Dean Kathryn E, Starikov Anna, Giambrone Ashley, Hentel Keith, Min Robert, Loftus Michael
Department of Radiology, New York-Presbyterian Weill Cornell, 525 E. 68th St, New York, NY 10065.
Weill Cornell Medical College, 1300 York Ave, New York, NY 10065.
Clin Imaging. 2015 Sep-Oct;39(5):863-5. doi: 10.1016/j.clinimag.2015.04.014. Epub 2015 May 9.
Adverse reaction rates to computed tomography (CT) and magnetic resonance imaging (MRI) contrast agents are well published. However, there is no literature regarding systems-based changes to improve contrast reaction management. As part of ongoing quality improvement monitoring at our institution, contrast reaction events were reviewed. Contrast reactions for CT and MRI were captured at lower rates for the inpatient setting compared to outpatient by an order of a magnitude. The documented inpatient events were more likely to be severe in nature. Given this discrepancy, focus is being placed upon identifying potential barriers to capturing and appropriately managing inpatient contrast reactions.
计算机断层扫描（CT）和磁共振成像（MRI）造影剂的不良反应发生率已有大量报道。然而，关于基于系统的改进造影剂反应管理的变化尚无文献记载。作为我们机构正在进行的质量改进监测的一部分，我们对造影剂反应事件进行了审查。与门诊患者相比，住院患者中CT和MRI造影剂反应的发生率要低一个数量级。记录在案的住院事件在性质上更有可能较为严重。鉴于这种差异，目前正致力于确定在捕捉和妥善管理住院患者造影剂反应方面的潜在障碍。
