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Hospitalization rates for intussusception in children aged 0-59 months from 2009 to 2014 in Italy
Vincenzo Restivo1, Claudio Costantino1, Fabio Tramuto1
1a Department of Science for Health Promotion and Mother-Child Care "G. D'Alessandro," University of Palermo , Palermo , Italy.
Insights
Italian children
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Background:
- The exact causes of intussusception remain unclear, with various associated conditions noted.
- Few European nations have established baseline intussusception incidence rates before rotavirus vaccination, per WHO recommendations.
- Monitoring intussusception rates is crucial for evaluating the impact of rotavirus immunization programs.
Purpose of the Study:
- To analyze intussusception hospitalization trends in Italian children aged 0-59 months from 2009-2014.
- To establish baseline hospitalization rates for intussusception in Italy.
- To identify potential risk factors, such as gastroenteritis, associated with intussusception.
Main Methods:
- Retrospective analysis of hospitalization data for intussusception.
- Inclusion of 3,088 children aged 0-59 months from 2009-2014.
- Calculation of hospitalization rates per 100,000 children.
Main Results:
- A total of 3,088 hospitalizations for intussusception were recorded.
- The overall hospitalization rate was 20.2 per 100,000 children.
- A slight increasing trend in hospitalization rates (18%) was observed from 2009 to 2014.
- Children aged 0-11 months had significantly higher hospitalization rates (36 per 100,000) compared to those aged 12-59 months (16 per 100,000).
- Gastroenteritis was a co-occurring condition in 7.7% of hospitalized children.
Conclusions:
- Intussusception hospitalizations in Italian children show an increasing trend.
- Younger children (0-11 months) are at higher risk.
- Further research is needed to investigate the role of risk factors like acute gastroenteritis.
- These findings provide valuable baseline data for monitoring the impact of rotavirus vaccination in Italy.
Abstract:
The real cause of intussusception is not fully understood and a variety of conditions have been associated with it (Meckel diverticulum, polyps, duplication cysts, parasites, Henoch-Schönlein purpura, cystic fibrosis, hemolytic-uremic syndrome and infectious gastroenteritis). Furthermore few European countries, following WHO recommendation to monitor baseline incidence of intussusception before implementation of immunization program for rotavirus, used intussusception rate as a baseline value to compare the same figures in the period before and after introduction of vaccination. In this study, data of intussusception hospitalizations occurred among Italian children aged 0 through 59 months from 2009 to 2014 were analyzed. A total amount of 3,088 children were included, accounting for a hospitalization rate of 20.2 per 100,000. Overall, the hospitalization rate for intussusception had a slight increase in trend from 2009 to 2014 (18%). In particular children 0-11 months had a hospitalization rate higher than 12-59 months with an aggregate value of 36 Vs. 16 per 100,000 respectively. Among all children hospitalized for intussusception a total of 239 (7.7%) had also a previous or concomitant hospitalization for gastroenteritis. This study demonstrates that Italian hospitalizations for intussusception are increasing by time and the role played by different risk factors, including acute gastroenteritis, have to be investigated in the future. These data could be useful to monitor intussusception hospitalization in the perspective of anti-rotavirus vaccination introduction in Italy.
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