330 Preliminary Report of Drive Through COVID-19 Screening Process in a Large Suburban Hospital

Abstract

Methods: This descriptive study was a retrospective chart analysis of 684 asymptomatic TIA patients admitted to the EDOU, over a 20-month period. Patients were divided by significant or no significant findings for either brain or neck MRA or both.Results: There were no significant findings for either the brain or neck MRA in 70.8% (n¼484) of patients. 9.8% (n¼67) had significant findings for only the neck MRA. 12.0% (n¼82) of patients had significant findings for only the brain MRA. 7.5% (n¼51) had significant findings for both brain and neck MRA. Significant findings included moderate to severe vascular stenosis and/or occlusion of the vertebral arteries, carotid, aneurysms (saccular and fusiform), subclavian steal syndrome, and thyroid nodules. Clinically significant findings were noted in 29.4% of the 684 patients.Conclusion: With the use of MRA of the brain and neck, we are discovering more clinically significant findings that may have gone years undiagnosed. Based on this data, it seems fitting that the use of MRI of the brain with MRA of the brain and neck should be utilized for evaluation of TIA patients when able, thus replacing prior workups such as, carotid ultrasound.

Drive-Through Urgent Care Centers: Could They Be the Future of Healthcare Facilities?

“…Long waiting time can be a barrier to patients’ intent of seeking healthcare (Tak et al, 2014). The drive-through models allowed people to stay in their cars, so the stations could rapidly test more people (Kwon et al, 2020), which would reduce bottlenecks and wait time and eventually increase surge capacity (Ledvina et al, 2020). The other advantage of the model was the reduced use of PPE.…”