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KMID : 1011920200210010002
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International Journal of Arrhythmia
2020 Volume.21 No. 1 p.2 ~ p.2
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Automatic consultation system for patients with cardiac implantable electronic devices undergoing magnetic resonance imaging
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Han Dong-Hoon
Lee Ji-Hyun
Oh Il-Young
Chae In-Ho
Lee Ho-Young
Cho Young-Jin
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Abstract
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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?
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.
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KEYWORD
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Hospital information system, Automatic consultation system, Cardiac implantable electronic device, Magnetic resonance imaging
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