{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:13:26Z","timestamp":1777695206213,"version":"3.51.4"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The aim of this study was to evaluate the effects of a practice guideline of postreduction management of intussusception in children on the length of stay (LOS) from reduction in the pediatric emergency department (PED) and on the incidence of recurrence.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We developed a practice guideline of postreduction management of intussusception in the PED. The practice guideline involved feeding 2 hours after reduction and discharge 2 hours after successful feeding. The guideline was implemented on October 1, 2012. Retrospective quasi-experimental study was conducted for evaluation of the difference in LOS in the PED after reduction of intussusceptions, and the recurrence rate of intussusceptions between the preimplementation and postimplementation periods. Piecewise regression was performed to determine the differences between groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>In total, 45 and 52 patients were included in the preimplementation and postimplementation periods, respectively. The median LOS in the postimplementation period was significantly shorter than that in the preimplementation period (289 vs 532 minutes, respectively; <jats:italic toggle=\"yes\">P =<\/jats:italic> 0.001). The slope of the LOS changed from 0.68 to \u22120.29. The slope decreased by 0.97 after practice guideline implementation. This difference was not statistically significant (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.123), but it changed from a positive to negative gradient. The recurrence rate was not significantly different between the 2 periods (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.605).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Implementation of a practice guideline involving early feeding and discharge after reduction of intussusception resulted in a reduced LOS from reduction of intussusception in the PED and was not associated with recurrence of intussusception.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000001056","type":"journal-article","created":{"date-parts":[[2017,2,18]],"date-time":"2017-02-18T18:40:47Z","timestamp":1487443247000},"page":"533-538","source":"Crossref","is-referenced-by-count":9,"title":["A Practice Guideline for Postreduction Management of Intussusception of Children in the Emergency Department"],"prefix":"10.1097","volume":"35","author":[{"given":"Hyuksool","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Seoul National University Bundang Hospital, Bundang, Seongnam, Gyeonggi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Seoul National University College of Medicine, Seoul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Hee","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hye Ran","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Bundang, Seongnam, Gyeonggi, Republic of Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Ho","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Seoul National University College of Medicine, Seoul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Do Kyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Seoul National University College of Medicine, Seoul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyuseok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Seoul National University Bundang Hospital, Bundang, Seongnam, Gyeonggi"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2017,2,1]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1148\/radiology.183.3.1584919","article-title":"Pneumatic reduction of intussusception: 5-year experience","volume":"183","year":"1992","journal-title":"Radiology"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1016\/0022-3468(93)90153-C","article-title":"Indications for laparotomy after hydrostatic reduction for intussusception","volume":"28","year":"1993","journal-title":"J Pediatr Surg"},{"issue":"6 pt 1","key":"bib3-20230930","first-page":"1302","article-title":"Postreduction management of intussusception in a children\u2019s hospital emergency department","volume":"112","year":"2003","journal-title":"Pediatrics"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/s004310051184","article-title":"Intussusception in infants and children: feasibility of ambulatory management","volume":"158","year":"1999","journal-title":"Eur J Pediatr"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/PEC.0b013e318196ea2d","article-title":"Enema-reduced intussusception management: is hospitalization necessary?","volume":"25","year":"2009","journal-title":"Pediatr Emerg Care"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jemermed.2012.02.030","article-title":"Management of the child after enema-reduced intussusception: hospital or home?","volume":"44","year":"2013","journal-title":"J Emerg Med"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.ajem.2010.08.009","article-title":"Management of childhood intussusception after reduction by enema","volume":"29","year":"2011","journal-title":"Am J Emerg Med"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1542\/peds.50.4.535","article-title":"Management of intussusception in infants and children: a survey based on 288 consecutive cases","volume":"50","year":"1972","journal-title":"Pediatrics"},{"issue":"1b","key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1177\/028418517801901B11","article-title":"Recurrent intussusception. 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