조영제 부작용 정보의 전산처리 후 실태조사

• 영문명: Research on the Current State about Contrast Media Side Reaction after Computed Information Processing for the Patients: In the Field of Computed Tomography
• 발행기관: 대한CT영상기술학회
• 저자명: 윤영준(Yung Joon Yoon) 김민찬(Min Chan Kim) 김문찬(Moon chan Kim)
• 간행물 정보: 『대한CT영상기술학회지』대한전산화단층기술학회지 제9권 제1호, 153~161쪽, 전체 9쪽
• 주제분류: 의약학 > 방사선과학
• 파일형태: PDF
• 발행일자: 2007.04.30

영문 초록

Purpose The study aimed to conduct a comparative analysis of patients with contrast media side reaction before and after computed information processing in order to investigate the current situation, to introduce side reaction management program(SRMP), to understand the necessity of computed infonnation processing and to evaluate the usability. Materials and Methods The study was conducted on patients of one year prior to and d one year post 2004 when SRMP started to be widely used : 196 patients with side reaction among 40,368 patients who used contrast media for CT exams during the year of 2002 and 667 of 75,711 during 2006. The development d the incidence of side reaction for each year from 2000 to 2006 were investigated. Retrospective study and technical statistical analysis were used for the prevalence rate in terms of body part and type as well as the rate in terms of severity for each year of 2002 and 2006. Also the relation between the rate of patients with contrast media side reaction and the injection rate for the year of 2006 was statistically analyzed. Results The incidence of patients v.iith contrast media side reaction among total patients who experienced CT scan increased to average 0.69% after computer information processing was employed from average 0.40%. The prevalence rates in major body parts in 2002 and 2006 were 0% and 2.16% in the heart, 1.17% and 1.56% in the CT angiography, 0.57% and 0.87% in the abdomen, and 0.16% and 0.13% in the brain, respectively. The prevalence rates in terms of major type in 2002 and 2006 were 14.4% and 26.8% in the digestive system, 66.1% and 51.6% in the dermatic system, 5.7% and 9.9% in the respiratory system, 4.0% and 3.7% in the circulatory system, and 10.1%, 8.0% in the nervous system, respectively. The rates of patients with side reaction in terms of intensity in 2002 and 2006 were 87.8% and 91.8% in mild cases and 12.2% and 8.2% in severe cases, respectively. The relations between prevalence rates and the injection rate (ml/s) in major parts in 2006 were 2.16% and 3.80 in the heart, 1.56% and 3.26 in the CT angiography, 0.87% and 2.73 in the abdomen, and 0.13% and 1.46 in the brain, respectively. Conclusion The rapid increase of the frequency to side reaction after computed information processing was employed is speculated to be the result of the fact that handwriting management system before computed information processing caused much of missing data whereas computed information processing enabled the input and management of mild cases and accurate information regarding prior and post treatments. On the other hand, the finding that the patients with severe side effects decreased by 4.0% (in 2006) after computed information processing was used compared to the rate before computed information processing, despite of the increase in the rate of patients with side reaction, seem to be the results of the fact that the patients who had high risk of side reaction were taken care of in advance using computed information processing. As CT scan advances, the use of contrast media increases. Based on the results of the study, it is suggested that the risk of contrast media side reaction will decrease if the management of patients with side reaction is systematically controlled with computed information processing.

목차

Abstract

Ⅰ. 서론

Ⅱ. 대상 및 방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

참고문헌

키워드

computed tomography side reaction contrast media SRMP side reaction management program computed information processing