Volume 79, Issue 2 (May 2021)
Tehran Univ Med J 2021, 79(2): 85-92 |
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Habibi Z, Mosallami Aghili S M, Javadi S A H, Seifi A, Karimi Yarandi K, Dehghan Manshadi S A et al . Clinical guideline of neurosurgical practice during
the COVID-19 pandemic. Tehran Univ Med J 2021; 79 (2) :85-92
URL: http://tumj.tums.ac.ir/article-1-11200-en.html
URL: http://tumj.tums.ac.ir/article-1-11200-en.html
Zohreh Habibi1 
, Seyed Morsal Mosallami Aghili2 , Seyed Amir Hossein Javadi * 3, Arash Seifi4 , Kourosh Karimi Yarandi5 , Seyed Ali Dehghan Manshadi4 , Fereshteh Naderi Behdani6
, Seyed Morsal Mosallami Aghili2 , Seyed Amir Hossein Javadi * 3, Arash Seifi4 , Kourosh Karimi Yarandi5 , Seyed Ali Dehghan Manshadi4 , Fereshteh Naderi Behdani6
1- Department of Neurosurgery, Children's Medical Center, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
2- Department of Neurosurgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Neurosurgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. ,javadi1978@yahoo.com
4- Department of Infectious Disease, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
5- Department of Neurosurgery, Sina Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
6- Department of Neurology, Shahid Rajai Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
2- Department of Neurosurgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
3- Department of Neurosurgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. ,
4- Department of Infectious Disease, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
5- Department of Neurosurgery, Sina Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
6- Department of Neurology, Shahid Rajai Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Abstract: (2082 Views)
Background: Neurosurgery practice conflicts with many challenges during the COVID-19 pandemic; Including the lack of beds in intensive care units, as well as the use of some methods such as drills and trans-nasal and trans-oral approaches that produce aerosols or are directly in contact with patient discharge. Due to these challenges, developing a clinical guideline to help neurosurgeons and medical staff in decision making and improving patients and medical staff safety during the COVID-19 pandemic is the purpose of this study.
Methods: First, all of the relevant clinical guidelines to neurosurgical practice during the COVID-19 pandemic were extracted from the data centers. Finally, five clinical guidelines were selected. The questions and the items were designed according to these guidelines. The answers to each of the questions were extracted from these guidelines. The complementary evidence was extracted by searching in the data centers again. Finally, the answers were edited and the edited answers were considered as the recommendations. These recommendations were sent to 4 experts in the Neurosurgery field and 2 experts in the infectious diseases field. The appraisers evaluated the recommendations according to the AGREE-REX instrument. This instrument has 9 items and 3 domains including clinical applicability, values and preferences, and implement ability. Recommendations with above 80% agreement were considered as the final recommendations.
Methods: First, all of the relevant clinical guidelines to neurosurgical practice during the COVID-19 pandemic were extracted from the data centers. Finally, five clinical guidelines were selected. The questions and the items were designed according to these guidelines. The answers to each of the questions were extracted from these guidelines. The complementary evidence was extracted by searching in the data centers again. Finally, the answers were edited and the edited answers were considered as the recommendations. These recommendations were sent to 4 experts in the Neurosurgery field and 2 experts in the infectious diseases field. The appraisers evaluated the recommendations according to the AGREE-REX instrument. This instrument has 9 items and 3 domains including clinical applicability, values and preferences, and implement ability. Recommendations with above 80% agreement were considered as the final recommendations.
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Results: The final recommendations were presented as “Clinical guideline of neurosurgical practice during the COVID-19 pandemic” in the results section.
Conclusion: This clinical guideline was developed by using similar guidelines and available evidence. Proper usage of personal protective equipment, reduction of unnecessary contacts between medical staff and patients, use of Telemedicine for follow-up, proper air conditioning, screening patients for COVID-19, reduction of elective surgery, use of less invasive methods, management of aerosol production and reduction of trans-oral and trans-nasal approaches are the most important recommendations of this clinical guideline. |
Type of Study: Original Article |
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