Patient perception and attitudes toward magnetic resonance imaging safety

BackgroundMagnetic resonance imaging (MRI) scanners use strong, static and fast magnetic fields to form images. Due to rapid developments in MRI technology, several accidents have been recorded in hospitals worldwide as a result of insufficient knowledge about the dangers of MRI on the part of the patient or a failure to follow safety guidelines. This study evaluates patients’ perception and attitudes about MRI safety.AimsThis is a cross sectional study to evaluate the perception and attitudes of patients regarding MRI safety procedures.MethodsA 21 items questionnaire was collected from 119 patients in the MRI waiting area before the commencement of examination. Data were analysed using Statistical Package for the Social Sciences (SPSS) software (version 22.0, IBM Corp, Armonk, New York). The odds (OR) and 95 per cent confidence interval (CI) were used for analysis, the level of significance was set at p=0.05 using Chi-Square test to evaluate the relationship among the variables in the questionnaire.ResultsThe responses were collected from the patients and their relatives (46 male (38.6 per cent) and 73 female (61.4 per cent)). Approximately 71 per cent of the participants have already read or heard about MRI and the related safety aspects. 76 per cent of overall participants stated that they are aware of the need for preparation before an MRI exam with more awareness of MRI safety issues among younger patients (88 per cent). In this instance, females showed a higher level of knowledge (26 per cent) compared to males (11 per cent) with p=0.035.ConclusionPatients reported insufficient information about MRI safety which may increase the potential for accidents

Serum cortisol as a predictor of major adverse outcomes in patients with COVID-19

BackgroundSeveral biomarkers were found to predict the severity and outcome of COVID-19 infection.AimsTo determine the serum cortisol response in patients with Coronavirus Disease 2019 (COVID-19) and its correlation with disease outcomes.Methods A prospective study among confirmed COVID-19 patients aged 18 years old and above. Morning cortisol levels were measured within 24 hours of admission. Relationship between cortisol levels and outcomes (intensive care unit (ICU) admission, intubation, and death) were analysed.Results A total of 206 patients positive for COVID-19 (mean age of 53.6±15.2 years) were included in the study. Mortality was recorded in 21 (30.4 per cent) patients with cortisol levels of ≥570nmol/L, 6 (8.8 per cent) among patients with 181–569nmol/L cortisol level, and 8 (11.6 per cent) among patients with ≤180nmol/L cortisol. Patients with cortisol levels of ≥570nmol/L were more likely to be admitted to the ICU, be intubated and longer hospital stay. Serum cortisol and ferritin levels were the most significant predictors of mortality. ConclusionOn admission, the morning cortisol level was predictive of mortality, ICU admission, intubation, and length of hospital stay in patients with COVID-19 and may be listed as an independent predictor for worse outcomes of COVID-19 infection