Effectiveness of a radiation reduction campaign targeting children with gastrointestinal symptoms in a pediatric emergency department

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Children feature more active cellular division and a smaller body area, which leads to a greater radiation dosage accumulation. We tried to reduce radiation hazards by reducing unnecessary radiological studies in a pediatric emergency department (PED) through the radiation reduction campaign. Our campaign involved a reduction from 2 (erect and supine) to 1 ordered abdominal plain radiograph (erect). This quasi-experimental, uncontrolled before-and-after study aimed to evaluate the campaign effect. We compared simple radiograph orders, length of stay (LOS) in PED, and return visit (RV) to PED between the before period (June 1,2011-May 30,2014) and the after period (June 1, 2014-May 30, 2015). Piecewise regression was used to assess rate differences between the periods. A total of 10,729 and 3515 patients were included before and after the campaign, respectively. During study periods, 9647 (90%) and 2710 (77%) total abdominal radiographs were ordered, respectively (rate difference = 13%; P<0.001), and the slopes of rate changes were 0.03 and - 0.71, respectively (P = 0.056). The total abdominal erect and supine film rate slope decreased from - 0.19 to - 2.86 (P=0.004). The RV rate did not change (220 [2%] vs 56 [2%], respectively; P=0.104). The slope of total RV rate changed from - 0.01 to - 0.05 (P=0.132), and the slope of LOS changed from 0.001 to - 0.352 (P = 0.243). The campaign to reduce abdominal radiograph orders in pediatric patients successfully reduced the abdominal plain film X-ray rate without on the RV rate and the LOS. Abbreviations: AE = abdominal erect plain film, AES = abdominal erect-supine plain film, APF = abdominal plain film, AS = abdominal supine plain film, CDW = clinical data warehouse, LOS = length of stay, PED = pediatric emergency department, RV = return visit.

Original languageEnglish
Article numbere5907
JournalMedicine (United States)
Volume96
Issue number3
DOIs
StatePublished - 1 Jan 2017

Fingerprint

Hospital Emergency Service
Length of Stay
Motion Pictures
Radiation
Pediatrics
Radiation Dosage
X-Ray Film

Keywords

  • Abdominal plain film
  • Campaign
  • Emergency department
  • Pediatric
  • Radiation

Cite this

@article{560e0af2bdbf4b1fb3ec02808393b7ec,
title = "Effectiveness of a radiation reduction campaign targeting children with gastrointestinal symptoms in a pediatric emergency department",
abstract = "Children feature more active cellular division and a smaller body area, which leads to a greater radiation dosage accumulation. We tried to reduce radiation hazards by reducing unnecessary radiological studies in a pediatric emergency department (PED) through the radiation reduction campaign. Our campaign involved a reduction from 2 (erect and supine) to 1 ordered abdominal plain radiograph (erect). This quasi-experimental, uncontrolled before-and-after study aimed to evaluate the campaign effect. We compared simple radiograph orders, length of stay (LOS) in PED, and return visit (RV) to PED between the before period (June 1,2011-May 30,2014) and the after period (June 1, 2014-May 30, 2015). Piecewise regression was used to assess rate differences between the periods. A total of 10,729 and 3515 patients were included before and after the campaign, respectively. During study periods, 9647 (90{\%}) and 2710 (77{\%}) total abdominal radiographs were ordered, respectively (rate difference = 13{\%}; P<0.001), and the slopes of rate changes were 0.03 and - 0.71, respectively (P = 0.056). The total abdominal erect and supine film rate slope decreased from - 0.19 to - 2.86 (P=0.004). The RV rate did not change (220 [2{\%}] vs 56 [2{\%}], respectively; P=0.104). The slope of total RV rate changed from - 0.01 to - 0.05 (P=0.132), and the slope of LOS changed from 0.001 to - 0.352 (P = 0.243). The campaign to reduce abdominal radiograph orders in pediatric patients successfully reduced the abdominal plain film X-ray rate without on the RV rate and the LOS. Abbreviations: AE = abdominal erect plain film, AES = abdominal erect-supine plain film, APF = abdominal plain film, AS = abdominal supine plain film, CDW = clinical data warehouse, LOS = length of stay, PED = pediatric emergency department, RV = return visit.",
keywords = "Abdominal plain film, Campaign, Emergency department, Pediatric, Radiation",
author = "Hyuksool Kwon and Jung, {Jae Yun}",
year = "2017",
month = "1",
day = "1",
doi = "10.1097/MD.0000000000005907",
language = "English",
volume = "96",
journal = "Medicine (United States)",
issn = "0025-7974",
publisher = "Lippincott Williams and Wilkins Ltd.",
number = "3",

