Öz
Abstract
Objective
The COVID-19 pandemic has led to serious changes in our health practices. With this study, we aim to determine the effect of the pandemic on imaging examinations in the Radiology department.
Methods
Medical records of patients who had radiological imaging between March 10-December 31, 2019 and March 10-December 31, 2020 have been retrospectively reviewed. The patients’ clinical features and radiological imaging details have been obtained by using the SARUS information network.
Results
A total of 603 384 radiologic examinations performed on 222 328 patients in the 18-month period for two consecutive years. The total imaging volume in 2020 had decreased by 54.8% compared to 2019 (415.819 vs 187.565). The decrease was observed especially in April and May 2020; was re-increased again in June 2020. The imaging volume requested from the emergency unit was reduced by 29.4%. The rate and number of thoracic imaging among all radiologic examinations was found to have increased in 2020 (6495, 1.6% vs. 8663, 4.6%). On the other hand; abdominal, breast, neuroradiology and cardiovascular imaging were the most affected by the pandemic.
Conclusions
Hospital admissions decreased due to the anxiety and restrictions that occurred as the result of the pandemic. Considering the hospital conditions, it is important to perform the necessary imaging procedures on patients within the indications to prevent a delay in diagnosis by considering the conditions of the hospital and providing the precautionary conditions recommended by the protective equipment and guidelines.
Kaynakça
- González-Ortiz S, Medrano S, Maiques JM, Capellades J. Challenges in Neuroimaging in COVID-19 Pandemia. Front Neurol. 2020;11:579079. doi: 10.3389/fneur.2020.579079.
- Madhuripan N, Cheung HMC, Alicia Cheong LH, Jawahar A, Willis MH, Larson DB. Variables Influencing Radiology Volume Recovery During the Next Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic. J Am Coll Radiol. 2020;17:855-864. doi: 10.1016/j.jacr.2020.05.026. Epub 2020 Jun Parikh KD, Ramaiya NH, Kikano EG, Tirumani SH, Pandya H, Stovicek B, Sunshine JL, Plecha DM. COVID-19 Pandemic Impact on Decreased Imaging Utilization: A Single Institutional Experience. Acad Radiol. 2020 Sep;27(9):1204-1213.
- Vagal A, Mahoney M, Allen B, Kapur S, Udstuen G, Wang L, Braley S, Makramalla A, Chadalavada S, Choe KA, Scheler J, Brown A, England E, Hudepohl J, Rybicki FJ. Rescheduling Nonurgent Care in Radiology: Implementation During the Coronavirus Disease 2019 (COVID-19) Pandemic. J Am Coll Radiol. 2020 Jul;17(7):882-889.
- Malhotra A, Wu X, Fleishon HB, Duszak R Jr, Silva E 3rd, McGinty GB, Bender C, Williams B, Pashley N, Stengel CJB, Naidich JJ, Hughes D, Sanelli PC. Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey. J Am Coll Radiol. 2020 Nov;17(11):1525-1531.
- Biswas M, Rahaman S, Biswas TK, Haque Z, Ibrahim B. Association of Sex, Age, and Comorbidities with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis. Intervirology. 2020 Dec 9:1-12. Peckham H, de Gruijter NM, Raine C, Radziszewska A, Ciurtin C, Wedderburn LR, Rosser EC, Webb K, Deakin CT. Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nat Commun. 2020 Dec 9;11(1):6317.
- Albano D, Bruno A, Bruno F, Calandri M, Caruso D, Clemente A, Coppolino P, Cozzi D, De Robertis R, Gentili F, Grazzini I, Jannone ML, Liguori C, Natella R, Pace G, Posa A, Scalise P, Accarino B, Bibbolino C, Barile A, Grassi R, Messina C; Young SIRM Working Group. Impact of coronavirus disease 2019 (COVID-19) emergency on Italian radiologists: a national survey. Eur Radiol. 2020 Dec;30(12):6635-6644.
Öz
Amaç
COVID-19 pandemisi rutin sağlık uygulamalarımızda ciddi değişiklilere neden oldu. Bu çalışma ile, pandeminin Radyoloji bölümündeki görüntüleme tetkikleri üzerine etkisini saptamayı amaçladık.
Yöntem
Antalya Atatürk Devlet Hastanesi Radyoloji Bölümü’ne 10 Mart–31 Aralık 2019 ve 10 Mart–31 Aralık 2020 tarihleri arasında yapılan istemler geriye dönük tarandı. Hastalara ait klinik özellikler ve radyolojik istemlerin içeriği SARUS bilgi ağı kullanılarak elde edildi.
