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KMID : 1131320140160020097
Journal of Korean Society of Computed Tomographic Technology
2014 Volume.16 No. 2 p.97 ~ p.104
Study On the Time to Detect Hot Flashes After Injecting Contrast Media
Yun Seung-Min

Park Cheon-Woong
Koak Byeong-Tae
Yoo Myung-Seok
Lee Sook-Hee
Kim Hyeong-Ki
Abstract
Purpose : The purpose of this study was to suggest a general statistical data of the factors that affect hot flush detection focusing on the fact that the time it takes for the patient to detect hot flushes after contrast medium administration differs according to the patient¡¯s physical characteristics and the concentration of the contrast media

Materials and Methods : The subjects of the study were 1094 people who underwent Abdominal and Chest CT using contrast media within the 3 months between 2013 Oct 1st to 2013 Dec 31st. Among the subjects there were 667 male patients (61%), and 427 female patients (39%). The age distribution was from 16 to 87, and the average age was 59.6. Weight distribution was from 38 to 98kg, with the average of 63.15kg. The contrast media used in Abdominal CT was Omnihexol 350, and for the Chest CT it was Optiray 320. The injection was done with 18 G I.V at 3cc/sec. A Stop Watch was used to record the point in time after injection the hot flush was detected, and to compare the hot flush times according to the patients¡¯ physical characteristics and contrast medium concentration, SPSS(V.18) was used to analyze at Significance level P = 0.05.

Results : In the differences in hot flush detection after injection by sex, the average detection time for men was 40.33 seconds and 32.17 seconds for women, showing that men had slower detection time than women. There was a statistically significant difference (P < 0.001).
In the differences in hot flush detection by Density of contrast media, the patients injected with Optiray 320 showed and average of 35.26 seconds, and patients injected with Omnihexol 350 showed an average of 37.56 seconds, showing that higher concentration of contrast media were linked to slower detection times. There was a statistically significant difference (P = 0.003). In the differences in detection times according to age range, it was shown that older patients showed slower hot flush detection times with the averages showing youth-33.49 seconds, middle age-35.74 seconds, and seniors-38.87 seconds. Among the 3 groups there were statistically significant differences (P < 0.001).
In the differences in detection times according to body mass index, it was shown that higher BMI was linked to slower detection times with the averages being underweight-29.40 seconds, normal weight-36.76, and overweight-41.81 seconds. Among the 3 groups there were statistically significant differences (P < 0.001).

Conclusion : According to the study, the average initial time that the patient detects hot flushes after injecting contrast media was 37 seconds, and that average detection times differ according to the Patients¡¯ Physical Characteristics and the Density of contrast mediums used. If the statistical data about hot flush detection time examined in this study is used in explanation to patients, It is expected that it will contribute to the patients¡¯ satisfaction due to relief of anxiety about contrast media and prevention of side effects.
KEYWORD
contrast media, hot flush detection time, body mass index
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