Authors: Bhavneet Bharti Prahbhjot Malhi N Khandelwal
Publish Date: 2015/10/19
Volume: 83, Issue: 3, Pages: 209-213
Abstract
All children in the age group of 4–10 y who were advised an MRI scan over a period of one year were randomized Exclusion criteria included children with neurodevelopmental disorders impairing cognition and children who had previously undergone diagnostic MRI A total of 79 children were randomized to a control or an intervention condition The intervention involved familiarizing the child with the MRI model machine listing the steps involved in the scan to the child in vivid detail training the child to stand still for 5 min and conducting several dry runs with a doll or a favorite toy The study was approved by the Institute ethical committeeThe need for sedation was 41 n = 16 in the control group and this declined to 20 n = 8 in the intervention group χ2 = 413 P = 004 The relative risk of sedation decreased by 49 in the intervention group as compared to the control group RR 049 95 CI 024–101 and this difference was statistically significant P = 004 The absolute risk difference in sedation use between intervention and control group was 21 95 CI 13 –408 Even on adjusting for age relative risk of sedation remained significantly lower in children undergoing play therapy as compared to the control RR 057 95 CI 032–098 with P value of 004
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