ArticleEmergency radiology2020
Impact of the COVID-19 pandemic on emergency department CT for suspected diverticulitis.
Article in Emergency radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- How the COVID-19 pandemic affected the severity and clinical presentation of diverticulitis.Intestinal research · 2023Article
- Treatment of acute mesenteric ischemia between 2010 and 2020 - a German nation-wide study.BMC gastroenterology · 2023Article
- Effect of the COVID-19 pandemic on emergency department utilization of computed tomography scans of appendicitis and diverticulitis.Emergency radiology · 2023Article
- Impact of the COVID pandemic on emergency department CT utilization: where do we go from here?Emergency radiology · 2022Observational
- Early-stage COVID-19 pandemic observations on pulmonary embolism using nationwide multi-institutional data harvesting.NPJ digital medicine · 2022Article
- The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis.Journal of clinical medicine · 2021Article
- Automated tracking of emergency department abdominal CT findings during the COVID-19 pandemic using natural language processing.The American journal of emergency medicine · 2021Article
- The Management of Acute Colonic Diverticulitis in the COVID-19 Era: A Scoping Review.Medicina (Kaunas, Lithuania) · 2021Article
- Impact of the COVID-19 pandemic on radiology department emergency ultrasound utilization.Emergency radiology · 2021Review
- What paradigm shifts occurred in the management of acute diverticulitis during the COVID-19 pandemic? A scoping review.World journal of clinical cases · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study examined the impact of the COVID-19 pandemic on emergency department CT use for acute nontraumatic abdominal pain, to better understand why imaging volume so drastically decreased during the COVID-19 pandemic.
methodsThis was a retrospective review of emergency imaging volumes from January 5 to May 30, 2020. Weekly volume data were collected for total imaging studies, abdominopelvic CT, and abdominopelvic CTs positive for common causes of acute nontraumatic abdominal pain. Two emergency radiology attendings scored all diverticulitis cases independently, and weekly volume data for uncomplicated and complicated diverticulitis cases was also collected. Volume data prior to and during the COVID-19 pandemic was compared, using 2019 volumes as a control.
resultsDuring the COVID-19 pandemic, overall emergency imaging volume decreased 30% compared to 2019 (p = 0.002). While the number of emergency abdominopelvic CTs positive for appendicitis and small bowel obstruction did not significantly change during the COVID-19 pandemic, the number of cases of diverticulitis decreased significantly compared to 2019 (p = 0.001). This reduction can be specifically attributed to decreased uncomplicated diverticulitis cases, as the number of uncomplicated diverticulitis cases dropped significantly (p = 0.002) while there was no significant difference in the number of complicated diverticulitis cases (p = 0.09).
conclusionsReduced emergency abdominopelvic CT volume during the COVID-19 pandemic can partially be explained by decreased imaging of lower acuity patients. This data may help formulate future strategies for imaging resource utilization with an improved understanding of the relationship between perceived imaging risk and symptom acuity.
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