Evidence map›Paper›PMID 32928878›Full record

Observational studyCMAJ open

Effect of COVID-19 on computed tomography usage and critical test results in the emergency department: an observational study.

Minu Agarwal, Amar Udare, Michael Patlas, Milita Ramonas, Amer A Alaref, Radu Rozenberg, Donald L Ly, Dmitry S Golev, Ken Mascola, Christian B van der Pol

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Nuclear Medicine Departments in the Era of COVID-19.Seminars in nuclear medicine · 2022
    Review
  5. Impact of COVID-19 Pandemic on Trauma CT Imaging.Radiology research and practice · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Minu AgarwalDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Amar UdareDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Michael PatlasDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Milita RamonasDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Amer A AlarefDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Radu RozenbergDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Donald L LyDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Dmitry S GolevDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Ken MascolaDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont.
Christian B van der PolDepartm=ent of Radiology (Agarwal, Udare, Patlas, Ramonas, Mascola, van der Pol), Hamilton Health Sciences; Department of Radiology (Agarwal, Udare, Patlas, Ramonas, van der Pol), McMaster University, Hamilton, Ont.; Thunder Bay Regional Health Sciences Centre (Alaref, Rozenberg); Northern Ontario School of Medicine (Alaref, Rozenberg), Thunder Bay, Ont.; Mackenzie Health (Ly), Richmond Hill, Ont.; Orillia Soldiers' Memorial Hospital (Golev), Orillia, Ont. vanderpolc@hhsc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of the coronavirus disease 2019 (COVID-19) pandemic on new or unexpected radiologic findings in the emergency department (ED) is unclear. The aim of this study was to determine the effect of the COVID-19 pandemic on the number of computed tomography (CT) critical test results in the ED.

methodsWe performed a retrospective observational study of ED CT usage at 4 Ontario hospitals (1 urban academic, 1 northern academic, 1 urban community and 1 rural community) over 1 month during the COVID-19 pandemic (April 2020) and over the same month 1 year earlier (April 2019; before the pandemic). The CT findings from 1 of the 4 hospitals, Hamilton Health Sciences, were reviewed to determine the number of critical test results by body region. Total CT numbers were compared using Poisson regression and CT yields were compared using the χ

resultsThe median number of ED CT examinations per day was markedly lower during the COVID-19 pandemic than before the pandemic (82 v. 133,

interpretationEmergency department CT volumes markedly decreased during the COVID-19 pandemic, predominantly because there were fewer examinations with new or unexpected findings. This suggests that COVID-19 public information campaigns influenced the behaviours of patients presenting to the ED.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolComputed Tomography AngiographyCOVID-19Emergency Service, HospitalFemaleHeadHumansInfantInfant, NewbornMaleMiddle Aged

Identifiers

PMID32928878
PMCPMC7505522

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.