FACTORS AFFECTING OUTCOMES IN PAEDIATRIC INTUSSUSCEPTION: AN ANALYTICAL REVIEW OF A SINGLE-CENTRE EXPERIENCE 1139mbbs_mohammad@pahs.edu.np

 

FACTORS AFFECTING OUTCOMES IN PAEDIATRIC INTUSSUSCEPTION: AN ANALYTICAL REVIEW OF A SINGLE-CENTRE EXPERIENCE

4

Nepal

Oral or Poster

The aim of this study was to review our experience in the management of paediatric intussusception, and to identify factors that might correlate with treatment outcomes.

We reviewed the records of all patients under the age of sixteen who were admitted with the diagnosis of intussusception between 2019 and 2024. The demographic, clinical, radiological, operative and outcome related variables were compared. The significant variables on univariate analysis were modelled into multiple logistic regression analysis to identify factors with significant odds ratios.

A total of 52 patients were analysed. Seventeen patients had spontaneous reduction of intussusception. Among the 35(67.3%) patients who required active intervention, 26(50%) underwent pressure reduction, while 9(17.3%) required laparotomy. When comparing between the spontaneous reduction (17) and intervention groups (35), the presence of lead points (p=0.007), mesenteric nodes (p=0.005) and the length of intussusception (p=0.000) were statistically significant. However, on multivariate analysis only the length of intussusception retained significance (p=0.006, OR=1.154). When comparing between the operative (9) vs non-operative (43) groups, abdominal distension (p=0.031), bloody stool (p=0.008), abdominal mass (p=0.031), mesenteric nodes (p=0.044), duration of symptoms (p=0.000), and length of intussusception (p=0.001) were statistically significant. On multivariate analysis, only the duration of symptoms (p=0.020, OR=1.085) and length of intussusception (p=0.033, OR=1.130) retained significance.

The outcome of paediatric intussusception depends on multiple factors. However, the length of intussusception seems to be the common predictor for failure of spontaneous reduction and also the requirement of operative treatment.