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Impact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazil

2022-03-07Journal article Open access
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dc.contributor.authorOliveira Bernardo, Mônica
dc.contributor.authorMorgado, Flávio
dc.contributor.authordos Santos, Alair Augusto Sarmet Moreira Damas
dc.contributor.authorFoley, Shane
dc.contributor.authorPaulo, Graciano
dc.contributor.authorde Almeida, Fernando Antônio
dc.date.accessioned2022-04-19T14:51:50Z
dc.date.available2022-04-19T14:51:50Z
dc.date.issued2022-03-07
dc.description.abstractPurpose: 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 justifcation 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1186/s13244-022-01180-0pt_PT
dc.identifier.issn1869-4101
dc.identifier.urihttp://hdl.handle.net/10400.26/40238
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Openpt_PT
dc.relation.publisherversionhttps://insightsimaging.springeropen.com/articles/10.1186/s13244-022-01180-0pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectPaediatric radiologypt_PT
dc.subjectRadiation protectionpt_PT
dc.subjectComputed tomographypt_PT
dc.subjectRadiographypt_PT
dc.subjectPatient safetypt_PT
dc.subjectRadiologia pediátricapt_PT
dc.subjectProteção radiológicapt_PT
dc.subjectTomografia computorizadapt_PT
dc.subjectRadiografiapt_PT
dc.subjectSegurança do pacientept_PT
dc.titleImpact of a radiological protection campaign in emergency paediatric radiology: a multicentric observational study in Brazilpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleInsights into Imagingpt_PT
oaire.citation.volume13pt_PT
person.familyNameDO NASCIMENTO NOBRE PAULO
person.givenNameGRACIANO
person.identifier.ciencia-idF617-CC4E-D6CE
person.identifier.orcid0000-0001-6297-778X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4cb5ce05-b691-426b-ab15-ed4febf1f687
relation.isAuthorOfPublication.latestForDiscovery4cb5ce05-b691-426b-ab15-ed4febf1f687

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