Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward
Purpose Contrast media extravasation (CME) is an adverse reaction after administration of contrast media during CT examinations. The purpose of this study was to evaluate the frequency, management, and outcomes of extravasations and to assess the risk factors for CME in the emergency department (E...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2019-03-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2019.80.2.294 |
| _version_ | 1818041608977776640 |
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| author | Jeong Gwuang Bae Tae Kyung Kang Seokyoung Ryu Suk Jin Cho Sung Chan Oh Hye Jin Kim Seung Woon Choi Sun Hwa Lee Mi-Jin Kang |
| author_facet | Jeong Gwuang Bae Tae Kyung Kang Seokyoung Ryu Suk Jin Cho Sung Chan Oh Hye Jin Kim Seung Woon Choi Sun Hwa Lee Mi-Jin Kang |
| author_sort | Jeong Gwuang Bae |
| collection | DOAJ |
| description | Purpose Contrast media extravasation (CME) is an adverse reaction after administration of
contrast media during CT examinations. The purpose of this study was to evaluate the frequency, management, and outcomes of extravasations and to assess the risk factors for CME in the
emergency department (ED) and the ward.
Materials and Methods This retrospective study was conducted at a single academic urban
hospital from January 2013 to December 2015. We analyzed the medical records of all patients
who experienced CME after undergoing a CT scan. We compared the patients’ age, sex, underlying disease, injection site, injection flow rate, time of CT examination, type of CT examination,
and severity of injury between those in the ED and the ward.
Results CME occurred in 41 (0.36%) of 114767 patients, which included 16 (0.34%) in the ED
and 25 (0.37%) in the ward. Both groups were more frequent in those aged older than 60 years
and in female. Additionally, the abdominopelvic CT type and 2–3 mL/s as the injection rate
were more common in both groups. However, CME was more frequent during the nighttime
(10, 62.5%) in the ER, while it was more common in the daytime (14, 56.0%) in the ward. Severe
complications were more frequent in the ER (9, 56.3%) compared with the ward (8, 32.8%).
There were no significant differences in CME between the ED and the ward. When comparing
the clinical manifestations in the mild and severe groups, the antecubital fossa (33.3% and 0%,
respectively; p = 0.013) for the injection site and abdominopelvic CT (41.7% and 82.4%, respectively; p = 0.012) and CT angiography (41.7% and 5.87%, respectively; p = 0.014) for the CT examination showed significant differences between the mild and severe groups.
Conclusion In this study, there were no significant clinical differences in CME between the ED
and ward. Thus, prevention is more important than the place of admission. Radiologists and
emergency physicians should pay attention to CME in the ED because it frequently occurs at night and results in more severe complications. |
| first_indexed | 2024-12-10T08:33:08Z |
| format | Article |
| id | doaj.art-0ff01bfac3824f8c9a80b803f035c813 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-10T08:33:08Z |
| publishDate | 2019-03-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-0ff01bfac3824f8c9a80b803f035c8132022-12-22T01:56:02ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282019-03-01802294305https://doi.org/10.3348/jksr.2019.80.2.294Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the WardJeong Gwuang Bae0Tae Kyung Kang1Seokyoung Ryu2Suk Jin Cho3Sung Chan Oh4Hye Jin Kim5Seung Woon Choi6Sun Hwa Lee7Mi-Jin Kang8Department of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Emergency Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, KoreaPurpose Contrast media extravasation (CME) is an adverse reaction after administration of contrast media during CT examinations. The purpose of this study was to evaluate the frequency, management, and outcomes of extravasations and to assess the risk factors for CME in the emergency department (ED) and the ward. Materials and Methods This retrospective study was conducted at a single academic urban hospital from January 2013 to December 2015. We analyzed the medical records of all patients who experienced CME after undergoing a CT scan. We compared the patients’ age, sex, underlying disease, injection site, injection flow rate, time of CT examination, type of CT examination, and severity of injury between those in the ED and the ward. Results CME occurred in 41 (0.36%) of 114767 patients, which included 16 (0.34%) in the ED and 25 (0.37%) in the ward. Both groups were more frequent in those aged older than 60 years and in female. Additionally, the abdominopelvic CT type and 2–3 mL/s as the injection rate were more common in both groups. However, CME was more frequent during the nighttime (10, 62.5%) in the ER, while it was more common in the daytime (14, 56.0%) in the ward. Severe complications were more frequent in the ER (9, 56.3%) compared with the ward (8, 32.8%). There were no significant differences in CME between the ED and the ward. When comparing the clinical manifestations in the mild and severe groups, the antecubital fossa (33.3% and 0%, respectively; p = 0.013) for the injection site and abdominopelvic CT (41.7% and 82.4%, respectively; p = 0.012) and CT angiography (41.7% and 5.87%, respectively; p = 0.014) for the CT examination showed significant differences between the mild and severe groups. Conclusion In this study, there were no significant clinical differences in CME between the ED and ward. Thus, prevention is more important than the place of admission. Radiologists and emergency physicians should pay attention to CME in the ED because it frequently occurs at night and results in more severe complications.https://doi.org/10.3348/jksr.2019.80.2.294contrast mediacomputed tomographyx-raycontrast media extravasation |
| spellingShingle | Jeong Gwuang Bae Tae Kyung Kang Seokyoung Ryu Suk Jin Cho Sung Chan Oh Hye Jin Kim Seung Woon Choi Sun Hwa Lee Mi-Jin Kang Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward 대한영상의학회지 contrast media computed tomography x-ray contrast media extravasation |
| title | Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward |
| title_full | Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward |
| title_fullStr | Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward |
| title_full_unstemmed | Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward |
| title_short | Clinical Manifestations of Contrast Media Extravasation in the Emergency Department and the Ward |
| title_sort | clinical manifestations of contrast media extravasation in the emergency department and the ward |
| topic | contrast media computed tomography x-ray contrast media extravasation |
| url | https://doi.org/10.3348/jksr.2019.80.2.294 |
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