COVID-19 impact assessment on the French radiological centers: a nationwide survey

Autor: Isabelle Fitton, Olivier Boumendil, Jean Pierre Tasu, Jean-Yves Gaubert, Jules Gregory, Jean-Paul Beregi, Rémy Guillevin, Nicolas Sans, Madeleine Cavet, Violaine Flory, Kathia Chaumoitre, Mathieu Naudin, Mathilde Wagner, Cornelia Anna Freitag, Lucie Cassagnes, Pierre-Jean Saulnier, Philippe Feuerstein, G. Herpe, Mathieu Lederlin, Hubert Nivet, Isabelle Petit, Jean-Michel Bartoli, Farida Enikeeva, Mickaël Ohana
Přispěvatelé: Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Mathématiques et Applications (LMA-Poitiers), Université de Poitiers-Centre National de la Recherche Scientifique (CNRS), Centre hospitalier universitaire de Poitiers (CHU Poitiers), Département de Radiologie [Rennes], Université de Rennes (UR), CHU Clermont-Ferrand, Assistance Publique - Hôpitaux de Marseille (APHM), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Hôpital Pasteur [Nice] (CHU), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Hôpital de la Timone [CHU - APHM] (TIMONE), Hôpital Beaujon, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), L'Institut hospitalo-universitaire de Strasbourg (IHU Strasbourg), Institut National de Recherche en Informatique et en Automatique (Inria)-l'Institut de Recherche contre les Cancers de l'Appareil Digestif (IRCAD)-Les Hôpitaux Universitaires de Strasbourg (HUS)-La Fédération des Crédits Mutuels Centre Est (FCMCE)-L'Association pour la Recherche contre le Cancer (ARC)-La société Karl STORZ, Département de Radiologie adultes [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Université de Lorraine (UL), Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Sorbonne Université - Faculté de Médecine (SU FM), Sorbonne Université (SU), CIC - Poitiers, Université de Poitiers-Centre hospitalier universitaire de Poitiers (CHU Poitiers)-Direction Générale de l'Organisation des Soins (DGOS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Hôpital Purpan [Toulouse], CHU Toulouse [Toulouse]
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Cross-sectional study
[SDV]Life Sciences [q-bio]
Pneumonia
Viral
Context (language use)
030218 nuclear medicine & medical imaging
03 medical and health sciences
Betacoronavirus
0302 clinical medicine
Computed Tomography
Epidemiology
medicine
[INFO.INFO-IM]Computer Science [cs]/Medical Imaging
Humans
Radiology
Nuclear Medicine and imaging
Prospective Studies
Prospective cohort study
Pandemics
Tomography
ComputingMilieux_MISCELLANEOUS
Neuroradiology
medicine.diagnostic_test
business.industry
SARS-CoV-2
COVID-19
Interventional radiology
General Medicine
Middle Aged
Triage
3. Good health
Prospective
Cross-Sectional Studies
Radiology Nuclear Medicine and imaging
030220 oncology & carcinogenesis
Radiological weapon
X-Ray computed
Female
Radiology
France
business
Coronavirus Infections
Tomography
X-Ray Computed
Surveys and questionnaires
Zdroj: European Radiology
European Radiology, 2020, 30 (12), pp.6537-6544. ⟨10.1007/s00330-020-07035-w⟩
European Radiology, 2020, ⟨10.1007/s00330-020-07035-w⟩
European Radiology, Springer Verlag, 2020, ⟨10.1007/s00330-020-07035-w⟩
ISSN: 0938-7994
1432-1084
DOI: 10.1007/s00330-020-07035-w⟩
Popis: To determine the impact of the COVID-19 on the CT activities in French radiological centers during the epidemic peak. A cross-sectional prospective CT scan survey was conducted between March 16 and April 12, 2020, in accordance with the local IRB. Seven hundred nine radiology centers were invited to participate in a weekly online survey. Numbers of CT examinations related to COVID-19 including at least chest (CTcovid) and whole chest CT scan activities (CTchest) were recorded each week. A sub-analysis on French departments was performed during the 4 weeks of the study. The impact of the number of RT-PCRs (reverse transcriptase polymerase chain reactions) on the CT workflow was tested using two-sample t test and Pearson’s test. Five hundred seventy-seven structures finally registered (78%) with mean response numbers of 336 ± 18.9 (323; 351). Mean CTchest activity per radiologic structure ranged from 75.8 ± 133 (0–1444) on week 12 to 99.3 ± 138.6 (0–1147) on week 13. Mean ratio of CTcovid on CTchest varied from 0.36 to 0.59 on week 12 and week 14 respectively. There was a significant relationship between the number of RT-PCR performed and the number of CTcovid (r = 0.73, p = 3.10−16) but no link with the number of positive RT-PCR results. In case of local high density COVID-19, CT workflow is strongly modified and redirected to the management of these specific patients. • Over the 4-week survey period, 117,686 chest CT (CT total ) were performed among the responding centers, including 61,784 (52%) CT performed for COVID-19 (CT covid ). • Across the country, the ratio CT covid /CT total varied from 0.36 to 0.59 and depended significantly on the local epidemic density (p = 0.003). • In clinical practice, in a context of growing epidemic, in France, chest CT was used as a surrogate to RT-PCR for patient triage.
Databáze: OpenAIRE
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