Document Detail


Pediatric barium enema examination: optimizing patient selection with univariate and multivariate analyses.
MedLine Citation:
PMID:  7800455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We prospectively evaluated a total of nineteen symptoms, signs, and laboratory findings in 471 of 557 consecutive pediatric patients (from newborn to age 17) referred for barium enema examinations, to determine predictors of an abnormal study. A univariate analysis was performed, and a logistic regression model was developed. The most frequent indicators for the barium enema examinations were abdominal pain (48%), constipation (27%) and tenderness (25%). Twenty-two percent of the examinations were abnormal, and the most common diagnoses were intussusception (n = 22), appendicitis (n = 17), infectious colitis (n = 15), and Hirschsprung disease (n = 14). The indicators that were most helpful to predict a barium enema abnormality were abdominal mass, leukocytosis, guaiac-positive stools, diarrhea, anemia, tenderness, and age less than 1 year. If barium enema examinations were performed only when at least one of the predictive indicators was present, 29% of examinations would be eliminated, and 4.8% of patients with detectable disease would be missed. The data indicate that identification of certain clinical variables can provide an effective initial strategy for selecting patients to undergo barium enema examinations.
Authors:
R Y Kanterman; M J Siegel; J E Rossiter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric radiology     Volume:  24     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  1994  
Date Detail:
Created Date:  1995-01-26     Completed Date:  1995-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  288-92     Citation Subset:  IM    
Affiliation:
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / radiography
Adolescent
Analysis of Variance
Barium Sulfate / diagnostic use*
Child
Child, Preschool
Enema*
Humans
Infant
Infant, Newborn
Logistic Models
Multivariate Analysis
Patient Selection*
Retrospective Studies
Chemical
Reg. No./Substance:
7727-43-7/Barium Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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