| Xiao Hong,Gao Linfeng,Yao Jie,et al.Investigation on current radiological examinations in Jinshan district of Shanghai based on the health information platform[J].Chinese Journal of Radiological Medicine and Protection,2022,42(5):379-384 |
| Investigation on current radiological examinations in Jinshan district of Shanghai based on the health information platform |
| Received:September 10, 2021 |
| DOI：10.3760/cma.j.cn112271-20210910-00375 |
| KeyWords:Information platform Radiological examinations Frequency |
| FundProject:国家自然科学基金(11775145);上海市公共卫生重点学科建设计划项目(GWV-10.1-XK10);上海市公共卫生体系建设三年行动计划优秀学科带头人计划(GWV-10.2-XD16) |
| Author Name | Affiliation | E-mail | | Xiao Hong | Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China | | | Gao Linfeng | Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China | gaolinfeng@scdc.sh.cn | | Yao Jie | Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China | | | Qian Aijun | Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China | | | Wang Bin | Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China | | | Jiang Zhou | Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China | |
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| Abstract:: |
| Objective To investigate the characteristics of diagnostic radiology and the situation of repeated examinations at medical institutions of Jinshan district, and put forward strategies and suggestions for the correct guidance on and reasonable applications of various medical exposures.Methods The cases data on radiological examinations at medical institutions in Jinshan district, obtained in 2017 from Shanghai Municipal Health Commission Information Center Platform, was used to describe the characteristics of population distribution of patients, examination types, examination areas, diagnosed diseases, number of repeated examinations and the result of radiological examinations.Results The main types of radiological examinations in Jinshan district were the CT scans and the conventional X-ray diagnosis, accounted respectively for 53.2% and 44.7% of the total radiological examinations. The radiological examinations were mainly performed on household registration (77.3%). The number of radiological examinations on males was close to on females, with examination frequency of 49.4% for males and 50.1% for females. The greatest frequency of radiological examinations was found in the age group older than 41 years, accounting for 77.1% of CT scans and 65.2% of the conventional X-ray diagnosis. The main examination sites of the CT scans at Jinshan medical institutions were chest (32.8%), abdomen (19.4%), brain (16.1%) and spine (11.4%), and for the conventional X-ray diagnosis were chest (43.2%) and limbs (39.6%). The main departments applying for radiological examinations are surgery (39.7%) and medicine (27.1%). The numbers of radiological examinations are, respectively, diseases of the respiratory system (19.8%), the injury, poisoning and some other consequences of external causes (15.8%), and the diseases of musculoskeletal system and connective tissue (15.8%). The positive rate of the conventional X-ray diagnosis was 53.1%, and the positive rate of CT scans was 73.5%. The conventional X-ray diagnosis and CT scans contributed higher specific rates of repeated examinations, accounting for 9.3% and 7.9% of the total of such type examination, respectively.Conclusions CT scans in Jinshan district accounted for more than half of the total frequency of radiological examinations, therefore, interventions should be imposed on certain types of phycians and patients types. |
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