The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department
Objectives: We determined whether glycerin enemas were appropriately prescribed in pediatric fecal impaction patients using the Leech score and identified factors that influenced the prescription of glycerin enemas in the pediatric emergency department (PED). Methods: We included patients who receiv...
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| Format: | Article |
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MDPI AG
2021-05-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/5/364 |
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| author | Min-Jung Kim Yoo-Jin Choi Jin-Hee Lee Hyuksool Kwon Dongbum Suh |
| author_facet | Min-Jung Kim Yoo-Jin Choi Jin-Hee Lee Hyuksool Kwon Dongbum Suh |
| author_sort | Min-Jung Kim |
| collection | DOAJ |
| description | Objectives: We determined whether glycerin enemas were appropriately prescribed in pediatric fecal impaction patients using the Leech score and identified factors that influenced the prescription of glycerin enemas in the pediatric emergency department (PED). Methods: We included patients who received a glycerin enema at the PED of a tertiary teaching hospital. We divided the study subjects into two groups on the basis of their Leech scores: an appropriate enema group (Leech score ≥ 8), and an inappropriate enema group (Leech score < 8). Logistic regression was performed to determine the factors associated with glycerin enema administration. Results: The data of 998 patients, including 446 patients in the inappropriate enema group (Leech score 5.2 ± 1.7) and 552 patients in the appropriate enema group (Leech score 10.1 ± 1.7), were analyzed. A discharge diagnosis of fecal impaction was observed significantly more frequently (57.1%) in the appropriate enema group, and nonspecific abdominal pain (8.3%) and acute gastroenteritis (40.8%) were diagnosed significantly more frequently in the inappropriate enema group (<i>p</i> < 0.05). Constipation (2.8%) and irritability (3.0%) were slightly more common in the appropriate enema group than in the inappropriate enema group (<i>p</i> < 0.05). According to multiple logistic regression, subjects aged 2–8 years (2–4 years, OR 4.24; 4–8 years, OR 2.83), with vomiting (OR 1.72), with irritability (OR 4.52), and with a prolonged last defecation day (OR 1.2) were most likely to receive appropriate enema administration (<i>p</i> < 0.05). Conclusion: The results showed that in those aged 2–8 years, with vomiting and irritability, and with a prolonged last defecation day, an enema was generally administered appropriately. |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T11:44:38Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-c8cc83b7b3f4480e867ae025a60bde1f2023-11-21T18:12:17ZengMDPI AGChildren2227-90672021-05-018536410.3390/children8050364The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency DepartmentMin-Jung Kim0Yoo-Jin Choi1Jin-Hee Lee2Hyuksool Kwon3Dongbum Suh4Department of Emergency Medicine, CHA Bundang Medical Center, CHA University, Gyeonggi-do 13496, KoreaDepartment of Emergency Medicine, Ajou University School of Medicine, Gyeonggi 16499, KoreaDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gyeonggi 13620, KoreaDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gyeonggi 13620, KoreaDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gyeonggi 13620, KoreaObjectives: We determined whether glycerin enemas were appropriately prescribed in pediatric fecal impaction patients using the Leech score and identified factors that influenced the prescription of glycerin enemas in the pediatric emergency department (PED). Methods: We included patients who received a glycerin enema at the PED of a tertiary teaching hospital. We divided the study subjects into two groups on the basis of their Leech scores: an appropriate enema group (Leech score ≥ 8), and an inappropriate enema group (Leech score < 8). Logistic regression was performed to determine the factors associated with glycerin enema administration. Results: The data of 998 patients, including 446 patients in the inappropriate enema group (Leech score 5.2 ± 1.7) and 552 patients in the appropriate enema group (Leech score 10.1 ± 1.7), were analyzed. A discharge diagnosis of fecal impaction was observed significantly more frequently (57.1%) in the appropriate enema group, and nonspecific abdominal pain (8.3%) and acute gastroenteritis (40.8%) were diagnosed significantly more frequently in the inappropriate enema group (<i>p</i> < 0.05). Constipation (2.8%) and irritability (3.0%) were slightly more common in the appropriate enema group than in the inappropriate enema group (<i>p</i> < 0.05). According to multiple logistic regression, subjects aged 2–8 years (2–4 years, OR 4.24; 4–8 years, OR 2.83), with vomiting (OR 1.72), with irritability (OR 4.52), and with a prolonged last defecation day (OR 1.2) were most likely to receive appropriate enema administration (<i>p</i> < 0.05). Conclusion: The results showed that in those aged 2–8 years, with vomiting and irritability, and with a prolonged last defecation day, an enema was generally administered appropriately.https://www.mdpi.com/2227-9067/8/5/364pediatricfecal impactionglycerin enema |
| spellingShingle | Min-Jung Kim Yoo-Jin Choi Jin-Hee Lee Hyuksool Kwon Dongbum Suh The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department Children pediatric fecal impaction glycerin enema |
| title | The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department |
| title_full | The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department |
| title_fullStr | The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department |
| title_full_unstemmed | The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department |
| title_short | The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department |
| title_sort | appropriateness of glycerin enema in pediatric patients visiting the emergency department |
| topic | pediatric fecal impaction glycerin enema |
| url | https://www.mdpi.com/2227-9067/8/5/364 |
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