Risk factors for recurrence of intussusception in pediatric patients: A retrospective study
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In brief
In brief
Retrospective analysis of 2004-2012 pediatric intussusception cases identifying recurrence risk factors after operative and nonoperative reduction. Key predictors include age ≥2 years and symptom duration ≥48 hours, with multivariable analysis revealing significantly elevated odds ratios for these factors.
Written by the GCMD Library team from the article.
Objectives
The aim of this study was to explore the risk factors associated with recurrence of intussusception after operative or nonoperative reduction in children.
Methods
Between January 2004 and December 2012, patients with intussusception treated with nonoperative and operative reduction were retrospectively analyzed. We included the patients who were diagnosed with intussusception from the age of 0 year to 18 years who received nonoperative and operative reduction as an initial treatment. The data collected included demographic data (sex, age, and bodyweight), symptoms (vomiting, abdominal pain, rectal bleeding, diarrhea, distention, constipation, and duration of symptoms), signs (temperature, palpable mass, and location of the mass), investigations (ultrasound findings) and the method of reduction.
Results
The risk factors for recurrence of idiopathic intussusception were analyzed by the univariable analysis and multivariable analysis. In the univariable model, the significant risk factors for recurrence of intussusception analyzed were age, bodyweight, duration of symptoms, rectal bleeding, poor prognosis signs on ultrasound scans, location of mass, and pathological lead point. After multivariable analysis was done, we found that the significant risk factors for recurrence of intussusception were age ≥ 2 years (OR = 5.597, P = 0.044), duration of symptoms ≥48 h (OR = 91.664, P