Evidence map›Paper›PMID 39807230›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions2024

Implementing Patient Protection Radiation Dose Alerts for Pediatric Cardiac Catheterization Examinations.

Elanchezhian Somasundaram, Russel Hirsch, Samuel L Brady, Karen S Minsterman, Keith J Strauss

Abstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Elanchezhian SomasundaramCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Russel HirschCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Samuel L BradyCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Karen S MinstermanCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Keith J StraussCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Advancements in cardiac catheterization have improved survival for pediatric congenital heart disease patients, but the associated ionizing radiation risks necessitate ethical consideration. Methods: This study presents an empirical model, developed from 3131 unique pediatric procedures, to establish alert levels based on a patient's lateral thickness of the thorax for various procedural categories during diagnostic or interventional cardiac catheterization. The model uses linear regression of logarithmic reference air kinetic energy released per unit mass (KERMA) and air KERMA area product, also referred to as dose area product, to set alert levels at the top 95% and 99% of patient data. Results: Coefficients of the regression fits are provided for diagnostic and interventional procedural groups and fluoroscopic plane allowing any facility to scale the results of this study's single facility data to model their practice's unique procedural dose levels. Conclusions: The proposed method allows institutions to tailor dose alert levels to their specific pediatric populations to reduce overexposure events.

Indexed as

cardiac catheterizationpatient dosepediatricquality assurancesafety

Identifiers

PMID39807230
PMCPMC11725154

What OpenQuestion holds

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Registered trials

None linked

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.