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Automatic consultation system for patients with cardiac implantable electronic devices undergoing magnetic resonance imaging

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Authors
Han, Donghoon; Lee, Ji Hyun; Oh, Il-Young; Chae, In-ho; Lee, Ho-Young; Cho, Youngjin
Issue Date
2020-01-22
Publisher
BMC
Citation
International Journal of Arrhythmia, 21(1):2
Keywords
Hospital information systemAutomatic consultation systemCardiac implantable electronic deviceMagnetic resonance imaging
Abstract
Background
Safety evaluation for patients with cardiac implantable electronic devices (CIEDs) undergoing magnetic resonance imaging (MRI) scanning is often overlooked. We developed an automatic consultation system (ACS) to improve the screening rate in these patients.

Methods
ACS was developed by the Hospital Information System Development Department of Seoul National University Bundang Hospital. It was designed to automatically request pre-MRI cardiac evaluation in patients with CIED when MRI orders are issued. The proportion of the patients without pre-MRI cardiologic evaluation was evaluated before and after the ACS application.

Results
From January 2016 to June 2018, a total of 157 patients with CIEDs [pacemaker 136 (86.6%), ICD or CRT-D 21 (13.4%), MR-conditional 117 (74.5%)] visited the MRI facility. Before the ACS application, 23 out of 84 patients (27.4%) did not have adequate pre-MRI cardiologic evaluation. Despite urgent request for pre-MRI cardiac evaluation, MRI examination was postponed or cancelled in 14 (60.8%) cases. After the ACS application, all 73 patients underwent proper cardiologic evaluation before their MRI examinations (P < 0.001). The proportion of immediate request for pre-MRI evaluation at the moment of MRI order also improved with the ACS application (before ACS 57.1%, after ACS 100%, P < 0.001).


Conclusions
The newly developed ACS helped the patients with CIED receive MRI scan safely on the schedule, improving the quality of care in this population.
ISSN
2466-1171
Language
English
URI
https://doi.org/10.1186/s42444-019-0010-3

http://hdl.handle.net/10371/164928
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College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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