Evidence map›Paper›PMID 33660203›Full record

ArticleInsights into imaging2021

Teleradiology as a relevant indicator of the impact of COVID-19 pandemic management on emergency room activities: a nationwide worrisome survey.

Jordan Vatele, Stéphanie Gentile, Vivien Thomson, Bénédicte Devictor, Marine Cloux, Nicolas Girouin, Flavie Bratan, Jean-François Bergerot, Mylène Seux, Nathan Banaste and 2 more

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Observational
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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

12 authors at 6 institutions in 1 country.

Jordan VateleImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Stéphanie GentileFaculté de Médecine - Secteur Timone, EA 3279: CEReSS -Centre d'Etude et de recherche sur les Services de Santé et la Qualité de Vie, Aix-Marseille Université, Marseille, France.
Vivien ThomsonImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Bénédicte DevictorFaculté de Médecine - Secteur Timone, EA 3279: CEReSS -Centre d'Etude et de recherche sur les Services de Santé et la Qualité de Vie, Aix-Marseille Université, Marseille, France.
Marine ClouxDeepLink Medical, Lyon, France.
Nicolas GirouinImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Flavie BratanImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Jean-François BergerotImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Mylène SeuxImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Nathan BanasteImadis Teleradiology, Lyon, Bordeaux, Marseille, France.
Karim TazarourteEmergency Department, CHU Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
Guillaume GorincourImadis Teleradiology, Lyon, Bordeaux, Marseille, France. g.gorincour@imadis.fr.ORCID http://orcid.org/0000-0002-4926-1063
Aix-Marseille Université · FRGénérale de Santé · FRCentre Hospitalier Saint-Joseph Saint-Luc · FRHôpital Nord · FRHospices Civils de Lyon · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the impact of COVID-19's lockdown on radiological examinations in emergency services.

methodsRetrospective, multicentre analysis of radiological examinations requested, via our teleradiology network, from 2017 to 2020 during two timeframes (calendar weeks 5-8 and then 12-15). We included CT scans or MRIs performed for strokes, multiple traumas (Body-CT), cranial traumas (CTr) and acute non-traumatic abdominal pain (ANTAP). We evaluated the number and percentages of examinations performed, of those with a pathological conclusion, and of examinations involving the chest.

resultsOur study included 25 centres in 2017, 29 in 2018, 43 in 2019 and 59 in 2020. From 2017 to 2019, the percentages of examinations were constant, which was also true for chest CTs. Each centre's number of examinations, gender distribution and patient ages were unchanged. In 2020, examinations significantly decreased: suspected strokes decreased by 36% (1052 vs 675, p < 0.001), Body-CT by 62% (349 vs 134, p < 0.001), CTr by 52% (1853 vs 895, p < 0.001) and for ANTAP, appendicitis decreased by 38% (45 vs 90, not statistically significant (NS)) sigmoiditis by 44% (98 vs 55, NS), and renal colic by 23% (376 vs 288, NS). The number of examinations per centre decreased by 13% (185.5 vs 162.5, p < 0.001), whereas the number of examinations of the "chest" region increased by 170% (1205 vs 3766, p < 0.001).

conclusionTeleradiology enabled us to monitor the impact of the COVID-19 pandemic management on emergency activities, showing a global decrease in the population's use of care.

Indexed as

COVID-19Emergency serviceHealth services accessibilityHospitalTeleradiology

Identifiers

PMID33660203
PMCPMC7927778
OpenAlexW3110855888

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.