Intravenous Contrast Extravasation During CT: A National Data Registry and Practice Quality Improvement Initiative

Dykes, Thomas M.; Bhargavan-Chatfield, Mythreyi; Dyer, Raymond B.

doi:10.1016/j.jacr.2014.07.021

Cited by 36 publications

(44 citation statements)

References 17 publications

(34 reference statements)

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“…Our rate was consistent with the reported range of 0.06-0.9 % for CT injections in different studies [11][12][13][14][15][16][17][18]37] (Table 2). The majority of these reactions are mild and symptoms include swelling or tightness, warmth or pain at the site of injection, paraesthesias and itching [37].…”

Section: Discussionsupporting

confidence: 92%

“…A lot of data is published on extravasation and adverse drug reactions in CT [8][9][10][11][12][13][14][15][16][17][18]. Less is published on other safety incidents in CT, such as skin injuries during transport or examination, intravenous line incidents, staffs' occupational injuries, physical or verbal violence, incidental extubations, environment or equipment failures, intra-and inter-hospital service coordination errors, and diagnostic mistakes.…”

Section: Introductionmentioning

confidence: 99%

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How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

et al. 2015

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

et al. 2015

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“…A study by Dykes et al, compiled a large database of information collected between February 2009 and December 2013 from 58 radiology centers in the United States, for a total of 1085 extravasations, demonstrated an extravasation rate of 0.24%, with a median of 0.21% and a 25-75% interquartile range of 0.12-0.31% 7 . In 2014, Shaqdan et al published the results of a study conducted at the Harvard Medical School Massachusetts General Hospital in the United States, reporting an incidence rate of 0.13%.…”

Section: Discussionmentioning

confidence: 99%

“…We categorized the extravasated volumes for comparison with a study conducted by Dykes et al 7 , who used the same method. Those authors found that the extravasation volume was 10-49 mL in 51% of the patients and 50-99 mL in 32% of the patients, both ranges being similar to those found in our study.…”

Section: Discussionmentioning

confidence: 99%

Extravasation of iodinated contrast medium in cancer patients undergoing computed tomography

2018

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ObjectiveThe aim of this study was to evaluate the incidence of extravasation of iodinated contrast medium (ICM) at the site of intravenous injection in oncology patients submitted to computed tomography (CT).Materials and MethodsThis was a retrospective, descriptive, single-center study that evaluated all patients who underwent CT with ICM administration and presented ICM extravasation, at a cancer center, between January 2010 and December 2015.ResultsDuring the study period, we evaluated a total of 99,076 ICM injections and identified 199 cases of extravasation, the incidence rate therefore being 0.20%. Among the patients who presented extravasation, the mean age was 59.22 years and 60% were female. The extravasation was classified as mild in 94.10% of the patients and as moderate in 5.90%. There were no cases of severe extravasation in the sample.ConclusionThe incidence of ICM extravasation in cancer patients submitted to CT in the present study was similar to that reported for the general population, according to other studies in the literature. The vast majority of cases of extravasation were considered mild, and no severe cases were observed in the study sample.

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“…An additional benefit of participation in registry studies is the ability to compare outcomes with regional and national benchmarks, allowing for more robust quality control and improved patient care. 12,13 IR as a primary medical specialty is now in a better position than ever to lead evidence-based clinical research, as evidenced by the implementation of clinical studies such as the PRESERVE (Predicting the Safety and Effectiveness of Inferior Vena Cava Filters) trial (NCT02381509), a joint collaboration between the Society of Interventional Radiology (SIR) and the Society for Vascular Surgery (SVS). These studies provide important information regarding the safety and efficacy of both developing and established treatment options and are invaluable for the practicing IR physician in the today's fast-paced world of medical technology and research.…”

Section: Discussionmentioning

confidence: 99%

Paving the Path to Value: The Role of Registry Studies in Interventional Radiology

Wang

Kohi

2018

J Clin Interv Radiol ISVIR

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).The growth rate of interventional radiology (IR) procedures and practitioners has exceeded the pace of evidence development to support evidence-based practice. In the innovative and highly adaptive field of IR, there exists a tremendous need for interventional radiologists to practice evidence-based medicine as a way to maintain and improve quality of health care. Randomized controlled trials (RCTs) are considered to be the gold standard of research, providing level I evidence, but in procedural subspecialties, they remain difficult to design and implement due to challenges in randomization, blinding, and inadequate sample size. To build the foundation of evidence in IR, registry studies can play a complementary role to RCTs. Clinical data registries may offer a more practical approach to gathering outcomes data, important in this era with the advent of the Medicare Access and CHIP Reauthorization Act (MACRA), in comparison with RCTs. Properly designed registries can store an abundance of data with which high-quality observational studies can be performed. Although considered level II evidence, these registry studies will allow the evaluation of both performance and value of IR procedures, particularly in circumstances in which an RCT would not be feasible. This manuscript aims to serve as a guide for developing and participating in IR registry studies. Abstract Keywords► evidence-based medicine ► clinical data registry ► randomized controlled trial

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Intravenous Contrast Extravasation During CT: A National Data Registry and Practice Quality Improvement Initiative

Cited by 36 publications

References 17 publications

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

Extravasation of iodinated contrast medium in cancer patients undergoing computed tomography

Paving the Path to Value: The Role of Registry Studies in Interventional Radiology

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