Effect of COVID-19 on the Number of CT-scans and MRI Services of Public Hospitals in Iran: An Interrupted Time Series Analysis.


Journal

Ethiopian journal of health sciences
ISSN: 2413-7170
Titre abrégé: Ethiop J Health Sci
Pays: Ethiopia
ID NLM: 101224773

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 10 08 2021
accepted: 26 08 2021
entrez: 8 4 2022
pubmed: 9 4 2022
medline: 12 4 2022
Statut: ppublish

Résumé

In February 2020, the Ministry of Health and Medical Education in Iran announced the first case of COVID-19. The aim of this study was to investigate the impact of COVID-19 on the number of CT-Scans and MRI services in public hospitals in western Iran. We collected CT-scans and MRI services data from 18 public hospitals via Vice-Chancellor Office, Lorestan University of Medical Sciences from January 2017 to February 2021. Interrupted time series analysis (ITSA) was conducted to assess the impact of COVID-19 on CT-Scans and MRI services. More specifically, ITSA was conducted using ordinary least squares regression with the number of CT-Scans and MRI services per 1,000 registered persons per month as dependent variable. At the beginning of the observation period, the monthly rate of CT-Scans was constant (p for trend = 0.267) at 291.9 (from 95%CI 240.5 to 343.4) per 1,000 registered patients. The first case of COVID-19 coincided with an abrupt increase by 211.8 (from 95%CI 102.9 to 320.7) per 1,000 patients. Thereafter, the trend of CT-Scans did not change (p=0.576) compared to the pre-pandemic period. The rate of MRI services was 363.5 per 1,000 per registered patients per month (P = <0.0001) with a slightly decreasing trend (coefficient=-5; 95%CI, -6.9 to -3.1). The findings of this study showed that crises such as COVID-19 can affect the service delivery process. Health policymakers and decision makers should work to prevent potential reductions in health care during events such as COVID-19.

Sections du résumé

Background UNASSIGNED
In February 2020, the Ministry of Health and Medical Education in Iran announced the first case of COVID-19. The aim of this study was to investigate the impact of COVID-19 on the number of CT-Scans and MRI services in public hospitals in western Iran.
Methods UNASSIGNED
We collected CT-scans and MRI services data from 18 public hospitals via Vice-Chancellor Office, Lorestan University of Medical Sciences from January 2017 to February 2021. Interrupted time series analysis (ITSA) was conducted to assess the impact of COVID-19 on CT-Scans and MRI services. More specifically, ITSA was conducted using ordinary least squares regression with the number of CT-Scans and MRI services per 1,000 registered persons per month as dependent variable.
Results UNASSIGNED
At the beginning of the observation period, the monthly rate of CT-Scans was constant (p for trend = 0.267) at 291.9 (from 95%CI 240.5 to 343.4) per 1,000 registered patients. The first case of COVID-19 coincided with an abrupt increase by 211.8 (from 95%CI 102.9 to 320.7) per 1,000 patients. Thereafter, the trend of CT-Scans did not change (p=0.576) compared to the pre-pandemic period. The rate of MRI services was 363.5 per 1,000 per registered patients per month (P = <0.0001) with a slightly decreasing trend (coefficient=-5; 95%CI, -6.9 to -3.1).
Conclusion UNASSIGNED
The findings of this study showed that crises such as COVID-19 can affect the service delivery process. Health policymakers and decision makers should work to prevent potential reductions in health care during events such as COVID-19.

Identifiants

pubmed: 35392347
doi: 10.4314/ejhs.v31i6.5
pii: jEJHS.v31.i6.pg1109
pmc: PMC8968382
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1109-1114

Informations de copyright

© 2021 Mohammad H. et al.

Références

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J Prev Med Hyg. 2021 Jan 14;61(4):E520-E524
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Eur Radiol. 2020 Dec;30(12):6635-6644
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J Prev Med Hyg. 2021 Jan 14;61(4):E508-E519
pubmed: 33628954
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pubmed: 32894564
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pubmed: 32687873
Yale J Biol Med. 2021 Mar 31;94(1):13-21
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Biosens Bioelectron. 2021 Jan 15;172:112752
pubmed: 33126180

Auteurs

Mohammad Heydarian (M)

Department of Radiology, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.

Masoud Behzadifar (M)

Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

Christos V Chalitsios (CV)

Division of Respiratory Medicine, Clinical Science Building, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK.
Division of Epidemiology and Public Health, Clinical Science Building, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK.

Mohammad Keshvari (M)

Vice Chancellor Office, Lorestan University of Medical Sciences, Khorramabad, Iran.

Roodabeh Omidifar (R)

Vice Chancellor Office, Lorestan University of Medical Sciences, Khorramabad, Iran.

Mahboubeh Khaton Ghanbari (MK)

Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.

Hasan Abolghasem Gorji (HA)

Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.

Jude Dzevela Kong (JD)

Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, Canada.

Jianhong Wu (J)

Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, Canada.

Nicola Luigi Bragazzi (NL)

Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, Canada.
School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

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