Table 5.
Impact of the COVID-19 Pandemic on Elective Surgeries and Emergency Neurologic Surgeries
| Elective Surgeries During COVID-19 |
Emergency Surgeries During COVID-19 |
|||||||
|---|---|---|---|---|---|---|---|---|
| Decreased, n (%) | Without Changes, n (%) | Increased, n (%) | P | Decreased, n (%) | Without Changes, n (%) | Increased, n (%) | P | |
| Junior resident (PGY 1–3) | 172 (60) | 1 (20) | 1 (100) | 0.140 | 151 (64) | 19 (36.9) | 4 (44.4) | 0.005∗ |
| Senior resident (PGY 4–5) | 115 (40) | 4 (80) | 0 (0) | 85 (36) | 29 (60.4) | 5 (55.6) | ||
| Neurosurgery training country | ||||||||
| Mexico | 106 (36.9) | 1 (20) | 0 (0) | 0.553 | 89 (37.7) | 13 (27.1) | 5 (55.6) | 0.183 |
| Other country | 181 (63.1) | 4 (80) | 1 (100) | 147 (62.3) | 35 (72.9) | 4 (44.4) | ||
| Hospital type | ||||||||
| Exclusive hospital for neurologic diseases | 17 (5.9) | 1 (20) | 0 (0) | 0.823 | 15 (6.4) | 2 (4.2) | 1 (11.1) | 0.614 |
| Medical specialty hospital | 136 (47.4) | 2 (40) | 0 (0) | 115 (48.7) | 18 (37.5) | 5 (55.6) | ||
| General hospital | 132 (46) | 2 (40) | 1 (100) | 104 (44.1) | 28 (58.3) | 3 (33.3) | ||
| COVID hospital | ||||||||
| Exclusive COVID hospital | 10 (3.5) | 0 (0) | 0 (0) | 0.906 | 10 (4.2) | 0 (0) | (0) | 0.707 |
| COVID hybrid hospital | 259 (90.2) | 4 (80) | 1 (100) | 210 (89) | 46 (95.8) | 8 (88.9) | ||
| Hospital does not treat COVID | 16 (5.6) | 1 (20) | 0 (0) | 14 (5.9) | 2 (4.2) | 1 (11.1) | ||
| Strategies to reduce resident exposure to COVID-19: | 148 (51.6) | 2 (40) | 0 (0) | 0.372 | 131 (55.5) | 13 (27.1) | 6 (66.7) | 0.002∗ |
| Reduction of the number of workdays per week | ||||||||
| Weekly work hours during COVID-19 (≥70) | 242 (84.3) | 3 (60) | 0 (0) | 0.027∗ | 199 (84.3) | 39 (81.3) | 7 (77.8) | 0.776 |
| Neurologic surgeries in patients with COVID-19 (Yes) | 250 (87.1) | 5 (100) | 1 (100) | 0.927 | 204 (86.4) | 43 (89.6) | 9 (100) | 0.593 |
| Your hospital asks you to treat patients with COVID (Yes) | 217 (75.6) | 4 (80) | 1 (100) | 0.830 | 186 (78.8) | 28 (58.3) | 8 (88.9) | 0.007∗ |
| Respiratory disease that warrants hospitalization | 4 (1.4) | 1 (20) | 0 (0) | 0.006∗ | 4 (1.7) | 1 (2.1) | 0 (0) | 0.906 |
| Respiratory disease that warrants management in the intensive care unit | 1 (0.3) | 1 (20) | 0 (0) | <0.001∗ | 1 (0.4) | 1 (2.1) | 0 (0) | 0.431 |
| Positive polymerase chain reaction COVID-19 test | 59 (20.6) | 3 (60) | 1 (100) | 0.163 | 53 (22.5) | 8 (16.7) | 2 (22.2) | 0.088 |
| Sufficient PPE | 147 (51.2) | 3 (60) | 1 (100) | 0.044∗ | 118 (50) | 27 (56.3) | 6 (66.7) | 0.543 |
| PPE training (yes) | 223 (77.7) | 5 (100) | 1 (100) | 0.425 | 194 (82.2) | 28 (58.3) | 7 (77.8) | 0.001∗ |
PGY, postgraduate year; PPE, personal protective equipment.
∗
Statistically significant variables P <0.05 obtained by the χ2 test.