Document Detail


Cumulative effective doses delivered by radiographs to preterm infants in a neonatal intensive care unit.
MedLine Citation:
PMID:  16510671     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to determine the number and distribution of radiographs and the cumulative effective radiograph doses (cED) received by a population of preterm infants (PIs) hospitalized in an NICU. STUDY DESIGN: We reviewed the files of all preterm infants (gestational age: <34 weeks) who were admitted to an NICU during an 18-month period and were discharged alive. A generalized additive model was used to study the relationship between cED and patient characteristics. RESULTS: Four hundred fifty files were analyzed. The median gestational age was 30.1 weeks (range: 24.1-33.9 weeks), and the median birth weight was 1250 g (range: 520-2760 g). The median number of radiographs per infant was 10.6 (range: 0-95), and the median cED was 138 microSv (range: 0-1450 microSv). The cumulative dose exceeded 500 microSv in 7.6% of the cases. Factors that influenced the cumulative effective dose were gestational age, birth weight, care procedures, and clinical adverse events. CONCLUSIONS: Given the potentially life-threatening complications of PIs, cumulative radiograph doses received in the ICU seem low with regard to environmental exposure and international recommendations. Additional studies are needed to evaluate the possible lifetime consequences of exposure to ionizing radiation at this age.
Authors:
Jean Donadieu; Abdelkrim Zeghnoun; Candice Roudier; Carlo Maccia; Phillipe Pirard; Christine Andr?; Catherine Adamsbaum; Gabriel Kalifa; Paul Legmann; Pierre-Henri Jarreau
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  117     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-02     Completed Date:  2006-03-22     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  882-8     Citation Subset:  AIM; IM    
Affiliation:
D?partement Sant? et Environnement, Institut de Veille Sanitaire, St Maurice, France. j.donadieu@invs.sante.fr
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Humans
Infant, Newborn
Infant, Premature*
Intensive Care Units, Neonatal
Radiation Dosage
Radiography*

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