Çocuk Kraniyal Travma Hastalarında Radyasyon Maruziyetinin Değerlendirilmesi

Yıl 2023, Cilt: 18 Sayı: 3, 1 - 6, 20.11.2023

Kamil Doğan , Adil Doğan , Seda Nida Karaküçük , Hakan Hakkoymaz , Şükrü Güngör

https://doi.org/10.17517/ksutfd.1206132

Öz

Amaç: Bu çalışmanın amacı, acil servislere minör kafa travması ile başvuran çocuklarda kraniyal bilgisayarlı tomografi (BT) taramalarının radyasyon maruziyetini değerlendirmektir.
Gereç ve Yöntemler: Minör kafa travması nedeniyle acil serviste BT çekilen 1199 hastanın radyasyon dozu hesap edilmiştir.
Bulgular: Beyin BT çekilen 0-5 yaş arası çocuklarda 5-16 yaş arası çocuklara göre anlamlı olarak daha yüksek dozda radyasyona maruz kaldıklarını tespit ettik (p<0.001). Servikal BT ve abdominal BT çekilen çocuk hastalarda yaş gruplarına göre radyasyon maruziyetleri arasında anlamlı bir fark yoktu (sırasıyla p=0.838, p=0.106). Toraks BT çekilen çocuk hastalarda 10-16 yaş arası çocuklarda 0-1 yaş arası çocuklara göre anlamlı olarak daha yüksek dozda radyasyona maruz kaldıkları tespit edildi (p=0.001).
Sonuç: Acil servise kafa travması ile gelen çocuklarda kraniyal BT kullanımının klinik gözlem ve iyonizan radyasyonun olumsuz etkileri konusunda hasta - yakınlarının bilgilendirilmesi ile ve istem yapan doktorların eğitimi ile azaltılabileceğini öneriyoruz.

Anahtar Kelimeler

Bilgisayarlı tomografi, çocuklar, kafa travması, radyasyon dozu

Destekleyen Kurum

Yok

Evaluation of Radiation Exposure in Pediatric Cranial Trauma Patients

Öz

Objective: The present study aims to evaluate radiation exposure in cranial computed tomography (CT) scans of children who were admitted to an emergency service due to minor cranial trauma.
Material and Methods: Radiation exposure doses of 1199 patients with CT scans due to minor cranial trauma in an emergency service were calculated.
Results: It was found that children aged 0 to 5 were exposed to a significantly higher radiation dose compared to those aged 5 to 16. (p<0.001). However, no significant differences were observed among children with cervical and abdominal CT scans in terms of their age groups (p=0.838 and p=0.106, respectively). Finally, it was observed that among children with thorax CT scans, those aged 10 to 16 were exposed to a significantly higher radiation dose compared to those aged 0 to 1. (p=0.001).
Conclusion: We suggest that the use of cranial CT scan in children admitted to an emergency service due to cranial trauma can be reduced by clinical monitoring, informing the patient and parents about negative effects of ionizing radiation and training physicians about CT scan orders.

Anahtar Kelimeler

Children, computed tomography, cranial trauma, radiation dose

Kaynakça

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