Congress:
EuroSafe Imaging 2020
Keywords:
Performed at one institution, Cross-sectional study, Not applicable, Education and training, Dysplasias, Developmental disease, Technical aspects, Safety, Diagnostic procedure, Digital radiography, Conventional radiography, Radioprotection / Radiation dose, Paediatric, Musculoskeletal joint
Authors:
E. Zogaj, S. Butorac, N. Kallashi, E. Sina, I. Tabaku, I. Lumi, X. Xhetani, A. Mustafa, V. Demko
DOI:
10.26044/esi2020/ESI-00712
Description of activity and work performed
We implemented our study in one institution University hospital of Trauma, Tirana Albania. To reach the objectives we wanted, we used one survey that included:
-Gender
-Age
-First born
-History family
-Birth delivery
-First radiologic examination
-Follow up if they had one.
Each parent filled a survey , responsible for the reliable information given to us.
In our cross-sectional study, we included children 3months–10years old referred for suspected DDH from our pediatric-orthopedists, from November 2018–October 2019. Patients underwent a pelvic x-ray with radiation-protection and a proxy-questionnaire on the above-mentioned.
Data acquisition: For pelvis rays was used Portal Digital machine.
Model-speedy plus DR/ R 104/A
X-rays rating up to 150 kVp
Patient were in supine position, performing pelvis x rays protocol used in pediatric patient.
In our study the association between the Risk factors and DDH was studied using logistic-regression-analyses and Chi-Square tests.
Results: 80% of our sample size(20 children) was diagnosed with DDH: 60% 4–6 months; 74% females; 80% through uncomplicated natural-delivery (20% caesarian-delivery).Using logistic-regression-analyses, improper swaddling(OR=9.7, p=0.99) and gender was strongly associated with DDH, after adjusting for the other RFs, although non-significant due to small sample size. No association was noted for birth order(OR=0, p=not detected due to small sample size). No association was noted with the other RFs. 50% of patients were monitored under casting(15%), Pavlik-harness(10%) with differing degree of radiological improvement.