ArticleTherapeutics and clinical risk management2016
Prognostic indicators for failed nonsurgical reduction of intussusception.
Article in Therapeutics and clinical risk management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of failed enema reduction in children with intussusception: a systematic review and meta-analysis.European radiology · 2021Pooled it
- A comparison of the success rate of pneumatic reduction in intussusception between general anesthesia and deep sedation: a randomized controlled trial.Pediatric surgery international · 2023Trial
- Effectiveness of ultrasound-guided hydrostatic versus fluoroscopy-guided air reduction for pediatric intussusception: a severity-adjusted cohort analysis.Pediatric surgery international · 2026Article
- Factors associated with failure of hydrostatic reduction in children with ileocolic intussusception.BMC pediatrics · 2026Article
- Fluoroscopic image-driven deep learning model for predicting intussusception irreducibility during air enema in children.BMC medical imaging · 2026Article
- A scoring model based on risk factors for prediction of intussusception recurrence in pediatric patients.Pediatric surgery international · 2026Article
- Clinical profile, management outcomes, and recurrence patterns of pediatric intussusception in a tertiary care center in South India.Pediatric surgery international · 2026Observational
- Development of a predictive model for surgical intervention following air enema reduction of pediatric intussusception.Frontiers in pediatrics · 2026Article
- Systemic immune inflammatory index (SII) as a predictive marker for the failure of air enema treatment in children with Ileocolic intussusception: a case-control study.BMC pediatrics · 2025Article
- Clinical Determinants of Unsuccessful Ultrasound-Guided Hydrostatic Saline Reduction in Children with Intussusception Post-Rotavirus Vaccine Introduction: Insights from a Tertiary Care Centre in Thrissur, Kerala, India.Indian journal of pediatrics · 2025Observational
- Scoring system to predict the failure of hydrostatic reduction for children with intussusception: a single center study.BMC pediatrics · 2025Article
- Predicting bowel necrosis in pediatric acute intussusception using roundness and other related factors.BMC pediatrics · 2025Article
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- Predictors of Failure in Ultrasound-Guided Hydrostatic Reduction of Intussusception in Children: Retrospective Analysis in a Specialized Center in Ethiopia.Pediatric health, medicine and therapeutics · 2024Article
- Developing and validating a nomogram for early predicting the need for intestinal resection in pediatric intussusception.Frontiers in pediatrics · 2024Article
- Developing a Nomogram for Predicting Surgical Intervention in Pediatric Intussusception After Pneumatic Reduction: A Multicenter Study from China.Therapeutics and clinical risk management · 2024Article
- A deep-learning pipeline to diagnose pediatric intussusception and assess severity during ultrasound scanning: a multicenter retrospective-prospective study.NPJ digital medicine · 2023Article
- Developing a nomogram for predicting surgical intervention in pediatric intussusception after hydrostatic reduction.Frontiers in pediatrics · 2023Article
- Current diagnosis and image-guided reduction for intussusception in children.Clinical and experimental pediatrics · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo identify the risk factors for failure of nonsurgical reduction of intussusception.
methodsData from intussusception patients who were treated with nonsurgical reduction in Chiang Mai University Hospital and Siriraj Hospital between January 2006 and December 2012 were collected. Patients aged 0-15 years and without contraindications (peritonitis, abdominal X-ray signs of perforation, and/or hemodynamic instability) were included for nonsurgical reduction. The success and failure groups were divided according to the results of the reduction. Prognostic indicators for failed reduction were identified by using generalized linear model for exponential risk regression. The risk ratio (RR) was used to report each factor.
resultsOne hundred and ninety cases of intussusception were enrolled. Twenty cases were excluded due to contraindications. A total of 170 cases of intussusception were included for the final analysis. The significant risk factors for reduction failure clustered by an age of 3 years were weight <12 kg (RR =1.48, P=0.004), symptom duration >3 days (RR =1.26, P<0.001), vomiting (RR =1.63, P<0.001), rectal bleeding (RR =1.50, P<0.001), abdominal distension (RR =1.60, P=0.003), temperature >37.8°C (RR =1.51, P<0.001), palpable abdominal mass (RR =1.26, P<0.001), location of mass (left over right side) (RR =1.48, P<0.001), poor prognostic signs on ultrasound scans (RR =1.35, P<0.001), and method of reduction (hydrostatic over pneumatic) (RR =1.34, P=0.023). The prediction ability of this model was 82.21% as assessed from the area under the receiver operating characteristic curve.
conclusionThe identified prognostic factors for the nonsurgical reduction failure may help to predict the reduction outcome and provide information to the parents.
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