Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Coronavirus Disease (COVID-19) Outbreak and Its Impact on Spinal Daily Practice : Preliminary Report from a Single (Regional) University Hospital in Republic of Korea

  • Ham, Chang Hwa (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Moon, Hong Joo (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Joo Han (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Park, Youn-Kwan (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Lee, Tae Hoon (Spine and Joint Center, 9988 Hospital) ;
  • Kwon, Woo-Keun (Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine)
  • Received : 2020.04.14
  • Accepted : 2020.05.04
  • Published : 2020.07.01
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Abstract

Objective : Since the first discovery of the 2019 novel coronavirus (COVID-19), rapid and wide spread of the disease has been reported and the World Health Organization announced that a 'pandemic' has started. Up to date there is little known regarding the impact of this outbreak on spinal specialists' daily clinical practice. We intended to evaluate how COVID-19 has affected the number of spinal disease patients we meet and operate in daily practice. Methods : The de-identified data regarding number of patients visiting the spine clinic at a tertiary referral hospital and a secondary level hospital from January, February and March of 2017 to 2020 were retrospectively reviewed. The number of out-patient department (OPD) visits, number of emergency room (ER) visits as well as number of surgeries performed during the reviewed period were collected and analyzed, comparing 2020 to the previous 3 years. Results : The number of daily OPD visits showed a steady decrease starting from January, and presented a statistically significant decrease by early March 2020, compared to the previous 3 years. During the same period, decrease in number of daily ER visits was statistically significant as well. The number of elective surgeries or number of surgeries for patients admitted via ER during COVID-19 outbreak remained similar to that of 2017-2019 suggesting, despite the decrease of patients visiting the hospital for spinal diseases, those whom required surgery still visited the hospital. The results were consistant among other hospital level. Conclusion : The outbreak of COVID-19 affected our daily practice as OPD and ER visits reduced but did not affect the number of surgeries. We believe that this report will be informative to spinal specialists worldwide fighting the COVID-19 pandemic.

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References

  1. Carlos WG, Dela Cruz CS, Cao B, Pasnick S, Jamil S : Novel Wuhan (2019-nCoV) coronavirus. Am J Respir Crit Care Med 201 : P7-P8, 2020 https://doi.org/10.1164/rccm.201910-1993ED
  2. Centers for Disease Control and Prevention : Disease 2019 (COVID-19): Cases in U.S.. Available at : https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html
  3. Chu M, Jung YS : Coronavirus spread in South Korea surges to 763 cases and 7 deaths. Avaliable at : http://www.monews.co.kr/ news/articleView.html?idxno=208524
  4. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. : Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 395 : 497-506, 2020 https://doi.org/10.1016/s0140-6736(20)30183-5
  5. Huh S : How to train the health personnel for protecting themselves from novel coronavirus (COVID-19) infection during their patient or suspected case care. J Educ Eval Health Prof 17 : 10, 2020 https://doi.org/10.3352/jeehp.2020.17.10
  6. Hursitoglu M, Erdal GS, Akdeniz E, Kocoglu H, Kocamaz N, Tevetoglu IO, et al. : Early effect of the fear of terrorism on a hospital's emergency department use and on the incidence of cardiovascular events: a Turkish multicenter study. Int J Health Plann Manage 34 : 872-879, 2019 https://doi.org/10.1002/hpm.2756
  7. Kim HJ, Ko JS, Kim TY; Scientific Committee of the Korean Society of Anesthesiologists : Recommendations for anesthesia in patients suspected of COVID-19 coronavirus infection. Korean J Anesthesiol 73 : 89-91, 2020 https://doi.org/10.4097/kja.20110
  8. Kim JY, Choe PG, Oh Y, Oh KJ, Kim J, Park SJ, et al. : The first case of 2019 novel coronavirus pneumonia imported into Korea from Wuhan, China: implication for infection prevention and control measures. J Korean Med Sci 35 : e61, 2020 https://doi.org/10.3346/jkms.2020.35.e61
  9. Ko SJ : Corona Virus at a spine and joint specialized hospital. Lessons from the case. Avaliable at : https://www.doctorsnews.co.kr/news/articleView.html?idxno=133217
  10. Korean Society of Infectious Diseases; Korean Society of Pediatric Infectious Diseases; Korean Society of Epidemiology; Korean Society for Antimicrobial Therapy; Korean Society for Healthcare-associated Infection Control and Prevention; Korea Centers for Disease Control and Prevention : Report on the epidemiological features of Coronavirus disease 2019 (COVID-19) outbreak in the Republic of Korea from January 19 to March 2, 2020. J Korean Med Sci 35 : e112, 2020 https://doi.org/10.3346/jkms.2020.35.e112
  11. Ministry of Health and Welfare : Daily update of coronavirus-19 cases in Korea. Avaliable at : http://ncov.mohw.go.kr/en
  12. Ministry of Health and Welfare : Recommendations from KCDC. Avaliable at : http://ncov.mohw.go.kr/infoBoardList.do
  13. Ren LL, Wang YM, Wu ZQ, Xiang ZC, Guo L, Xu T, et al. : Identification of a novel coronavirus causing severe pneumonia in human: a descriptive study. Chin Med J (Engl) 133 : 1015-1024, 2020 https://doi.org/10.1097/CM9.0000000000000722
  14. Rothan HA, Byrareddy SN : The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun 109 : 102433, 2020 https://doi.org/10.1016/j.jaut.2020.102433
  15. Wang W, Tang J, Wei F : Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Med Virol 92 : 441-447, 2020 https://doi.org/10.1002/jmv.25689
  16. World Health Organization : Coronavirus disease (COVID-19) Pandemic. Available at : https://www.who.int/emergencies/diseases/novelcoronavirus-2019
  17. Zhao S, Lin Q, Ran J, Musa SS, Yang G, Wang W, et al. : Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: a data-driven analysis in the early phase of the outbreak. Int J Infect Dis 92 : 214-217, 2020 https://doi.org/10.1016/j.ijid.2020.01.050

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