Children centered care: Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6
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. In this prospective study of 81 children, we developed and tested a multi-faceted concept, CCC, for MRI in children aged 4–6...
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| Veröffentlicht in: | European journal of radiology 2018-10, Vol.107, p.183-187 |
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| creator | Runge, Stine B. Christensen, Nicolaj L. Jensen, Kim Jensen, Ib E. |
| description | 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.
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.
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 |
| doi_str_mv | 10.1016/j.ejrad.2018.08.026 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2018.08.026</identifier><identifier>PMID: 30292264</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Anesthesia ; Anesthesia, General - economics ; Anesthesia, General - statistics & numerical data ; Case-Control Studies ; Child ; Child, Preschool ; Cost-benefit ; Cost-Benefit Analysis ; Denmark ; Female ; Humans ; Magnetic Resonance Imaging - economics ; Magnetic Resonance Imaging - statistics & numerical data ; Male ; Patient-Centered Care - economics ; Patient-Centered Care - statistics & numerical data ; Pediatric imaging ; Procedures and Techniques Utilization ; Prospective Studies ; Retrospective Studies ; Waiting Lists</subject><ispartof>European journal of radiology, 2018-10, Vol.107, p.183-187</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-b9839118151378e60ce9034ba05faa0e04e1dc770caefd8613495a3ee31b035b3</citedby><cites>FETCH-LOGICAL-c359t-b9839118151378e60ce9034ba05faa0e04e1dc770caefd8613495a3ee31b035b3</cites><orcidid>0000-0003-4070-6094 ; 0000-0002-4895-0588</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0720048X1830295X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30292264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Runge, Stine B.</creatorcontrib><creatorcontrib>Christensen, Nicolaj L.</creatorcontrib><creatorcontrib>Jensen, Kim</creatorcontrib><creatorcontrib>Jensen, Ib E.</creatorcontrib><title>Children centered care: Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>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.
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.
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.
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.</description><subject>Anesthesia</subject><subject>Anesthesia, General - economics</subject><subject>Anesthesia, General - statistics & numerical data</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cost-benefit</subject><subject>Cost-Benefit Analysis</subject><subject>Denmark</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - economics</subject><subject>Magnetic Resonance Imaging - statistics & numerical data</subject><subject>Male</subject><subject>Patient-Centered Care - economics</subject><subject>Patient-Centered Care - statistics & numerical data</subject><subject>Pediatric imaging</subject><subject>Procedures and Techniques Utilization</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Waiting Lists</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kNtKAzEQhoMoWg9PIEguvdk6SXY3u4IXUjyBRRAF70I2O2tT9lCTbUWvfAff0CcxtdZLYWBg8v3zZ35CDhkMGbD0ZDrEqdPlkAPLhhCKpxtkwDLJIym53CQDkBwiiLOnHbLr_RQAkjjn22RHAM85T-MBWYwmti4dttRg26PDkhrt8JSObWsb-27bZ9pPkLYYXqrOUd2iDwNvNX21_YRq2szr3kaVNtgv1V1rcNb_sOP7G2rD5rWFfg5A_PXxme6TrUrXHg9--x55vLx4GF1Ht3dXN6Pz28iIJO-jIs9EzljGEiZkhikYzEHEhYak0hoQYmSlkRKMxqrMUibiPNECUbACRFKIPXK82jtz3cs8_Fw11hus63BGN_eKMyZZIoJNQMUKNa7z3mGlZs422r0pBmoZuJqqn8DVMnAFoXgaVEe_BvOiwfJPs044AGcrAMOZC4tOeWMxZFRah6ZXZWf_NfgGdAaTFw</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Runge, Stine B.</creator><creator>Christensen, Nicolaj L.</creator><creator>Jensen, Kim</creator><creator>Jensen, Ib E.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4070-6094</orcidid><orcidid>https://orcid.org/0000-0002-4895-0588</orcidid></search><sort><creationdate>201810</creationdate><title>Children centered care: Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6</title><author>Runge, Stine B. ; Christensen, Nicolaj L. ; Jensen, Kim ; Jensen, Ib E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-b9839118151378e60ce9034ba05faa0e04e1dc770caefd8613495a3ee31b035b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anesthesia</topic><topic>Anesthesia, General - economics</topic><topic>Anesthesia, General - statistics & numerical data</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cost-benefit</topic><topic>Cost-Benefit Analysis</topic><topic>Denmark</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - economics</topic><topic>Magnetic Resonance Imaging - statistics & numerical data</topic><topic>Male</topic><topic>Patient-Centered Care - economics</topic><topic>Patient-Centered Care - statistics & numerical data</topic><topic>Pediatric imaging</topic><topic>Procedures and Techniques Utilization</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Runge, Stine B.</creatorcontrib><creatorcontrib>Christensen, Nicolaj L.</creatorcontrib><creatorcontrib>Jensen, Kim</creatorcontrib><creatorcontrib>Jensen, Ib E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Runge, Stine B.</au><au>Christensen, Nicolaj L.</au><au>Jensen, Kim</au><au>Jensen, Ib E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Children centered care: Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2018-10</date><risdate>2018</risdate><volume>107</volume><spage>183</spage><epage>187</epage><pages>183-187</pages><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>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.
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.
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.
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.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>30292264</pmid><doi>10.1016/j.ejrad.2018.08.026</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-4070-6094</orcidid><orcidid>https://orcid.org/0000-0002-4895-0588</orcidid></addata></record> |
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| subjects | Anesthesia Anesthesia, General - economics Anesthesia, General - statistics & numerical data Case-Control Studies Child Child, Preschool Cost-benefit Cost-Benefit Analysis Denmark Female Humans Magnetic Resonance Imaging - economics Magnetic Resonance Imaging - statistics & numerical data Male Patient-Centered Care - economics Patient-Centered Care - statistics & numerical data Pediatric imaging Procedures and Techniques Utilization Prospective Studies Retrospective Studies Waiting Lists |
| title | Children centered care: Minimizing the need for anesthesia with a multi-faceted concept for MRI in children aged 4–6 |
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