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Radiation dosage is related to changes in lymphocyte count, interleukin-6, and c-reactive protein levels during C-arm use in closed femoral nailing surgery

  • Ketut Kris Adi Marta ,
  • Putu Astawa ,
  • I Ketut Suyasa ,
  • Anak Agung Wiradewi Lestari ,
  • I Gede Eka Wiratnaya ,

Abstract

Introduction: Although the C-arm allows real-time image capture and intensification to allow accurate placement of implants and fixation devices with minimal incisions, these advantages have the disadvantage of the amount of radiation exposure to operating room personnel, especially surgical operators. The exposure mainly was low dose (<1 Sv). However, the effects of low-dose exposure may be accurate and should be considered seriously.

Methods: This research was an observational prospective cohort study. A total of 30 residents who met the inclusion criteria had blood samples taken before and after femoral nailing surgery. Then, the blood sample underwent a complete blood count, IL-6, and CRP levels examination. During surgery, C-arm radiation will be measured using a personal dosimeter. The statistical tests used were descriptive statistics, proportion comparison analysis with the dependent t-test, and simple linear regression tests.

Results: Univariate analysis using paired t-test proved changes in lymphocyte count, IL-6, and CRP levels of orthopedic residents before and after femoral nailing surgery with c-arm guiding with a statistically significant difference, based on p-values respectively: p=0.001; p=0.001; p=0.002. Simple linear regression test proved that radiation dosage of c-arm during operation is associated with a change in lymphocyte count, IL-6 and CRP levels before and after femoral nailing surgery with R squared values respectively: 0.474 (p=0.001), 0.694 (p=0.001) and 0.701 (p=0.001).

Conclusion: Radiation dosage of c-arm during femoral nailing surgery is related to changes in lymphocyte count, interleukin-6, and c-reactive protein levels among orthopedics and traumatology residents.

Section

References

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How to Cite

Marta, K. K. A., Astawa, P., Suyasa, I. K. ., Lestari, A. A. W. ., & Wiratnaya, I. G. E. . (2024). Radiation dosage is related to changes in lymphocyte count, interleukin-6, and c-reactive protein levels during C-arm use in closed femoral nailing surgery . Indonesia Journal of Biomedical Science, 18(1), 61–66. https://doi.org/10.15562/ijbs.v18i1.548

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Ketut Kris Adi Marta
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Putu Astawa
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I Ketut Suyasa
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Anak Agung Wiradewi Lestari
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I Gede Eka Wiratnaya
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