Khan Junaid, Khalid Bilal, Abbasi Muhammad Zulfiqar, Ashraf Raja Adnan, Asghar Kamran, Nadeem Kashmiri Muhammad, Tousif Kashif, Shahzad Faizan, Basit Jawad, Haider Tehseen, Shabbir Haroon, Rauf Khalid Abdul, Saeed Sajeel
Orthopaedic Surgery, Benazir Bhutto Hospital, Rawalpindi, PAK.
Orthopaedic Surgery, Railway General Hospital, Rawalpindi, PAK.
Cureus. 2023 Jul 11;15(7):e41704. doi: 10.7759/cureus.41704. eCollection 2023 Jul.
The increasing use of minimally invasive orthopedic procedures has led to a greater reliance on fluoroscopy, resulting in elevated radiation exposure for surgeons. This study aimed to evaluate the knowledge, awareness, and daily practices of orthopedic surgeons regarding radiation safety in an academic hospital. Understanding radiation safety is crucial to minimize patient exposure and prevent adverse effects on surgeons.
This cross-sectional study was conducted at the Department of Orthopedics of different tertiary care hospitals in Rawalpindi, Pakistan. Data were collected prospectively for two years, and a total of 505 participants, including residents, consultants, and operation theatre assistants, completed a questionnaire. The questionnaire was validated by experts and covered information on fluoroscopy usage, frequency of surgeries, awareness of radiation safety, and protective measures. Ethical approval was obtained, and data were analyzed using SPSS version 26.0.
The majority of participants were male (74.1%), and the sample included various ranks of orthopedic surgeons. Only 56.2% of participants were aware of the usage of fluoroscopy, and 40.2% had read some research on the topic. While 44.6% used lead aprons for radiation protection, the usage of other protective measures and dosimeters was limited. The mediation analysis showed an insignificant indirect association between the rank of orthopedic surgeons, number of surgeries performed, and fluoroscopy usage as a mediator. Awareness and reading research on fluoroscopy were significantly associated with radiation protection.
The knowledge, awareness, and daily practices of orthopedic surgeons regarding radiation safety in fluoroscopy use need improvement. The findings emphasize the importance of implementing training programs, providing radiation protection devices, and ensuring compliance with safety guidelines.
骨科微创手术的使用日益增加，导致对外科医生对荧光透视的依赖程度更高，从而使外科医生的辐射暴露增加。本研究旨在评估一所学术医院中骨科医生关于辐射安全的知识、意识和日常实践。了解辐射安全对于减少患者暴露和预防对外科医生的不良影响至关重要。
本横断面研究在巴基斯坦拉瓦尔品第不同三级护理医院的骨科进行。前瞻性收集数据两年，共有505名参与者，包括住院医师、顾问医生和手术室助理，完成了一份问卷。该问卷经专家验证，涵盖了荧光透视使用情况、手术频率、辐射安全意识和防护措施等信息。获得了伦理批准，并使用SPSS 26.0版本对数据进行了分析。
大多数参与者为男性（74.1%），样本包括不同职级的骨科医生。只有56.2%的参与者知晓荧光透视的使用情况，40.2%的人阅读过关于该主题的一些研究。虽然44.6%的人使用铅围裙进行辐射防护，但其他防护措施和剂量计的使用有限。中介分析显示，骨科医生的职级、手术数量与作为中介的荧光透视使用之间的间接关联不显著。对荧光透视的认识和阅读相关研究与辐射防护显著相关。
骨科医生在荧光透视使用方面关于辐射安全的知识、意识和日常实践需要改进。研究结果强调了实施培训计划、提供辐射防护设备以及确保遵守安全指南的重要性。
