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10.1016/j.acra.2020.06.024

http://scihub22266oqcxt.onion/10.1016/j.acra.2020.06.024
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32665091!7340053!32665091
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suck abstract from ncbi


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pmid32665091      Acad+Radiol 2020 ; 27 (9): 1204-1213
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  • COVID-19 Pandemic Impact on Decreased Imaging Utilization: A Single Institutional Experience #MMPMID32665091
  • Parikh KD; Ramaiya NH; Kikano EG; Tirumani SH; Pandya H; Stovicek B; Sunshine JL; Plecha DM
  • Acad Radiol 2020[Sep]; 27 (9): 1204-1213 PMID32665091show ga
  • RATIONALE AND OBJECTIVES: Predictive models and anecdotal articles suggest radiology practices were losing 50%-70% of their normal imaging volume during the COVID-19 pandemic. Using actual institutional data, we investigated the change in imaging utilization and revenue during this public health crisis. MATERIALS AND METHODS: Imaging performed within the 8-week span between March 8 and April 30, 2020 was categorized into the COVID-19 healthcare crisis timeframe. The first week of this date range and the 10 weeks prior were used to derive the normal practice expected volume. A rolling 7-day total value was used for volume tracking and comparison. Total imaging utilization was derived and organized by patient setting (outpatient, inpatient, emergency) and imaging modality (X-ray, CT, Mammography, MRI, Nuclear Medicine/PET, US). The three highest volume hospitals were analyzed. Revenue information was collected from the hospital billing system. RESULTS: System-wide imaging volume decreased by 55% between April 7 and 13, 2020. Outpatient exams decreased by 68% relative to normal practice. Emergency exams decreased by 48% and inpatient exams declined by 31%. Mammograms and nuclear medicine scans were the most affected modalities, decreasing by 93% and 61%, respectively. The main campus hospital experienced less relative imaging volume loss compared to the other smaller and outpatient-driven hospitals. At its lowest point, the technical component revenue from main campus imaging services demonstrated a 49% negative variance from normal practice. CONCLUSION: The trends and magnitude of the actual imaging utilization data presented will help inform evidence-based decisions for more accurate volume predictions, policy changes, and institutional preparedness for current and future pandemics.
  • |*Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnostic imaging[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Humans[MESH]
  • |Magnetic Resonance Imaging[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnostic imaging[MESH]
  • |Radiology Department, Hospital[MESH]
  • |Radionuclide Imaging[MESH]


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