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Table 3 Operational impact of Coronavirus disease 2019 (COVID-19) pandemic

From: Impact of a pandemic on surgical neuro-oncology—maintaining functionality in the early phase of crisis

Variable

Number of hospitals (%)

Criteria for performing neurosurgery

 Only emergency surgery in COVID-19-negative patients (diagnosed by imaging and laboratory examination)

5 (3.5)

 Only emergency surgery in COVID-19-negative patients (diagnosed by clinical manifestation and imaging)

2 (1.4)

 Only emergency surgery (regardless of COVID-19 status)

16 (11.1)

 Neurosurgery in only COVID-19-negative patients (diagnosed by imaging and laboratory examination)

44 (30.6)

 Neurosurgery in only COVID-19-negative patients (diagnosed by clinical manifestation and imaging)

53 (36.8)

 Other criteria

15 (10.4)

Emergency neurosurgery status

 No emergency surgery

9 (6.3)

 Only for COVID-negative patients

52 (36.1)

 Emergency surgery performed routinely

83 (57.6)

Elective neuro-oncological surgery status

 No elective surgery

52 (36.1)

 Only for COVID-negative patients

74 (51.4)

 Elective surgery performed routinely

18 (12.5)

Protocols to restrict visitors to neurosurgery department

141 (97.9)

Discussion of ethical issues concerning how decisions will be made in the event healthcare resources must be prioritized and allocated

122 (84.7)

Patient follow-up for discharged patients

 In-person

10 (6.9)

 Telehealth

27 (18.8)

 Phone call

107 (74.3)

 Mobile nurses

0 (0%)

Anticipation that the current COVID-19 pandemic will be contained in the upcoming weeks

124 (86.1)

Assessment of how soon operating restrictions might be lifted

  < 1 month

36 (25.0)

 1–3 months

100 (69.4)

 3–6 months

3 (2.1)

  > 6 months

1 (0.7)

Anticipation of COVID-19-related disruption to neurosurgery department supplies

 Little or no disruption

61 (42.4)

 Moderate disruption

70 (48.6)

 Severe disruption

13 (9.0)

Anticipation of further COVID-19-related re-allocation of personnel from neurosurgery department

 Little or none

116 (80.6)

 Moderate

26 (18.1)

 Extensive

2 (1.4)