Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.

In contrast to patients with underlying cancer or chronic disease, injury patients are relatively young, and can be expected to live their natural lifespan if injuries are appropriately treated. Multiple and repeated diagnostic scans might be performed in these patients during admission. Nevertheles...

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Autores principales:	Je Sung You, Hye-Jeong Lee, Yong Eun Chung, Hye Sun Lee, Myo Jeong Kim, Sung Phil Chung, Myeong-Jin Kim, Incheol Park, Ki Whang Kim
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/22fcdf4a8b6c44a8a993b702fba33d04
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spelling	oai:doaj.org-article:22fcdf4a8b6c44a8a993b702fba33d042021-11-18T08:40:15ZDiagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.1932-620310.1371/journal.pone.0084870https://doaj.org/article/22fcdf4a8b6c44a8a993b702fba33d042013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24386427/?tool=EBIhttps://doaj.org/toc/1932-6203In contrast to patients with underlying cancer or chronic disease, injury patients are relatively young, and can be expected to live their natural lifespan if injuries are appropriately treated. Multiple and repeated diagnostic scans might be performed in these patients during admission. Nevertheless, radiation exposure in injury patients has been overlooked and underestimated because of the emergent nature of such situations. Therefore, we tried to assess the cumulative effective dose (cED) of injury patients in the emergency department. We included patients who visited the emergency department (ED) of a single tertiary hospital due to injury between February 2010 and February 2011. The cED for each patient was calculated and compared across age, sex and injury mechanism. A total of 11,676 visits (mean age: 28.0 years, M:F = 6,677:4,999) were identified. Although CT consisted of only 7.8% of total radiologic examinations (n=78,025), it accounted for 87.1% of the total cED. The mean cED per visit was 2.6 mSv. A significant difference in the cED among injury mechanisms was seen (p<0.001) and patients with traffic accidents and fall down injuries showed relatively high cED values. Hence, to reduce the cED of injury patients, an age-, sex- and injury mechanism-specific dose reduction strategy should be considered.Je Sung YouHye-Jeong LeeYong Eun ChungHye Sun LeeMyo Jeong KimSung Phil ChungMyeong-Jin KimIncheol ParkKi Whang KimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e84870 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Je Sung You Hye-Jeong Lee Yong Eun Chung Hye Sun Lee Myo Jeong Kim Sung Phil Chung Myeong-Jin Kim Incheol Park Ki Whang Kim Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
description	In contrast to patients with underlying cancer or chronic disease, injury patients are relatively young, and can be expected to live their natural lifespan if injuries are appropriately treated. Multiple and repeated diagnostic scans might be performed in these patients during admission. Nevertheless, radiation exposure in injury patients has been overlooked and underestimated because of the emergent nature of such situations. Therefore, we tried to assess the cumulative effective dose (cED) of injury patients in the emergency department. We included patients who visited the emergency department (ED) of a single tertiary hospital due to injury between February 2010 and February 2011. The cED for each patient was calculated and compared across age, sex and injury mechanism. A total of 11,676 visits (mean age: 28.0 years, M:F = 6,677:4,999) were identified. Although CT consisted of only 7.8% of total radiologic examinations (n=78,025), it accounted for 87.1% of the total cED. The mean cED per visit was 2.6 mSv. A significant difference in the cED among injury mechanisms was seen (p<0.001) and patients with traffic accidents and fall down injuries showed relatively high cED values. Hence, to reduce the cED of injury patients, an age-, sex- and injury mechanism-specific dose reduction strategy should be considered.
format	article
author	Je Sung You Hye-Jeong Lee Yong Eun Chung Hye Sun Lee Myo Jeong Kim Sung Phil Chung Myeong-Jin Kim Incheol Park Ki Whang Kim
author_facet	Je Sung You Hye-Jeong Lee Yong Eun Chung Hye Sun Lee Myo Jeong Kim Sung Phil Chung Myeong-Jin Kim Incheol Park Ki Whang Kim
author_sort	Je Sung You
title	Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
title_short	Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
title_full	Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
title_fullStr	Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
title_full_unstemmed	Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
title_sort	diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/22fcdf4a8b6c44a8a993b702fba33d04
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Diagnostic radiation exposure of injury patients in the emergency department: a cross-sectional large scaled study.

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