Enhancing Routine Reporting of IVC Filters: An Interventionalist's Approach to Improving Patient Safety in an Underserved Urban Area.

Muhammad U Shahid, Vishaal Kondoor, Neel Nirgudkar, Owen Gantz, Paul Ippolito, Pratik Shukla, Abhishek Kumar
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Abstract

PurposeTo determine whether concurrent reporting and follow-up on diagnostic imaging could be used as an effective tool to raise IVC filter (IVCF) awareness in an underserved urban community. Methods: For this prospective study, radiologists at our institution flagged plain-film and cross-sectional imaging in which an IVCF was identified from October 2018 to October 2019. For consent, a phone survey was conducted to assess the patient's knowledge and understanding related to IVC filter placement. Key data points on the survey included patients' awareness of filter presence, placement date, location, difference between filters, satisfaction regarding peri-procedural education, and plan for filter removal. Patients desiring further information were scheduled for follow-up in the Vascular Interventional Radiology clinic. Results: 77 patients were identified with an IVC filter. 34 patients (15 males, 19 females; mean age 56y +/- 13.6 years) consented. 23.5% were unaware of their IVC filter. Of those aware, 61.5% were dissatisfied with their consultation/education during placement and 88% pursued further IR consultation indicating a desire to consult a clinician regarding their filter. During the study, 8 patients with IVCF (23.5%) were deemed no longer medically necessary; 6 underwent retrieval and 2 were pending at study conclusion. Conclusion: In underserved urban communities, patients with indwelling IVC filters may not have received appropriate follow-up instructions regarding filter retrieval or may be unaware they have one altogether. Diagnostic imaging is an effective tool to identify these patients, raise awareness, and improve retrieval of filters that are no longer indicated.

加强IVC过滤器的常规报告:在服务不足的城市地区改善患者安全的介入方法。
目的探讨诊断影像的同步报告和随访是否可以作为一种有效的工具,在服务不足的城市社区提高对IVCF的认识。方法:在这项前瞻性研究中,我们机构的放射科医生标记了2018年10月至2019年10月期间发现IVCF的平片和横断面成像。为了获得同意,进行了电话调查,以评估患者对下腔静脉滤器放置的知识和理解。调查的关键数据点包括患者对过滤器存在的认识、放置日期、位置、过滤器之间的差异、对围手术期教育的满意度以及过滤器移除计划。希望获得进一步信息的患者被安排到血管介入放射学诊所随访。结果:77例患者经下腔静脉滤器鉴别。34例,其中男15例,女19例;平均年龄56岁(±13.6岁)同意。23.5%的人不知道他们的IVC过滤器。在这些人中,61.5%的人不满意他们在安置期间的咨询/教育,88%的人继续进行进一步的IR咨询,表明他们希望咨询临床医生关于他们的过滤器。在研究期间,8例IVCF患者(23.5%)被认为不再有医学必要性;6例进行了检索,2例有待研究结论。结论:在服务不足的城市社区,留置IVC过滤器的患者可能没有得到适当的关于过滤器回收的随访指导,或者可能不知道他们有一个。诊断成像是一种有效的工具,可以识别这些患者,提高人们的认识,并改善不再指征的过滤器的检索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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