Non-pharmacological strategies to obtain usable magnetic resonance images in non-sedated infants: Systematic review and meta-analysis.
Non-pharmacological strategies to obtain usable magnetic resonance images in non-sedated infants: Systematic review and meta-analysis.
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DOI：
10.1016/j.ijnurstu.2020.103551
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发表时间：
2020-06
影响因子：
8.1
通讯作者：
Hitchcock ME
中科院分区：
文献类型：
--
作者：
Torres ER;Tumey TA;Dean DC 3rd;Kassahun-Yimer W;Lopez-Lambert ED;Hitchcock ME
虽然在接受核磁共振成像时，通常使用镇静剂来保持婴儿不动，但非药物策略是一种潜在的替代方案。这项研究的目的是确定单独使用非药物策略的婴儿获得可用的磁共振图像的成功率。系统的文献综述和Meta分析检索PubMed、CINAHL和Cochrane图书馆。从出生到24个月大的人类婴儿在磁共振成像期间没有接受任何镇静或麻醉，报告了获得可用图像的成功率的文章包括在内。在发现的521篇无重复文章中，58篇纳入系统综述，样本量为2-457篇，平均成功率为87.8%，平均扫描时间为30分钟。最常见的非药理学技术包括在成像前喂养和包裹婴儿，以鼓励婴儿在扫描期间睡觉。对3,410名婴儿的53篇文章进行的Meta分析发现，成功率为87%，但发现显著的异质性(I2=98.30%)。如果婴儿病情危重或需要对大脑进行结构磁共振成像，仅使用非药物技术更难获得有用的图像。对于大多数但不是所有的婴儿来说，非药物技术对于获得可用的磁共振成像扫描是有效的。在大多数婴儿中，非药物技术对于获得可用的磁共振成像扫描是有效的。
Although the use of sedation is commonly practiced to keep infants still while receiving magnetic resonance imaging, non-pharmacological strategies are a potential alternative. The purpose of this study was to determine the success rate of obtaining usable magnetic resonance images in infants with the sole use of non-pharmacological strategies. Systematic literature review and meta-analysis A search was conducted in PubMed, CINAHL and Cochrane Library. Human infants from birth to 24 months of age who did not receive any sedation or anesthesia during magnetic resonance imaging Articles that reported the success rate of obtaining usable images were included. Of the 521 non-duplicate articles found, 58 articles were included in the systematic review with sample sizes ranging from 2–457, an average success rate of 87.8%, and an average scan time of 30 minutes. The most common non-pharmacological technique included feeding and swaddling infants before imaging to encourage infants to sleep during the scan. Meta-analysis performed on 53 articles comprising 3,410 infants found a success rate of 87%, but significant heterogeneity was found (I2 = 98.30%). It was more difficult to obtain usable images solely with non-pharmacological techniques if infants were critically ill or a structural magnetic resonance imaging of the brain was required. Non-pharmacological techniques are effective for obtaining usable magnetic resonance imaging scans in most but not all infants. Non-pharmacological techniques are effective for obtaining usable magnetic resonance imaging scans in most infants.
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影响因子：
16.2
作者：
Giedd, Jay N.;Rapoport, Judith L.
通讯作者：
Rapoport, Judith L.
影响因子：
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