Factors associated with in-hospital recurrence of intestinal intussusception in children.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Zhang J;Zhang J; Dong Q; Dong Q; Su X; Su X; Long J; Long J
  • Source:
    BMC pediatrics [BMC Pediatr] 2023 Aug 26; Vol. 23 (1), pp. 428. Date of Electronic Publication: 2023 Aug 26.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100967804 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2431 (Electronic) Linking ISSN: 14712431 NLM ISO Abbreviation: BMC Pediatr Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Intussusception*/complications ; Intussusception*/therapy; Male ; Humans ; Child ; Female ; Infant, Newborn ; Infant ; Child, Preschool ; Adolescent ; Retrospective Studies ; China ; Enema ; Hospitals
    • Abstract:
      Background: A minority of children experience in-hospital recurrence of intestinal intussusception after treatment. This study investigated the factors associated with in-hospital recurrence of intussusception in pediatric patients in China.
      Methods: This retrospective study included patients aged 0-18 years-old with intestinal intussusception treated at Hainan Women and Children's Medical Center between January 2019 and December 2019. Demographic and clinical characteristics were extracted from the medical records. Factors associated with in-hospital recurrence of intussusception were identified by logistic regression analysis.
      Results: The analysis included 624 children (400 boys) with a median age of 1.8 years (range, 2 months and 6 days to 9 years). Seventy-three children (11.7%) had in-hospital recurrence of intussusception after successful reduction with air enema. Multivariate logistic regression analysis identified age > 1 year-old (odds ratio [OR]: 7.65; 95% confidence interval [95%CI]: 2.70-21.71; P < 0.001), secondary intestinal intussusception (OR: 14.40; 95%CI: 4.31-48.14; P < 0.001) and mesenteric lymph node enlargement (OR: 1.90; 95%CI: 1.13-3.18; P = 0.015) as factors independently associated with in-hospital recurrence of intussusception.
      Conclusions: Age > 1 year-old, secondary intussusception and mesenteric lymph node enlargement were independently associated with increased odds of in-hospital recurrence of intussusception after successful reduction with air enema.
      (© 2023. BioMed Central Ltd., part of Springer Nature.)
    • References:
      J Pediatr Surg. 2018 Nov;53(11):2307-2311. (PMID: 29685487)
      J Ultrasound. 2014 Jul 19;18(3):205-11. (PMID: 26261462)
      Pediatr Emerg Care. 2018 Jul;34(7):484-487. (PMID: 28221279)
      Ann Med Surg (Lond). 2022 Apr 04;76:103427. (PMID: 35495376)
      J Ultrasound Med. 2022 May;41(5):1227-1235. (PMID: 34418137)
      Cochrane Database Syst Rev. 2017 Jun 01;6:CD006476. (PMID: 28567798)
      J Pediatr Surg. 1996 Jun;31(6):859-61. (PMID: 8783124)
      Emerg Radiol. 2019 Feb;26(1):1-4. (PMID: 30143943)
      Pediatr Neonatol. 2010 Oct;51(5):285-91. (PMID: 20951359)
      J Pediatr Surg. 2010 Nov;45(11):2175-80. (PMID: 21034940)
      J Pediatr Surg. 2021 Oct;56(10):1831-1834. (PMID: 33896613)
      Pediatrics. 2014 Jul;134(1):110-9. (PMID: 24935997)
      PLoS One. 2013 Jul 22;8(7):e68482. (PMID: 23894308)
      Pediatr Emerg Care. 2022 Jul 1;38(7):321-325. (PMID: 35766925)
      Medicine (Baltimore). 2022 Sep 23;101(38):e30743. (PMID: 36197260)
      Iran J Pediatr. 2016 Mar 05;26(2):e3898. (PMID: 27307967)
      Pediatr Emerg Care. 2020 Apr;36(4):e185-e188. (PMID: 29232349)
      Pediatr Surg Int. 2021 Jul;37(7):887-895. (PMID: 33825955)
      AJR Am J Roentgenol. 2020 Dec;215(6):1449-1463. (PMID: 33084362)
      Acta Paediatr. 2016 Nov;105(11):1275-1279. (PMID: 27588829)
      J Microbiol Biotechnol. 2020 Feb 28;30(2):248-258. (PMID: 31838792)
      J Pediatr Surg. 2020 Oct;55(10):2150-2153. (PMID: 31677825)
      Indian J Pediatr. 2021 Dec;88(12):1187-1194. (PMID: 34057604)
      J Pak Med Assoc. 2020 Oct;70(10):1727-1730. (PMID: 33159742)
      Pediatr Surg Int. 2018 Nov;34(11):1225-1231. (PMID: 30151752)
      AJR Am J Roentgenol. 2002 Feb;178(2):445-50. (PMID: 11804916)
      J Pediatr Surg. 2021 Mar;56(3):587-596. (PMID: 33158508)
      Front Pediatr. 2019 Apr 16;7:145. (PMID: 31041300)
      Pediatr Surg Int. 2011 Jun;27(6):587-9. (PMID: 21259012)
      Pediatr Surg Int. 2015 Sep;31(9):855-8. (PMID: 26169529)
      J Ultrasound Med. 2021 Jun;40(6):1077-1084. (PMID: 32936473)
      BMJ Open. 2017 Nov 16;7(11):e018604. (PMID: 29150477)
      Vaccine. 2018 Dec 14;36(51):7862-7867. (PMID: 29439864)
    • Contributed Indexing:
      Keywords: Child; Infant; Intestinal; Intussusception; Recurrence; Risk factors
    • Publication Date:
      Date Created: 20230826 Date Completed: 20230828 Latest Revision: 20231121
    • Publication Date:
      20231121
    • Accession Number:
      PMC10464288
    • Accession Number:
      10.1186/s12887-023-04267-9
    • Accession Number:
      37633888