Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging

Introduction. Here, we evaluate the effect of the COVID-19 pandemic on utilization of cardiothoracic imaging studies. Methods. 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 pandem...

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Main Authors: Kathleen M. Capaccione, Sophia Huang, Jay S. Leb, Belinda D’souza, Jonathan Goldstein, Mary M. Salvatore
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/7923228
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author Kathleen M. Capaccione
Sophia Huang
Jay S. Leb
Belinda D’souza
Jonathan Goldstein
Mary M. Salvatore
author_facet Kathleen M. Capaccione
Sophia Huang
Jay S. Leb
Belinda D’souza
Jonathan Goldstein
Mary M. Salvatore
author_sort Kathleen M. Capaccione
collection DOAJ
description Introduction. Here, we evaluate the effect of the COVID-19 pandemic on utilization of cardiothoracic imaging studies. Methods. 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. Results. 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) (p < 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 (p < 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) (p < 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. Conclusion. 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.
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spelling doaj-art-d86dfdc2324a43f99bce8a1f0e7baae12025-08-20T02:20:57ZengWileyRadiology Research and Practice2090-195X2022-01-01202210.1155/2022/7923228Impact of the COVID-19 Pandemic on Trends in Cardiothoracic ImagingKathleen M. Capaccione0Sophia Huang1Jay S. Leb2Belinda D’souza3Jonathan Goldstein4Mary M. Salvatore5Department of RadiologyDepartment of RadiologyDepartment of RadiologyDepartment of RadiologyDepartment of RadiologyDepartment of RadiologyIntroduction. Here, we evaluate the effect of the COVID-19 pandemic on utilization of cardiothoracic imaging studies. Methods. 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. Results. 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) (p < 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 (p < 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) (p < 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. Conclusion. 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.http://dx.doi.org/10.1155/2022/7923228
spellingShingle Kathleen M. Capaccione
Sophia Huang
Jay S. Leb
Belinda D’souza
Jonathan Goldstein
Mary M. Salvatore
Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging
Radiology Research and Practice
title Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging
title_full Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging
title_fullStr Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging
title_full_unstemmed Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging
title_short Impact of the COVID-19 Pandemic on Trends in Cardiothoracic Imaging
title_sort impact of the covid 19 pandemic on trends in cardiothoracic imaging
url http://dx.doi.org/10.1155/2022/7923228
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