Is partial colectomy the operation of choice in pediatric Clostridium difficile colitis?
Purpose This study examined the national trends in incidence and surgical management of pediatric Clostridium difficle colitis (CDC) hospitalizations. Methods This was a cross-sectional Nationwide Inpatient Sample (NIS) analysis of pediatric CDC from 2000 to 2008. Data analysis included patient demo...
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| Veröffentlicht in: | Pediatric surgery international 2012-06, Vol.28 (6), p.603-607 |
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| creator | Lee, Justin Tashjian, David B. Moriarty, Kevin P. |
| description | Purpose
This study examined the national trends in incidence and surgical management of pediatric
Clostridium difficle
colitis (CDC) hospitalizations.
Methods
This was a cross-sectional Nationwide Inpatient Sample (NIS) analysis of pediatric CDC from 2000 to 2008. Data analysis included patient demographics, procedures, length of stay (LOS), total hospital charges (THC), and in-hospital mortality.
Results
During the 9-year study period, the total number of CDC hospitalizations per year increased almost twofold, from 2,513 in 2000 to 4,817 in 2008. The rate per 100,000 discharges followed a similar trend, increasing from 38.08 in 2000 to 72.57 in 2008. Abdominal colectomy was performed in 0.35 %, with partial colectomy performed more often than total colectomy. Mortality, mean LOS, and mean THC were not statistically different between partial versus total colectomy. Children with ulcerative colitis were more likely to undergo total colectomy, (OR 35.700, CI 11.025–115.98,
P
|
| doi_str_mv | 10.1007/s00383-012-3097-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1125237114</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2784868761</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-ef118638afa42b26bb6c3039e42a435936e75c038c23205124090cfc6fd0a9cf3</originalsourceid><addsrcrecordid>eNqFkU1LxDAQhoMouq7-AC8S8OKlOsk0bXMSWfwCwYuCt5JNE420TU3aw_57s6yKCOIpgTzzTmYeQo4YnDGA8jwCYIUZMJ4hyDLDLTJjOZaZrBhukxmwUmaAotoj-zG-AUCFhdwle5yLHAVjM_J8F-mgwuhUS7VvjR59t6Ljq6F-MEGNzvfUW6pfvdOGup4OpnFqDE7TRetjujRu6mjjrHXatWYd4kYXLw7IjlVtNIef55w8XV89Lm6z-4ebu8XlfaZzEGNmLGNVgZWyKudLXiyXhUZAaXKu0hclFqYUOo2pOXIQjOcgQVtd2AaU1Bbn5HSTOwT_Ppk41p2L2rSt6o2fYs0YFxxLlvbyL7reV1WWqeucnPxC3_wU-jRIoqQQkgleJYptKB18jMHYegiuU2GVoHptqN4YqpOhem2oxlRz_Jk8LTvTfFd8KUkA3wAxPfUvJvxs_VfqB9pjmeg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1095591528</pqid></control><display><type>article</type><title>Is partial colectomy the operation of choice in pediatric Clostridium difficile colitis?</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lee, Justin ; Tashjian, David B. ; Moriarty, Kevin P.</creator><creatorcontrib>Lee, Justin ; Tashjian, David B. ; Moriarty, Kevin P.</creatorcontrib><description>Purpose
This study examined the national trends in incidence and surgical management of pediatric
Clostridium difficle
colitis (CDC) hospitalizations.
Methods
This was a cross-sectional Nationwide Inpatient Sample (NIS) analysis of pediatric CDC from 2000 to 2008. Data analysis included patient demographics, procedures, length of stay (LOS), total hospital charges (THC), and in-hospital mortality.
Results
During the 9-year study period, the total number of CDC hospitalizations per year increased almost twofold, from 2,513 in 2000 to 4,817 in 2008. The rate per 100,000 discharges followed a similar trend, increasing from 38.08 in 2000 to 72.57 in 2008. Abdominal colectomy was performed in 0.35 %, with partial colectomy performed more often than total colectomy. Mortality, mean LOS, and mean THC were not statistically different between partial versus total colectomy. Children with ulcerative colitis were more likely to undergo total colectomy, (OR 35.700, CI 11.025–115.98,
P
< 0.001). Infants under the age of 1 year were less likely to undergo total colectomy (OR 0.568, 0.477–0.677,
P
< 0.001).
Conclusion
Pediatric hospitalizations for CDC are on the rise. Partial colectomy is performed more often than total colectomy without statistical compromise of mortality, length of stay, and total hospital charges. Further studies are needed to determine the standard surgical management of pediatric CDC.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-012-3097-3</identifier><identifier>PMID: 22543511</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Child, Preschool ; Clostridium difficile ; Colectomy - methods ; Cross-Sectional Studies ; Enterocolitis, Pseudomembranous - surgery ; Female ; Humans ; Indexing in process ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Retrospective Studies ; Surgery</subject><ispartof>Pediatric surgery international, 2012-06, Vol.28 (6), p.603-607</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-ef118638afa42b26bb6c3039e42a435936e75c038c23205124090cfc6fd0a9cf3</citedby><cites>FETCH-LOGICAL-c405t-ef118638afa42b26bb6c3039e42a435936e75c038c23205124090cfc6fd0a9cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-012-3097-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-012-3097-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22543511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Justin</creatorcontrib><creatorcontrib>Tashjian, David B.</creatorcontrib><creatorcontrib>Moriarty, Kevin P.</creatorcontrib><title>Is partial colectomy the operation of choice in pediatric Clostridium difficile colitis?</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
This study examined the national trends in incidence and surgical management of pediatric
Clostridium difficle
colitis (CDC) hospitalizations.
