Identifying Predictive Factors for the Recurrence of Pediatric Intussusception / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 142-151, 2019.
Article
in English
| WPRIM
| ID: wpr-741830
ABSTRACT
PURPOSE:
The aim of the study was to identify factors related to the recurrence of intussusception in pediatric patients.METHODS:
The medical charts of patients diagnosed with intussusception and treated at Dongsan Medical Center, between March 2015 to June 2017, were retrospectively reviewed. Univariate and multivariate analyses were performed.RESULTS:
Among 137 patients, 23 patients (16.8%) had a recurrent intussusception and 8 of these patients (6%) had more than 2 episodes of recurrence. The age at diagnosis was significantly different between the non-recurrence and recurrence group (p=0.026), with age >1 year at the time of diagnosis associated with a greater rate of recurrence (p=0.002). The time interval from symptom onset to the initial reduction ( 1 year at the time of presentation (odds ratio [OR], 4.79; 95% confidence interval [CI], 1.56–14.06; p=0.016) and no history of infection (OR, 0.18; 95% CI, 0.06–0.58; p=0.004) were retained as predictors of recurrence.CONCLUSION:
Patients with intussusception who are older than 1 year at diagnosis, have an elevated CRP level, a delay of ≥48 hours between symptom onset and the initial reduction, an absence of bloody stools, and no history of infection should be closely monitoring for symptoms and signs of a possible recurrence.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pediatrics
/
Recurrence
/
C-Reactive Protein
/
Multivariate Analysis
/
Retrospective Studies
/
Risk Factors
/
Diagnosis
/
Intussusception
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Pediatric Gastroenterology, Hepatology & Nutrition
Year:
2019
Type:
Article
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