Incidence of recurrent intussusception in young children: A nationwide readmissions analysis

Anthony Ferrantella, Kirby Quinn, Joshua Parreco, Hallie J. Quiroz, Brent A. Willobee, Emily Ryon, Chad M. Thorson, Juan E. Sola, Eduardo A. Perez

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background/Purpose: Recurrent intussusception following successful nonoperative reduction has previously been reported with a frequency of 8%–12% based on data from individual institutions. Meanwhile, the timing of discharge after successful reduction continues to be debated. Here, we evaluate readmissions for recurrent intussusception in young children using a large-scale national database. Methods: The National Readmissions Database (2010–2014) was queried to identify young children (age < 5 years) diagnosed with intussusception. We compared procedures performed during the index admission and frequency of readmissions for recurrent intussusception. Results were weighted for national estimates. Results: We identified 8289 children diagnosed with intussusception during an index admission. These patients received definitive treatment with nonoperative reduction alone (43%), surgical reduction (42%), or bowel resection (15%). Readmission for recurrent intussusception was required for 3.7% of patients managed with nonoperative reduction alone, 2.3% of patients that underwent surgical reduction, and 0% of those that underwent bowel resection. Median time to readmission was 4 days after nonoperative reduction, and only 1.5% of these patients experienced recurrence within 48 h of discharge. Conclusions: Recurrent intussusception may be substantially less common than previously reported. Our findings support the practice of discharge shortly after successful nonoperative reduction. Type of study: Retrospective, prognosis study. Level of evidence: III.

Original languageEnglish (US)
Pages (from-to)1023-1025
Number of pages3
JournalJournal of Pediatric Surgery
Volume55
Issue number6
DOIs
StatePublished - Jun 2020

Keywords

  • Intussusception
  • Pediatric
  • Readmissions
  • Recurrence

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Fingerprint

Dive into the research topics of 'Incidence of recurrent intussusception in young children: A nationwide readmissions analysis'. Together they form a unique fingerprint.

Cite this