Occupational exposure during endovascular aneurysm repair (EVAR) and aortoiliac percutaneous transluminal angioplasty (PTA) procedures

Tzanis, Eleftherios; Tsetis, Dimitrios; Kehagias, Elias; Ioannou, Christos; Damilakis, John

doi:10.1007/s11547-018-00985-8

Cited by 13 publications

(4 citation statements)

References 24 publications

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“…Previous research on occupational exposure mostly focuses on the impact of specific substances or the behavior of health care workers [25, 26]. Few studies examine the current elements of occupational exposure and risk factors for health care workers, and none explore occupational exposure in relation to pediatric health care workers [27–29]. Compared with health care workers in other departments, pediatric health care workers have a different working environment and clients, and are a relatively unique group in the medical team [30].…”

Section: Introductionmentioning

confidence: 99%

Epidemic characteristics and related risk factors of occupational exposure for pediatric health care workers in Chinese public hospitals: a cross-sectional study

Shi

et al. 2019

BMC Public Health

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BackgroundHealth care workers have a high risk of occupational exposure. However, the risk of occupational exposure for pediatric health care workers has not been acknowledged in previous studies. The purpose of this study was to investigate the occupational exposure rate of pediatric health care workers in Chinese public hospitals, to explore risk factors for occupational exposure, and to put forward corresponding countermeasures to reduce occupational exposure of pediatric health care workers and protect their physical and mental health.MethodsA cross-sectional study was conducted with pediatric health care workers in 43 hospitals in 15 provinces in eastern, central, and western China between July and October 2018. With this sample, we computed the descriptive statistics of the demographic characteristics, calculated the frequency of various types of occupational exposure, and tested risk factors for occupational exposure using a chi-squared test and binary logistic regression analysis.ResultsMost respondents were nursing staff (61.1%) and workers with a low-ranking professional title (50.5%). The most common style of occupational exposure in our sample was a hazard in the work environment (62.6%). Notably, physicians were less likely to experience occupational exposure than nurses (OR = 0.320, 95% CI = 0.241, 0.426). Meanwhile, pediatric health care workers who interpreted the doctor-patient relationship as harmonious (OR = 0.304, 95% CI = 0.152, 0.607) were less likely to suffer occupational exposure.ConclusionPediatric health care workers in Chinese public hospitals have a high occupational exposure risk and the risk factors are complex and diverse. The state, society, hospitals should acknowledge this issue and develop strategies to protect the physical and mental health of pediatric health care workers.

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Section: Introductionmentioning

confidence: 99%

Epidemic characteristics and related risk factors of occupational exposure for pediatric health care workers in Chinese public hospitals: a cross-sectional study

Shi

et al. 2019

BMC Public Health

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“…Tzanis i wsp. [36] także potwierdzili konieczność stosowania osłon stałych (w tym przypadku kurtyny chroniącej przed promieniowaniem jonizującym) przy procedurach PTA (percutaneous transluminal angioplasty -angioplastyka przezskórna) i EVAR (endovascular aneurysm repair -wewnątrznaczyniowa metoda leczenia tętniaków). Badacze stwierdzili, że odpowiednie użycie osłony może zmniejszać średnio o ok. 60% otrzymane przez operatora dawki na gonady, tarczycę czy soczewki oczu.…”

Section: Nowe-stare Sposoby -Stosowanie Osłonunclassified

New-old methods of reducing and monitoring x-ray exposure in the interventional radiology environment

Mirowski

2020

Med Pr

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Odkrycie promieniowania jonizującego przyniosło wiele korzyści również w medycynie. Związane z nim ryzyko wywoływania chorób, takich jak nowotwory popromienne czy zaćma, skutkuje koniecznością monitorowania narażenia osób pracujących w ekspozycji na promieniowanie jonizujące za pomocą dozymetrii indywidualnej lub optymalizacji procedur medycznych. Istnieją 3 główne sposoby optymalizacji procedur medycznych-redukcja czasu, zwiększenie odległości oraz stosowanie osłon osobistych i stałych. Wraz z rozwojem nauki i techniki ewoluują sposoby zmniejszania dawki. Poza lepszą osłonnością wzrasta także ergonomia, jak w przypadku osłony Zero-Gravity i lekkich fartuchów bezołowiowych. Rośnie także świadomość konieczności stosowania osłon i prowadzenia zabiegu tak, aby zmniejszyć narażenie zarówno personelu, jak i pacjenta. Celem artykułu jest przedstawienie nowych metod ochrony przed promieniowaniem jonizującym w kontekście powyższych 3 pryncypiów ochrony radiologicznej. Med. Pr. 2021;72(1)

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“…In a retrospective study of pts undergoing standard EVAR from 2009-2016, they demonstrated that performing EVAR in a dedicated vascular hybrid operating room may be associated with a lower pt radiation dose, shorter screening time, and less contrast use than performing EVAR in a conventional operating room. The purpose of the study by Tzanis et al was to determine the radiation exposure of primary interventionalist's different body parts during EVAR procedures and aortoiliac percutaneous transluminal angioplasty (PTA) procedures and to evaluate the efficacy of a radioprotective drape (.25 mm Pb equivalent drape (Ecolab, Saint Paul, Minnesota, USA) [83]. Median exposure dose (ED) for a typical EVAR and PTA procedure was 4.7 ± 1.4 μSv and 4.4 ± 3.6 μSv, respectively.…”

Section: Angiography Computed Tomography and Computed Tomography Angiographymentioning

confidence: 99%

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

Nikol

Mathias²,

Olinic

et al. 2020

Vasa

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Occupational exposure during endovascular aneurysm repair (EVAR) and aortoiliac percutaneous transluminal angioplasty (PTA) procedures

Cited by 13 publications

References 24 publications

Epidemic characteristics and related risk factors of occupational exposure for pediatric health care workers in Chinese public hospitals: a cross-sectional study

Epidemic characteristics and related risk factors of occupational exposure for pediatric health care workers in Chinese public hospitals: a cross-sectional study

New-old methods of reducing and monitoring x-ray exposure in the interventional radiology environment

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

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