Early Peri-operative Outcomes Were Unchanged in Patients Undergoing Spine Surgery During the COVID-19 Pandemic in New Yo
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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 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
Received: 29 May 2020/Accepted: 20 August 2020 * Hospital for Special Surgery 2020
Abstract Background: Healthcare resources have been greatly limited by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic halting nonessential surgical cases without clear service expansion protocols. Questions/Purposes: We sought to compare the perioperative 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 SARSCoV-2 outbreak. Surgeries performed for infectious or oncologic indications were excluded. Intra- and post-operative complication rates, re-operations, hospital length of stay, readmissions, 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 Level of Evidence: Level III: Therapeutic Study Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11420-020-09797-x) contains supplementary material, which is available to authorized users. P. K. Louie, MD (*) : L. A. Barber, MD : K. W. Morse, MD : M. Syku, BS : S. A. Qureshi, MD, MBA : V. Lafage, PhD : R. C. Huang, MD : A. V. Carli, MD Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA e-mail: [email protected]
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. Keywords SARS-CoV-2 . COVID-19 . coronavirus . orthopedics . spine surgery . elective surgery . telemedicine Introduction Despite a plethora of editorials and expert opinions, scientific literature exploring the peri-operative outcomes of patients un
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