Evidence map›Paper›PMID 41042287›Full record

ArticleLangenbeck's archives of surgery2025

Intussusception risk factors and outcomes in adult and elderly patients: analysis from the national inpatient sample.

Ben Barris, Guy Elgar, Igor Oliveira, Abbas Smiley, Rifat Latifi

Abstract read
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Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ben BarrisWestchester Medical Center, School of Medicine, New York Medical College, Valhalla, NY, 10595, USA. bbarris@student.nymc.edu.
Guy ElgarWestchester Medical Center, School of Medicine, New York Medical College, Valhalla, NY, 10595, USA.
Igor OliveiraUniversity of Rochester Medical Center, Rochester, NY, 14642, USA.
Abbas SmileyUniversity of Rochester Medical Center, Rochester, NY, 14642, USA.
Rifat LatifiSchool of Medicine, University of Arizona, Tucson, AZ, 85721, USA. Latifi@surgery.arizona.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntussusception in adult and elderly patients is rare but potentially life-threatening, requiring high clinical suspicion for prompt diagnosis and management. This study aims to identify risk factors in these patients to improve management protocols and enhance clinician awareness.

methodsAdult and elderly patients with intussusception (2005–2014) from the National Inpatient Sample, which provided data on demographics, comorbidities, outcomes, and operative management were analyzed. Logistic regressions assessed the relationships between mortality and patient characteristics.

resultsAmong 4,432 patients, 82.3% were adults (57.1% females), and 17.7% were elderly (64.1% females). The elderly mortality rate was 2.8% versus 0.1% in adults. In non-operatively managed elderly patients, longer hospital length of stays (LOS) and older age increased mortality odds by 5.7% (P = 0.120) and 24.8% (P = 0.080). Operatively managed elderly patients with higher frailty scores had 34.0% greater mortality odds (P = 0.160), while female sex reduced odds by 69.8%. In operatively managed adults, each day of delayed surgery raised mortality odds by 26.7%, and each additional year of age increased odds by 21.0% (P = 0.053).

conclusionLonger hospital stays, advanced age, and higher frailty increase mortality risk in adult patients and elderly surgical patients. Female sex offers a protective effect. Non-operatively managed elderly patients are at high risk for mortality.

Indexed as

IntussusceptionAdultAgedAged, 80 and overAge FactorsFemaleHospital MortalityHumansLength of StayMaleMiddle AgedRisk FactorsTreatment OutcomeUnited StatesAdult patientsElderly patientsFrailty indexIntussusceptionMortality riskOperative management

Identifiers

PMID41042287
PMCPMC12494667

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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.