Methods
This was a cross-sectional Nationwide Inpatient Sample (NIS) analysis of pediatric CDC from 2000 to 2008. Data analysis included patient demographics, procedures, length of stay (LOS), total hospital charges (THC), and in-hospital mortality.
Results
During the 9-year study period, the total number of CDC hospitalizations per year increased almost twofold, from 2,513 in 2000 to 4,817 in 2008. The rate per 100,000 discharges followed a similar trend, increasing from 38.08 in 2000 to 72.57 in 2008. Abdominal colectomy was performed in 0.35 %, with partial colectomy performed more often than total colectomy. Mortality, mean LOS, and mean THC were not statistically different between partial versus total colectomy. Children with ulcerative colitis were more likely to undergo total colectomy, (OR 35.700, CI 11.025–115.98,
P
< 0.001). Infants under the age of 1 year were less likely to undergo total colectomy (OR 0.568, 0.477–0.677,
P
< 0.001).
Conclusion
Pediatric hospitalizations for CDC are on the rise. Partial colectomy is performed more often than total colectomy without statistical compromise of mortality, length of stay, and total hospital charges. Further studies are needed to determine the standard surgical management of pediatric CDC.</description><subject>Child, Preschool</subject><subject>Clostridium difficile</subject><subject>Colectomy - methods</subject><subject>Cross-Sectional Studies</subject><subject>Enterocolitis, Pseudomembranous - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Indexing in process</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1LxDAQhoMouq7-AC8S8OKlOsk0bXMSWfwCwYuCt5JNE420TU3aw_57s6yKCOIpgTzzTmYeQo4YnDGA8jwCYIUZMJ4hyDLDLTJjOZaZrBhukxmwUmaAotoj-zG-AUCFhdwle5yLHAVjM_J8F-mgwuhUS7VvjR59t6Ljq6F-MEGNzvfUW6pfvdOGup4OpnFqDE7TRetjujRu6mjjrHXatWYd4kYXLw7IjlVtNIef55w8XV89Lm6z-4ebu8XlfaZzEGNmLGNVgZWyKudLXiyXhUZAaXKu0hclFqYUOo2pOXIQjOcgQVtd2AaU1Bbn5HSTOwT_Ppk41p2L2rSt6o2fYs0YFxxLlvbyL7reV1WWqeucnPxC3_wU-jRIoqQQkgleJYptKB18jMHYegiuU2GVoHptqN4YqpOhem2oxlRz_Jk8LTvTfFd8KUkA3wAxPfUvJvxs_VfqB9pjmeg</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Lee, Justin</creator><creator>Tashjian, David B.</creator><creator>Moriarty, Kevin P.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>20120601</creationdate><title>Is partial colectomy the operation of choice in pediatric Clostridium difficile colitis?</title><author>Lee, Justin ; Tashjian, David B. ; Moriarty, Kevin P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-ef118638afa42b26bb6c3039e42a435936e75c038c23205124090cfc6fd0a9cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Child, Preschool</topic><topic>Clostridium difficile</topic><topic>Colectomy - methods</topic><topic>Cross-Sectional Studies</topic><topic>Enterocolitis, Pseudomembranous - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Indexing in process</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Justin</creatorcontrib><creatorcontrib>Tashjian, David B.</creatorcontrib><creatorcontrib>Moriarty, Kevin P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Justin</au><au>Tashjian, David B.</au><au>Moriarty, Kevin P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is partial colectomy the operation of choice in pediatric Clostridium difficile colitis?</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>28</volume><issue>6</issue><spage>603</spage><epage>607</epage><pages>603-607</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
This study examined the national trends in incidence and surgical management of pediatric
Clostridium difficle
colitis (CDC) hospitalizations.
Methods
This was a cross-sectional Nationwide Inpatient Sample (NIS) analysis of pediatric CDC from 2000 to 2008. Data analysis included patient demographics, procedures, length of stay (LOS), total hospital charges (THC), and in-hospital mortality.
Results
During the 9-year study period, the total number of CDC hospitalizations per year increased almost twofold, from 2,513 in 2000 to 4,817 in 2008. The rate per 100,000 discharges followed a similar trend, increasing from 38.08 in 2000 to 72.57 in 2008. Abdominal colectomy was performed in 0.35 %, with partial colectomy performed more often than total colectomy. Mortality, mean LOS, and mean THC were not statistically different between partial versus total colectomy. Children with ulcerative colitis were more likely to undergo total colectomy, (OR 35.700, CI 11.025–115.98,
P
< 0.001). Infants under the age of 1 year were less likely to undergo total colectomy (OR 0.568, 0.477–0.677,
P
< 0.001).
Conclusion
Pediatric hospitalizations for CDC are on the rise. Partial colectomy is performed more often than total colectomy without statistical compromise of mortality, length of stay, and total hospital charges. Further studies are needed to determine the standard surgical management of pediatric CDC.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22543511</pmid><doi>10.1007/s00383-012-3097-3</doi><tpages>5</tpages></addata></record> |
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| ispartof | Pediatric surgery international, 2012-06, Vol.28 (6), p.603-607 |
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| language | eng |
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| subjects | Child, Preschool Clostridium difficile Colectomy - methods Cross-Sectional Studies Enterocolitis, Pseudomembranous - surgery Female Humans Indexing in process Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Retrospective Studies Surgery |
| title | Is partial colectomy the operation of choice in pediatric Clostridium difficile colitis? |
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