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Reducing Anesthesia Use for Pediatric Magnetic Resonance Imaging: The Effects of a Patient- and Family-Centered Intervention on Image Quality, Health-care Costs, and Operational Efficiency.
- Source :
- Journal of Radiology Nursing; Mar2019, Vol. 38 Issue 1, p21-27, 7p
- Publication Year :
- 2019
-
Abstract
- Abstract Children with complex medical problems who require anesthesia are known to be at risk for acute adverse physiologic events related to anesthesia. The risks of anesthesia include short- and long-term psychological and neurobehavioral issues. Magnetic resonance imaging (MRI) has emerged as the standard of care for diagnosis and follow-up of many conditions, and more children are being subjected to anesthesia to ensure acceptable motion-free image quality of the MRI scans. The aim of this study was to evaluate the effectiveness of an anesthesia-free patient- and family-centered intervention through an analysis of MRI quality, health-care costs, and operational efficiency as compared with other approaches. This study retrospectively reviewed patient data extracted from electronic medical records of children aged 3-17 years, who underwent outpatient MRI at an urban academic medical center from 2015 to 2016. A total matched sample size of 500 children, 125 per group, was used to investigate the outcome variables including the quality of magnetic resonance image, health-care cost, and procedural time. The groups included are as follows: (1) intervention group, patient- and family-centered preparation of the child, and no anesthesia given (PFC/NA); (2) comparison group, no structured preparation, and no anesthesia given (SC/NA); (3) comparison group, certified child life specialist preparation, and anesthesia given (CCLS/A); (4) comparison group, no structured preparation, anesthesia given (SC/A). The PFC/NA intervention group was found to have significantly lower costs (p <.0001) and shorter procedure times (p <.0001), and 96.8% of the MRI images were of acceptable or better quality than those of the SC/A and CCLS/A groups. The PFC approach provides a way for children to undergo outpatient diagnostic MRI without the need for anesthesia, thus reducing risk, costs, and procedure time. Highlights • The Intervention dispels the notion children need anesthesia to remain still for MRI. • The Intervention allows children to undergo MRI without the need for anesthesia. • The Intervention group had lower costs than the anesthesia groups (p < 0.001). • The Intervention group had shorter procedure time than anesthesia groups (p < 0.001). • In the Intervention group, 96.8% of MRIs were of acceptable quality or better. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15460843
- Volume :
- 38
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Journal of Radiology Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 135227420
- Full Text :
- https://doi.org/10.1016/j.jradnu.2018.12.003