SARS-CoV-2 COVID-19, coronavirus, has created unique challenges for the medical community after national guidelines called for the cancellation of all elective surgery. While there are clear cases of elective surgery (benign cranial cosmetic defect) and emergency surgery (hemorrhage, fracture, trauma, etc.), there is an unchartered middle ground in pediatric neurosurgery. Children, unlike adults, have dynamic anatomy and are still developing neural networks. Delaying seemingly elective surgery can affect a child's already vulnerable health state by further impacting their neurocognitive development, neurologic functioning, and potential long-term health states. The purpose of this paper is to demonstrate that "elective" pediatric neurosurgery should be risk-stratified, and multi-institutional informed guidelines established.

中文翻译：

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择期儿科神经外科强行延迟的影响：大规模伤亡危机时的知情需求层次。


在国家指南呼吁取消所有择期手术后，SARS-CoV-2 COVID-19（即冠状病毒）给医学界带来了独特的挑战。虽然有明确的择期手术（良性颅骨美容缺陷）和紧急手术（出血、骨折、创伤等）的病例，但小儿神经外科存在未知的中间地带。与成人不同，儿童具有动态的解剖结构，并且仍在发育神经网络。推迟看似选择性的手术可能会进一步影响儿童的神经认知发育、神经功能和潜在的长期健康状况，从而影响他们本已脆弱的健康状况。本文的目的是证明“选择性”小儿神经外科手术应该进行风险分层，并建立多机构知情指南。