The Impact of COVID-19 on Interventional Radiology Services in the UK
| Autor: | Paul Walker, Thomas Gordon, Mazin Abdelaziz, Tianyu Guo, Sophie Adams, Fraser Barbour, Anubhav Datta, Pratik Adusumilli, Jim Zhong, Ebrahim Palkhi, Edward Lake, Mohammed Oomerjee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Cross-sectional study medicine.medical_treatment Services Workload Acute Aortic stent 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Elective medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine Hospital patients Clinical Investigation Interventional radiology medicine.diagnostic_test Pandemic business.industry COVID-19 Retrospective cohort study Radiology Nuclear Medicine and imaging Cholecystostomy Emergency medicine business Cardiology and Cardiovascular Medicine Healthcare system |
| Zdroj: | Cardiovascular and Interventional Radiology CardioVascular and Interventional Radiology |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | Introduction The coronavirus disease 2019 (COVID-19) has created unprecedented challenges on the healthcare system. The aim of this multi-centre study was to measure the impact of COVID-19 on IR services in the UK. Material and Methods Retrospective cross-sectional study of IR practice in six UK centres during the COVID-19 pandemic was carried out. All therapeutic IR procedures were identified using the respective hospital radiology information systems and COVID-19 status found on the hospital patient record systems. The total number of therapeutic IR procedures was recorded over two time periods, 25/03/2019–21/04/2019 (control group) and 30/03/2020–26/04/2020 (COVID-19 group). The data points collected were: procedure type, aerosol-generating nature, acute or elective case, modality used, in- or out-of-hours case and whether the procedure was done at the bedside (portable). Results A 31% decrease in overall number of IR procedures was observed during COVID-19 compared to the control group (1363 cases vs 942 cases); however, the acute work decreased by only 0.5%. An increase in out-of-hours work by 10% was observed. COVID-19 was suspected or laboratory proved in 9.9% of cases (n = 93), and 15% of total cases (n = 141) were classed as aerosol-generating procedures. A 66% rise in cholecystostomy was noted during COVID-19. Image-guided ablation, IVC filters, aortic stent grafting and visceral vascular stenting had the greatest % decreases in practice during COVID-19, with 91.7%, 83.3%, 80.8% and 80.2% decreases, respectively. Conclusion During the global pandemic, IR has continued to provide emergency and elective treatment highlighting the adaptability of IR in supporting other specialties. |
| Databáze: | OpenAIRE |
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