}

TY - JOUR

T1 - Effectiveness of a radiation reduction campaign targeting children with gastrointestinal symptoms in a pediatric emergency department

AU - Kwon, Hyuksool

AU - Jung, Jae Yun

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Children feature more active cellular division and a smaller body area, which leads to a greater radiation dosage accumulation. We tried to reduce radiation hazards by reducing unnecessary radiological studies in a pediatric emergency department (PED) through the radiation reduction campaign. Our campaign involved a reduction from 2 (erect and supine) to 1 ordered abdominal plain radiograph (erect). This quasi-experimental, uncontrolled before-and-after study aimed to evaluate the campaign effect. We compared simple radiograph orders, length of stay (LOS) in PED, and return visit (RV) to PED between the before period (June 1,2011-May 30,2014) and the after period (June 1, 2014-May 30, 2015). Piecewise regression was used to assess rate differences between the periods. A total of 10,729 and 3515 patients were included before and after the campaign, respectively. During study periods, 9647 (90%) and 2710 (77%) total abdominal radiographs were ordered, respectively (rate difference = 13%; P<0.001), and the slopes of rate changes were 0.03 and - 0.71, respectively (P = 0.056). The total abdominal erect and supine film rate slope decreased from - 0.19 to - 2.86 (P=0.004). The RV rate did not change (220 [2%] vs 56 [2%], respectively; P=0.104). The slope of total RV rate changed from - 0.01 to - 0.05 (P=0.132), and the slope of LOS changed from 0.001 to - 0.352 (P = 0.243). The campaign to reduce abdominal radiograph orders in pediatric patients successfully reduced the abdominal plain film X-ray rate without on the RV rate and the LOS. Abbreviations: AE = abdominal erect plain film, AES = abdominal erect-supine plain film, APF = abdominal plain film, AS = abdominal supine plain film, CDW = clinical data warehouse, LOS = length of stay, PED = pediatric emergency department, RV = return visit.

AB - Children feature more active cellular division and a smaller body area, which leads to a greater radiation dosage accumulation. We tried to reduce radiation hazards by reducing unnecessary radiological studies in a pediatric emergency department (PED) through the radiation reduction campaign. Our campaign involved a reduction from 2 (erect and supine) to 1 ordered abdominal plain radiograph (erect). This quasi-experimental, uncontrolled before-and-after study aimed to evaluate the campaign effect. We compared simple radiograph orders, length of stay (LOS) in PED, and return visit (RV) to PED between the before period (June 1,2011-May 30,2014) and the after period (June 1, 2014-May 30, 2015). Piecewise regression was used to assess rate differences between the periods. A total of 10,729 and 3515 patients were included before and after the campaign, respectively. During study periods, 9647 (90%) and 2710 (77%) total abdominal radiographs were ordered, respectively (rate difference = 13%; P<0.001), and the slopes of rate changes were 0.03 and - 0.71, respectively (P = 0.056). The total abdominal erect and supine film rate slope decreased from - 0.19 to - 2.86 (P=0.004). The RV rate did not change (220 [2%] vs 56 [2%], respectively; P=0.104). The slope of total RV rate changed from - 0.01 to - 0.05 (P=0.132), and the slope of LOS changed from 0.001 to - 0.352 (P = 0.243). The campaign to reduce abdominal radiograph orders in pediatric patients successfully reduced the abdominal plain film X-ray rate without on the RV rate and the LOS. Abbreviations: AE = abdominal erect plain film, AES = abdominal erect-supine plain film, APF = abdominal plain film, AS = abdominal supine plain film, CDW = clinical data warehouse, LOS = length of stay, PED = pediatric emergency department, RV = return visit.

KW - Abdominal plain film

KW - Campaign

KW - Emergency department

KW - Pediatric

KW - Radiation

UR - http://www.scopus.com/inward/record.url?scp=85010390665&partnerID=8YFLogxK

U2 - 10.1097/MD.0000000000005907

DO - 10.1097/MD.0000000000005907

M3 - Article

C2 - 28099351

AN - SCOPUS:85010390665

VL - 96

JO - Medicine (United States)

JF - Medicine (United States)

SN - 0025-7974

IS - 3

M1 - e5907

ER -