title: Adverse reactions to intravenous contrast media: an unexpected discrepancy between inpatient and outpatient cohorts.
abstract: Adverse reaction rates to computed tomography (CT) and magnetic resonance imaging (MRI) contrast agents are well published. However, there is no literature regarding systems-based changes to improve contrast reaction management. As part of ongoing quality improvement monitoring at our institution, contrast reaction events were reviewed. Contrast reactions for CT and MRI were captured at lower rates for the inpatient setting compared to outpatient by an order of a magnitude. The documented inpatient events were more likely to be severe in nature. Given this discrepancy, focus is being placed upon identifying potential barriers to capturing and appropriately managing inpatient contrast reactions.
authors.affiliation: Department of Radiology, New York-Presbyterian Weill Cornell, 525 E. 68th St, New York, NY 10065. Electronic address: ked9042@nyp.org.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Dean
authors.affiliation: Weill Cornell Medical College, 1300 York Ave, New York, NY 10065.
authors.forename: Anna
authors.initials: A
authors.lastname: Starikov
authors.affiliation: Department of Health Care Policy and Research, Weill Cornell Medical College, 402 E. 67th St, New York, NY 10065.
authors.forename: Ashley
authors.initials: A
authors.lastname: Giambrone
authors.affiliation: Department of Radiology, New York-Presbyterian Weill Cornell, 525 E. 68th St, New York, NY 10065.
authors.forename: Keith
authors.initials: K
authors.lastname: Hentel
authors.affiliation: Department of Radiology, New York-Presbyterian Weill Cornell, 525 E. 68th St, New York, NY 10065.
authors.forename: Robert
authors.initials: R
authors.lastname: Min
authors.affiliation: Department of Radiology, New York-Presbyterian Weill Cornell, 525 E. 68th St, New York, NY 10065.
authors.forename: Michael
authors.initials: M
authors.lastname: Loftus
mesh_terms: D015331:Cohort Studies; D003287:Contrast Media / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000209:etiology*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008279:Magnetic Resonance Imaging; D010045:Outpatients / Q000706:statistics & numerical data*; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media
keywords: Adverse reaction; Computed tomography; Contrast; Contrast reaction; Magnetic resonance imaging