Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan

被引:6
作者
Hsiao, Chien-Chou [1 ,2 ]
Tsao, Lon-Yen [1 ]
Lai, Chien-Hsu [2 ,3 ]
机构
[1] Changhua Christian Hosp, Dept Pediat, Changhua, Taiwan
[2] Chung Shan Med Univ, Sch Med, Taichung, Taiwan
[3] Changhua Christian Hosp, Dept Neurol, Changhua, Taiwan
关键词
epidemiology; intussusception; Taiwan; ROTAVIRUS VACCINATION; PEDIATRIC INTUSSUSCEPTION; CHILDREN; INFANTS; HOSPITALIZATIONS; ADENOVIRUS; TRENDS;
D O I
10.1016/j.pedneo.2013.01.004
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Most studies have evaluated the epidemiology of intussusception only in children. This was the first nationwide population-based study conducted to investigate the epidemiology and associated medical expenses of intussusception for all age groups in Taiwan. Methods: Cases of intussusception were identified from the annual hospitalization discharge claims of the National Health Insurance Research Database with corresponding International Classification of Diseases, Ninth Revision (ICD-9) code 560.0, from January 2000 to December 2007. Results: In total, 7255 incident cases of intussusception were detected. The majority of cases were children younger than 4 years of age. Significant male predominance was observed in the under-10-, 55-59-, and older-than-80-year age groups. The incidence peaked in the 1-2-year age group, reaching as high as 112.84 and 81.96 per 100,000 person-years for males and females, respectively. The incidence of intussusception was very low in adults. However, the medical expenses, number of coexisting neoplasms and malignancies, and hospitalization days were substantially higher in adults than in children. Although coexisting neoplasms developed in 40.8% of adult patients with intussusception, it occurred in only 0.4% of those younger than 3 years. Conclusion: This study is the first to describe detailed age- and sex-specific incidence rates and medical expenses of intussusception for both pediatric and adult groups in Taiwan. There were significant differences between the two groups, with a much higher incidence in young children, but more coexisting neoplasms and malignancies and average medical expenses in adult patients. Copyright (C) 2013, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. All rights reserved.
引用
收藏
页码:188 / 193
页数:6
相关论文
共 30 条
[1]  
Archibong A E, 2001, East Afr Med J, V78, P19
[2]   Adult intussusception [J].
Azar, T ;
Berger, DL .
ANNALS OF SURGERY, 1997, 226 (02) :134-138
[3]   ADENOVIRUS INFECTION AND CHILDHOOD INTUSSUSCEPTION [J].
BHISITKUL, DM ;
TODD, KM ;
LISTERNICK, R .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1992, 146 (11) :1331-1333
[4]   Acute intussusception in infants and children as an adverse event following immunization: case definition and guidelines of data collection, analysis, and presentation [J].
Bines, JE ;
Kohl, KS ;
Forster, J ;
Zanardi, LR ;
Davis, RL ;
Hansen, J ;
Murphy, TM ;
Music, S ;
Niu, M ;
Varricchio, F ;
Vermeer, P ;
Wong, EJC .
VACCINE, 2004, 22 (5-6) :569-574
[5]   Paediatric intussusception: Epidemiology and outcome [J].
Blanch, Andrew J. M. ;
Perel, Susan B. ;
Acworth, Jason P. .
EMERGENCY MEDICINE AUSTRALASIA, 2007, 19 (01) :45-50
[6]  
Boudville IC, 2006, ANN ACAD MED SINGAP, V35, P674
[7]   INTUSSUSCEPTION - EVOLUTION OF CURRENT MANAGEMENT [J].
BRUCE, J ;
HUH, YS ;
COONEY, DR ;
KARP, MP ;
ALLEN, JE ;
JEWETT, TC .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1987, 6 (05) :663-674
[8]   Three-year surveillance of intussusception in children in Switzerland [J].
Buettcher, Michael ;
Baer, Gurli ;
Bonhoeffer, Jan ;
Schaad, B. ;
Heininger, Ulrich .
PEDIATRICS, 2007, 120 (03) :473-480
[9]   Intussusception following rotavirus vaccine administration: Post-marketing surveillance in the National Immunization Program in Australia [J].
Buttery, J. P. ;
Danchin, M. H. ;
Lee, K. J. ;
Carlin, J. B. ;
McIntyre, P. B. ;
Elliott, E. J. ;
Booy, R. ;
Bines, J. E. .
VACCINE, 2011, 29 (16) :3061-3066
[10]   Epidemiology of Childhood Intussusception and Determinants of Recurrence and Operation: Analysis of National Health Insurance Data Between 1998 and 2007 in Taiwan [J].
Chen, Solomon Chih-Cheng ;
Wang, Jung-Der ;
Hsu, Hong-Yuan ;
Leong, Mee-Mee ;
Tok, Teck-Siang ;
Chin, Yow-Yue .
PEDIATRICS AND NEONATOLOGY, 2010, 51 (05) :285-291