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01-11-2020 | SARS-CoV-2 | Response to COVID-19/Original Article

Early Peri-operative Outcomes Were Unchanged in Patients Undergoing Spine Surgery During the COVID-19 Pandemic in New York City

Authors: Philip K. Louie, MD, Lauren A. Barber, MD, Kyle W. Morse, MD, Marie Syku, BS, Sheeraz A. Qureshi, MD, MBA, Virginie Lafage, PhD, Russel C. Huang, MD, Alberto V. Carli, MD

Published in: HSS Journal ® | Special Issue 1/2020

Abstract

Background

Healthcare resources have been greatly limited by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic halting non-essential surgical cases without clear service expansion protocols.

Questions/Purposes

We sought to compare the peri-operative outcomes of patients undergoing spine surgery during the SARS-CoV-2 pandemic to a matched cohort prior to the pandemic.

Methods

We identified a consecutive sample of 127 adult patients undergoing spine surgery between March 9, 2020, and April 10, 2020, corresponding with the state of emergency declared in New York and the latest possible time for 1-month surgical follow-up. The study group was matched one-to-one based on age, gender, and body mass index with eligible control patients who underwent similar spine procedures prior to the SARS-CoV-2 outbreak. Surgeries performed for infectious or oncologic indications were excluded. Intra- and post-operative complication rates, re-operations, hospital length of stay, re-admissions, post-operative visit format, development of post-operative fever and/or respiratory symptoms, and SAR-CoV2 testing.

Results

A total of 254 patients (127 SARS-CoV-2 pandemic, 127 matched controls) were included. One hundred fifty-eight were male (62%), and 96 were female (38%). The mean age in the pandemic group was 59.8 ± 13.4 years; that of the matched controls was 60.3 ± 12.3. All patients underwent general anesthesia and did not require re-intubation. There were no significant differences in 1-month post-operative complication rates (16.5% pandemic vs. 12.6% control). There was one death in the pandemic group. No patients tested positive for the virus.

Conclusion

This study represents the first report of post-operative outcomes in a large group of spine surgical patients in an area heavily affected by the SARS-CoV-2 pandemic.

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Title: Early Peri-operative Outcomes Were Unchanged in Patients Undergoing Spine Surgery During the COVID-19 Pandemic in New York City
Authors: Philip K. Louie, MD
Lauren A. Barber, MD
Kyle W. Morse, MD
Marie Syku, BS
Sheeraz A. Qureshi, MD, MBA
Virginie Lafage, PhD
Russel C. Huang, MD
Alberto V. Carli, MD
Publication date: 01-11-2020
Publisher: Springer US
Keywords: SARS-CoV-2
COVID-19
Telemedicine
Published in: HSS Journal ® / Issue Special Issue 1/2020
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI: https://doi.org/10.1007/s11420-020-09797-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Early Peri-operative Outcomes Were Unchanged in Patients Undergoing Spine Surgery During the COVID-19 Pandemic in New York City

Abstract

Background

Questions/Purposes

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Questions/Purposes

Methods

Results

Conclusion

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