Your browser doesn't support javascript.
The impact of social distancing during the COVID-19 pandemic on rates of pediatric idiopathic intussusception.
Handa, Atsuhiko; Callahan, Michael J; Kawai, Kosuke; Tsai, Andy.
  • Handa A; Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA. atsuhiko.handa@childrens.harvard.edu.
  • Callahan MJ; Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.
  • Kawai K; Institutional Centers for Clinical and Translational Research, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
  • Tsai A; Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.
Pediatr Radiol ; 52(3): 453-459, 2022 03.
Article in English | MEDLINE | ID: covidwho-1460301
ABSTRACT

BACKGROUND:

The causes of idiopathic ileocolic intussusception are unknown, with infection as the most likely culprit. Recently, social distancing measures were implemented during the coronavirus disease 2019 (COVID-19) pandemic to decrease transmissible infectious diseases, creating an opportune setting to study the role of infection on the pathogenesis of intussusception on a population level.

OBJECTIVE:

To investigate the impact of social distancing on intussusception. MATERIALS AND

METHODS:

We retrospectively reviewed air contrast enemas and pylorus ultrasounds performed between March 2010 and March 2021 to identify cases of ileocolic intussusception and hypertrophic pyloric stenosis (HPS), using the latter as a negative control. The study time frame was divided into two periods pre-pandemic (March 2010-February 2020) and pandemic (April 2020-March 2021). The number of cases that occurred in these two time periods were compared using the Poisson regression model.

RESULTS:

Of the 407 cases of idiopathic ileocolic intussusception identified, 396 occurred in the pre-pandemic time period (mean = 39.6 per 12-month period) and 11 occurred in the 12-month pandemic time period. The mean monthly number of intussusceptions showed a decline of 72% (95% confidence interval [CI] 49-85%) between the pre-pandemic and pandemic time periods (3.3 vs. 0.9 monthly cases; P < 0.001). In contrast, the mean monthly number of HPS did not differ significantly (P = 0.19).

CONCLUSION:

Social distancing-imposed to curb the spread of infection during the COVID-19 pandemic-resulted in a significant decline in ileocolic intussusception, lending strong support to the theory that infection is the dominant cause of intussusception.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Intussusception Type of study: Experimental Studies / Observational study Limits: Child / Humans Language: English Journal: Pediatr Radiol Year: 2022 Document Type: Article Affiliation country: S00247-021-05211-8

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Intussusception Type of study: Experimental Studies / Observational study Limits: Child / Humans Language: English Journal: Pediatr Radiol Year: 2022 Document Type: Article Affiliation country: S00247-021-05211-8