Evidence map›Paper›PMID 30151752›Full record

ArticlePediatric surgery international2018

Risk factors for short-term recurrent intussusception and reduction failure after ultrasound-guided saline enema.

Gang Shen, Chuanguang Zhang, Junfeng Li, Jing Zhang, Yongdong Liu, Zheming Guan, Qiang Hu

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Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gang ShenDepartment of Pediatric Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China.
Chuanguang ZhangDepartment of Pediatric Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China.
Junfeng LiDepartment of Pediatric Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China.
Jing ZhangDepartment of Pediatric Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China.
Yongdong LiuDepartment of Pediatric Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China.
Zheming GuanWeifang Medical University, Weifang, Shandong, China.
Qiang HuDepartment of Pediatric Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China. dhq79361@163.com.

Funding

Weifang Science and Technology Bureau 2016YX001.
6 · The paper itself

Abstract

objectiveTo investigate the safety and effectiveness of ultrasound-guided saline enema to treat intussusception and to analyze the risk factors affecting short-term recurrence and reduction failure. MATERIALS AND

methodsWe selected patients who had undergone intussusception reduction via ultrasound-guided saline enema from January 2010 to December 2017. The overall success rate, overall pathologic intussusception rate, and pathologic intussusception rate were calculated in each group. All the patients were divided into two groups: the successfully reduced group and the failed reduction group. Then, the successfully reduced patients were divided into two groups: the short-term recurrence group and the short-term non-recurrence group. The differences between each of the two sets of groups were analyzed, and the risk factors affecting short-term recurrence and failure of intussusception were analyzed.

resultsDuring the 8-year study period, a total of 1793 patients with intussusception were treated with ultrasound-guided saline enema reduction in our hospital. Among these patients, 1743 (97.2%) experienced successful reduction, 29 (1.6%) had pathologic intussusception, and 1 experienced perforation. After applying the univariate analysis and logistic regressive multivariate analysis, we found that age above 2 years and the absence of fever were risk factors for the early recurrence of intussusception. Pathologic intussusception was a risk factor for reduction failure.

conclusionThe overall success rate of ultrasound-guided saline enemas was 97.2%, and the pathologic intussusception rate was 1.6%. Age above 2 years and the absence of fever were risk factors for short-term recurrence, and pathologic intussusception was a risk factor for the failure of reduction.

Indexed as

EnemaAge FactorsChild, PreschoolFemaleHumansInfantIntussusceptionMaleMultivariate AnalysisRecurrenceRetrospective StudiesRisk FactorsSaline SolutionUltrasonography, InterventionalSaline SolutionIntussusceptionReduction failureRisk factorsSaline enemaShort-term recurrence

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.