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Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study
- 作者:Xian-Ming Yao ; Zhong-Liang Chen ; De-Lei Shen…
- 关键词:Intussusception ; Loss of intestine viability ; Risk factors ; Pediatrics
- 刊名:Pediatric Surgery International
- 出版年:2015
- 出版时间:February 2015
- 年:2015
- 卷:31
- 期:2
- 页码:163-166
- 全文大小:318 KB
- 参考文献:1. Bines J, Ivanoff B (2002) Acute intussusception in infants and children: incidence, clinical presentation and management: a global perspective. World Health Organization, Geneva
2. Pepper VK, Stanfill AB, Pearl RH (2012) Diagnosis and management of pediatric appendicitis, intussusception, and Meckel diverticulum. Surg Clin North Am 92:505-26 2012.03.011" target="_blank" title="It opens in new window">CrossRef 3. Bines JE, Patel M, Parashar U (2009) Assessment of postlicensure safety of rotavirus vaccines, with emphasis on intussusception. J Infect Dis 200(Suppl 1):S282–S290 CrossRef 4. Huppertz HI, Soriano-Gabarro M, Grimprel E, Franco E, Mezner Z, Desselberger U, Smit Y, Bosch den van Wolleswinkel J, De Vos B, Giaquinto C (2006) Intussusception among young children in Europe. Pediatr Infect Dis J 25:S22–S29 2880.46" target="_blank" title="It opens in new window">CrossRef 5. Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B (2012) Intussusception clinical presentations and imaging characteristics. Pediatr Emerg Care 28:842-44 267a75e" target="_blank" title="It opens in new window">CrossRef 6. Samad L, Marven S, El Bashir H, Sutcliffe AG, Cameron JC, Lynn R, Taylor B (2012) Prospective surveillance study of the management of intussusception in UK and Irish infants. British J Surg 99:411-15 2/bjs.7821" target="_blank" title="It opens in new window">CrossRef 7. Parashar UD, Holman RC, Cummings KC, Staggs NW, Curns AT, Zimmerman CM, Kaufman SF, Lewis JE, Vugia DJ, Powell KE, Glass RI (2000) Trends in intussusception associated hospitalizations and deaths among US infants. Pediatrics 106:1413-421 2/peds.106.6.1413" target="_blank" title="It opens in new window">CrossRef 8. O’Ryan M, Lucero Y, Pena A, Valenzuela MT (2003) Two year review of intestinal intussusception in six large public hospitals of Santiago, Chile. Pediatr Infect Dis J 22:717-21 2903.e8" target="_blank" title="It opens in new window">CrossRef 9. Chen YE, Beasley S, Grimwood K, New Zealand Rotavirus Study Group (2005) Intussusception and rotavirus associated hospitalisation in New Zealand. Arch Dis Childhood 90:1077-081 2005.074104" target="_blank" title="It opens in new window">CrossRef 10. Greenberg D, Givon-Lavi N, Newman N, Wheeler J, Cohen Z, Dagan R (2008) Intussusception in children in Southern Israel: disparity between 2 populations. Pediatr Infect Dis J 27:236-40 CrossRef 11. Macdonald I, Beattie T (1995) Intussusception presenting to a paediatric accident and emergency department. J Accid Emerg Med 12:182-86 2.3.182" target="_blank" title="It opens in new window">CrossRef 12. McDermott VG, Taylor T, Mackenzie S, Hendry GMA (2009) Pneumatic reduction of intussusception: clinical experience and factors affecting outcome. Clin Radiol 64(7):655-63 2008.11.002" target="_blank" title="It opens in new window">CrossRef 13. World Health Organization (2002) Initiative for vaccine research department of vaccines and biologicals: acute intussusception in infants and children. Incidence, clinical presentation and management: a global perspective. WHO/V&B/02.19. Geneva 14. Stringer MD, Pablot SM, Brereton RJ (1992) Pediatric intussusception. Br J Surg 79(9):867-76 2/bjs.1800790906" target="_blank" title="It opens in new window">CrossRef 15. Parashar UD, Holman RC, Cummings KC, Staggs NW, Curns AT, Zimmerman CM, Kaufman SF, Lewis JE, Vugia DJ, Powell KE, Glass RI (2000) Trends in intussusception-associated hospitalizations and deaths among US infants. Pediatrics 106(6):1413-421 2/peds.106.6.1413" target="_blank" title="It opens in new window">CrossRef 16. Blakelock RT, Beasley SW (1998) The clinical implications of non-idiopathic intussusception. Pediatr Surg Int 14(3):163-67 CrossRef 17. Daneman A, Navarro O (2004) Intussusception. Part 2: an update on the evolution of management. Pediatr Radiol 34(2):97-08 Pediatrics Surgery Pediatric Surgery
- 出版者:Springer Berlin / Heidelberg
- ISSN:1437-9813
文摘
Purpose Intussusception is one of the most common causes of acute abdominal emergencies in infants and preschool children. Loss of intestine viability is the most serious complication of intussusception. This study aimed to investigate the risk factors for loss of intestine viability in pediatric intussusception cases among children. Methods Data were collected for operative pediatric intussusception cases (N?=?316) from medical records of 5,537 hospitalized children due to intussusception between June 2009 and May 2014 in a pediatric surgery department of an academic teaching hospital in China. Seventy-six patients (24.1?%) of the operated intussusception cases had complication of loss intestine viability. Results Pediatric intussusception cases with loss of intestine viability and without loss of intestine viability were similar in terms of their age, malformation and season of admission. The median time of the duration from onset of symptoms to operative treatment was 23?h (range 3-0?h). The loss of intestine viability group of the intussusception cases was significantly associated with longer length of history (P?=?0.000). Receiver operating characteristic curve analysis for length of history showed that the optimal ratio of sensitivity (0.70) and specificity (0.73) was calculated for the length of history longer than 27.5?h regarding loss of intestine viability of intussusception. In addition, the risk of loss of intestine viability was higher for female (31?%) than for male (20.8?%) (P?=?0.049). The loss of intestine viability rate was also significantly higher in ileo-ileal intussusception cases than that of the other types (P?=?0.033). However, there is no difference among the other groups. Conclusion The result of our risk factor analysis for loss of intestine viability in pediatric intussusception cases may help develop a predictability index to prevent the complication to happen. Further prospective studies are required to confirm our findings.
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