Clinical Characteristics of Children Needing Inpatient Treatment after Failed Outpatient Treatment for Fecal Impaction
| Autor: | Amrita Sinha, Maroun J. Mhanna, Reema Gulati |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty Constipation 03 medical and health sciences 0302 clinical medicine Interquartile range 030225 pediatrics medicine Child Chronic constipation Hepatology business.industry Medical record Gastroenterology Fecal impaction Retrospective cohort study Odds ratio medicine.disease Inpatient management of fecal impaction Pediatrics Perinatology and Child Health Functional constipation 030211 gastroenterology & hepatology Original Article medicine.symptom business Bowel clean out |
| Zdroj: | Pediatric Gastroenterology, Hepatology & Nutrition |
| ISSN: | 2234-8646 |
| Popis: | Purpose Treatment of chronic constipation and fecal impaction is usually outpatient and requires high or frequent doses of laxatives. However, there are children who fail outpatient treatments, sometimes repeatedly, and are ultimately hospitalized. We sought to compare the characteristics of the children who failed outpatient treatment and needed inpatient treatment vs those who achieved success with outpatient treatment, in an effort to identify attributes that might be associated with a higher likelihood towards hospitalization. Methods In this retrospective cohort study, we reviewed the medical records of all patients aged 0 to 21 years, with chronic functional constipation and fecal impaction seen in the pediatric gastroenterology clinic over a period of 2 years. Results Total of 188 patients met inclusion criteria. While 69.2% were successfully treated outpatient (referred to as the outpatient group), 30.9% failed outpatient treatment and were hospitalized (referred to as the inpatient group). The characteristics of the inpatient group including age at onset of 3.6±3.6 years (p=0.02); black ethnicity (odds ratio [OR] 4.31, 95% confidence interval [95% CI] 2.04-9.09); p |
| Databáze: | OpenAIRE |
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