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Factors contributing to prolonged hospitalization of patients with infantile hypertrophic pyloric stenosis.
MedLine Citation:
PMID:  21835365     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: 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 800g 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 800g before admission and surgery time of 48 hours after admission were related to longer hospital stay.
Authors:
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
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Publication Detail:
Type:  Journal Article     Date:  2011-07-12
Journal Detail:
Title:  Pediatrics and neonatology     Volume:  52     ISSN:  1875-9572     ISO Abbreviation:  Pediatr Neonatol     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101484755     Medline TA:  Pediatr Neonatol     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  203-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2011. Published by Elsevier B.V.
Affiliation:
Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
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