Children centered care

Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6

Stine B. Runge*, Nicolaj L. Christensen, Kim Jensen, Ib E. Jensen

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Purpose: To evaluate the need for general anesthesia (GA) in MRI in children aged 4–6 years, using a multi-faceted concept, Children Centered Care (CCC), compared to a standard setup. Materials and Methods: In this prospective study of 81 children, we developed and tested a multi-faceted concept, CCC, for MRI in children aged 4–6 without GA, comparing it to a standard setup. The CCC included: 1) an interactive app, 2) a trained pediatric team, 3) a children's lounge with a toy-scanner, and 4) a child-friendly multimedia environment in the MRI room. Patients were included from February-September 2016 and 2017. The use of GA was evaluated, image quality was assessed and a cost-benefit analysis was done. Results: We included 40 children in the control group and 41 in the CCC group. Mean age was 5.8 years and 48 (59%) were males. Neuro and orthopedic imaging accounted for 58 (72%) and 22 (27%), respectively. With the CCC setup 39/41 (95%) completed a diagnostic MRI without GA compared to 17/40 (43%) in the control group (p < 0.001). Image quality was not different between the groups (p = 0.37). The setup proved cost-effective with a payback time of two years in a Danish setting with 250 eligible patients per year. Conclusion: With the multi-faceted concept CCC, the use of GA for MRI in children aged 4–6 was markedly reduced to 5%, image quality was maintained and the setup was cost-effective.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Radiology
Vol/bind107
Sider (fra-til)183-187
ISSN0720-048X
DOI
StatusUdgivet - okt. 2018

Fingeraftryk

Play and Playthings
Control Groups
Multimedia
Cost-Benefit Analysis
Orthopedics
Prospective Studies
Pediatrics

Citer dette

Runge, Stine B. ; Christensen, Nicolaj L. ; Jensen, Kim ; Jensen, Ib E. / Children centered care : Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6. I: European Journal of Radiology. 2018 ; Bind 107. s. 183-187.
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title = "Children centered care: Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6",
abstract = "Purpose: To evaluate the need for general anesthesia (GA) in MRI in children aged 4–6 years, using a multi-faceted concept, Children Centered Care (CCC), compared to a standard setup. Materials and Methods: In this prospective study of 81 children, we developed and tested a multi-faceted concept, CCC, for MRI in children aged 4–6 without GA, comparing it to a standard setup. The CCC included: 1) an interactive app, 2) a trained pediatric team, 3) a children's lounge with a toy-scanner, and 4) a child-friendly multimedia environment in the MRI room. Patients were included from February-September 2016 and 2017. The use of GA was evaluated, image quality was assessed and a cost-benefit analysis was done. Results: We included 40 children in the control group and 41 in the CCC group. Mean age was 5.8 years and 48 (59{\%}) were males. Neuro and orthopedic imaging accounted for 58 (72{\%}) and 22 (27{\%}), respectively. With the CCC setup 39/41 (95{\%}) completed a diagnostic MRI without GA compared to 17/40 (43{\%}) in the control group (p < 0.001). Image quality was not different between the groups (p = 0.37). The setup proved cost-effective with a payback time of two years in a Danish setting with 250 eligible patients per year. Conclusion: With the multi-faceted concept CCC, the use of GA for MRI in children aged 4–6 was markedly reduced to 5{\%}, image quality was maintained and the setup was cost-effective.",
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author = "Runge, {Stine B.} and Christensen, {Nicolaj L.} and Kim Jensen and Jensen, {Ib E.}",
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Children centered care : Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6. / Runge, Stine B.; Christensen, Nicolaj L.; Jensen, Kim; Jensen, Ib E.

I: European Journal of Radiology, Bind 107, 10.2018, s. 183-187.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Children centered care

T2 - Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6

AU - Runge, Stine B.

AU - Christensen, Nicolaj L.

AU - Jensen, Kim

AU - Jensen, Ib E.

PY - 2018/10

Y1 - 2018/10

N2 - Purpose: To evaluate the need for general anesthesia (GA) in MRI in children aged 4–6 years, using a multi-faceted concept, Children Centered Care (CCC), compared to a standard setup. Materials and Methods: In this prospective study of 81 children, we developed and tested a multi-faceted concept, CCC, for MRI in children aged 4–6 without GA, comparing it to a standard setup. The CCC included: 1) an interactive app, 2) a trained pediatric team, 3) a children's lounge with a toy-scanner, and 4) a child-friendly multimedia environment in the MRI room. Patients were included from February-September 2016 and 2017. The use of GA was evaluated, image quality was assessed and a cost-benefit analysis was done. Results: We included 40 children in the control group and 41 in the CCC group. Mean age was 5.8 years and 48 (59%) were males. Neuro and orthopedic imaging accounted for 58 (72%) and 22 (27%), respectively. With the CCC setup 39/41 (95%) completed a diagnostic MRI without GA compared to 17/40 (43%) in the control group (p < 0.001). Image quality was not different between the groups (p = 0.37). The setup proved cost-effective with a payback time of two years in a Danish setting with 250 eligible patients per year. Conclusion: With the multi-faceted concept CCC, the use of GA for MRI in children aged 4–6 was markedly reduced to 5%, image quality was maintained and the setup was cost-effective.

AB - Purpose: To evaluate the need for general anesthesia (GA) in MRI in children aged 4–6 years, using a multi-faceted concept, Children Centered Care (CCC), compared to a standard setup. Materials and Methods: In this prospective study of 81 children, we developed and tested a multi-faceted concept, CCC, for MRI in children aged 4–6 without GA, comparing it to a standard setup. The CCC included: 1) an interactive app, 2) a trained pediatric team, 3) a children's lounge with a toy-scanner, and 4) a child-friendly multimedia environment in the MRI room. Patients were included from February-September 2016 and 2017. The use of GA was evaluated, image quality was assessed and a cost-benefit analysis was done. Results: We included 40 children in the control group and 41 in the CCC group. Mean age was 5.8 years and 48 (59%) were males. Neuro and orthopedic imaging accounted for 58 (72%) and 22 (27%), respectively. With the CCC setup 39/41 (95%) completed a diagnostic MRI without GA compared to 17/40 (43%) in the control group (p < 0.001). Image quality was not different between the groups (p = 0.37). The setup proved cost-effective with a payback time of two years in a Danish setting with 250 eligible patients per year. Conclusion: With the multi-faceted concept CCC, the use of GA for MRI in children aged 4–6 was markedly reduced to 5%, image quality was maintained and the setup was cost-effective.

KW - Anesthesia

KW - Cost-benefit

KW - MR

KW - Pediatric imaging

KW - Magnetic Resonance Imaging/economics

KW - Prospective Studies

KW - Humans

KW - Child, Preschool

KW - Male

KW - Case-Control Studies

KW - Procedures and Techniques Utilization

KW - Cost-Benefit Analysis

KW - Denmark

KW - Female

KW - Waiting Lists

KW - Retrospective Studies

KW - Child

KW - Patient-Centered Care/economics

KW - Anesthesia, General/economics

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U2 - 10.1016/j.ejrad.2018.08.026

DO - 10.1016/j.ejrad.2018.08.026

M3 - Journal article

VL - 107

SP - 183

EP - 187

JO - European Journal of Radiology

JF - European Journal of Radiology

SN - 0720-048X

ER -