Radiation exposure in very low birth weight infants.
Birth Weight
Bronchopulmonary Dysplasia
/ epidemiology
Female
Humans
Infant, Newborn
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Male
Radiation Exposure
/ statistics & numerical data
Radiation, Ionizing
Respiration, Artificial
/ statistics & numerical data
Retrospective Studies
Sepsis
/ epidemiology
Journal
Minerva pediatrica
ISSN: 1827-1715
Titre abrégé: Minerva Pediatr
Pays: Italy
ID NLM: 0400740
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
pubmed:
4
7
2018
medline:
7
11
2019
entrez:
4
7
2018
Statut:
ppublish
Résumé
The survival of very low birth weight (VLBW) infants increased in the past few decades. These neonates often require multiple diagnostic and management image procedures that involve ionizing radiation, which can have long term implications. The aim of our study was to evaluate the level of radiation exposure in VLBW infants during their stay in the Neonatal Intensive Care Unit (NICU). We collected demographic and medical data of 149 VLBW who were admitted to our NICU between January 2011 and December 2014. All radiographic procedures were reviewed retrospectively. Absorbed ionizing radiation was calculated according to literature reference values. A total of 1496 images were obtained. Infants underwent 10.0±11.3 examinations, and the maximum of images registered per patient was 65. Four babies (2.7%) received more than 1000 µSv, the recommended maximum of ionizing radiation exposure. Infants of lower birth weight, who needed invasive ventilation, with bronchopulmonary dysplasia, sepsis, and surgical pathology required significantly more radiographs (P<0.001). In this study, lower birth weight, need of invasive ventilation, bronchopulmonary dysplasia and sepsis were associated with the need of more X-ray studies. In order to protect the vulnerable population of severely-ill newborns, guidelines for radiation exposure in newborns should be issued and implemented.
Sections du résumé
BACKGROUND
BACKGROUND
The survival of very low birth weight (VLBW) infants increased in the past few decades. These neonates often require multiple diagnostic and management image procedures that involve ionizing radiation, which can have long term implications. The aim of our study was to evaluate the level of radiation exposure in VLBW infants during their stay in the Neonatal Intensive Care Unit (NICU).
METHODS
METHODS
We collected demographic and medical data of 149 VLBW who were admitted to our NICU between January 2011 and December 2014. All radiographic procedures were reviewed retrospectively. Absorbed ionizing radiation was calculated according to literature reference values.
RESULTS
RESULTS
A total of 1496 images were obtained. Infants underwent 10.0±11.3 examinations, and the maximum of images registered per patient was 65. Four babies (2.7%) received more than 1000 µSv, the recommended maximum of ionizing radiation exposure. Infants of lower birth weight, who needed invasive ventilation, with bronchopulmonary dysplasia, sepsis, and surgical pathology required significantly more radiographs (P<0.001).
CONCLUSIONS
CONCLUSIONS
In this study, lower birth weight, need of invasive ventilation, bronchopulmonary dysplasia and sepsis were associated with the need of more X-ray studies. In order to protect the vulnerable population of severely-ill newborns, guidelines for radiation exposure in newborns should be issued and implemented.
Identifiants
pubmed: 29968443
pii: S0026-4946.18.04900-9
doi: 10.23736/S0026-4946.18.04900-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM