지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제21권 제3호
- 발행연도
- 2018.1
- 수록면
- 196 - 202 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Treatment of chronic constipation and fecal impaction is usually outpatient and requires high or frequent doses of laxatives. However, there are children who fail outpatient treatments, sometimes repeatedly, and are ulti-mately hospitalized. We sought to compare the characteristics of the children who failed outpatient treatment and needed inpatient treatment vs those who achieved success with outpatient treatment, in an effort to identify attributes that might be associated with a higher likelihood towards hospitalization.Methods: In this retrospective cohort study, we reviewed the medical records of all patients aged 0 to 21 years, with chronic functional constipation and fecal impaction seen in the pediatric gastroenterology clinic over a period of 2 years. Results: Total of 188 patients met inclusion criteria. While 69.2% were successfully treated outpatient (referred to as the outpatient group), 30.9% failed outpatient treatment and were hospitalized (referred to as the inpatient group). The characteristics of the inpatient group including age at onset of 3.6±3.6 years (p=0.02); black ethnicity (odds ratio [OR] 4.31, 95% confidence interval [95% CI] 2.04-9.09); p＜0.001); prematurity (OR 2.39, 95% CI 1.09-5.26; p=0.02]; developmental delay (OR 2.20, 95% CI 1.12-4.33; p=0.02); overflow incontinence (OR 2.26, 95% CI 1.12-4.53, p=0.02); picky eating habits (OR 2.02, 95% CI 1.00-4.08; p=0.04); number of ROME III criteria met: median 4, interquartile range 3-5 (p=0.04) and 13±13.7 constipation related prior encounters (p=0.001), were significantly different from the outpatient group. Conclusion: Identification of these characteristics may be helpful in anticipating challenges and potential barriers to effective outpatient treatment.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
van den Berg MM / 2006 / Epidemiology of childhood constipation: a systematic review / Am J Gastroenterol 101:2401~2409
Wald ER / 2009 / Bowel habits and toilet training in a diverse population of children / J Pediatr Gastroenterol Nutr 48:294~298
Chitkara DK / 2007 / Incidence of presentation of common functional gastrointestinal disorders in children from birth to 5 years: a cohort study / Clin Gastroenterol Hepatol 5:186~191
Tabbers MM / 2014 / Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN / J Pediatr Gastroenterol Nutr 58:258~274
Benninga M / 2005 / The Paris Consensus on Childhood Constipation Terminology (PACCT) Group / J Pediatr Gastroenterol Nutr 40:273~275
Wald ER / 2009 / Bowel habits and toilet training in a diverse population of children / J Pediatr Gastroenterol Nutr 48:294~298
Chitkara DK / 2007 / Incidence of presentation of common functional gastrointestinal disorders in children from birth to 5 years: a cohort study / Clin Gastroenterol Hepatol 5:186~191
Tabbers MM / 2014 / Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN / J Pediatr Gastroenterol Nutr 58:258~274
Benninga M / 2005 / The Paris Consensus on Childhood Constipation Terminology (PACCT) Group / J Pediatr Gastroenterol Nutr 40:273~275
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