RADIOLOGICAL ASSISTANCE IN MANAGING WORKFLOW IN MEDICAL AND SURGICAL INDICATIONS AT SHIFA INTERNATIONAL HOSPITAL IN COVID-19 PANDEMIC

Authors

  • Laiba Masood Shifa International Hospital, Islamabad
  • Salma Gul Shifa International Hospital, Islamabad
  • Madiha saeed Wahla Shifa International Hospital, Islamabad
  • Suraya Bano Zafar Shifa International Hospital, Islamabad
  • Samina Akhtar Shifa International Hospital, Islamabad
  • Atif Iqbal Rana Shifa International Hospital, Islamabad

Abstract

Background: Novel Corona Virus took the world by storm under the name of COVID-19, metamorphosing the whole health care structure and alienating what we the medical community considered normalcy. The sudden unexpected need for social distancing resulted in dire dependency on imaging for expert diagnosis and management. The purpose of the present study is to describe in-depth strategies that were taken by radiology department at our hospital as a part of a coordinated hospital system-wide response in managing workflow of patients presenting to our hospital for various medical and surgical semi-urgent/urgent indications requiring hospital admission. This article may assist and provide guidance for preparation and management for other radiology departments in the early stages or in dire need of providing services in a secure environment, especially in low-income countries such as ours, while maintaining the quality of radiological reports, dealing with increased workloads. It was a descriptive qualitative study, conducted at Shifa international hospital, Radiology Department, from 28 March to 5 June 2020. Methods: After approval from IRB, a descriptive qualitative study was carried out, which included all patients regardless of age or gender who underwent radiological imaging including CT and radiograph chest, at our department from 28 March to 5 June, 2020. Results: Overall, on a yearly basis, the number of CT scans decreased 30% (total), 53.4% (OPD), and 0.61% (IPD), respectively, in 2020 when compared with figures in 2019. However, no. of HRCTs performed were significantly increased compared to 2019, in same months 568 (0.09%), compared to 2020 where a majority of total CTs performed were HRCTs for COVID alone. Conclusion: The radiology department plays a central role in streamlining the patient inflow admitted for surgical or medical indications and thus needs to be prepared for patient surges and increased volumes, with large influxes of patients to the emergency department that will require diagnostic imaging and interventional services.

Author Biographies

Laiba Masood, Shifa International Hospital, Islamabad

Resident, Diagnostic Radiology

Salma Gul, Shifa International Hospital, Islamabad

Associate ConsultantDiagnostic Radiology

Madiha saeed Wahla, Shifa International Hospital, Islamabad

ConsultantDiagnostic Radiology

Suraya Bano Zafar, Shifa International Hospital, Islamabad

ConsultantDiagnostic Radiology

Samina Akhtar, Shifa International Hospital, Islamabad

Assistant ConsultantDiagnostic Radiology

Atif Iqbal Rana, Shifa International Hospital, Islamabad

Consultant, Head of the departmentDiagnostic and interventional Radiology

References

WHO. World Health Organization: Rolling Updates on Coronavirus Disease (COVID-19). [Internet]. 14 March, 2020. [cited 2020 10 June]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen

WHO. World Health Oragnisation.[Internet]. [cited 2020 10 June]. Available from: https://covid19.who.int/region/emro/country/pk

American College of Radiology. ACR recommendations for the use of chest radiography and computed tomography (CT) for suspected COVID-19 infection. [Internet]. [cited 2020 10 June]. Available from: www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection

Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, et al. The role of chest imaging in patient management duret aling the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society. Radiology 2020;296:172–80.

Tenda ED, Yulianti M, Asaf MM, Yunus RE, Septiyanti W, Wulani V, et al. The Importance of Chest CT Scan in COVID-19. Acta Med Indones 2020;52(1):68–73.

Royal College of Radiologists. Statement on use of CT chest to screen for COVID-19 in preoperative patients. [Internet]. [cited 2020 5 May]. Available from: https://www.rcr.ac.uk/college/coronavirus-covid-19-what-rcr-doing/clinical-information/ statement-use-ct-chest-screen-covid

Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M, et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiol Cardiothorac Imaging 2020;2(2):e200152.

Hosseiny M, Kooraki S, Gholamrezanezhad A, Reddy S, Myers L. Radiology perspective of coronavirus disease 2019 (COVID-19): lessons from severe acute respiratory syndrome and Middle East respiratory syndrome. AJR Am J Roentgenol 2020;214(5):1078–82.

Rodrigues JC, Hare SS, Edey A, Devaraj A, Jacob J, Johnstone A, et al. An update on COVID-19 for the radiologist-A British society of Thoracic Imaging statement. Clin Radiol 2020;75(5):323–5.

Ahuja A, Mahajan A. Imaging and COVID-19: Preparing the radiologist for the pandemic. Cancer Res Stat Treat 2020;3(5):80.

Merkus PJ, Klein WM. Value of Chest CT as COVID 19 screening tool in children. Eur Respir J 2020;55(6):2001241.

Revel MP, Parkar AP, Prosch H, Silva M, Sverzellati N, Gleeson F, et al, European Society of Radiology (ESR. COVID-19 patients and the radiology department–advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI). Eur Radiol 2020;30(9):4903–9.

Davenport MS, Bruno MA, Iyer RS, Johnson AM, Herrera R, Nicola GN, et al. ACR statement on safe resumption of routine radiology care during the COVID-19 pandemic. J Am Coll Radiol 2020;17(7):839–44.

Qanadli SD, Zech CL, Monnard E, Binkert C, Denys A, Pfammater T. Interventional radiology workflow during the COVID-19 pandemic: recommendations of the Swiss Society of Vascular and Interventional Radiology. Swiss Med Wkly 2020;150:w20261.

Gogna A, Punamiya S, Gopinathan A, Irani F, Toh LH, Wen LC, et al. Preparing IR for COVID-19: the Singapore experience. J Vasc Interv Radiol 2020;31(6):869–75.

Mossa-Basha M, Medverd J, Linnau K, Lynch JB, Wener MH, Kicska G, et al. Policies and Guidelines for COVID-19 Preparedness: Experiences from the University of Washington. Radiology 2020;296(2):E26–31.

Tan BP, Lim KC, Goh YG, Kok SS, Teo SY, Poh AC, et al. Radiology preparedness in the ongoing battle against COVID-19: experience from large to small Public Hospitals in Singapore. Radiol Cardiothorac Imaging 2020;2(2):e200140.

Wen Z, Chi Y, Zhang L, Liu H, Du K, Li Z, et al. Coronavirus Disease 2019: Initial Detection on Chest CT in a Retrospective Multicenter Study of 103 Chinese Subjects. Radiol Cardiothorac Imaging 2020;2(2):e200092.

Mendel J. COVID-19 Pandemic and Radiology: Facts, Resources, and Suggestions for Near-term Protocols. J Glob Radiol 2020;6(1):2.

Zhu HD, Zeng CH, Lu J, Teng GJ. COVID-19: What Should Interventional Radiologists Know and What Can They Do? J Vasc Interv Radiol 2020;31(6):876–81.

Downloads

Published

2021-11-08