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Impact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazil
Purpose To evaluate the impact of a paediatric radiological protection campaign, implemented in the emergency units of a healthcare provider network in Brazil. This campaign aimed to promote awareness among emergency department physicians, regarding justification of paediatric X-ray referrals for pa...
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Published in: | Insights into imaging 2022-03, Vol.13 (1), p.40-40, Article 40 |
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description | Purpose
To evaluate the impact of a paediatric radiological protection campaign, implemented in the emergency units of a healthcare provider network in Brazil. This campaign aimed to promote awareness among emergency department physicians, regarding justification of paediatric X-ray referrals for paranasal sinus, chest and CT exams, as a strategy to reduce exposure to ionising radiation.
Method
Frequency analysis of common paediatric imaging referrals from 19 emergency departments was performed for a 3-year period (2015–2018) to coincide with before, during and after the implementation of the radiation protection campaign. The campaign was multifaceted and involved dissemination of educational materials and imaging referral guidelines along with quarterly meetings with participating centres' leaderships. Additionally, patient dose cards were distributed to patients/carers. The Chi-Square test was used to examine the association between the type of examination and the patient's age group. Exact-Fisher test was performed to check for an association between participant engagement and the existence of the radiation protection committee.
Results
Referrals reduced by 25% following the campaign with no reports of misdiagnosis. Many referrals in the youngest age groups. In 15 units, a radiological protection committee was created to raise awareness and to create a multi professional team to communicate the risks and benefits of radiological procedure in children.
Conclusion
The campaign resulted in a substantial reduction in radiological referrals while promoting a radiation protection culture. Simple education initiatives can contribute to savings in both finances and radiation doses, particularly important in radiosensitive cohorts. |
doi_str_mv | 10.1186/s13244-022-01180-0 |
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To evaluate the impact of a paediatric radiological protection campaign, implemented in the emergency units of a healthcare provider network in Brazil. This campaign aimed to promote awareness among emergency department physicians, regarding justification of paediatric X-ray referrals for paranasal sinus, chest and CT exams, as a strategy to reduce exposure to ionising radiation.
Method
Frequency analysis of common paediatric imaging referrals from 19 emergency departments was performed for a 3-year period (2015–2018) to coincide with before, during and after the implementation of the radiation protection campaign. The campaign was multifaceted and involved dissemination of educational materials and imaging referral guidelines along with quarterly meetings with participating centres' leaderships. Additionally, patient dose cards were distributed to patients/carers. The Chi-Square test was used to examine the association between the type of examination and the patient's age group. Exact-Fisher test was performed to check for an association between participant engagement and the existence of the radiation protection committee.
Results
Referrals reduced by 25% following the campaign with no reports of misdiagnosis. Many referrals in the youngest age groups. In 15 units, a radiological protection committee was created to raise awareness and to create a multi professional team to communicate the risks and benefits of radiological procedure in children.
Conclusion
The campaign resulted in a substantial reduction in radiological referrals while promoting a radiation protection culture. Simple education initiatives can contribute to savings in both finances and radiation doses, particularly important in radiosensitive cohorts.</description><identifier>ISSN: 1869-4101</identifier><identifier>EISSN: 1869-4101</identifier><identifier>DOI: 10.1186/s13244-022-01180-0</identifier><identifier>PMID: 35254537</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Computed tomography ; Diagnostic Radiology ; Imaging ; Internal Medicine ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Neuroradiology ; Original ; Original Article ; Paediatric radiology ; Patient safety ; Radiation protection ; Radiography ; Radiology ; Ultrasound</subject><ispartof>Insights into imaging, 2022-03, Vol.13 (1), p.40-40, Article 40</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-99ba1e48deee215dc3568df7912ac7f712b2b88783f8778ad90a735524d7c6e33</citedby><cites>FETCH-LOGICAL-c541t-99ba1e48deee215dc3568df7912ac7f712b2b88783f8778ad90a735524d7c6e33</cites><orcidid>0000-0002-2981-7490</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8901824/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8901824/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35254537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oliveira Bernardo, Mônica</creatorcontrib><creatorcontrib>Morgado, Flávio</creatorcontrib><creatorcontrib>dos Santos, Alair Augusto Sarmet Moreira Damas</creatorcontrib><creatorcontrib>Foley, Shane</creatorcontrib><creatorcontrib>Paulo, Graciano</creatorcontrib><creatorcontrib>de Almeida, Fernando Antônio</creatorcontrib><title>Impact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazil</title><title>Insights into imaging</title><addtitle>Insights Imaging</addtitle><addtitle>Insights Imaging</addtitle><description>Purpose
To evaluate the impact of a paediatric radiological protection campaign, implemented in the emergency units of a healthcare provider network in Brazil. This campaign aimed to promote awareness among emergency department physicians, regarding justification of paediatric X-ray referrals for paranasal sinus, chest and CT exams, as a strategy to reduce exposure to ionising radiation.
Method
Frequency analysis of common paediatric imaging referrals from 19 emergency departments was performed for a 3-year period (2015–2018) to coincide with before, during and after the implementation of the radiation protection campaign. The campaign was multifaceted and involved dissemination of educational materials and imaging referral guidelines along with quarterly meetings with participating centres' leaderships. Additionally, patient dose cards were distributed to patients/carers. The Chi-Square test was used to examine the association between the type of examination and the patient's age group. Exact-Fisher test was performed to check for an association between participant engagement and the existence of the radiation protection committee.
Results
Referrals reduced by 25% following the campaign with no reports of misdiagnosis. Many referrals in the youngest age groups. In 15 units, a radiological protection committee was created to raise awareness and to create a multi professional team to communicate the risks and benefits of radiological procedure in children.
