Dr. Sulaiman Al Habib Medical Journal

Volume 2, Issue 4, December 2020, Pages 186 - 189

Quality Improvement Project to Reduce Unnecessary Chest X-ray in a Tertiary Center

Authors
M. Abdoun*, ORCID, Reham Babiker, Abdelmoneim Mahgoub
Department of Pediatric, Arryan Hospital - Dr. Sulaiman Al Habib Medical Group (HMG), Riyadh, Saudi Arabia
*Corresponding author. Email: abdoonson111@gmail.com
Corresponding Author
M. Abdoun
Received 27 April 2020, Accepted 19 June 2020, Available Online 5 July 2020.
DOI
10.2991/dsahmj.k.200702.001How to use a DOI?
Keywords
Acute bronchiolitis; pediatric; chest x-ray; radiography; consistent
Abstract

The proper diagnostic approach for acute bronchiolitis is one of the significant controversial aspects among clinicians in the pediatric field. The radiographic evaluation of the classic presentation has a limited role and may expose patients to unnecessary procedures. Despite the presence of evidence-based guidelines, unnecessary radiography is still well documented worldwide. Therefore, our aim was primarily to evaluate the frequency of chest x-ray abnormalities in acute bronchiolitis and under what circumstances changes are accurately expected. The secondary aim was to decrease the use of unnecessary chest x-rays in acute bronchiolitis. For this, a retrospective study was conducted on 150 patients who were younger than 2 years of age and admitted for acute bronchiolitis. Patients with underlying comorbidities were excluded from the study. The results showed nonspecific alternation of chest radiography consistent with the disease behavior in 83.3% of the cases. There was no significant correlation between the clinical variables and the severity of radiological findings in our study. The study demonstrated that 59.3% of chest x-rays were not indicated and the majority of the overall requests were for high-grade fever. We conclude that there is no proven value of routine radiography in the usual presentation. In agreement with previous research, we recommend that requests should be made for particular indications as per existing guidelines. Ongoing education and re-auditing of practice continue to expand this body of evidence.

Copyright
© 2020 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Dr. Sulaiman Al Habib Medical Journal
Volume-Issue
2 - 4
Pages
186 - 189
Publication Date
2020/07/05
ISSN (Online)
2590-3349
ISSN (Print)
2666-819X
DOI
10.2991/dsahmj.k.200702.001How to use a DOI?
Copyright
© 2020 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - M. Abdoun
AU  - Reham Babiker
AU  - Abdelmoneim Mahgoub
PY  - 2020
DA  - 2020/07/05
TI  - Quality Improvement Project to Reduce Unnecessary Chest X-ray in a Tertiary Center
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 186
EP  - 189
VL  - 2
IS  - 4
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.200702.001
DO  - 10.2991/dsahmj.k.200702.001
ID  - Abdoun2020
ER  -