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) |