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Predictors of intussusception in young children
N Kuppermann1, T O'Dea, L Pinckney
1Department of Pediatrics, University of California, Davis School of Medicine, Sacramento 95817, USA. nkuppermann@ucdavis.edu
Archives of Pediatrics & Adolescent Medicine
|March 10, 2000
Summary
Predictors of intussusception in young children include rectal bleeding, a suggestive abdominal radiograph, and male sex. These findings aid in diagnosing intussusception (a bowel obstruction) in pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Medical Diagnostics
Background:
- Intussusception is a common cause of bowel obstruction in young children.
- Accurate and timely diagnosis is crucial for effective treatment and improved outcomes.
Purpose of the Study:
- To identify independent predictors of intussusception in children under five years old.
- To enhance clinical decision-making for suspected intussusception cases.
Main Methods:
- Retrospective cross-sectional study of 115 children under five with suspected intussusception.
- Evaluation of historical, clinical, and radiographic variables using univariate and multivariate logistic regression.
- Bootstrap resampling used for model validation.
Main Results:
- Intussusception was confirmed in 59% of patients.
- Key independent predictors identified: highly suggestive abdominal radiograph (aOR 18.3), rectal bleeding (aOR 17.3), male sex (aOR 6.2), and history of emesis (aOR 13.4).
- Radiograph, rectal bleeding, and male sex were validated as robust predictors.
Conclusions:
- Rectal bleeding, suggestive abdominal radiographs, and male sex are significant independent predictors of intussusception.
- These clinical and radiographic findings can assist healthcare providers in diagnosing intussusception.