Evidence map›Paper›PMID 39292242›Full record

ArticlePediatric radiology2024

Child life specialists predict successful MRI scanning in unsedated children 4 to 12 years old.

Jennifer H Staab, Angela C Yoder, John T Brinton, Nicholas V Stence, Claire E Simonsen, Brianne F Newman, Keely A Garcia, Lorna P Browne

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Article in Pediatric radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer H StaabChildren's Hospital Colorado, Aurora, CO, USA. Jennifer.Staab@childrenscolorado.org.ORCID 0009-0004-7746-8450
Angela C YoderUniversity of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.
John T BrintonUniversity of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.
Nicholas V StenceUniversity of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.
Claire E SimonsenChildren's Hospital Colorado, Aurora, CO, USA.
Brianne F NewmanChildren's Hospital Colorado, Aurora, CO, USA.
Keely A GarciaChildren's Hospital Colorado, Aurora, CO, USA.
Lorna P BrowneUniversity of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt can be challenging for children to cooperate for a magnetic resonance imaging (MRI) exam. General anesthesia is often used to ensure a high-quality image. When determining the need for general anesthesia, many institutions use a simple age cutoff. Decisions on the necessity for anesthesia are often left to schedulers who lack training on determination of patient compliance.

objectiveThe study aimed to evaluate whether screening questions administered by certified child life specialists (CCLS) could successfully predict which children could complete an MRI without sedation. MATERIALS AND

methodsThis is a retrospective, institutional review board approved study. Data was collected as part of a quality improvement program, where a CCLS screened 4- to 12-year-old children scheduled for MRI scanning using a questionnaire. Parent responses to the screening questions, CCLS's recommendation for scheduling the MRI awake, start and end time for the MRI scan, and scan success were recorded. A predictive model for the CCLS's recommendation was developed using the child's age, estimated scan length, scan difficulty, and the parent's responses to the screening questions. The primary outcome measure was a successfully completed MRI not requiring additional imaging under anesthesia.

resultsOf the 403 screened children, 317 (79%) were recommended to attempt the MRI without anesthesia. The median age of participants was 7 (IQR 4-17) years. Overall, 309 of 317 (97.5%) participants, recommended by the CCLS for the program, met the primary outcome of successful MRI completion on their first attempt. The multivariable regression model which included clinical information about the child's age, estimated scan length, scan difficulty, and four of the six parent screening questions had excellent performance (area under the curve = 0.89).

conclusionInformation collected by the CCLS via screening along with the child's age, the estimated scan length, and difficulty can help predict which children are likely to successfully complete a non-sedate MRI.

Indexed as

Magnetic Resonance ImagingAnesthesia, GeneralChildChild, PreschoolFemaleHumansMalePatient ComplianceQuality ImprovementRetrospective StudiesSurveys and QuestionnairesAllied health professionalAnesthesiaChildMagnetic resonance imagingPreschool

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.