Background The COVID-19 pandemic leads to disruptions of health services worldwide. To evaluate the particular impact on neurological services a rapid review was conducted. Methods Studies reporting the provision of neurological services during the pandemic and/or adopted mitigation strategies were included in this review. PubMed and World Health Organization’s (WHO) COVID-19 database were searched. Data extraction followed categories used by WHO COVID-19 pulse surveys and operational guidelines on maintaining essential health services during COVID-19. Findings The search yielded 1101 articles, of which 369 fulfilled eligibility criteria, describing data from 210,419 participants, being adults (81%), children (11.4%) or both (7.3%). Included articles reported data from 105 countries and territories covering all WHO regions and World Bank income levels (low income: 1.9%, lower middle: 24.7%, upper middle: 29.5% and high income; 44.8%). Cross-sectoral services for neurological disorders were most frequently disrupted (62.9%), followed by emergency/acute care (47.1%). The degree of disruption was at least moderate for 75% of studies. Travel restrictions due to lockdowns (81.7%) and regulatory closure of services (65.4%) were the most commonly reported causes of disruption. Authors most frequently described telemedicine (82.1%) and novel dispensing approaches for medicines (51.8%) as mitigation strategies. Evidence for the effectiveness of these measures is largely missing. Interpretation The COVID-19 pandemic affects all aspects of neurological care. Given the worldwide prevalence of neurological disorders and the potential long-term neurological consequences of COVID-19, service disruptions are devastating. Different strategies such as telemedicine might mitigate the negative effects of the pandemic, but their efficacy and acceptability remain to be seen. Supplementary Information The online version contains supplementary material available at 10.1007/s00415-021-10588-5.
【저자키워드】 COVID-19, Telemedicine, NEUROLOGY, Nervous system diseases, Health services administration, 【초록키워드】 Efficacy, pandemic, lockdown, children, COVID-19 pandemic, database, Regulatory, Medicine, Prevalence, Region, Effectiveness, WHO, eligibility criteria, Care, moderate, Neurological disorder, neurological, Health Service, Participants, supplementary material, measure, article, finding, pulse, Effect, Affect, mitigate, approach, country, articles, consequence, described, evaluate, reported, conducted, searched, adopted, cause, category, Bank, World Health Organization’, 【제목키워드】 neurological, Disruption, cause,