Capaccione Kathleen M, Huang Sophia, Leb Jay S, D'souza Belinda, Goldstein Jonathan, Salvatore Mary M
Department of Radiology, Columbia University Irving Medical Center, 622 W 168 Street, New York, NY 10032, USA.
Radiol Res Pract. 2022 Jun 16;2022:7923228. doi: 10.1155/2022/7923228. eCollection 2022.
Here, we evaluate the effect of the COVID-19 pandemic on utilization of cardiothoracic imaging studies.
We queried our radiology record system to retrospectively identify numbers of specific key cardiothoracic imaging studies for five years prior and during the COVID-19 pandemic. Statistical analysis was performed to evaluate changes in the number of exams in 2020 and 2021 compared to 2019.
Five-year retrospective analysis demonstrated progressive increases in nearly all cross-sectional studies. In 2020, daily chest radiograph utilization decreased with an overall number of daily radiographs of 406 (SD = 73.1) compared to 480 per day in 2019 (SD = 82.6) ( < 0.0001). Portable radiograph utilization was increased in 2020 averaging 320 (SD = 68.2) films daily in 2020 compared to 266 (SD = 29.1) in 2019 ( < 0.0001). Utilization of thoracic CT was decreased during the pandemic, with 21.8 (SD = 12.9) studies daily compared to 52.0 (SD = 21.4) ( < 0.0001) studies daily in 2019. Cardiac imaging utilization was also substantially decreased in 2020 compared to 2019, averaging a total of 3.8 (SD = 3.2) versus 10.8 (SD = 6.6) studies daily and 0.88 (SD = 1.7) versus 2.5 (SD = 2.3) studies daily for CT and MRI, respectively. Evaluation of cardiothoracic imaging for the subsequent 18 months after New York's entry to phase I recovery in June 2020 demonstrated that by one year after the emergence of COVID-19 imaging utilization had recovered to prepandemic levels. Cardiac imaging continued to increase throughout the chronic phase of the COVID-19 pandemic, reaching almost twice the prepandemic levels by the end of 2021.
COVID-19 has had far-reaching effects on medicine and public health. Here, we demonstrate decreases in all cross-sectional cardiothoracic imaging studies, closely mirroring findings in other fields during the height of the pandemic, which have since rebounded.
在此，我们评估了新冠疫情对心胸成像研究利用情况的影响。
我们查询了放射学记录系统，以回顾性确定新冠疫情之前五年以及疫情期间特定关键心胸成像研究的数量。进行统计分析以评估2020年和2021年与2019年相比检查数量的变化。
五年回顾性分析表明，几乎所有横断面研究的数量都在逐步增加。2020年，每日胸部X光片的使用量下降，每日X光片总数为406张（标准差=73.1），而2019年为每日480张（标准差=82.6）（P<0.0001）。2020年便携式X光片的使用量增加，2020年平均每日为320张（标准差=68.2），而2019年为266张（标准差=29.1）（P<0.0001）。疫情期间胸部CT的使用量下降，2020年每日检查21.8例（标准差=12.9），而2019年每日为52.0例（标准差=21.4）（P<0.0001）。与2019年相比，2020年心脏成像的使用量也大幅下降，CT和MRI每日平均检查总数分别为3.8例（标准差=3.2）和10.8例（标准差=6.6），以及0.88例（标准差=1.7）和2.5例（标准差=2.3）。对纽约市于2020年6月进入第一阶段恢复期后的18个月心胸成像情况的评估表明，在新冠疫情出现一年后，成像使用量已恢复到疫情前水平。在新冠疫情的慢性阶段，心脏成像的使用量持续增加，到2021年底几乎达到疫情前水平的两倍。
新冠疫情对医学和公共卫生产生了深远影响。在此，我们证明了所有横断面心胸成像研究的使用量均有所下降，这与疫情高峰期其他领域的研究结果密切相似，而此后已出现反弹。
