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Epidemiology of intussusception in Malaysia: a three-year review

Chan Lee Giak1, H S S Amar Singh, Revathy Nallusamy

  • 1Pediatric Department, Sarawak General Hospital, Sarawak, Malaysia. dr_chanlg@hotmail.com

The Southeast Asian Journal of Tropical Medicine and Public Health
|December 9, 2008
PubMed

Insights

This study tracked intussusception (IS) in Malaysian children under five. The incidence was 4.8 per 100,000 person-years, with most cases in infants, and all outcomes were favorable.

Area of Science:

  • Pediatric Gastroenterology
  • Epidemiology
  • Public Health Surveillance

Background:

  • Intussusception (IS) is a significant cause of bowel obstruction in infants and young children.
  • Understanding the baseline incidence and epidemiology of IS is crucial for public health planning and resource allocation.
  • Malaysia lacked comprehensive data on IS incidence in its pediatric population.

Purpose of the Study:

  • To determine the baseline incidence and epidemiological characteristics of intussusception in children under five years of age in Malaysia.
  • To establish incidence rates for hospitalization due to intussusception in infants and young children.
  • To document the outcomes and any associated mortality of intussusception cases.

Main Methods:

  • A retrospective surveillance study was conducted using hospital discharge data from three Malaysian hospitals.
  • Data covered a 3-year period (2000-2003) for children under five years of age.
  • Cases were identified using ICD-9-CM code 560.0 and confirmed via medical record review, adhering to Brighton Collaboration guidelines.

Main Results:

  • A total of 62 hospitalizations for intussusception were recorded.
  • The majority of cases (74.2%) occurred in children less than one year old.
  • Average incidences were 17.8 per 100,000 person-years for children <1 year and 4.8 per 100,000 person-years for children <5 years.

Conclusions:

  • Intussusception incidence in Malaysian children under five is relatively low, with a higher prevalence in infants.
  • All documented cases had favorable outcomes, with no associated deaths.
  • No clear seasonal pattern was observed for intussusception occurrence in the studied population.

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