Prevalence of Iodinated Contrast Media Induced Adverse Events in Patients Undergoing Computed Tomography Procedure in Srinagarind Hospital, the Retrospective Study
Keywords:
computed tomography, iodinated contrast media, adverse eventsAbstract
Background and Objective: The injection of iodinated contrast media (ICM) during computed tomography (CT) examination can cause adverse events. This study aimed to determine the prevalence of adverse events including allergic like reactions (ALR) and extravasation of ICM in Srinagarind Hospital.
Materials and Methods: This study was a retrospective study which collected data of patients undergoing CT examination with ICM injection during office hours from February 2021 to January 2022. Type of examination and ICM were recorded from database of diagnostic radiology unit while number and information of patient with adverse events were recorded from database of diagnostic nursing unit.
Results: There were 5,556 patients and 6,795 examinations were collected into this study. There were 44 patients (0.79%) and 11 patients (0.20%) experienced ALR and extravasation, respectively. The highest prevalence of both adverse events was observed in patient with the age range of 15-24 years old and Iobritridol 300 while CT chest and CT angiography were the examination presenting with the highest ALR and extravasation adverse event, respectively.
Conclusion: Prevalence of ALR and extravasation were difference in age range, ICM type and CT examination. This information can be used to manage the ICM usage in our department for reduction of adverse event risk.
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