CHANGES IN THE USE OF MEDICAL IMAGING MODALITIES IN THE EMERGENCY DEPARTMENTS FROM 2016 TO 2022

Abstract

Introduction: Due to the presence or proximity of medical imaging modalities in emergency departments, their use is becoming widespread in pediatric and adult emergency departments. Especially with the COVID-19 pandemic, the use of computed tomography as a rapid and sensitive method for the diagnosis of pneumonia has also increased. This study aimed to analyse the change in the trends of imaging modalities in emergency departments over the last 6 years in our country. Material and Methods: A retrospective descriptive study was conducted in the emergency departments of public and university hospitals in Turkey between January 1, 2016, and December 31, 2021. The numbers and percents of imaging requests (CT,MRI,radiographs,USG) were analyzed. Results: Regarding imaging per admission were considered, Plain radiograph constituted the most requested examinations compared to all applications (31%-36%). Then, the rates were followed by CT (10.84%-23.40%), and the highest CT requests were found in 2020(n=17.192.695). Overall, there was a statistically significant difference between years in terms of imaging types (X2 65.05, p<0.001, Friedman). All imaging modalities have changed statistically between the years 2016-2017(p<0.001); 2017-2018(p<0.001); 2018-2019(p=0.02); 2019-2020(p<0.001). While there was no statistical difference between 2020 and 2021(p=0.614) also 2016 and 2021(p=0.337), a statistically significant difference was found between 2016 and 2020 (p=0.046). Conclusion: In our study, the use of imaging methods in the emergency services in the last 6 years was examined, and the total footage showed a continuous increase in the pre-pandemic period. With the pandemic, significant changes were detected in the shooting modalities

Keywords

• Emergency Department
• Computed Tomography
• Ultrasound

2016-2022 YILLARI ARASINDA ACİL SERVİSLERDE GÖRÜNTÜLEME YÖNTEMLERİNİN KULLANIMINDAKİ DEĞİŞİKLİKLER

Abstract

Giriş: Tıbbi görüntüleme yöntemlerinin acil servislerde bulunması veya yakın olması nedeniyle çocuk ve erişkin acil servislerinde kullanımı giderek yaygınlaşmaktadır. Özellikle COVID-19 pandemisi ile birlikte bilgisayarlı tomografinin pnömoni tanısında hızlı ve duyarlı bir yöntem olarak kullanımı da artmıştır. Bu çalışma, ülkemizde son 6 yılda acil servislerde görüntüleme modalitelerindeki eğilimlerin değişimini incelemeyi amaçlamıştır. Gereç ve Yöntemler: 1 Ocak 2016- 31 Aralık 2021 tarihleri arasında Türkiye'deki kamu ve üniversite hastanelerinin acil servislerinde retrospektif tanımlayıcı bir çalışma yapılmıştır. Görüntüleme isteklerinin (CT,MR,radyografi,USG) sayıları ve yüzdeleri analiz edildi. Bulgular: Başvuru başına yapılan görüntülemeler değerlendirildiğinde, tüm başvurulara göre (%31-%36) en çok istenen tetkikleri düz grafiler oluşturdu. Ardından oranları CT (%10,84-%23,40) takip etti ve en yüksek CT talepleri 2020'de (n=17,192,695) bulundu. Genel olarak, görüntüleme türleri açısından yıllar arasında istatistiksel olarak anlamlı bir fark vardı (X2 65.05, p<0.001, Friedman). 2016-2017 yılları arasında tüm görüntüleme yöntemleri istatistiksel olarak değişti(p<0.001); 2017-2018(p<0,001); 2018-2019(p=0,02); 2019-2020(p<0.001). 2020 ile 2021 (p=0,614) ve 2016 ile 2021 (p=0,337) arasında istatistiksel olarak fark yokken, 2016 ile 2020 arasında istatistiksel olarak anlamlı bir fark bulundu (p=0,046). Sonuç: Çalışmamızda acil servislerde son 6 yılda görüntüleme yöntemlerinin kullanımı incelenmiş, pandemi öncesi süreçte toplam çekim sürekli artış göstermiştir. Pandemiyle birlikte çekim modalitelerinde belirgin değişikler saptanmıştır.

Keywords

• Acil servis
• Bilgisayarlı tomografi
• Ultrason

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