Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned
Objective The COVID-19 pandemic has challenged the basic functioning of the health care system. There has been an adverse impact on non-COVID-19 patients due to a shift in healthcare delivery, which is underreported. This study aims to explore the impact of the pandemic on various aspects of non-COV...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-12-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757203 |
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| author | Rajnish Kumar Arora Jitendra Shakya Rajkumar Pannem Suresh Sharma Saravanan Sadhasivam Vikram Singh Rawat Rajashekhar Rekhapalli Rakesh Kumar Sihag Radhey Shyam Mittal |
| author_facet | Rajnish Kumar Arora Jitendra Shakya Rajkumar Pannem Suresh Sharma Saravanan Sadhasivam Vikram Singh Rawat Rajashekhar Rekhapalli Rakesh Kumar Sihag Radhey Shyam Mittal |
| author_sort | Rajnish Kumar Arora |
| collection | DOAJ |
| description | Objective The COVID-19 pandemic has challenged the basic functioning of the health care system. There has been an adverse impact on non-COVID-19 patients due to a shift in healthcare delivery, which is underreported. This study aims to explore the impact of the pandemic on various aspects of non-COVID neurosurgical patients.
Methods This descriptive cross-sectional study was conducted with a structured questionnaire to assess the physical, economic, and psychological impacts of the COVID-19 pandemic and lockdown measures on neurosurgical patients presenting to our hospital after a nationwide lockdown.
Results Among 203 patients, non-neurotrauma and neurotrauma cases were 175 (86%) and 28 (16%), respectively. Among non-neurotrauma patients, 130 (64%) patients had cranial pathology. All 56 (27.6%) preoperative patients experienced rescheduling of surgery. Among 52 postsurgical patients, 47 (90%) had their adjuvant therapy delayed. Forty patients experienced deterioration in their neurological symptoms. Seventy-six (37%) patients sought medical attention from private hospitals. A severe contraction of income (≥ 25% of the income before lockdown) was experienced by families of 29 (14.3%) patients. Severe and very severe stress have been experienced by 24 (11.8%) and 14 (6.9%) patients, respectively. Severe and very severe anxiety was experienced by 32 (15.8%) and 9 (4.4%) patients.
Conclusion The COVID-19 pandemic and nationwide lockdown had a tremendous impact on the physical, social, and psychological well-being of patients with non-COVID illnesses. We are yet to face the long-term implications of the delay due to this pandemic in scheduled surgical and adjuvant treatments of non-COVID neurosurgical patients. |
| format | Article |
| id | doaj-art-1b5a2f73c6d84475b25b09d7a5ae19f6 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-1b5a2f73c6d84475b25b09d7a5ae19f62025-08-20T01:59:01ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672022-12-01110320220910.1055/s-0042-1757203Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons LearnedRajnish Kumar Arora0Jitendra Shakya1Rajkumar Pannem2Suresh Sharma3Saravanan Sadhasivam4Vikram Singh Rawat5Rajashekhar Rekhapalli6Rakesh Kumar Sihag7Radhey Shyam Mittal8Department of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaCollege of Nursing, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Psychiatry, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaDepartment of Neurosurgery, All India Institute of Medical Science, Rishikesh, Uttarakhand, IndiaObjective The COVID-19 pandemic has challenged the basic functioning of the health care system. There has been an adverse impact on non-COVID-19 patients due to a shift in healthcare delivery, which is underreported. This study aims to explore the impact of the pandemic on various aspects of non-COVID neurosurgical patients. Methods This descriptive cross-sectional study was conducted with a structured questionnaire to assess the physical, economic, and psychological impacts of the COVID-19 pandemic and lockdown measures on neurosurgical patients presenting to our hospital after a nationwide lockdown. Results Among 203 patients, non-neurotrauma and neurotrauma cases were 175 (86%) and 28 (16%), respectively. Among non-neurotrauma patients, 130 (64%) patients had cranial pathology. All 56 (27.6%) preoperative patients experienced rescheduling of surgery. Among 52 postsurgical patients, 47 (90%) had their adjuvant therapy delayed. Forty patients experienced deterioration in their neurological symptoms. Seventy-six (37%) patients sought medical attention from private hospitals. A severe contraction of income (≥ 25% of the income before lockdown) was experienced by families of 29 (14.3%) patients. Severe and very severe stress have been experienced by 24 (11.8%) and 14 (6.9%) patients, respectively. Severe and very severe anxiety was experienced by 32 (15.8%) and 9 (4.4%) patients. Conclusion The COVID-19 pandemic and nationwide lockdown had a tremendous impact on the physical, social, and psychological well-being of patients with non-COVID illnesses. We are yet to face the long-term implications of the delay due to this pandemic in scheduled surgical and adjuvant treatments of non-COVID neurosurgical patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757203covid-19impactneurosurgical patientspandemic |
| spellingShingle | Rajnish Kumar Arora Jitendra Shakya Rajkumar Pannem Suresh Sharma Saravanan Sadhasivam Vikram Singh Rawat Rajashekhar Rekhapalli Rakesh Kumar Sihag Radhey Shyam Mittal Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned Indian Journal of Neurosurgery covid-19 impact neurosurgical patients pandemic |
| title | Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned |
| title_full | Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned |
| title_fullStr | Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned |
| title_full_unstemmed | Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned |
| title_short | Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned |
| title_sort | impact of the covid 19 pandemic and lockdown on non covid neurosurgical patients lessons learned |
| topic | covid-19 impact neurosurgical patients pandemic |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757203 |
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