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The epidemiology of childhood intussusception in South Korea: An observational study


Autoři: Soyun Hwang aff001;  Joonghee Kim aff002;  Jae Yun Jung aff001;  Eun Mi Ham aff001;  Joong Wan Park aff001;  Hyuksool Kwon aff002;  Do Kyun Kim aff001;  Young Ho Kwak aff001
Působiště autorů: Department of Emergency Medicine, Seoul National University Hospital, Seoul, Republic of Korea aff001;  Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnan-si, Gyeonggi-do, Republic of Korea aff002
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0219286

Souhrn

Intussusception is one of the most common causes of intestinal obstruction in young children. We report a retrospective, observational study of the epidemiology of intussusception in South Korea using the National Health Insurance Service-National Sample Cohort (NHIS-NSC). A cohort of newborns born between 2002 and 2008 was selected. The primary objective was to assess the incidence of intussusception in the pediatric population of Korea. The secondary objectives were to describe the basic epidemiological characteristics of intussusception and to identify risk factors. A total of 362 children were identified. The highest incidence of intussusception (2.6 per 1,000) was observed in children aged 1–2 years. A total of 58.8% of the children were male, and there was no significant difference in incidence according to the birth year (P = 0.804). Most of the children diagnosed with intussusception underwent air reduction, while only 0.6% had surgery. In all, 82.3% of the children were admitted to the hospital, 0.8% of them had to be admitted to the ICU, and the 6-month mortality was only 0.3%. In this retrospective, observational study, the incidence of intussusception was highest among children between 1 and 2 years of age. Most of the children underwent air reduction.

Klíčová slova:

Health insurance – Observational studies – Pediatrics – South Korea – Vaccination and immunization – Intussusception – Rotavirus – Pediatric epidemiology


Zdroje

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