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10.1016/j.clinimag.2021.06.003

http://scihub22266oqcxt.onion/10.1016/j.clinimag.2021.06.003
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suck abstract from ncbi


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pmid34274685      Clin+Imaging 2021 ; 80 (ä): 77-82
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  • Increased per-patient imaging utilization in an emergency department setting during COVID-19 #MMPMID34274685
  • Succi MD; Chang K; An T; Rosman DA; Raja AS; Gee MS; Lev MH; Liu R; Saini S; Brink JA
  • Clin Imaging 2021[Dec]; 80 (ä): 77-82 PMID34274685show ga
  • INTRODUCTION: COVID-19 has resulted in decreases in absolute imaging volumes, however imaging utilization on a per-patient basis has not been reported. Here we compare per-patient imaging utilization, characterized by imaging studies and work relative value units (wRVUs), in an emergency department (ED) during a COVID-19 surge to the same period in 2019. METHODS: This retrospective study included patients presenting to the ED from April 1-May 1, 2020 and 2019. Patients were stratified into three primary subgroups: all patients (n = 9580, n = 5686), patients presenting with respiratory complaints (n = 1373, n = 2193), and patients presenting without respiratory complaints (n = 8207, n = 3493). The primary outcome was imaging studies/patient and wRVU/patient. Secondary analysis was by disposition and COVID status. Comparisons were via the Wilcoxon rank-sum or Chi-squared tests. RESULTS: The total patients, imaging exams, and wRVUs during the 2020 and 2019 periods were 5686 and 9580 (-41%), 6624 and 8765 (-24%), and 4988 and 7818 (-36%), respectively, and the percentage patients receiving any imaging was 67% and 51%, respectively (p < .0001). In 2020 there was a 170% relative increase in patients presenting with respiratory complaints. In 2020, patients without respiratory complaints generated 24% more wRVU/patient (p < .0001) and 33% more studies/patient (p < .0001), highlighted by 38% more CTs/patient. CONCLUSION: We report increased per-patient imaging utilization in an emergency department during COVID-19, particularly in patients without respiratory complaints.
  • |*COVID-19/diagnostic imaging[MESH]
  • |*Emergency Service, Hospital[MESH]
  • |Humans[MESH]


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