Cargando…
Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period
During the COVID-19 pandemic, the number of accesses to the Pediatric Emergency Department (pED) in Italy sharply decreased by 30%. The purpose of this study is to evaluate how this novel setting impacted on management of children with trauma, and the use and appropriateness of imaging studies in su...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227712/ https://www.ncbi.nlm.nih.gov/pubmed/34205841 http://dx.doi.org/10.3390/children8060463 |
_version_ | 1783712587382259712 |
---|---|
author | Bottari, Giampiero Stellacci, Giandomenico Ferorelli, Davide Dell’Erba, Alessandro Aricò, Maurizio Benevento, Marcello Palladino, Giuseppe Solarino, Biagio |
author_facet | Bottari, Giampiero Stellacci, Giandomenico Ferorelli, Davide Dell’Erba, Alessandro Aricò, Maurizio Benevento, Marcello Palladino, Giuseppe Solarino, Biagio |
author_sort | Bottari, Giampiero |
collection | PubMed |
description | During the COVID-19 pandemic, the number of accesses to the Pediatric Emergency Department (pED) in Italy sharply decreased by 30%. The purpose of this study is to evaluate how this novel setting impacted on management of children with trauma, and the use and appropriateness of imaging studies in such patients at the pED. All imaging studies performed in patients with trauma at the pED of a tertiary children’s Hospital during the first wave of the COVID-19 pandemic (between March and May 2020) were reviewed, in comparison with a control time interval (March to May 2019). In the pre-COVID control era, 669 imaging studies documented bone fractures in 145/568 children (25.5%). In the COVID-era, 79/177 (44.6%) pediatric patients showed bone fractures on 193 imaging studies. Comparative analysis shows a 71% decrease in imaging studies, and the proportion of negative imaging studies (with no evidence of bone fractures) dropped in 2020 by 19% compared to the 2019 control era (p < 0.001). The sharp decrease of negative studies suggests that the rate of appropriateness was higher during COVID-era, suggesting some attitude toward defensive medicine in the previous control year, as a result of some degree of imaging inappropriateness. The impact of a pandemic on emergency medicine may offer a unique opportunity to revisit diagnostic and therapeutic protocols in pediatrics. |
format | Online Article Text |
id | pubmed-8227712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82277122021-06-26 Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period Bottari, Giampiero Stellacci, Giandomenico Ferorelli, Davide Dell’Erba, Alessandro Aricò, Maurizio Benevento, Marcello Palladino, Giuseppe Solarino, Biagio Children (Basel) Brief Report During the COVID-19 pandemic, the number of accesses to the Pediatric Emergency Department (pED) in Italy sharply decreased by 30%. The purpose of this study is to evaluate how this novel setting impacted on management of children with trauma, and the use and appropriateness of imaging studies in such patients at the pED. All imaging studies performed in patients with trauma at the pED of a tertiary children’s Hospital during the first wave of the COVID-19 pandemic (between March and May 2020) were reviewed, in comparison with a control time interval (March to May 2019). In the pre-COVID control era, 669 imaging studies documented bone fractures in 145/568 children (25.5%). In the COVID-era, 79/177 (44.6%) pediatric patients showed bone fractures on 193 imaging studies. Comparative analysis shows a 71% decrease in imaging studies, and the proportion of negative imaging studies (with no evidence of bone fractures) dropped in 2020 by 19% compared to the 2019 control era (p < 0.001). The sharp decrease of negative studies suggests that the rate of appropriateness was higher during COVID-era, suggesting some attitude toward defensive medicine in the previous control year, as a result of some degree of imaging inappropriateness. The impact of a pandemic on emergency medicine may offer a unique opportunity to revisit diagnostic and therapeutic protocols in pediatrics. MDPI 2021-06-01 /pmc/articles/PMC8227712/ /pubmed/34205841 http://dx.doi.org/10.3390/children8060463 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Brief Report Bottari, Giampiero Stellacci, Giandomenico Ferorelli, Davide Dell’Erba, Alessandro Aricò, Maurizio Benevento, Marcello Palladino, Giuseppe Solarino, Biagio Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period |
title | Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period |
title_full | Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period |
title_fullStr | Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period |
title_full_unstemmed | Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period |
title_short | Imaging Appropriateness in Pediatric Radiology during COVID-19 Pandemic: A Retrospective Comparison with No COVID-19 Period |
title_sort | imaging appropriateness in pediatric radiology during covid-19 pandemic: a retrospective comparison with no covid-19 period |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227712/ https://www.ncbi.nlm.nih.gov/pubmed/34205841 http://dx.doi.org/10.3390/children8060463 |
work_keys_str_mv | AT bottarigiampiero imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT stellaccigiandomenico imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT ferorellidavide imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT dellerbaalessandro imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT aricomaurizio imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT beneventomarcello imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT palladinogiuseppe imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period AT solarinobiagio imagingappropriatenessinpediatricradiologyduringcovid19pandemicaretrospectivecomparisonwithnocovid19period |