav
Durst, Alexander
Mathai, Naveen J.
Budu, Alexandru
Woodfield, Julie
Marjoram, Tom
Sewell, Matthew
author_sort Mohammed, Riaz
collection PubMed
description AIMS: With resumption of elective spine surgery services in the UK following the first wave of the COVID-19 pandemic, we conducted a multicentre British Association of Spine Surgeons (BASS) collaborative study to examine the complications and deaths due to COVID-19 at the recovery phase of the pandemic. The aim was to analyze the safety of elective spinal surgery during the pandemic. METHODS: A prospective observational study was conducted from eight spinal centres for the first month of operating following restoration of elective spine surgery in each individual unit. Primary outcome measure was the 30-day postoperative COVID-19 infection rate. Secondary outcomes analyzed were the 30-day mortality rate, surgical adverse events, medical complications, and length of inpatient stay. RESULTS: In all, 257 patients (128 males) with a median age of 54 years (2 to 88) formed the study cohort. The mean number of procedures performed from each unit was 32 (16 to 101), with 118 procedures (46%) done as category three prioritization level. The majority of patients (87%) were low-medium “risk stratification” category and the mean length of hospital stay was 5.2 days. None of the patients were diagnosed with COVID-19 infection, nor was there any mortality related to COVID-19 during the 30-day follow-up period, with 25 patients (10%) having been tested for symptoms. Overall, 32 patients (12%) developed a total of 34 complications, with the majority (19/34) being grade 1 to 2 Clavien-Dindo classification of surgical complications. No patient required postoperative care in an intensive care setting for any unexpected complication. CONCLUSION: This study shows that safe and effective planned spinal surgical services can be restored avoiding viral transmission, with diligent adherence to national guidelines and COVID-19-secure pathways tailored according to the resources of the individual spinal units. Cite this article: Bone Jt Open 2021;2(12):1096–1101.
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spelling pubmed-87116662022-01-13 Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study Mohammed, Riaz Shah, Pranav Durst, Alexander Mathai, Naveen J. Budu, Alexandru Woodfield, Julie Marjoram, Tom Sewell, Matthew Bone Jt Open Spine AIMS: With resumption of elective spine surgery services in the UK following the first wave of the COVID-19 pandemic, we conducted a multicentre British Association of Spine Surgeons (BASS) collaborative study to examine the complications and deaths due to COVID-19 at the recovery phase of the pandemic. The aim was to analyze the safety of elective spinal surgery during the pandemic. METHODS: A prospective observational study was conducted from eight spinal centres for the first month of operating following restoration of elective spine surgery in each individual unit. Primary outcome measure was the 30-day postoperative COVID-19 infection rate. Secondary outcomes analyzed were the 30-day mortality rate, surgical adverse events, medical complications, and length of inpatient stay. RESULTS: In all, 257 patients (128 males) with a median age of 54 years (2 to 88) formed the study cohort. The mean number of procedures performed from each unit was 32 (16 to 101), with 118 procedures (46%) done as category three prioritization level. The majority of patients (87%) were low-medium “risk stratification” category and the mean length of hospital stay was 5.2 days. None of the patients were diagnosed with COVID-19 infection, nor was there any mortality related to COVID-19 during the 30-day follow-up period, with 25 patients (10%) having been tested for symptoms. Overall, 32 patients (12%) developed a total of 34 complications, with the majority (19/34) being grade 1 to 2 Clavien-Dindo classification of surgical complications. No patient required postoperative care in an intensive care setting for any unexpected complication. CONCLUSION: This study shows that safe and effective planned spinal surgical services can be restored avoiding viral transmission, with diligent adherence to national guidelines and COVID-19-secure pathways tailored according to the resources of the individual spinal units. Cite this article: Bone Jt Open 2021;2(12):1096–1101. The British Editorial Society of Bone & Joint Surgery 2021-12-23 /pmc/articles/PMC8711666/ /pubmed/34939428 http://dx.doi.org/10.1302/2633-1462.212.BJO-2021-0116.R1 Text en © 2021 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Spine
Mohammed, Riaz
Shah, Pranav
Durst, Alexander
Mathai, Naveen J.
Budu, Alexandru
Woodfield, Julie
Marjoram, Tom
Sewell, Matthew
Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study
title Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study
title_full Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study
title_fullStr Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study
title_full_unstemmed Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study
title_short Restoration of elective spine surgery during the first wave of COVID-19: a UK-wide British Association of Spine Surgeons (BASS) prospective, multicentre, observational study
title_sort restoration of elective spine surgery during the first wave of covid-19: a uk-wide british association of spine surgeons (bass) prospective, multicentre, observational study
topic Spine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8711666/
https://www.ncbi.nlm.nih.gov/pubmed/34939428
http://dx.doi.org/10.1302/2633-1462.212.BJO-2021-0116.R1
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