COVID-19 impact assessment on the French radiological centers : a nationwide survey
PURPOSE: To determine the impact of the COVID-19 on the CT activities in French radiological centers during the epidemic peak.
MATERIALS AND METHODS: 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.
RESULTS: 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.
CONCLUSION: In case of local high density COVID-19, CT workflow is strongly modified and redirected to the management of these specific patients.
KEY POINTS: • Over the 4-week survey period, 117,686 chest CT (CTtotal) were performed among the responding centers, including 61,784 (52%) CT performed for COVID-19 (CTcovid). • Across the country, the ratio CTcovid/CTtotal 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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
|---|---|
| Enthalten in: |
European radiology - 30(2020), 12 vom: 03. Dez., Seite 6537-6544 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Herpe, Guillaume [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
COVID-19 |
|---|
| Anmerkungen: |
Date Completed 09.11.2020 Date Revised 18.02.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00330-020-07035-w |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM31198956X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM31198956X | ||
| 003 | DE-627 | ||
| 005 | 20231225143435.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00330-020-07035-w |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1039.xml |
| 035 | |a (DE-627)NLM31198956X | ||
| 035 | |a (NLM)32621241 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Herpe, Guillaume |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a COVID-19 impact assessment on the French radiological centers |b a nationwide survey |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 09.11.2020 | ||
| 500 | |a Date Revised 18.02.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: To determine the impact of the COVID-19 on the CT activities in French radiological centers during the epidemic peak | ||
| 520 | |a MATERIALS AND METHODS: 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 | ||
| 520 | |a RESULTS: 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 | ||
| 520 | |a CONCLUSION: In case of local high density COVID-19, CT workflow is strongly modified and redirected to the management of these specific patients | ||
| 520 | |a KEY POINTS: • Over the 4-week survey period, 117,686 chest CT (CTtotal) were performed among the responding centers, including 61,784 (52%) CT performed for COVID-19 (CTcovid). • Across the country, the ratio CTcovid/CTtotal 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Prospective | |
| 650 | 4 | |a Radiology | |
| 650 | 4 | |a Surveys and questionnaires | |
| 650 | 4 | |a Tomography | |
| 650 | 4 | |a X-Ray computed | |
| 700 | 1 | |a Naudin, Mathieu |e verfasserin |4 aut | |
| 700 | 1 | |a Léderlin, Mathieu |e verfasserin |4 aut | |
| 700 | 1 | |a Enikeeva, Farida |e verfasserin |4 aut | |
| 700 | 1 | |a Boumendil, Olivier |e verfasserin |4 aut | |
| 700 | 1 | |a Cassagnes, Lucie |e verfasserin |4 aut | |
| 700 | 1 | |a Cavet, Madeleine |e verfasserin |4 aut | |
| 700 | 1 | |a Chaumoitre, Kathia |e verfasserin |4 aut | |
| 700 | 1 | |a Feuerstein, Philippe |e verfasserin |4 aut | |
| 700 | 1 | |a Fitton, Isabelle |e verfasserin |4 aut | |
| 700 | 1 | |a Flory, Violaine |e verfasserin |4 aut | |
| 700 | 1 | |a Freitag, Cornelia Anna |e verfasserin |4 aut | |
| 700 | 1 | |a Gaubert, Jean Yves |e verfasserin |4 aut | |
| 700 | 1 | |a Gregory, Jules |e verfasserin |4 aut | |
| 700 | 1 | |a Nivet, Hubert |e verfasserin |4 aut | |
| 700 | 1 | |a Ohana, Mickaël |e verfasserin |4 aut | |
| 700 | 1 | |a Petit, Isabelle |e verfasserin |4 aut | |
| 700 | 1 | |a Sans, Nicolas |e verfasserin |4 aut | |
| 700 | 1 | |a Wagner, Mathilde |e verfasserin |4 aut | |
| 700 | 1 | |a Guillevin, Rémy |e verfasserin |4 aut | |
| 700 | 1 | |a Saulnier, Pierre-Jean |e verfasserin |4 aut | |
| 700 | 1 | |a Bartoli, Jean-Michel |e verfasserin |4 aut | |
| 700 | 1 | |a Tasu, Jean Pierre |e verfasserin |4 aut | |
| 700 | 1 | |a Beregi, Jean-Paul |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t European radiology |d 1991 |g 30(2020), 12 vom: 03. Dez., Seite 6537-6544 |w (DE-627)NLM087691310 |x 1432-1084 |7 nnns |
| 773 | 1 | 8 | |g volume:30 |g year:2020 |g number:12 |g day:03 |g month:12 |g pages:6537-6544 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00330-020-07035-w |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 30 |j 2020 |e 12 |b 03 |c 12 |h 6537-6544 | ||