Editor's Note This study of spine surgeons around the world found they are experiencing the effects of COVID-19, including canceled procedures, changes in clinical roles, anxiety, and risk of exposure to the disease itself because of insufficient protective equipment. Researchers evaluated survey responses from 902 spine surgeons with membership in…
Editor's Note The American College of Surgeons on June 3 released new resources to help surgeons and hospitals address patients’ concerns about having surgical procedures that were delayed by COVID-19. The document, “Preparing to have surgery during the time of COVID-19,” includes a patient-surgeon discussion guide with suggested questions patients…
Editor's Note The overall incidence of COVID-19 in children who had preoperative screening was less than 1%; however, this varied greatly between regions, ranging from 0.22% to 2.65%. Included in the study were pediatric patients presenting for surgery at Children’s Hospital of Philadelphia, Texas Children’s Hospital in Houston, and Seattle…
Editor's Note The Joint Commission on June 3 announced that it supports the following positions for healthcare organizations to prevent nosocomial COVID-19 infections as they resume routine patient care. Organizations should continue to follow CDC recommendations for universal masking of staff, patients, and visitors. Personnel should wear filtering facepiece (N95)…
Editor's Note Patients having surgery after contracting COVID-19 are at greatly increased risk of postoperative death, this study finds. Researchers examined data for 1,128 patients from 235 hospitals in 24 countries. Overall 30-day postoperative mortality was 23.8%. Mortality was high across all subgroups including: elective surgery, 18.9% emergency surgery, 25.6%…
Editor's Note This study found reduced cardiac surgery activity, redeployed personnel, and curtailed educational and research activities in response to the COVID-19 pandemic. Survey respondents from 60 cardiac surgery centers in 19 countries said they had reduced their cardiac surgical procedures by an average of 50% to 75% in response…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 1 unveiled enhanced enforcement actions for nursing homes with violations of infection control practices. The enhanced and targeted accountability actions are based on trends in recent data regarding the incidence of COVID-19 in nursing homes and infection control…
Editor's Note In this study, researchers found that a pediatric adaptation of the adult Medically Necessary Time-Sensitive (MeNTS) risk stratification system was a valuable decision tool that helped them prioritize surgical procedures in children during the COVID-19 pandemic. The researchers tested the pediatric MeNTS (pMeNTS) in 101 patients scheduled for…
Editor's Note The Joint Commission on May 27 announced that it will begin to resume some survey and review activities in June, and account executives will be contacting organizations due for a survey. The Joint Commission is reviewing a variety of factors and criteria to help determine where and which…
Editor's Note The fatality rate in the US for those infected with SARS-CoV-2 who show symptoms is 1.3%, this study from the University of Washington finds. To build county-by-county models, the researchers used publicly reported national COVID-19 data for 116 counties in 33 states. A rate variable was constructed by…