Evidence map›Paper›PMID 42661034›Full record

ArticleEmergency radiology2026

Timely access to computed tomography and magnetic resonance imaging in acute critical conditions: clinical and health system outcomes. A scoping review.

Nicole Tovar Acosta, Gabriela Salcedo Garrido, Erwin Hernando Hernandez Rincon

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Emergency radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Nicole Tovar AcostaDepartment of Family Medicine and Public Health, Universidad de La Sabana, University Campus Puente del Común, Km 7 Autopista Norte, Chía, Colombia.ORCID http://orcid.org/0009-0000-7777-4280
Gabriela Salcedo GarridoDepartment of Family Medicine and Public Health, Universidad de La Sabana, University Campus Puente del Común, Km 7 Autopista Norte, Chía, Colombia.ORCID http://orcid.org/0009-0007-7501-5097
Erwin Hernando Hernandez RinconDepartment of Family Medicine and Public Health, Universidad de La Sabana, University Campus Puente del Común, Km 7 Autopista Norte, Chía, Colombia. erwinhr@unisabana.edu.co.ORCID http://orcid.org/0000-0002-7189-5863

Funding

Universidad de La Sabana MED-342-2023
6 · The paper itself

Abstract

Acute critical conditions such as stroke, severe trauma and sepsis represent major causes of mortality, disability and financial pressure on health systems. In these time-dependent scenarios, computed tomography (CT) and magnetic resonance imaging (MRI) are fundamental for diagnostic and therapeutic decision-making; however, delays in access to imaging may represent structural bottlenecks associated with clinical and health-system outcomes. To map and synthesise the available evidence on the relationship between timely access to CT and MRI and clinical and health system outcomes in acute critical conditions. A scoping review was conducted in accordance with the Joanna Briggs Institute guidelines and reported following PRISMA-ScR. A structured search was performed in PubMed, Scopus, Web of Science and ScienceDirect (January 2010-February 2026). Studies involving patients with stroke, trauma or sepsis that evaluated imaging access metrics and their association with clinical or system outcomes were included. Twenty-seven studies were included. Eleven reported adjusted associations between longer time-to-imaging intervals and adverse clinical outcomes, including higher in-hospital mortality, reduced functional independence or loss of therapeutic eligibility, particularly in stroke and vascular trauma. Eight reported associations with system metrics, such as prolonged hospital length of stay and reduced operational efficiency. The remaining studies identified structural factors associated with diagnostic delay related to care pathway organisation, resource availability and architectural factors. Timely access to CT and MRI may serve as a marker of health-system performance associated with clinical and operational outcomes in acute time-dependent conditions. Incorporating time-to-imaging metrics as potential performance indicators may support the planning and evaluation of acute care delivery.

Indexed as

Critical IllnessHealth Services AccessibilityMagnetic Resonance ImagingTomography, X-Ray ComputedAcute DiseaseHumansComputed tomographyDiagnostic delayHealth systemsMagnetic resonance imagingStrokeTrauma

Identifiers

What OpenQuestion holds

Textmetadata
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.