The impact of hospital type and experience on the operative utilization in pediatric intussusception: a nationwide study

Jen, Howard C.; Shew, Stephen B.

doi:10.1016/j.jpedsurg.2008.10.050

Cited by 45 publications

(30 citation statements)

References 9 publications

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“…[4] Although the reduction rate was high in this national study, more children went directly to surgery, thus the rates of operative intervention varied from 61% at children's hospitals to 74% at general hospitals. [4] Although all of the hospitals included in this present study were general hospitals, our series revealed an operative rate (65%) similar to that reported for children's hospitals nationally. However, the overall reduction rate of 46% of our series was significantly lower.…”

Section: Discussionmentioning

confidence: 61%

Management of pediatric intussusception in general hospitals: diagnosis, treatment, and differences based on age

Shekherdimian

Lee

2010

World J Pediatr

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enema reduction for ileocolic intussusception is moderately successful in general hospitals and lower than that reported in children's hospitals. The lowest reduction rate occurs in patients of less than 6 months old and the diagnosis of intussusception in older children is rarely made by contrast enema. There is a higher operative rate in children of less than 6 months or older than 4 years and the rate of intestinal resection is higher than that in children's hospitals.

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Section: Discussionmentioning

confidence: 61%

Management of pediatric intussusception in general hospitals: diagnosis, treatment, and differences based on age

Shekherdimian

Lee

2010

World J Pediatr

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“…Kids' Inpatient Database is a unique and powerful database of pediatric hospital inpatient stays specifically designed to assess hospital services by children including newborns, incidence of congenital anomalies, and particular outcomes such as in-hospital mortality. Kids' Inpatient Database has been previously used to establish normative data, to predict resource use, and to report outcomes for a wide variety of pediatric conditions [26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Survival disparities in newborns with congenital diaphragmatic hernia: a national perspective

Sola

Bronson

Cheung

et al. 2010

Journal of Pediatric Surgery

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“…However, it is important to recognise which of these children will require prompt surgery, as delay may further compromise bowel viability and lead to necrosis, morbidity and sometimes even death [3,18]. This need is more pronounced in rural or remote areas where simple intussusception may be treated by air enema locally, but the delay associated with further reduction attempts may waste valuable time until the child is transferred to a tertiary hospital [14].…”

Section: Discussionmentioning

confidence: 99%

Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery?

Koplewitz

Simanovsky²,

Lebensart³

et al. 2011

BJR

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Objectives: The prompt identification of children in whom enema reduction of intussusception might fail and surgery is necessary is crucial in order to avoid futile repeat attempts and untoward complications. The purpose of this retrospective review was to determine whether air encircling the intussusceptum in the small bowel during air enema for intussusception reduction could serve as an indication for operation rather than repeat attempts at radiological reduction. Methods: Imaging studies of 83 children aged 4 to 40 months with idiopathic intussusception who had air enema for intussusception reduction were reviewed for the presence of air encircling the intussusceptum in the distal small bowel. Findings were correlated with clinical course and surgical findings. Results: In 12 of 83 patients, air was seen encircling the intussusceptum in the small bowel, and in 11 of these (88%) air enema failed to reduce the intussusception. In 8 of the 11, delayed repeated attempts using air enema failed to reduce intussusception. Clinical signs and their duration did not differ between those children without and those with air encircling the intussusceptum. Conclusion: In the presence of air encircling the intussusceptum in the distal small bowel on air enema, delayed repeated attempts for intussusception reduction are unlikely to succeed, and surgery is indicated.

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The impact of hospital type and experience on the operative utilization in pediatric intussusception: a nationwide study

Cited by 45 publications

References 9 publications

Management of pediatric intussusception in general hospitals: diagnosis, treatment, and differences based on age

Management of pediatric intussusception in general hospitals: diagnosis, treatment, and differences based on age

Survival disparities in newborns with congenital diaphragmatic hernia: a national perspective

Air encircling the intussusceptum on air enema for intussusception reduction: an indication for surgery?

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