Interdisciplinary coordination of care for MRI improved results for musculoskeletal infection
Use of a guideline for MRI with sedation developed by a multidisciplinary team yielded fewer MRI sequences per scan, decreased scan duration and shorter hospital stays among pediatric patients with musculoskeletal infections.
The MRI guideline was developed and implemented in 2012 by a multidisciplinary team as part of The Joint Commission Disease-Specific Care Certification and the American Board of Pediatrics Maintenance of Certification quality improvement projects. Investigators retrospectively compared the results of 249 children who were treated prior to 2009 (pre-guideline group), 512 children treated between July 2012 and December 2013 (initial guideline group) and 496 children treated in 2014 (subsequent guideline group).
The investigators found the pre-guideline group had nine MRI sequences per scan compared with the 7.5 scans for the initial group and 6.5 scans for the subsequent guideline group. The pre-guideline group also had a longer scan duration (111.6 minutes) than the initial and subsequent guideline groups (76.1 minutes and 56.3 minutes, respectively). In addition, the pre-guideline group had longer hospital stays (7.5 days) than the initial and subsequent guideline groups (5.4 days and 5 days, respectively).
Findings showed the rate of surgical intervention under controlled anesthesia in children prior to guideline was 16.7% compared with 50.5% and 64% for the initial and subsequent guideline groups, respectively. Extrapolating the findings to 30 days, investigators noted the guidelines conserved 809 hospital bed-days and 264 hours of MRI scan time. ‒ by Monica Jaramillo
Disclosures: Mueller reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.