THE INFLUENCE OF THE PATIENT'S AGE ON THE DURATION OF THE PROCEDURE AND THE AMOUNT OF RADIATION DELIVERED WHEN PERFORMING DIAGNOSTIC CORONARY ANGIOGRAPHY

Alan Jahić, Emir Mujanović, Mugdim Bajrić
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Abstract

The aim of the research was to determine whether the age of the patient affects the duration of the procedure and the amount of ionizied radiation delivered when performing diagnostic coronary angiography. The research was conducted at the Clinic for Invasive Cardiology of the Public Health Institution "University Clinical Center" Tuzla in the period from December 2018. to January 2020. The research included a total sample of 240 respondents, average chronological age of 62.60 ± 9.22 years, ranging from 24 to 85 years. Out of a total of 240 respondents, in 121 respondents coronarny angiography was performed using transradial arterial approach and 119 by performing a transfemoral arterial approach. The total sample was divided into two subsamples of respondents. The first sub-sample consists of respondents up to 65 years of age, and the second sub-sample consists of respondents over 65 years of age. During each performance of coronary angiography, the duration of the procedure (in minutes and seconds) and the amount of radiation delivered during the procedure (in mGy) were measured. The research data were processed using the method of parametric and non- parametric statistics. The Mann-Whitney U test was used to verify the research objective. Based on the obtained research results, it can be concluded that in patients over 65 years of age, the duration of the coronary angiography procedure is longer, and is at the limit of statistical significance (p= 0.057). The amount of delivered radiation is higher in respondents over 65 years of age, but it is not statistically significant (p= 0.396). Keywords: Coronary angiography, coronary disease, procedure duration, age, amount of delivered radiation.
在进行诊断性冠状动脉造影时,患者年龄对手术时间和放射量的影响
该研究的目的是确定患者的年龄是否会影响诊断性冠状动脉造影的持续时间和电离辐射量。该研究于2018年12月在图兹拉公共卫生机构“大学临床中心”侵入性心脏病诊所进行。到2020年1月。调查对象共240人,平均年龄62.60±9.22岁,年龄从24岁到85岁不等。在240名应答者中,121名应答者采用经桡动脉入路进行冠状动脉造影,119名应答者采用经股动脉入路。总样本被分为两个子样本的受访者。第一个子样本由65岁以下的受访者组成,第二个子样本由65岁以上的受访者组成。在每次冠状动脉造影期间,测量手术持续时间(分和秒)和手术过程中放射量(mGy)。采用参数统计和非参数统计的方法对研究数据进行处理。采用Mann-Whitney U检验对研究目标进行验证。根据获得的研究结果,可以得出结论,65岁以上的患者冠状动脉造影时间更长,且处于统计学意义的极限(p= 0.057)。65岁以上被调查者的放射量较高,但差异无统计学意义(p= 0.396)。关键词:冠状动脉造影,冠心病,手术时间,年龄,放射量。
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