Variability in the Management of Adhesive Small Bowel Obstruction in Children
Author / Expert
Jordan C. Apfeld, Jennifer N. Cooper, Lindsay A. Gil, Afif N. Kulaylat, Nathan S. Rubalcava, Carley M. Lutz, Katherine J. Deans, Peter C. Minneci, K. Elizabeth Speck
Topic overview
Abstract
Background
This study assessed inter-hospital variability in operative-vs-nonoperative management of pediatric adhesive small bowel obstruction (ASBO).
Methods
A multi-institutional retrospective study was performed examining patients 1–21 years-of-age presenting with ASBO from 2010–2019 utilizing the Pediatric Health Information System. Multivariable mixed-effects logistic regression was performed assessing inter-hospital variability in operative-vs-nonoperative management of ASBO.
Results
Among 6,410 pediatric ASBO admissions identified at 46 hospitals, 3,239 (50.5%) underwent surgery during that admission. The hospital-specific rate of surgery ranged from 35.3% (95%CI: 28.5%–42.6%) to 74.7% (66.3%–81.6%) in the unadjusted model (p
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