General anesthesia / sedation requirement influences the way MRI brain scans are ordered in a tertiary pediatric hospital
| Autor: | Kathy Low, Min Yi Sum, Phua Hwee Tang |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Adolescent Sedation Population Anesthesia General 030218 nuclear medicine & medical imaging Tertiary Care Centers 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Mri brain Stage (cooking) Practice Patterns Physicians' education Child Retrospective Studies education.field_of_study medicine.diagnostic_test business.industry Brain Infant Magnetic resonance imaging Retrospective cohort study Institutional review board Decision Support Systems Clinical Hospitals Pediatric Magnetic Resonance Imaging Anesthesia Child Preschool Practice Guidelines as Topic Female medicine.symptom Abnormality business |
| Zdroj: | Journal of magnetic resonance imaging : JMRI. 49(7) |
| ISSN: | 1522-2586 |
| Popis: | BACKGROUND MRI guidelines have been created to help clinicians order scans appropriately. Some scans in children are carried out under general anesthesia (GA) / sedation. PURPOSE To evaluate if the requirement for GA/sedation influences the way MRI brain scans are ordered. STUDY TYPE Retrospective. POPULATION Children with MRI brain scans in 2015 to 2017. FIELD STRENGTH 3T, 1.5T. ASSESSMENT Institutional Review Board approval for waiver of consent was obtained. Clinical MRI brain reports for children were classified into whether they conformed to the American College of Radiology (ACR) 2013 guidelines by research assistants under supervision of a pediatric radiologist. Scans were sorted into those with normal brains or abnormality. STATISTICAL TEST The statistical difference between groups was assessed using t-test for continuous variables and chi-square test for categorical variables with IBM SPSS 19. RESULTS Of the total 1893 MRI scans, 431 were performed under GA and six under sedation. Of the 431 cases performed under GA/sedation, 383 (87.6%) were ordered according to guidelines. Of the 1456 cases that did not require GA/sedation, 710 (48.8%) conformed to guidelines. The percentage of scans ordered according to guidelines was 38.8% higher in those who had scans performed under GA/sedation (P |
| Databáze: | OpenAIRE |
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