Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan
To study the epidemiology of childhood intussusception and risk factors of recurrence and operation based on a nationwide data. Methods: Children with hospitalization due to intussusception (ICD9: 560.0) between 1998 and 2007 were identified from a national health insurance database. The incidence w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2010-10-01
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| Series: | Pediatrics and Neonatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957210600551 |
| _version_ | 1819212934943866880 |
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| author | Solomon Chih-Cheng Chen Jung-Der Wang Hong-Yuan Hsu Mee-Mee Leong Teck-Siang Tok Yow-Yue Chin |
| author_facet | Solomon Chih-Cheng Chen Jung-Der Wang Hong-Yuan Hsu Mee-Mee Leong Teck-Siang Tok Yow-Yue Chin |
| author_sort | Solomon Chih-Cheng Chen |
| collection | DOAJ |
| description | To study the epidemiology of childhood intussusception and risk factors of recurrence and operation based on a nationwide data.
Methods: Children with hospitalization due to intussusception (ICD9: 560.0) between 1998 and 2007 were identified from a national health insurance database. The incidence was calculated by age, sex, calendar year and month of admission. Recurrence and operation rates, duration and costs of hospitalization were analyzed.
Results: A total of 8217 intussusception-related hospitalizations were identified in 7541 children. The incidence of intussusception peaked between 3 and 36 months of age. Male -to-female incidence rate ratio increased from 1.31 in the first year to 2.52 in the ninth year of life. The overall recurrence and operation rates were 7.9% and 24.9%, respectively. In children less than 1 year old, the recurrence rate was 10.1%, which decreased to 5.3% in children over 3 years old. Multiple logistic regression analysis showed that children receiving operation had a significantly lower risk of recurrence with an odds ratio (95% confidence interval) of 0.31 (0.24-0.41) after controlling for age and sex. There are significantly more cases occurring during the warmer months between May and October compared to the cooler months between November and April.
Conclusions: There was a male predominance of intussusception with a dynamic male-to-female incidence rate ratio. Children under 1 year of age have the highest recurrence and operation rates. Seasonal variation of intussusception was suspected in Taiwan. |
| first_indexed | 2024-12-23T06:50:52Z |
| format | Article |
| id | doaj.art-e648da96b60b456b982c1dd5cbb94dd5 |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-12-23T06:50:52Z |
| publishDate | 2010-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-e648da96b60b456b982c1dd5cbb94dd52022-12-21T17:56:27ZengElsevierPediatrics and Neonatology1875-95722010-10-0151528529110.1016/S1875-9572(10)60055-1Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in TaiwanSolomon Chih-Cheng Chen0Jung-Der Wang1Hong-Yuan Hsu2Mee-Mee Leong3Teck-Siang Tok4Yow-Yue Chin5Department of Pediatrics, Pingtung Christian Hospital, Pingtung, TaiwanInstitute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, TaiwanDepartment of Pediatrics, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pediatrics, Pingtung Christian Hospital, Pingtung, TaiwanDepartment of Pediatrics, Pingtung Christian Hospital, Pingtung, TaiwanDepartment of Pediatrics, Pingtung Christian Hospital, Pingtung, TaiwanTo study the epidemiology of childhood intussusception and risk factors of recurrence and operation based on a nationwide data. Methods: Children with hospitalization due to intussusception (ICD9: 560.0) between 1998 and 2007 were identified from a national health insurance database. The incidence was calculated by age, sex, calendar year and month of admission. Recurrence and operation rates, duration and costs of hospitalization were analyzed. Results: A total of 8217 intussusception-related hospitalizations were identified in 7541 children. The incidence of intussusception peaked between 3 and 36 months of age. Male -to-female incidence rate ratio increased from 1.31 in the first year to 2.52 in the ninth year of life. The overall recurrence and operation rates were 7.9% and 24.9%, respectively. In children less than 1 year old, the recurrence rate was 10.1%, which decreased to 5.3% in children over 3 years old. Multiple logistic regression analysis showed that children receiving operation had a significantly lower risk of recurrence with an odds ratio (95% confidence interval) of 0.31 (0.24-0.41) after controlling for age and sex. There are significantly more cases occurring during the warmer months between May and October compared to the cooler months between November and April. Conclusions: There was a male predominance of intussusception with a dynamic male-to-female incidence rate ratio. Children under 1 year of age have the highest recurrence and operation rates. Seasonal variation of intussusception was suspected in Taiwan.http://www.sciencedirect.com/science/article/pii/S1875957210600551hospitalizationinsurancerecurrenceseasonal variationsex ratio |
| spellingShingle | Solomon Chih-Cheng Chen Jung-Der Wang Hong-Yuan Hsu Mee-Mee Leong Teck-Siang Tok Yow-Yue Chin Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan Pediatrics and Neonatology hospitalization insurance recurrence seasonal variation sex ratio |
| title | Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan |
| title_full | Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan |
| title_fullStr | Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan |
| title_full_unstemmed | Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan |
| title_short | Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan |
| title_sort | epidemiology of childhood intussusception and determinants of recurrence and operation analysis of national health insurance data between 1998 and 2007 in taiwan |
| topic | hospitalization insurance recurrence seasonal variation sex ratio |
| url | http://www.sciencedirect.com/science/article/pii/S1875957210600551 |
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