Congress:
ECR25
Poster Number:
C-22462
Type:
Poster: EPOS Radiologist (scientific)
Authorblock:
S. Gowda, R. Kothari, V. Raj; Bengaluru/IN
Disclosures:
Suraj Gowda:
Nothing to disclose
Richa Kothari:
Nothing to disclose
Vimal Raj:
Nothing to disclose
Keywords:
Cardiac, Cardiovascular system, CT, CT-Angiography, Cost-effectiveness, Technical aspects, Education and training, Sustainability
- A total of 8,432 ECG-gated studies were conducted utilizing this novel approach
- Among these cases, only eight instances (0.09%) necessitated a transition from abdominal to conventional chest ECG lead placement due to erratic or unreliable signal acquisition
- A comprehensive retrospective analysis was conducted to determine potential contributory factors, including patient-specific anatomical and physiological variations, body mass index, presence of arrhythmias, and signal acquisition inconsistencies.
- However, no definitive patterns or shared characteristics were discerned among these cases, suggesting that the abdominal ECG lead placement demonstrates a high degree of reliability and robustness across a diverse patient cohort
- A comparative analysis of procedural time metrics associated with traditional versus abdominal ECG lead placement revealed notable differences, particularly concerning patient preparation times.
- The mean total time required for ECG-gated imaging procedures in male patients was approximately 11 minutes, whereas female patients required an average of 16 minutes.
- The breakdown of time components was as follows:
- Clothing change duration: Male patients required an average of 2 minutes and 30 seconds, whereas female patients required 6 minutes and 30 seconds due to the need for additional privacy measures.
- Lead placement and removal duration: Chest ECG lead application and detachment required 4 minutes for male patients and 6 minutes for female patients.
- In contrast, the utilization of abdominal ECG lead placement significantly streamlined the preparatory process, with a consistent mean lead placement duration of approximately 3 minutes for both male and female patients.
- Following the adoption of this protocol, the requirement for hospital gown changes was obviated, thereby minimizing procedural delays and facilitating more seamless patient transitions.
- The average cost of laundering a single pair of hospital gowns is approximately 50 INR. This translated to an estimated cost savings of 4,20,000 INR for the entire study group. When extrapolated to healthcare systems in high-income nations such as the United States or the United Kingdom, where operational costs are significantly higher, the potential savings could reach approximately 84,320 USD.
- Among the 8,432 cases, only 8 studies (0.09%) necessitated a transition from abdominal to chest ECG lead placement due to signal acquisition inconsistencies.