Evidence map›Paper›PMID 40944732›Full record

ArticlePediatric radiology2025

Waiting more than 6 hours from diagnosis does not negatively impact the success rate of pneumatic ileocolic intussusception reduction.

Gerardo Cruz, Brendon L Graeber

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Article in Pediatric radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

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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

2 authors.

Gerardo CruzDepartment of Radiology, BC Children's Hospital, 4500 Oak St, T1-200, Vancouver, BC, V6H 3N1, Canada. gerardoc2789@gmail.com.
Brendon L GraeberDepartment of Radiology, BC Children's Hospital, 4500 Oak St, T1-200, Vancouver, BC, V6H 3N1, Canada. brendon.graeber@cw.bc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIleocolic intussusception is the most common cause of bowel obstruction in young children. There is an ongoing debate about whether it is a middle-of-the-night emergency and if delays in intervention have a significant impact on outcome.

objectiveTo determine the relationship between the time elapsed from diagnosis to pneumatic reduction and the success rate of the procedure. MATERIALS AND

methodsA retrospective study was performed on pediatric patients who underwent fluoroscopically guided pneumatic intussusception reduction during a 10-year period. Patients were categorized into groups according to the time elapsed between diagnosis and reduction with the following time intervals: ≤ 3 h, 3-6 h, and > 6 h. A chi-square test analyzed the association between the time elapsed from diagnosis to attempted reduction and the success rate.

resultsThe study population consisted of 78 males and 38 females. Median age was 22.5 months (2-129 months). Median time elapsed between diagnosis and attempted reduction was 149 min (25-1389 min; IQR, 261 min). The overall success rate of pneumatic reduction was 85% (108/127, 95% CI 79-91%). The recurrence rate was 9.4% (95% CI 4.2-15%). Within the three intervals studied (0-3 h, 3-6 h, and more than 6 h), the success rates were 87% (61/70, 95% CI 77-93%), 80% (24/30, 95% CI 63-90%), and 85% (23/27, 95% CI 68-94%), respectively. The chi-square test yielded a statistic of 0.84 with a P-value of 0.66, indicating no significant correlation between the time elapsed from diagnosis to reduction and the success of the procedure.

conclusionThere is no association between the time elapsed from ileocolic intussusception diagnosis to pneumatic reduction and the success of the procedure.

Indexed as

Ileal DiseasesInsufflationIntussusceptionRadiography, InterventionalTime-to-TreatmentChildChild, PreschoolFemaleFluoroscopyHumansInfantMaleRetrospective StudiesTime FactorsTreatment OutcomeIleocolic intussusceptionPneumatic reductionRecurrenceUnsuccessful reduction

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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.