Evaluating Pediatric Intussusception Using 24-hour Ultrasound
Although ultrasound is often the preferred pediatric imaging modality for the evaluation of intussusception in children, many institutions lack access to ultrasound at night. This study characterized the day- and nighttime use of radiographic imaging for evaluation of intussusception. Methods: The c...
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| Format: | Article |
| Language: | English |
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Elsevier
2013-08-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957213000041 |
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| author | Yi-Jung Chang Hsun-Chin Chao Chao-Jan Wang Wan-Chak Lo Dah-Chin Yan |
| author_facet | Yi-Jung Chang Hsun-Chin Chao Chao-Jan Wang Wan-Chak Lo Dah-Chin Yan |
| author_sort | Yi-Jung Chang |
| collection | DOAJ |
| description | Although ultrasound is often the preferred pediatric imaging modality for the evaluation of intussusception in children, many institutions lack access to ultrasound at night. This study characterized the day- and nighttime use of radiographic imaging for evaluation of intussusception.
Methods: The charts of pediatric patients evaluated for intussusception between January 2010 and December 2010 were reviewed retrospectively to evaluate the day- and nighttime use of radiographic imaging. Patients were stratified into day and night groups according to when the imaging studies were performed, and differences in the clinical characteristics, imaging studies, cost, and final diagnosis were compared.
Results: Pediatric consultations were performed for 86 suspected intussusceptions: 40 (46.5%) during the day [38 (95%) ultrasounds and 33 (82.5%) plain abdominal X-rays] and 46 at night [3 (6.5%) computed tomography and 39 (84.7%) plain abdominal X-rays]. The rate of positive enemas was significantly higher during the day than at night (97.5% vs. 52.2%, p < 0.001). The radiation dose during the initial survey was significantly lower during the day than at night (0.63 ± 0.48 vs. 2.06 ± 1.48 mSv, p < 0.001).
Conclusion: Radiographic imaging at night results in higher radiation exposure and negative enema findings. Twenty-four-hour ultrasound availability would decrease the radiation exposure and unnecessary enemas for intussusceptions suspected clinically. |
| format | Article |
| id | doaj-art-0ea2ada7f0df4fdba704c9bf19611502 |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2013-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-0ea2ada7f0df4fdba704c9bf196115022025-08-20T02:00:37ZengElsevierPediatrics and Neonatology1875-95722013-08-0154423523810.1016/j.pedneo.2013.01.003Evaluating Pediatric Intussusception Using 24-hour UltrasoundYi-Jung Chang0Hsun-Chin Chao1Chao-Jan Wang2Wan-Chak Lo3Dah-Chin Yan4Department of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Tauyuan, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Tauyuan, TaiwanDepartment of Pediatric Radiology, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Tauyuan, TaiwanDepartment of Pediatric Radiology, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Tauyuan, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Tauyuan, TaiwanAlthough ultrasound is often the preferred pediatric imaging modality for the evaluation of intussusception in children, many institutions lack access to ultrasound at night. This study characterized the day- and nighttime use of radiographic imaging for evaluation of intussusception. Methods: The charts of pediatric patients evaluated for intussusception between January 2010 and December 2010 were reviewed retrospectively to evaluate the day- and nighttime use of radiographic imaging. Patients were stratified into day and night groups according to when the imaging studies were performed, and differences in the clinical characteristics, imaging studies, cost, and final diagnosis were compared. Results: Pediatric consultations were performed for 86 suspected intussusceptions: 40 (46.5%) during the day [38 (95%) ultrasounds and 33 (82.5%) plain abdominal X-rays] and 46 at night [3 (6.5%) computed tomography and 39 (84.7%) plain abdominal X-rays]. The rate of positive enemas was significantly higher during the day than at night (97.5% vs. 52.2%, p < 0.001). The radiation dose during the initial survey was significantly lower during the day than at night (0.63 ± 0.48 vs. 2.06 ± 1.48 mSv, p < 0.001). Conclusion: Radiographic imaging at night results in higher radiation exposure and negative enema findings. Twenty-four-hour ultrasound availability would decrease the radiation exposure and unnecessary enemas for intussusceptions suspected clinically.http://www.sciencedirect.com/science/article/pii/S1875957213000041enemaintussusceptionultrasound |
| spellingShingle | Yi-Jung Chang Hsun-Chin Chao Chao-Jan Wang Wan-Chak Lo Dah-Chin Yan Evaluating Pediatric Intussusception Using 24-hour Ultrasound Pediatrics and Neonatology enema intussusception ultrasound |
| title | Evaluating Pediatric Intussusception Using 24-hour Ultrasound |
| title_full | Evaluating Pediatric Intussusception Using 24-hour Ultrasound |
| title_fullStr | Evaluating Pediatric Intussusception Using 24-hour Ultrasound |
| title_full_unstemmed | Evaluating Pediatric Intussusception Using 24-hour Ultrasound |
| title_short | Evaluating Pediatric Intussusception Using 24-hour Ultrasound |
| title_sort | evaluating pediatric intussusception using 24 hour ultrasound |
| topic | enema intussusception ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S1875957213000041 |
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