Clinical Outcomes of Pediatric Intussusception Diagnosed Within and After 24 hours of Symptoms
Pediatric Intussusception
Keywords:
intussusception, enema reduction, manual reductionAbstract
Intussusception is one of the most frequent causes of acute bowel obstruction in children under two years old. Accurate and rapid diagnosis lead to appropriate decision of treatment reduction in complication and length of stay in hospital. The purpose of this retrospective study was to compare clinical outcomes between patients who had been diagnosed with intussusception within 24 hours (early diagnosis group) and after 24 hours (late diagnosis group) after onset. This study was performed using medical records of intussusception patients under 15 years old in Buddhachinaraj Phitsanulok Hospital from January 2007 to December 2020. A total of 183 patients were identified. One hundred and seven patients (58.5%) had been diagnosed within 24 hours and 76 (41.5%) had been diagnosed after 24 hours. From the medical records, the early diagnosis group had higher mucous bloody stool, but significant lower abdominal distension and diarrhea. Both groups received similar diagnosis and treatment, however, the late diagnosis group had a statistically significant longer stay in hospital and also higher rate of complication and bowel perforation, at 2.94 and 6 times higher, respectively. In conclusion, the late diagnosis group has length of stay in hospital, complication and bowel perforation more than the early diagnosis group
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