Clinical presentation and management outcome of pediatric intussusception at Wolaita Sodo University Comprehensive Specialized Hospital: a retrospective cross-sectional study.

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  • Additional Information
    • Source:
      Publisher: Sage Publications Country of Publication: England NLM ID: 0346411 Publication Model: Print Cited Medium: Internet ISSN: 1473-2300 (Electronic) Linking ISSN: 03000605 NLM ISO Abbreviation: J Int Med Res Subsets: MEDLINE
    • Publication Information:
      Publication: Nov. 2012- : London : Sage Publications
      Original Publication: Northampton, Eng., Cambridge Medical Publications ltd.
    • Subject Terms:
      Intussusception*/therapy ; Intussusception*/surgery ; Ileal Diseases*/surgery; Child ; Humans ; Infant ; Cross-Sectional Studies ; Retrospective Studies ; Universities ; Enema ; Hospitals ; Treatment Outcome
    • Abstract:
      Objective: To assess the pattern of clinical presentations and factors associated with the management outcome of pediatric intussusception among children treated at Wolaita Sodo University Comprehensive Specialized Hospital, Ethiopia.
      Methods: This retrospective cross-sectional study included the medical records of 103 children treated for intussusception from 2018 to 2020. The data collected were analyzed using SPSS 25.0 (IBM Corp., Armonk, NY, USA).
      Results: In total, 84 (81.6%) patients were released with a favorable outcome. Ileocolic intussusception was a positive predictor, with a nine-fold higher likelihood of a favorable outcome than other types of intussusception [adjusted odds ratio (AOR), 9.16; 95% confidence interval (CI), 2.39-21.2]. Additionally, a favorable outcome was three times more likely in patients who did than did not undergo manual reduction (AOR, 3.08; 95% CI, 3.05-5.48). Patients aged <1 year were 96% less likely to have a positive outcome than those aged >4 years (AOR, 0.04; 95% CI, 0.03-0.57).
      Conclusion: Most patients were discharged with favorable outcomes. Having ileocolic intussusception and undergoing manual reduction were associated with significantly more favorable outcomes of pediatric intussusception. Therefore, nonsurgical management such as hydrostatic enema and pneumatic reduction is recommended to reduce hospital discharge of patients with unfavorable outcomes.
      Competing Interests: Declaration of conflicting interestsAll the authors declare that they have no conflict of interest.
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    • Contributed Indexing:
      Keywords: Ethiopia; Intussusception; clinical presentation; management outcome; nonsurgical management; pediatric
    • Publication Date:
      Date Created: 20240322 Date Completed: 20240325 Latest Revision: 20240325
    • Publication Date:
      20240325
    • Accession Number:
      PMC10960347
    • Accession Number:
      10.1177/03000605241233525
    • Accession Number:
      38518196