Journal article
Comparative outcome analysis of the management of pediatric intussusception with or without surgical admission
Journal of pediatric surgery, v 49(5), pp 750-752
01 May 2014
PMID: 24851762
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Controversy persists about the need to admit patients after successful reduction of intussusception. Our hypothesis is that pediatric intussusception can be managed with discharge from the emergency department (ED) after reduction without increasing morbidity, yielding significant cost savings.
A chart review over 10years was performed at two Canadian institutions. Data abstracted included: demographics, length of stay (LOS), initial and recurrence management. Primary outcome was early recurrence and resultant management, including LOS and need for operative intervention. Costs were calculated using hospital-specific data.
584 patient records were assessed: 329 patients were managed with admission after reduction, 239 as outpatients. In the admission group, 28 patients had at least one recurrence (8.5%), with 8 after discharge. In the outpatient group, 21 patients had at least one recurrence (8.8%), with 19 after discharge. The difference post-discharge was significant (p=0.004). Outcomes of recurrence did not differ, with 2 patients in each group requiring operative intervention. Average LOS in the admission group was 90h, with additional average cost of $1771 per non-operated patient.
Pediatric intussusception can be safely managed as an outpatient with reliable follow up. Discharge from the ED reduces hospital charges without increasing morbidity. This approach should be considered in managing patients with intussusception.
Metrics
Details
- Title
- Comparative outcome analysis of the management of pediatric intussusception with or without surgical admission
- Creators
- Alana L. Beres - Montreal Children's HospitalRobert Baird - McGill University Health CentreEleanor Fung - University of TorontoHelen Hsieh - Montreal Children's HospitalMaria Abou-Khalil - McGill University Health CentreJ. Ted Gerstle - University of Toronto
- Publication Details
- Journal of pediatric surgery, v 49(5), pp 750-752
- Publisher
- Elsevier
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000336502100017
- Scopus ID
- 2-s2.0-84901002120
- Other Identifier
- 991021969475104721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Surgery