Abstract
Interventional radiology activities and other medical practices using ionising radiation have become increasingly prevalent. In this context, the use of anti-X aprons, in association with awkward postures and non-ergonomic working conditions, might cause the onset of musculoskeletal disorders (MSDs). This research aims to evaluate the evidence about the correlation between wearing anti-X aprons and work-related MSDs. A systematic scoping review of articles published between 1990 and 2020 was conducted by searching the PubMed, Scopus, Embase, and Web of Science databases. Twelve cross-sectional studies, conducted among interventional physicians, nurses, and technicians, were finally included. Five studies primarily investigated the association between use of anti-X aprons and MSDs, showing that a higher prevalence of disorders was not always associated with the use of protective aprons. No studies investigated the impact of anti-X aprons on fitness for work assessment, particularly in subjects with MSDs. There is no complete agreement about the correlation between anti-X apron-wearing and the occurrence of MSDs, although the possible discomfort of workers using anti-X aprons appears more evident. Further studies are needed to objectify the role of these protective devices in the genesis of MSDs and to offer specific ergonomic solutions for healthcare workers.
Highlights
The widespread use of X-radiation has led, over the years, to a need to investigate aspects related to the safety and protection of healthcare workers (HCWs)
The radiation protection of garments is indicated by lead equivalence, with 0.5 mm lead aprons considered the standard, which attenuates more than 95% of incident radiation [1,2]
Interventional procedures using ionising radiations are widespread in the medical field. They involve several specialists, such as radiologists, cardiologists, vascular surgeons, gastroenterologists, and urologists, that expose themselves to non-negligible doses of X-rays and, require specific collective and individual protective devices
Summary
The widespread use of X-radiation has led, over the years, to a need to investigate aspects related to the safety and protection of healthcare workers (HCWs). The anti-X apron is one of the most important personal protection devices for HCWs who are potentially exposed to radiation, along with neck shields, gloves, and lead-impregnated glasses [1]. Radiation-shielding materials have been made of lead due to its great attenuating qualities. A lighter, thinner, lead-equivalent garment made of materials differing from lead may provide adequate protection, as a 0.3 mm lead-equivalent apron will result in only a modest increase in the effective dose (7–15%) compared with a 0.5 mm lead-equivalent garment.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
