PMID- 24888854
OWN - NLM
STAT- MEDLINE
DCOM- 20150120
LR  - 20161125
IS  - 1531-5037 (Electronic)
IS  - 0022-3468 (Linking)
VI  - 49
IP  - 6
DP  - 2014 Jun
TI  - Radiation exposure - how do CT scans for appendicitis compare between a free 
      standing children's hospital and non-dedicated pediatric facilities?
PG  - 1016-9; discussion 1019
LID - S0022-3468(14)00051-7 [pii]
LID - 10.1016/j.jpedsurg.2014.01.042 [doi]
AB  - BACKGROUND: We compare the amount of radiation children receive from CT scans 
      performed at non-dedicated pediatric facilities (OH) versus those at a dedicated 
      children's hospital (CH). METHODS: Using a retrospective chart review, all 
      children undergoing CT scanning for appendicitis at an OH were compared to 
      children undergoing CT imaging for appendicitis at a CH between January 2011 and 
      November 2012. RESULTS: One hundred sixty-three children underwent CT scans at 42 
      different OH. Body mass index was similar between the two groups 
      (21.00+/-6.49kg/m(2), 19.58+/-5.18kg/m(2), P=0.07). Dose length product (DLP) was 
      620+/-540.3 at OH and 253.78+/-211.08 at CH (P < 0.001). OH CT scans accurately 
      diagnosed appendicitis in 81%, while CT scans at CH were accurate in 95% 
      (P=0.026). CTDIvol was recorded in 65 patients with subset analysis showing 
      CTDIvol of 16.98+/-15.58 and 4.89+/-2.64, a DLP of 586.25+/-521.59 and 143.54+/-41.19, 
      and size-specific dose estimate (SSDE) of 26.71+/-23.1 and 3.81+/-2.02 at OH and CH, 
      respectively (P<0.001). CONCLUSION: Using SSDE as a marker for radiation 
      exposure, children received 86% less radiation and had improved diagnostic 
      accuracy when CT scans are performed at a CH.
CI  - Copyright (c) 2014 Elsevier Inc. All rights reserved.
FAU - Sharp, Nicole E
AU  - Sharp NE
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA.
FAU - Raghavan, Maneesha U
AU  - Raghavan MU
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA.
FAU - Svetanoff, Wendy J
AU  - Svetanoff WJ
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA.
FAU - Thomas, Priscilla T
AU  - Thomas PT
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA.
FAU - Sharp, Susan W
AU  - Sharp SW
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA.
FAU - Brown, James C
AU  - Brown JC
AD  - Children's Mercy Hospitals and Clinics, Department of Radiology, Kansas City, MO, 
      USA.
FAU - Rivard, Douglas C
AU  - Rivard DC
AD  - Children's Mercy Hospitals and Clinics, Department of Radiology, Kansas City, MO, 
      USA.
FAU - St Peter, Shawn D
AU  - St Peter SD
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA.
FAU - Holcomb, George W 3rd
AU  - Holcomb GW 3rd
AD  - Children's Mercy Hospitals and Clinics, Department of Surgery, Kansas City, MO, 
      USA. Electronic address: gholcomb@cmh.edu.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20140213
PL  - United States
TA  - J Pediatr Surg
JT  - Journal of pediatric surgery
JID - 0052631
SB  - IM
MH  - Adolescent
MH  - Appendicitis/*diagnostic imaging
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Hospitals, Pediatric/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Radiation Dosage
MH  - Retrospective Studies
MH  - Tomography, X-Ray Computed/*methods
OTO - NOTNLM
OT  - Appendicitis
OT  - Computed tomography (CT)
OT  - Pediatric
OT  - Radiation exposure
EDAT- 2014/06/04 06:00
MHDA- 2015/01/21 06:00
CRDT- 2014/06/04 06:00
PHST- 2014/01/26 00:00 [received]
PHST- 2014/01/27 00:00 [accepted]
PHST- 2014/06/04 06:00 [entrez]
PHST- 2014/06/04 06:00 [pubmed]
PHST- 2015/01/21 06:00 [medline]
AID - S0022-3468(14)00051-7 [pii]
AID - 10.1016/j.jpedsurg.2014.01.042 [doi]
PST - ppublish
SO  - J Pediatr Surg. 2014 Jun;49(6):1016-9; discussion 1019. doi: 
      10.1016/j.jpedsurg.2014.01.042. Epub 2014 Feb 13.