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Epidemiology of Pediatric Acute Pancreatitis in Taiwan: A Nationwide Population-based Study

Yu-Jyun Cheng1, Hsin-Yi Yang2, Ching-Fang Tsai2

  • 1Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu city.

Journal of Pediatric Gastroenterology and Nutrition
|October 26, 2018
PubMed

Insights

The incidence of pediatric acute pancreatitis (AP) in Taiwan is increasing, with distinct age peaks and gender-based differences in hospital stay and costs. Mortality is linked to systemic diseases, not AP itself.

Area of Science:

  • Pediatric Gastroenterology
  • Epidemiology
  • Health Services Research

Background:

  • Pediatric acute pancreatitis (AP) presents unique challenges compared to adult cases.
  • Understanding its epidemiology and resource utilization in Taiwan is crucial for targeted healthcare strategies.

Purpose of the Study:

  • To investigate the epidemiology and medical resource use of pediatric acute pancreatitis in Taiwan.
  • To identify trends in incidence, age distribution, and healthcare costs.

Main Methods:

  • Utilized the Taiwan National Health Insurance Research Database (2000-2013).
  • Identified pediatric AP cases (0-18 years) using ICD-9 code 577.0.
  • Analyzed hospitalization rates, length of stay, hospital charges, and procedures.

Main Results:

  • A total of 2127 inpatient cases were identified, with an increasing hospitalization rate (2.33 to 3.07 per 100,000 population).
  • Two incidence peaks observed: ages 4-5 years and 12-13 years onwards.
  • Girls experienced longer hospital stays, higher costs, and increased use of ERCP, linked to biliary comorbidities.

Conclusions:

  • Pediatric AP incidence in Taiwan shows an upward trend.
  • Significant gender disparities exist in healthcare utilization and outcomes.
  • Mortality is primarily associated with underlying systemic conditions rather than AP.
Abstract

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