The Clinical Impact of a Web-Based Image Repository on Radiation Exposure in Injured Children.
J Am Coll Radiol
; 13(11): 1397-1403, 2016 Nov.
Article
em En
| MEDLINE
| ID: mdl-27577592
ABSTRACT
PURPOSE:
The long-term cancer risks for children exposed to radiologic images can be two to three times higher than for adults because children are more sensitive to radiation and have a longer lifetime in which to accumulate exposure from CT scans. Injured children often undergo repeat CT imaging if they are transferred from non-pediatric hospitals to a Level I pediatric trauma center (PTC). This study determined the impact of a statewide web-based image repository (WBIR) on repeat imaging among transferred injured children.METHODS:
All injured children who underwent CT imaging and were transferred to the PTC in 2010 (pre-WBIR) and 2013 (post-WBIR) were included. Patient-level factors studied included demographics, body region of scan, Injury Severity Score, and Emergency Department (ED) disposition. Change from pre to post on rate of repeat imaging was assessed.RESULTS:
Two hundred fifty-four and 233 children, with a median age of 7.3 years, were transferred to the Children's Hospital in 2010 and 2013, respectively. Repeat imaging levels at the PTC were lower post-WBIR than pre-WBIR (20% versus 33%, odds ratio [OR] 0.54, P = .005). Images of the head decreased most significantly (60% versus 33%, OR 0.33). Images performed at Level II and III trauma centers were repeated less often after WBIR.CONCLUSIONS:
The WBIR significantly reduced repeat imaging among injured children transferred to a PTC, especially children transferred from Level II and Level III trauma centers, children with lower-acuity injuries, and children with initial scans of the head. Radiation savings are expected to be beneficial to children.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Doses de Radiação
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Ferimentos e Lesões
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Tomografia Computadorizada por Raios X
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Sistema de Registros
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Exposição à Radiação
/
Internet
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
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Risk_factors_studies
Limite:
Child
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Child, preschool
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Female
/
Humans
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Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article