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Feasibility of preventing massive contrast media extravasation using a sensor device in contrast-enhanced CT: an observational study
https://hiroshima.repo.nii.ac.jp/records/2040735
https://hiroshima.repo.nii.ac.jp/records/2040735ab010fbd-c807-4021-9b02-5a1741c0e2aa
| 名前 / ファイル | ライセンス | アクション |
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AR_2024.docx (163 KB)
Download is available from 2025/10/16.
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data.zip (5.8 MB)
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| Item type | デフォルト(1) | |||||||||||||||||||
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| 公開日 | 2025-06-19 | |||||||||||||||||||
| タイトル | ||||||||||||||||||||
| タイトル | Feasibility of preventing massive contrast media extravasation using a sensor device in contrast-enhanced CT: an observational study | |||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 作成者 |
Matsumoto, Yoriaki
× Matsumoto, Yoriaki
× Chikasue, Ayaka
× Kondo, Miho
× Akita, Tomoyuki
× Kiguchi, Masao
× Nakamura, Yuko
× Awai, Kazuo
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| アクセス権 | ||||||||||||||||||||
| アクセス権 | embargoed access | |||||||||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_f1cf | |||||||||||||||||||
| 権利情報 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 権利情報 | This is the author accepted manuscript of the following article: [Full citation of published article] © [2024] SAGE Publications. The final published version is available at: [https://doi.org/10.1177/02841851241287314] This manuscript is made available under SAGE’s author archiving policy for non-commercial and no-derivatives use. | |||||||||||||||||||
| 権利情報 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 権利情報 | This is not the published version. Please cite only the published version. | |||||||||||||||||||
| 権利情報 | ||||||||||||||||||||
| 言語 | ja | |||||||||||||||||||
| 権利情報 | この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。 | |||||||||||||||||||
| 主題 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||
| 主題 | Computed tomography | |||||||||||||||||||
| 主題 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||
| 主題 | Contrast media | |||||||||||||||||||
| 主題 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||
| 主題 | Extravasation | |||||||||||||||||||
| 主題 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||
| 主題 | Risk factors | |||||||||||||||||||
| 主題 | ||||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||
| 主題 | Sensor device | |||||||||||||||||||
| 内容記述 | ||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||
| 内容記述 | Background Recent guidelines recommend direct patient observation, pressure monitoring, and sensor devices to prevent extravasation during contrast media (CM) injection. However, it is impractical in terms of time and cost to install sensors for all patients. Purpose To identify risk factors for CM extravasations during contrast-enhanced computed tomography (CECT) in a large population and to establish criteria for placing the sensor device on patients. Material and Methods This retrospective study included 143,556 patients who underwent CECT at our hospital between April 2012 and July 2022. We performed multivariable logistic regression analysis between patients with (n = 350) and randomly selected patients without CM extravasation (n = 350). We investigated the percentage of patients with sensor devices and their sensitivity for detecting extravasation using receiver operating characteristic curve analysis. Results The extravasation rate was 0.27%. Multivariable logistic regression analysis showed that the injection rate (adjusted odds ratio [AOR] = 1.61, 95% confidence interval [CI] = 1.33–1.95: P <0.001), catheter gauge (AOR = 3.86, 95% CI = 1.92–7.76; P <0.001), the use of anticancer drugs (AOR = 1.81, 95% CI = 1.32–2.50; P <0.001), and existing catheters (AOR = 1.52, 95% CI = 1.10–2.11; P = 0.009) were significantly associated with extravasation. To achieve a sensitivity of 90%, 80%, 70%, 60%, and 50%, 80%, 65%, 50%, 40%, and 28% of all patients required the placement of a sensor device, respectively. Conclusion Sensitivity analysis established criteria for effective placing sensor devices. |
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| 言語 | en | |||||||||||||||||||
| 出版者 | ||||||||||||||||||||
| 出版者 | SAGE Publications | |||||||||||||||||||
| 言語 | en | |||||||||||||||||||
| 日付 | ||||||||||||||||||||
| 日付 | 2025-10-16 | |||||||||||||||||||
| 日付タイプ | Available | |||||||||||||||||||
| 言語 | ||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||||
| 関連情報 | ||||||||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||
| 関連識別子 | https://doi.org/10.1177/02841851241287314 | |||||||||||||||||||
| 収録物識別子 | ||||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||||
| 収録物識別子 | 0284-1851 | |||||||||||||||||||
| 書誌情報 |
en : ACTA RADIOLOGICA 巻 65, 号 11, p. none, 発行日 2024-10-16 |
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| 言語 | en | |||||||||||||||||||
| 値 | The full-text file will be made open to the public on [16 Oct 2025］ in accordance with publisher's 'Terms and Conditions for Self-Archiving' | |||||||||||||||||||
