This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bratton, S. L.
Right arrow Articles by Allison, J. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bratton, S. L.
Right arrow Articles by Allison, J. W.
Related Collections
Right arrow Surgery

PEDIATRICS Vol. 107 No. 2 February 2001, pp. 299-303

Intussusception: Hospital Size and Risk of Surgery

Received Mar 15, 2000; accepted Jun 6, 2000.

Susan L. Bratton*, Charles M. HaberkernDagger , John H. T. Waldhausen§, Robert S. Sawin§, and Janice W. Allisonparallel

From the * Department of Pediatrics, Oregon Health Sciences University and Doernbecher Children's Hospital, Portland, Oregon; Departments of Dagger  Anesthesiology and § Surgery, University of Washington and Children's Hospital and Regional Medical Center, Seattle, Washington; and parallel  Department of Radiology, University of Arkansas Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas.

Objective.  To determine whether the risk of operative management of children with intussusception varies by hospital pediatric caseload.

Design.  A cohort of all children with intussusception in Washington State from 1987 through 1996.

Setting.  All hospitals in Washington State.

Methods.  Five hundred seventy children with a hospital discharge diagnosis of intussusception were identified. Sixty-two were excluded because of missing data. Procedure codes for operative management and radiologic management were also identified.

Results.  Fifty-three percent of the children had operative reduction and 20% had resection of bowel. Children with operative reduction did not differ from those with nonoperative care by median age or gender; however, children with operative care were significantly more likely to receive care in hospitals with smaller pediatric caseloads and to have a coexisting condition associated with intussusception. Sixty-four percent of children who received care in a large children's hospital had nonoperative reduction, compared with 36% of children who received care in hospitals with 0 to 3000 annual pediatric admissions and 24% of children who had care in hospitals with 3000 to 10 000 annual pediatric admissions. Median length of stay and charges were significantly less in the large children's hospital, compared with other centers.

Conclusions.  Children who received care for intussusception in a large children's hospital had decreased risk of operative care, shorter length of stay, and lower hospital charges compared with children who received care in hospitals with smaller pediatric caseloads.  Key words:  intussusception, enema, children.




This article has been cited by other articles:


Home page
 AAP Grand RoundsHome page
S. L. Bratton
Case Load and Mortality in Pediatric Cardiac Surgery
AAP Grand Rounds, August 1, 2007; 18(2): 17 - 18.
[Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
J. G. Berry, T. A. Lieu, P. W. Forbes, and D. A. Goldmann
Hospital Volumes for Common Pediatric Specialty Operations
Arch Pediatr Adolesc Med, January 1, 2007; 161(1): 38 - 43.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
A. J. Donoghue, V. M. Nadkarni, M. Elliott, D. Durbin, and for the American Heart Assocation National Registr
Effect of Hospital Characteristics on Outcomes From Pediatric Cardiopulmonary Resuscitation: A Report From the National Registry of Cardiopulmonary Resuscitation
Pediatrics, September 1, 2006; 118(3): 995 - 1001.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
K. E. Applegate
Clinically Suspected Intussusception in Children: Evidence-Based Review and Self-Assessment Module
Am. J. Roentgenol., September 1, 2005; 185(3_supp): S175 - S183.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
D. H. Davis, A. R. Localio, P. W. Stafford, M. A. Helfaer, and D. R. Durbin
Trends in Operative Management of Pediatric Splenic Injury in a Regional Trauma System
Pediatrics, January 1, 2005; 115(1): 89 - 94.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
D. S. Smink, J. A. Finkelstein, K. Kleinman, and S. J. Fishman
The Effect of Hospital Volume of Pediatric Appendectomies on the Misdiagnosis of Appendicitis in Children
Pediatrics, January 1, 2004; 113(1): 18 - 23.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
L. Bajaj and M. G. Roback
Postreduction Management of Intussusception in a Children's Hospital Emergency Department
Pediatrics, December 1, 2003; 112(6): 1302 - 1307.
[Abstract] [Full Text] [PDF]

Home page
 The Journal of the Royal Society for the Promotion of HealthHome page
N J West, I R Daniels, and N D Carr
Lessons to be learned: a case study approach: Chronic intussusception in childhood
The Journal of the Royal Society for the Promotion of Health, September 1, 2003; 123(3): 181 - 184.
[Abstract] [PDF]

Home page
 JWatch GeneralHome page
Where Should Children with Intussusception Go for Care?
Journal Watch (General), February 20, 2001; 2001(220): 5 - 5.
[Full Text]