Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis
To study the influence of clinical audit on diagnosis, complications, and factors contributing to hospitalization of patients with infantile hypertrophic pyloric stenosis. Study Design: Retrospective cohort study. Method: There were 214 patients from 1991 to 2004 from three medical centers in Kaohsi...
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2011-08-01
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doaj-ff5b76b4b4114d79a49cc65b8fd74cf02020-11-24T22:53:44ZengElsevierPediatrics and Neonatology1875-95722011-08-0152420320710.1016/j.pedneo.2011.05.004Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric StenosisKuo-Shu Tang0I-Fei Huang1Hsiang-Hung Shih2Ying-Hsien Huang3Chi-Hung Wu4Chung-Ching Lu5Fu-Chen Huang6Mao-Meng Tiao7Chi-Di Liang8Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanKaohsiung Veterans General Hospital, Kaohsiung, TaiwanKaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanChang Gung Memorial Hospital, Chiayi, TaiwanFooyin University Hospital, Pingtung, TaiwanDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanTo study the influence of clinical audit on diagnosis, complications, and factors contributing to hospitalization of patients with infantile hypertrophic pyloric stenosis. Study Design: Retrospective cohort study. Method: There were 214 patients from 1991 to 2004 from three medical centers in Kaohsiung. Data were analyzed with respect to diagnostic methods, complications, and factors requiring patient hospitalization. Results: The ratio of male to female was 4.8:1 (177 males and 37 females). The diagnoses before admission were as follows: 22% had milk intolerance and 14.5% had esophageal reflux. There was a significant increase in the use of sonogram diagnostic test (p=0.005) and a decrease in the incidence of diagnosis by olive mass palpation but not by barium meal test. Surgery time of 48 hours after admission was significant with barium meal examination and related to longer hospital stay (p<0.001). Weight gain less than 800 g before admission (n=125) was related to longer hospital stay (p=0.026). Conclusion: The diagnostic method was changed from olive mass palpation to sonogram. Weight gain less than 800 g before admission and surgery time of 48 hours after admission were related to longer hospital stay.http://www.sciencedirect.com/science/article/pii/S1875957211000659barium enemaIHPSultrasonographyvomiting |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kuo-Shu Tang I-Fei Huang Hsiang-Hung Shih Ying-Hsien Huang Chi-Hung Wu Chung-Ching Lu Fu-Chen Huang Mao-Meng Tiao Chi-Di Liang |
spellingShingle |
Kuo-Shu Tang I-Fei Huang Hsiang-Hung Shih Ying-Hsien Huang Chi-Hung Wu Chung-Ching Lu Fu-Chen Huang Mao-Meng Tiao Chi-Di Liang Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis Pediatrics and Neonatology barium enema IHPS ultrasonography vomiting |
author_facet |
Kuo-Shu Tang I-Fei Huang Hsiang-Hung Shih Ying-Hsien Huang Chi-Hung Wu Chung-Ching Lu Fu-Chen Huang Mao-Meng Tiao Chi-Di Liang |
author_sort |
Kuo-Shu Tang |
title |
Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis |
title_short |
Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis |
title_full |
Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis |
title_fullStr |
Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis |
title_full_unstemmed |
Factors Contributing to Prolonged Hospitalization of Patients With Infantile Hypertrophic Pyloric Stenosis |
title_sort |
factors contributing to prolonged hospitalization of patients with infantile hypertrophic pyloric stenosis |
publisher |
Elsevier |
series |
Pediatrics and Neonatology |
issn |
1875-9572 |
publishDate |
2011-08-01 |
description |
To study the influence of clinical audit on diagnosis, complications, and factors contributing to hospitalization of patients with infantile hypertrophic pyloric stenosis.
Study Design: Retrospective cohort study.
Method: There were 214 patients from 1991 to 2004 from three medical centers in Kaohsiung. Data were analyzed with respect to diagnostic methods, complications, and factors requiring patient hospitalization.
Results: The ratio of male to female was 4.8:1 (177 males and 37 females). The diagnoses before admission were as follows: 22% had milk intolerance and 14.5% had esophageal reflux. There was a significant increase in the use of sonogram diagnostic test (p=0.005) and a decrease in the incidence of diagnosis by olive mass palpation but not by barium meal test. Surgery time of 48 hours after admission was significant with barium meal examination and related to longer hospital stay (p<0.001). Weight gain less than 800 g before admission (n=125) was related to longer hospital stay (p=0.026).
Conclusion: The diagnostic method was changed from olive mass palpation to sonogram. Weight gain less than 800 g before admission and surgery time of 48 hours after admission were related to longer hospital stay. |
topic |
barium enema IHPS ultrasonography vomiting |
url |
http://www.sciencedirect.com/science/article/pii/S1875957211000659 |
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