Comparison of image quality in chest, hip and pelvis examinations between mobile equipment in nursing homes and static indirect radiography equipment in the hospital

Precht, Helle; Hansen, Dennis Lund; Ring-Pedersen, B. M.; Hansen, Lasse; Waaler, Dag; Tingberg, Anders; Midtgaard, M.; Ohlsen, M. G. Jensen; Hankelbjerg, S.T Juhl; Ravn, Pernille; Jensen, Ib; Christensen, Johnny; Andersen, Phil

doi:10.1016/j.radi.2019.10.004

Cited by 13 publications

(28 citation statements)

References 10 publications

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“…There was a variance in study design, power calculations and the number of patients (n= 69-1.192), but mobile X-ray was compared to hospital X-ray in all studies. The interventions were mobile X-ray and mobile X-ray combined with hospital X-ray (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28). The most common X-ray examinations were of chest (17,20,21,22,25,26,27,28), hip and pelvis (17,20,21,22,25,26,27,28), spine (20,21,22,25,26,27,28) and abdomen (20,21,22,25,26,27,28).…”

Section: Information Sourcesmentioning

confidence: 99%

“…As shown in Table 4 the study populations in the included literature were frail elderly (19,22), dementia patients (19), homeless (18,23), drug users (23), asylum seekers (23), and nursing home residents (17,20,21,24,25,26,27,28).…”

Section: Information Sourcesmentioning

confidence: 99%

“…Fewer patients may need transportation to the hospital, and probably fewer patients would become delirious (19,21,22,27). The literature also describes places to use mobile X-ray outside the hospital for instance in nursing homes (17,20,21,24,25,26,27,28) and shelters (18,23).…”

Section: Information Sourcesmentioning

confidence: 99%

Section: Information Sourcesmentioning

confidence: 99%

“…The ve included studies explored the quality, usefulness, knowledge, barriers, success criteria's and expectations of mobile X-ray offered to nursing home residents (17,21,24,27,28). In 5 studies patients, healthcare staff, nurses and referring doctors were asked using both qualitative (24,28) and quantitative methods (17,21,27). The literature found that the main part of patients and health care staff was satis ed with mobile X-ray examination and the bene ts that mobile X-ray had for both patients and staff (19,21,28).…”

Section: Information Sourcesmentioning

confidence: 99%

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Mobile X-ray outside the Hospital: a scoping review

Toppenberg

Christiansen

Rasmussen

et al. 2020

Preprint

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Background: For several years mobile X-ray equipment has been routinely used for imaging in patients too unwell within the hospital, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside the hospital. Objective: The literature describes that fragile patients may benefit from mobile X-ray, but we need to know if it is an evident alternative to hospital-based examination and in what populations.Data sources: To conduct this scoping review, we searched PubMed, Cinahl, Embase, EconLit and Health Technology Assessment. Study eligibility criteria: English-, Danish-, Norwegian-, German-, Italian-, French- and Swedish-language studies, published 1.1.2009- 1.5.2020 about mobile X-ray outside the hospital were included. Participants and interventions: Participants were patients examined using mobile X-ray as the intervention.Study appraisal and synthesis methods: PRISMA was used when eligible to build up the review. To extract data from the selected articles, we used a structured summary table. Results: We included 12 studies in this scoping review. The results were divided into four topics: 1. Target population 2. Population health 3. Experience of care and 4. Cost effectiveness.The conclusions is that target population could be larger, population health may be improved, image quality seems to be good and mobile X-ray may be cost effective. Limitations: Limitations of language, databases and grey literature may have resulted in studies outside western countries being missed. Conclusions: Mobile X-ray may be used outside hospital. There seems to be potential benefits to both patients and health care staff. Based on the published studies it is not possible to draw a final conclusion if mobile X-ray examination is a relevant diagnostic offer and for whom. Further studies are needed to assess the feasibility of use in fragile patients, also regarding staff, relatives and society.

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Section: Information Sourcesmentioning

confidence: 99%

Section: Information Sourcesmentioning

confidence: 99%

Section: Information Sourcesmentioning

confidence: 99%

Section: Information Sourcesmentioning

confidence: 99%

Section: Information Sourcesmentioning

confidence: 99%

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Mobile X-ray outside the Hospital: a scoping review

Toppenberg

Christiansen

Rasmussen

et al. 2020

Preprint

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Bringing radiology to patient's home using mobile equipment: A weapon to fight COVID-19 pandemic

2020

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Because of coronavirus disease 2019 (COVID-19) high contagiousness, it is crucial to identify and promptly isolate COVID-19 patients. In this context, chest imaging examinations, in particular chest x-ray (CXR), can play a pivotal role in different settings, to triage in case of unavailability, delay of or first negative result of reverse transcriptase-polymerase chain reaction (RT-PCR), and to stratify disease severity. Considering the need to reduce, as much as possible, hospital admission of patients with suspected or confirmed infection, the use of mobile x-ray equipment could represent a safe approach. We picture a potential sequence of events, involving a team composed by a radiographer and a nurse, going to patient's home to perform CXR, nasopharyngeal swab (and, if needed, also a blood sample), with fast radiologist tele-reporting, and resulting patient management approach (home isolation or emergency room admission, when needed). This approach brings healthcare to patient's home, reducing the risk of infected subjects referring to family doctors' office or emergency departments, and strengthening community medicine while maintaining a strong connection with radiology departments.

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