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Risk factors for failure of hydrostatic reduction in children with intussusception in Hasan Sadikin General Hospital

D D Kusmayadi1, L K Agnestivita2, V Indriasari1

  • 1Padjadjaran University, Hasan Sadikin General Hospital, Faculty of Medicine, Department of Surgery, Pediatric Surgery Division, Bandung, Indonesia.

The Medical Journal of Malaysia
|July 28, 2022
PubMed

Insights

Dehydration significantly increases the risk of hydrostatic reduction failure in pediatric intussusception cases. This finding is crucial for managing this medical emergency in children.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Outcomes
  • Medical Emergencies

Background:

  • Intussusception is a critical pediatric condition requiring prompt management.
  • Surgical reduction is standard, but hydrostatic reduction offers a less invasive approach.
  • Understanding factors influencing hydrostatic reduction success is vital for optimizing patient care.

Purpose of the Study:

  • To identify risk factors associated with the failure of hydrostatic reduction in pediatric intussusception.
  • To analyze patient characteristics and their correlation with hydrostatic reduction outcomes.
  • To provide data for improving non-invasive treatment strategies for intussusception.

Main Methods:

  • Retrospective analysis of medical records for children with intussusception treated via hydrostatic reduction (January 2010-September 2019).
  • Inclusion of variables: age, sex, symptom onset, and outcome.
  • Logistic regression analysis to determine significant predictors of hydrostatic reduction failure (p < 0.05).

Main Results:

  • A high failure rate (83.9%) was observed for hydrostatic reduction in 56 pediatric patients.
  • Age, sex, symptom onset, and intussusception location were not significant predictors of failure.
  • Dehydration emerged as the sole significant risk factor, increasing failure odds by 16.80 (p = 0.001).

Conclusions:

  • Dehydration is a critical factor predicting hydrostatic reduction failure in pediatric intussusception.
  • This finding highlights the importance of assessing hydration status when considering non-operative management.
  • Further research may explore interventions to mitigate dehydration-related failure risks.
Abstract

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