294 356

Cited 0 times in

중증외상환자의 전산화단층촬영 및 중재술에 의한 방사선 유효선량 및 생애 귀속위험도

Other Titles
 Effective Radiologic Doses and Lifetime Attributable Risks in Patients with Trauma Critical Pathway Activation 
Authors
 이원효  ;  공태영  ;  김승환  ;  유제성  ;  박유석  ;  이재길  ;  정성필 
Citation
 Journal of Trauma and Injury, Vol.26(3) : 198-206, 2013 
Journal Title
 Journal of Trauma and Injury 
ISSN
 1738-8767 
Issue Date
2013
Keywords
Multiple trauma ; Computed tomography ; Radiation dosage ; Radiation-induced neoplasm
Abstract
Purpose: This study was performed to calculate and analyze the effective radiation doses from computed tomography (CT) and radiologic intervention in patients in the emergency department (ED) with trauma critical pathway (CP) activation and further to estimate the lifetime attributable risks (LARs) for the incidence of and mortality from cancers induced by the radiation dose. Methods: Through a retrospective electrical chart review of 104 injured patients who trauma critical pathway were activated from November 2012 to March 2013, we calculated effective radiologic doses by taking the product of the dose-linear product of the scan and the conversion coefficient. After a determination of the image results, we divided the patients into two groups, negative or positive, and calculated the effective dose for each group. With these results, we estimated the LARs for the incidence of and the mortality from cancers by using the table in the Biologic Effects of Ionizing Radiation (BEIR)-VII report. Results: A total of 76 patients were enrolled. The mean age was 49.0±8.5 years. The mean injury severity score (ISS) was 12.7±8.4. The cumulative effective dose (CED) for individual patients varied from 2.8 mSv to 238.8 mSv, and the mean was 47.6±39.9 mSv. The CED in patients with an ISS≥16(63.2±26.6 mSv) was higher than that of patients whose ISS<16(33.5±23.1 mSv) (p<0.001). The CED in patients who were treated with surgery or intervention(69.0±45.2 mSv) was higher than that of patients who were treated conservatively(33.6 ±22.4 mSv) (p<0.001). The LARs for cancer incidence and mortality were 328.5±308.6 and 189.0±159.3 per 100,000 people, respectively. Conclusion: The CED and the LAR for trauma CP-activated patients in the ED were significant, so efforts should be made to decrease the effective dose received by severely injured patients.
Files in This Item:
T201305658.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kong, Tae Young(공태영) ORCID logo https://orcid.org/0000-0002-4182-7245
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89164
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse