Cardiovascular Testing in the United States during the COVID-19 Pandemic: Volume Recovery and Worldwide Comparison.

作者：C. Hirschfeld, S. Dorbala, L. Shaw, T. Villines, Andrew D. Choi, N. Better, R. Cerci, Ganesan Karthikeyan, J. Vitola, M. C. Williams, M. Al-Mallah, Daniel S Berman, Adam Bernheim, Robert W. W. Biederman, P. Bravo, M. Budoff, Renée P. Bullock-Palmer, Marcus Y. Chen, Michael P Dilorenzo, Rami Doukky, M. Ferencik, J. Geske, Fadi G. Hage, R. Hendel, Lynne M Koweek, Venkatesh L. Murthy, J. Narula, Patricia F Rodriguez Lozano, N. Shah, Amee M. Shah, P. Soman, Randall C. Thompson, D. Wolinsky, Yosef A. Cohen, E. Malkovskiy, Michael J. Randazzo, J. Lopez-Mattei, Purvi J. Parwani, Mrinali Shetty, T. Pascual, Y. Pynda, M. Dondi, D. Paez, Andrew J. Einstein · 发表于：Radiology: Cardiothoracic Imaging · 年份：2023 · DOI：10.1148/ryct.220288 · 被引用次数：4 · 研究领域：Medicine

Purpose To characterize the recovery of diagnostic cardiovascular procedure volumes in U.S. and non-U.S. facilities in the year following the initial COVID-19 outbreak. Materials and Methods The International Atomic Energy Agency (IAEA) coordinated a worldwide study called the IAEA Noninvasive Cardiology Protocols Study of COVID-19 2 (INCAPS COVID 2), collecting data from 669 facilities in 107 countries, including 93 facilities in 34 U.S. states, to determine the impact of the pandemic on diagnostic cardiovascular procedure volumes. Participants reported volumes for each diagnostic imaging modality used at their facility for March 2019 (baseline), April 2020, and April 2021. This secondary analysis of INCAPS COVID 2 evaluated differences in changes in procedure volume between U.S. and non-U.S. facilities and among U.S. regions. Factors associated with return to prepandemic volumes in the United States were also analyzed in a multivariable regression analysis. Results Reduction in procedure volumes in April 2020 compared with baseline was similar for U.S. and non-U.S. facilities (-66% vs -71%, P = .27). U.S. facilities reported greater return to baseline in April 2021 than did all non-U.S. facilities (4% vs -6%, P = .008), but there was no evidence of a difference when comparing U.S. facilities with non-U.S. high-income country (NUHIC) facilities (4% vs 0%, P = .18). U.S. regional differences in return to baseline were observed between the Midwest (11%), Northeast (9%), So...