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Is Hospital Admission Unnecessary After Successful Reduction in Paediatric Patients with Intussusception?

机译:在进一步减少儿科患者的肠套体患者后不必要地是医院入学?

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Purpose: This study aimed to describe demographic characteristics of hospitalised children with successful reduction of intussusception and their early outcomes, and assess the frequency of hospitallevel interventions, to determine the necessity of hospitalisation through hospital-level intervention assessment. Methods: We conducted a retrospective review of children aged 0-18 years with ileocolic intussusception, who presented to emergency department between March 2010 and December 2017. Results: Sixty-three patients with successful reduction were included. Median patient age was 23 (7-75) months. Signs and symptoms of intussusception were currant jelly stool in 19 cases (30.2%), a palpable mass lesion in 15 (23.8%). Median length of stay was 2 (1-8) days. Intussusception recurrence during hospital admission occurred in 9 patients (14.3%). Of the 63, 25 (39.7%) received at least one intervention. Conclusions: Approximately 25% of patients underwent hospital-level radiologic studies to diagnose the possibility of recurrence during inpatient observation. Hospitalisation post-successful reduction may be helpful for early recurrence detection and prevention of post-reduction complications.
机译:目的:本研究旨在描述住院儿童的人口统计特征,以成功减少肠套肠溶性和早期成果,并评估医院干预措施的频率,以确定通过医院级干预评估住院的必要性。方法:我们对0-18岁的儿童进行了回顾性审查,在2010年3月至2017年3月至2017年12月介绍了急诊部门。结果:六十三名成功减少患者。中位数患者年龄为23(7-75)个月。肠套瘤的迹象和症状是牛奶花果冻粪便,19例(30.2%),可触及的质量病变,15例(23.8%)。中位数逗留时间为2(1-8)天。在9名患者中入院期间发生的肠套体复发(14.3%)。在63,25(39.7%)中收到至少一次干预。结论:大约25%的患者接受了医院级放射学研究,以诊断入住性观察期间复发的可能性。住院治疗成功减少可能有助于早期复发检测和预防减少后并发症。

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