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Date Published: 31/08/2023
Online Published: 31/07/2023
Abstract Views: 451
Views PDF: 289
DOI: https://doi.org/10.58490/ctump.2023i62.560
Issue
No. 62 (2023)
Section
Article
How to Cite
Lam, T. D., Le, D. H. D., Le, T. T. X., Tran, Q. B., Ngo, V. T. A., & Vo, Q. H. (2023). PROGNOSTIC FACTORS FOR FAILED PNEUMATIC REDUCTION IN CHILDREN WITH INTUSSUSCEPTION AT CAN THO CHILDREN’S HOSPITAL. Cantho Journal of Medicine and Pharmacy, 62, 76-83. https://doi.org/10.58490/ctump.2023i62.560

PROGNOSTIC FACTORS FOR FAILED PNEUMATIC REDUCTION IN CHILDREN WITH INTUSSUSCEPTION AT CAN THO CHILDREN'S HOSPITAL

Thuy Doan Lam1,, Diep Hai Duong Le1, Thi Thanh Xuan Le1, Quoc Bao Tran1, Vo Thuy Anh Ngo1, Quang Huy Vo1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Pneumatic reduction in the intussusception's treatment has a high success rate, but there are still a few cases of failure that requiring surgery. The predictors of failed reduction are still being discussed and hematochezia is one of them. Objectives: To determine the proportion of hematochezia, identify the prognostic factors for failed pneumatic reduction of intussusception. Materials and methods: A cross-sectional descriptive prospective study was used for the children <15 age of intussusceptions who were diagnosed and treated with pneumatic reduction at Can Tho Children’ s Hospital from 07/2021 to 09/2022. Results: A total 162 childrens were included in the study, including 86 males (53.1%), the male/female ratio was 1.13/1. The mean age was 24.3 ± 14 months. The mean weight was 11.6 ± 3.7 kg. The rate of hematochezia was 22.2%. The rate of children hospitalized <24 hours accounted for 54.3%. The success rate of pneumatic reduction was 95.7%. Prognostic factors for failed pneumatic reduction include: age ≤ 24 months, body weight ≤10 kg, palpable mass, hematochezia, classical triad of intussusception, and presence of trapped fluid on ultrasound. Conclusions: Pediatric patient is diagnosed with intussusception; it is important to consider the prognostic factors for failed pneumatic reduction and to prevent to avoid severe complications.

Article Details

Keywords

Intussusception, hematochezia, pneumatic reduction, predictor, failure rate

References

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