Evidence map›Paper›PMID 33398669›Full record

ArticleInsights into imaging2021

Radiology departments as COVID-19 entry-door might improve healthcare efficacy and efficiency, and emergency department safety.

José M García Santos, Juana M Plasencia Martínez, Pablo Fabuel Ortega, Marina Lozano Ros, María Carmen Sánchez Ayala, Gloria Pérez Hernández, Pedro Menchón Martínez

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
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

7 citing papers in PubMed, 22 citations in OpenAlex.

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  5. A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance during the COVID-19 Outbreak.International journal of environmental research and public health · 2023
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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

7 authors at 3 institutions in 1 country.

José M García SantosRadiology Department, University General Hospital Morales Meseguer, C/ Marqués de Los Vélez, s/n., 30008, Murcia, Spain. josem.garcia11@carm.es.ORCID http://orcid.org/0000-0003-3164-4944
Juana M Plasencia MartínezRadiology Department, University General Hospital Morales Meseguer, C/ Marqués de Los Vélez, s/n., 30008, Murcia, Spain.
Pablo Fabuel OrtegaPrimary Care Health Center Vistabella-La Flota, 6th Health Area, Comunidad Autónoma de la Región de Murcia, Murcia, Spain.
Marina Lozano RosRadiology Department, University General Hospital Morales Meseguer, C/ Marqués de Los Vélez, s/n., 30008, Murcia, Spain.
María Carmen Sánchez AyalaPrimary Care Health Center Molina-Jesús Marín, 6th Health Area, Comunidad Autónoma de la Región de Murcia, Murcia, Spain.
Gloria Pérez HernándezRadiology Department, University General Hospital Morales Meseguer, C/ Marqués de Los Vélez, s/n., 30008, Murcia, Spain.
Pedro Menchón MartínezNeumology Section, University General Hospital Morales Meseguer, Murcia, Spain.
Hospital General Universitario Morales Meseguer · ESCentro Tecnológico Nacional de la Conserva y Alimentación · ESComunidad Autónoma de la Región de Murcia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPossible COVID-19 pneumonia patients (ppCOVID-19) generally overwhelmed emergency departments (EDs) during the first COVID-19 wave. Home-confinement and primary-care phone follow-up was the first-level regional policy for preventing EDs to collapse. But when X-rays were needed, the traditional outpatient workflow at the radiology department was inefficient and potential interpersonal infections were of concern. We aimed to assess the efficiency of a primary-care high-resolution radiology service (pcHRRS) for ppCOVID-19 in terms of time at hospital and decision's reliability.

methodsWe assessed 849 consecutive ppCOVID-19 patients, 418 through the pcHRRS (home-confined ppCOVID-19 with negative-group 1- and positive-group 2-X-rays) and 431 arriving with respiratory symptoms to the ED by themselves (group 3). The pcHRRS provided X-rays and oximetry in an only-one-patient agenda. Radiologists made next-step decisions (group 1: pneumonia negative, home-confinement follow-up; group 2: pneumonia positive, ED assessment) according to X-ray results. We used ANOVA and Bonferroni correction, Student T, Chi

resultsThe pcHRRS halved ED respiratory patients (49.2%), allowed faster decisions (group 1 vs. home-discharged group 2 and group 3 patients: 0:41 ± 1:05 h; 3:36 ± 2:58 h; 3:50 ± 3:16 h; group 1 vs. all group 2 and group 3 patients: 0:41 ± 1:05 h; 5.25 ± 3.08; 5:36 ± 4:36 h; group 2 vs. group 3 admitted patients: 5:27 ± 3:08 h vs. 7:42 ± 5:02 h; all p < 0.001) and prompted admission (84/93, 90.3%) while maintaining time response for ED patients.

conclusionsOur pcHRRS may be a more efficient entry-door for ppCOVID-19 by decreasing ED patients and making expedited decisions while guaranteeing social distance.

Indexed as

CoronavirusCOVID-19Emergency medicinePrimary health careRadiology

Identifiers

PMID33398669
PMCPMC7781166
OpenAlexW3120256301

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.