Related Experiment Videos
Out-patient lumbar radiculography with iohexol
A M Davies1, R Fitzgerald, N Evans
1Department of Radiology, Royal Orthopaedic Hospital, Birmingham.
Clinical Radiology
|July 1, 1989
Summary
Outpatient lumbar radiculography using iohexol is safe for patients. Careful selection and follow-up ensure minimal side effects, reducing healthcare costs and improving bed availability.
Area of Science:
- Radiology
- Outpatient Procedures
- Patient Safety
Background:
- Lumbar radiculography is a diagnostic imaging technique.
- Traditionally performed on inpatients, its outpatient feasibility requires evaluation.
- Iohexol is a commonly used contrast agent.
Purpose of the Study:
- To assess the safety and feasibility of performing lumbar radiculography on an outpatient basis.
- To compare the incidence and severity of side effects in outpatient versus inpatient settings.
- To evaluate the cost-effectiveness and impact on hospital resource utilization.
Main Methods:
- Prospective study design.
- 200 patients undergoing lumbar radiculography with iohexol (240 mgI/ml).
- Comparison between 99 outpatients and 101 inpatients.
Main Results:
- No statistically significant differences in side effect incidence or severity between groups.
- Three outpatients required prolonged hospitalization, and three were re-admitted due to severe side effects.
- Outpatient procedures demonstrated comparable safety profiles to inpatient procedures.
Conclusions:
- Outpatient lumbar radiculography is a safe procedure with careful patient selection and adequate support.
- This approach offers significant cost reductions and optimizes orthopedic bed availability.
- Ensuring access to medical help post-procedure is crucial for outpatient success.