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Quantifying the decrease in emergency department imaging utilization during the COVID-19 pandemic at a multicenter healthcare system in Ohio.
Parikh, Keval D; Ramaiya, Nikhil H; Kikano, Elias G; Tirumani, Sree Harsha; Pierce, Jonathan; Butcher, Carl; Sunshine, Jeffrey L; Plecha, Donna M.
  • Parikh KD; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
  • Ramaiya NH; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
  • Kikano EG; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA. egk8@case.edu.
  • Tirumani SH; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
  • Pierce J; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
  • Butcher C; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
  • Sunshine JL; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
  • Plecha DM; Department of Radiology, University Hospitals Cleveland Medical Center/Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Emerg Radiol ; 27(6): 765-772, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-738684
ABSTRACT

PURPOSE:

To illustrate the change in emergency department (ED) imaging utilization at a multicenter health system in the state of Ohio during the COVID-19 pandemic.

METHODS:

A retrospective observational study was conducted assessing ED imaging volumes between March 1, 2020, and May 11, 2020, during the COVID-19 crisis. A rolling 7-day total value was used for volume tracking and comparison. Total imaging utilization in the ED was compared with new COVID-19 cases in our region. Utilization was first categorized by modality and then by plain films and computed tomography (CT) scans grouped by body part. CT imaging of the chest was specifically investigated by assessing both CT chest only exams and CT chest, abdomen, and pelvis (C/A/P) exams. Ultimately, matching pair-wise statistical analysis of exam volumes was performed to assess significance of volume change.

RESULTS:

Our multicenter health system experienced a 46% drop in imaging utilization (p < 0.0001) during the pandemic. Matching pair-wise analysis showed a statistically significant volume decrease by each modality and body part. The exceptions were non-contrast chest CT, which increased (p = 0.0053), and non-trauma C/A/P CT, which did not show a statistically significant volume change (p = 0.0633).

CONCLUSION:

ED imaging utilization trends revealed through actual health system data will help inform evidence-based decisions for more accurate volume predictions and therefore institutional preparedness for current and future pandemics.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Diagnostic Imaging / Coronavirus Infections / Emergency Service, Hospital Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Emerg Radiol Year: 2020 Document Type: Article Affiliation country: S10140-020-01848-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Diagnostic Imaging / Coronavirus Infections / Emergency Service, Hospital Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Emerg Radiol Year: 2020 Document Type: Article Affiliation country: S10140-020-01848-4