Conclusion
The campaign resulted in a substantial reduction in radiological referrals while promoting a radiation protection culture. Simple education initiatives can contribute to savings in both finances and radiation doses, particularly important in radiosensitive cohorts.</description><subject>Computed tomography</subject><subject>Diagnostic Radiology</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Original</subject><subject>Original Article</subject><subject>Paediatric radiology</subject><subject>Patient safety</subject><subject>Radiation protection</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Ultrasound</subject><issn>1869-4101</issn><issn>1869-4101</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9kk1v1DAQhiMEotXSP8AB5cglxZ-xwwEJKgorVeICZ2tiT4JXSbzYSaVF_Hi8m7JqL_hia96Zx2PPWxSvKbmmVNfvEuVMiIowVpEcIBV5VlxmoakEJfT5o_NFcZXSjuTFOeWavywuuGRSSK4uiz_bcQ92LkNXQhnB-TCE3lsYyn0MM9rZh6m0kJN8P5V-KnHE2ONkD-Ue0HmYo7fnwsP7TBmXYfYWp5MS2oTxHo6YzEzz4g5HyqcIv_3wqnjRwZDw6mHfFD9uP3-_-Vrdffuyvfl4V1kp6Fw1TQsUhXaIyKh0lstau041lIFVnaKsZa3WSvNOK6XBNQQUl5IJp2yNnG-K7cp1AXZmH_0I8WACeHMKhNgbiLnnAY1Fa52gmdoyoWTdOMl0_kWiO65Rusz6sLL2SzuiO70ThifQp8rkf5o-3BvdEKqZyIC3D4AYfi2YZjP6ZHEYYMKwJMNqXufRqTyrTcHWVBtDShG78zWUmKMLzOoCk11gTi4wJBe9edzgueTfzHMCXxNSlqYeo9mFJebxpP9h_wL5gb_8</recordid><startdate>20220307</startdate><enddate>20220307</enddate><creator>Oliveira Bernardo, Mônica</creator><creator>Morgado, Flávio</creator><creator>dos Santos, Alair Augusto Sarmet Moreira Damas</creator><creator>Foley, Shane</creator><creator>Paulo, Graciano</creator><creator>de Almeida, Fernando Antônio</creator><general>Springer Vienna</general><general>SpringerOpen</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2981-7490</orcidid></search><sort><creationdate>20220307</creationdate><title>Impact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazil</title><author>Oliveira Bernardo, Mônica ; Morgado, Flávio ; dos Santos, Alair Augusto Sarmet Moreira Damas ; Foley, Shane ; Paulo, Graciano ; de Almeida, Fernando Antônio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-99ba1e48deee215dc3568df7912ac7f712b2b88783f8778ad90a735524d7c6e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Computed tomography</topic><topic>Diagnostic Radiology</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Original</topic><topic>Original Article</topic><topic>Paediatric radiology</topic><topic>Patient safety</topic><topic>Radiation protection</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliveira Bernardo, Mônica</creatorcontrib><creatorcontrib>Morgado, Flávio</creatorcontrib><creatorcontrib>dos Santos, Alair Augusto Sarmet Moreira Damas</creatorcontrib><creatorcontrib>Foley, Shane</creatorcontrib><creatorcontrib>Paulo, Graciano</creatorcontrib><creatorcontrib>de Almeida, Fernando Antônio</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Insights into imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliveira Bernardo, Mônica</au><au>Morgado, Flávio</au><au>dos Santos, Alair Augusto Sarmet Moreira Damas</au><au>Foley, Shane</au><au>Paulo, Graciano</au><au>de Almeida, Fernando Antônio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazil</atitle><jtitle>Insights into imaging</jtitle><stitle>Insights Imaging</stitle><addtitle>Insights Imaging</addtitle><date>2022-03-07</date><risdate>2022</risdate><volume>13</volume><issue>1</issue><spage>40</spage><epage>40</epage><pages>40-40</pages><artnum>40</artnum><issn>1869-4101</issn><eissn>1869-4101</eissn><abstract>Purpose
To evaluate the impact of a paediatric radiological protection campaign, implemented in the emergency units of a healthcare provider network in Brazil. This campaign aimed to promote awareness among emergency department physicians, regarding justification of paediatric X-ray referrals for paranasal sinus, chest and CT exams, as a strategy to reduce exposure to ionising radiation.
Method
Frequency analysis of common paediatric imaging referrals from 19 emergency departments was performed for a 3-year period (2015–2018) to coincide with before, during and after the implementation of the radiation protection campaign. The campaign was multifaceted and involved dissemination of educational materials and imaging referral guidelines along with quarterly meetings with participating centres' leaderships. Additionally, patient dose cards were distributed to patients/carers. The Chi-Square test was used to examine the association between the type of examination and the patient's age group. Exact-Fisher test was performed to check for an association between participant engagement and the existence of the radiation protection committee.
Results
Referrals reduced by 25% following the campaign with no reports of misdiagnosis. Many referrals in the youngest age groups. In 15 units, a radiological protection committee was created to raise awareness and to create a multi professional team to communicate the risks and benefits of radiological procedure in children.
Conclusion
The campaign resulted in a substantial reduction in radiological referrals while promoting a radiation protection culture. Simple education initiatives can contribute to savings in both finances and radiation doses, particularly important in radiosensitive cohorts.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>35254537</pmid><doi>10.1186/s13244-022-01180-0</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2981-7490</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Computed tomography Diagnostic Radiology Imaging Internal Medicine Interventional Radiology Medicine Medicine & Public Health Neuroradiology Original Original Article Paediatric radiology Patient safety Radiation protection Radiography Radiology Ultrasound |
title | Impact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazil |
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