U.S. flag An official website of the United States government.
Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

i

Hospital-Level Factors Associated with Use of Pediatric Radiation Dose-Reduction Protocols for Head CT: Results from a National Survey



Details

  • Personal Author:
  • Description:
    Objectives: To examine hospital-level factors associated with the use of a dedicated pediatric dose-reduction protocol and protective shielding for head CT in a national sample of hospitals. Methods: A mixed-mode (online and paper) survey was administered to a stratified random sample of US community hospitals (N = 751). Respondents provided information on pediatric head CT scanning practices, including use of a dose-reduction protocol. Modified Poisson regression analyses describe the relative risk (RR) of not reporting the use of a pediatric dose-reduction protocol or protective shielding; multivariable analyses adjust for census region, trauma level, children's hospital status, and bed size. Results: Of hospitals that were contacted, 38 were ineligible (no CT scanner, hospital closed, do not scan infants), 1 refused, and 253 responded (35.5% response rate). Across all hospitals, 92.6% reported using a pediatric dose-reduction protocol. Modified Poisson regression showed that small hospitals (0-50 beds) were 20% less likely to report using a protocol than large hospitals (>150 beds) (RR: 0.80, 95% confidence interval [CI]: 0.65-0.99; adjusted for covariates). Teaching hospitals were more likely to report using a protocol (RR: 1.10, 95% CI: 1.02-1.19; adjusted for covariates). After adjusting for covariates, children's hospitals were significantly less likely to report using protective shielding than nonchildren's hospitals (RR: 0.64, 95% CI: 0.56-0.73), though this may be due to more advanced scanner type. Conclusion: Results from this study provide guidance for tailored educational campaigns and quality improvement interventions to increase the adoption of pediatric dose-reduction efforts. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1546-1440
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Volume:
    11
  • Issue:
    7
  • NIOSHTIC Number:
    nn:20055298
  • Citation:
    J Am Coll Radiol 2014 Jul; 11(7):717-724.e1
  • Contact Point Address:
    Janessa M. Graves, PhD, MPH, Washington State University College of Nursing-Spokane, P.O. Box 1495, Spokane, WA 99210-1495
  • Email:
    janessa.graves@wsu.edu
  • Federal Fiscal Year:
    2014
  • Performing Organization:
    University of Washington
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    Journal of the American College of Radiology
  • End Date:
    20250630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:2ae8163c344827c94759160cf30bca8e7a3a94a3afdbfa30913ad53ced5762df7fecc0ce48d352b57a5858ab1d3ea3beb0376173a1aa9b5947fa3ce17fcffaf0
  • Download URL:
  • File Type:
    Filetype[PDF - 353.62 KB ]
PREVIOUS
ON THIS PAGE
Details
CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.

As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
BACK TO TOP