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Utility of hospital admission for pediatric intussusceptions

Yana Puckett1, Jose Greenspon2, Colleen Fitzpatrick2

  • 1Department of Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital, Saint Louis University School of Medicine, 1465 South Grand Blvd, Saint Louis, MO, 63104, USA. pucketty@slu.edu.

Pediatric Surgery International
|June 29, 2016
PubMed

Insights

Pediatric intussusception successfully reduced by enema has a low early recurrence rate. Post-reduction hospital admission may not be necessary, potentially saving healthcare costs.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Outcomes

Background:

  • Standard practice for pediatric intussusception involves enema reduction followed by hospital admission for observation.
  • Limited data supports the necessity of this prolonged post-reduction observation period.

Purpose of the Study:

  • To evaluate the necessity of hospital admission for pediatric patients after successful enema reduction of intussusception.
  • To determine the rate of early recurrence following non-operative management.

Main Methods:

  • Retrospective chart review of 171 pediatric patients (0-18 years) treated for intussusception over 20 years.
  • Included patients with successful first-attempt enema reduction and subsequent admission; excluded OR cases, failed reductions, and late recurrences.

Main Results:

  • Only one patient (0.6%) experienced early recurrence within 48 hours.
  • Median length of hospital stay was 2 days.
  • Average daily cost of admission was $404.

Conclusions:

  • Successful enema reduction of pediatric intussusception is associated with a low risk of early recurrence.
  • Shorter observation periods, potentially in the emergency department, may be sufficient, leading to significant healthcare savings.
Abstract

Keywords:
Cost analysisIn-patient admissionPediatric intussusception

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