Bulgular
Ardışık iki yıla ait 18 aylık periyodda 222.328 hastaya 603.384 görüntüleme yapılmıştır. 2020 yılında yapılan toplam görüntüleme sayısı 2019 yılına göre %54.8 azalmıştır (415.819 vs 187.565). 2020 yılında özellikle Nisan ve Mayıs ayında gözlenen azalmanın Haziran ayı ile beraber yeniden arttığı saptandı. Acil servis istemlerinde 2019 yılına göre gözlenen azalma %29.4 olarak bulundu. Toraks görüntülemelerinin 2020 yılında hem sayısı hem de tüm görünteleme yöntemleri arasındaki oranı artmış bulundu (6495, %1.6 vs 8663, %4.6). Buna karşın; 2020 yılında abdomen, meme, nöroradyoloji ve kardiyovasküler sisteme ait görüntülemelerin sayısının daha fazla etkilendiği gözlendi.
Sonuç
Pandeminin başlangıcı ile beraber ortaya çıkan kaygı ve kısıtlamalar nedeni ile hastane başvuruları ve buna bağlı olarak görüntüleme sayıları azalmıştır. Tanıda gecikmeyi önlemek için; endikasyonu olan hastalarda gerekli görüntüleme tetkiklerin zamanında yapılması önemlidir, bu konuda klavuzların önerdiği koruyucu ekipmanların sağlanması gereklidir.
Destekleyen Kurum
Destekleyen kurum yoktur
Kaynakça
- González-Ortiz S, Medrano S, Maiques JM, Capellades J. Challenges in Neuroimaging in COVID-19 Pandemia. Front Neurol. 2020;11:579079. doi: 10.3389/fneur.2020.579079.
- Madhuripan N, Cheung HMC, Alicia Cheong LH, Jawahar A, Willis MH, Larson DB. Variables Influencing Radiology Volume Recovery During the Next Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic. J Am Coll Radiol. 2020;17:855-864. doi: 10.1016/j.jacr.2020.05.026. Epub 2020 Jun Parikh KD, Ramaiya NH, Kikano EG, Tirumani SH, Pandya H, Stovicek B, Sunshine JL, Plecha DM. COVID-19 Pandemic Impact on Decreased Imaging Utilization: A Single Institutional Experience. Acad Radiol. 2020 Sep;27(9):1204-1213.
- Vagal A, Mahoney M, Allen B, Kapur S, Udstuen G, Wang L, Braley S, Makramalla A, Chadalavada S, Choe KA, Scheler J, Brown A, England E, Hudepohl J, Rybicki FJ. Rescheduling Nonurgent Care in Radiology: Implementation During the Coronavirus Disease 2019 (COVID-19) Pandemic. J Am Coll Radiol. 2020 Jul;17(7):882-889.
- Malhotra A, Wu X, Fleishon HB, Duszak R Jr, Silva E 3rd, McGinty GB, Bender C, Williams B, Pashley N, Stengel CJB, Naidich JJ, Hughes D, Sanelli PC. Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey. J Am Coll Radiol. 2020 Nov;17(11):1525-1531.
- Biswas M, Rahaman S, Biswas TK, Haque Z, Ibrahim B. Association of Sex, Age, and Comorbidities with Mortality in COVID-19 Patients: A Systematic Review and Meta-Analysis. Intervirology. 2020 Dec 9:1-12. Peckham H, de Gruijter NM, Raine C, Radziszewska A, Ciurtin C, Wedderburn LR, Rosser EC, Webb K, Deakin CT. Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nat Commun. 2020 Dec 9;11(1):6317.
- Albano D, Bruno A, Bruno F, Calandri M, Caruso D, Clemente A, Coppolino P, Cozzi D, De Robertis R, Gentili F, Grazzini I, Jannone ML, Liguori C, Natella R, Pace G, Posa A, Scalise P, Accarino B, Bibbolino C, Barile A, Grassi R, Messina C; Young SIRM Working Group. Impact of coronavirus disease 2019 (COVID-19) emergency on Italian radiologists: a national survey. Eur Radiol. 2020 Dec;30(12):6635-6644.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 15 Ocak 2024 |
| Yayımlanma Tarihi | 1 Ocak 2024 |
| Gönderilme Tarihi | 31 Ekim 2021 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 10 Sayı: 1 |
