ArticlePediatric surgery international2015
Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study.
Article in Pediatric surgery international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Hydrostatic reduction of intussusception: the impact of high enema pressure on success rates.Pediatric surgery international · 2024Article
- Predictive Factors for Bowel Resection in Childhood Intussusception.African journal of paediatric surgery : AJPS · 2024Article
- A comprehensive scoring system for the better prediction of bowel resection in pediatric intussusception.BMC gastroenterology · 2024Article
- Article
- Intussusception Management in Children: A 15-Year Experience in a Referral Center.Indian journal of pediatrics · 2023Article
- Development and Validation of a Nomogram for Predicting Pathological Intussusceptions in Children Prior to Surgical Intervention.Frontiers in pediatrics · 2022Article
- Lactic acid level as an outcome predictor in pediatric patients with intussusception in the emergency department.BMC pediatrics · 2020Article
- Clinical characteristics and surgical outcome in children with intussusceptions secondary to pathologic lead points: retrospective study in a single institution.Pediatric surgery international · 2019Article
- Clinical characteristics of intussusception secondary to pathologic lead points in children: a single-center experience with 65 cases.Pediatric surgery international · 2017Article
- Prognostic indicators for failed nonsurgical reduction of intussusception.Therapeutics and clinical risk management · 2016Article
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Authors and funding
11 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
purposeIntussusception 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.
methodsData 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.
resultsPediatric 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 3-90 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.
conclusionThe 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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