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

Authors : Attila BEŞTEMİR, Göksu BOZDERELİ BERİKOL

Pages : 179-186

Doi:10.31832/smj.1246856

View : 19 | Download : 7

Publication Date : 2023-03-16

Article Type : Research Paper

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 insert ignore into journalissuearticles values(CT,MRI,radiographs,USG); were analyzed. Results: Regarding imaging per admission were considered, Plain radiograph constituted the most requested examinations compared to all applications insert ignore into journalissuearticles values(31%-36%);. Then, the rates were followed by CT insert ignore into journalissuearticles values(10.84%-23.40%);, and the highest CT requests were found in 2020insert ignore into journalissuearticles values(n=17.192.695);. Overall, there was a statistically significant difference between years in terms of imaging types insert ignore into journalissuearticles values(X2 65.05, p<0.001, Friedman);. All imaging modalities have changed statistically between the years 2016-2017insert ignore into journalissuearticles values(p<0.001);; 2017-2018insert ignore into journalissuearticles values(p<0.001);; 2018-2019insert ignore into journalissuearticles values(p=0.02);; 2019-2020insert ignore into journalissuearticles values(p<0.001);. While there was no statistical difference between 2020 and 2021insert ignore into journalissuearticles values(p=0.614); also 2016 and 2021insert ignore into journalissuearticles values(p=0.337);, a statistically significant difference was found between 2016 and 2020 insert ignore into journalissuearticles values(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 : Acil servis, Bilgisayarlı tomografi, Ultrason