{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T20:52:34Z","timestamp":1790196754728,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,12,29]],"date-time":"2019-12-29T00:00:00Z","timestamp":1577577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pediatric intestinal pseudo\u2010obstruction is a rare disorder affecting gastrointestinal motility leading to chronic symptoms and hospitalizations. There is limited understanding of the epidemiology and healthcare burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from Kids' Inpatient Database from 2016, which includes inpatient discharge records from US hospitals. ICD\u201010 codes were used to identify patients 0\u201018\u00a0years with pediatric intestinal pseudo\u2010obstruction and comorbid conditions. Multivariable logistic regression and Wilcoxon rank\u2010sum test were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2016, there were 1671 inpatient discharges from US hospitals for patients 0\u201018\u00a0years of age with this diagnosis. The incidence of inpatient admission was 29\/100\u00a0000 patients. After controlling for age, race, income status, and insurance, males vs females (adjusted odds ratio, aOR: 1.10; 95% CI: 0.94\u20101.28; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.241) and caucasians vs other races (aOR: 1.55; 95% CI: 1.27\u20101.88; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) were more likely to be admitted. Inpatient admissions incurred significant healthcare burden; median (inter quartile range IQR) cost of hospitalization of US$ 52\u00a0079 (US$ 23\u00a0530\u2010120\u00a0961) and a median (IQR) length of stay of 6\u00a0days (3\u201014\u00a0days). Gastrostomy (32%) and ileostomy (12.6%) status appeared to incur lower healthcare burden. Parenteral nutrition, malnutrition, and central line\/bloodstream infections resulted in higher healthcare burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pediatric intestinal pseudo\u2010obstruction is a rare diagnosis with a high incidence of inpatient admissions and healthcare burden. An aggressive multidisciplinary management is crucial in reducing inpatient admissions in this cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.13781","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T07:26:45Z","timestamp":1577690805000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Epidemiology and healthcare utilization of inpatient admissions in children with pediatric intestinal pseudo\u2010obstruction"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4066-5106","authenticated-orcid":false,"given":"Suruchi","family":"Batra","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheikh","family":"Rahman","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Sohel","family":"Rana","sequence":"additional","affiliation":[{"name":"Joseph E. Robert Jr. Center for Surgical Care Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sravan","family":"Matta","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Darbari","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001982"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000486"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i33.9683"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-0682"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-0492"},{"key":"e_1_2_9_7_1","unstructured":"KID Overview. (2018 September 17). Retrieved January 22 2019 fromOverview of the Kids' Inpatient Datbaase(KID):https:\/\/www.hcup-us.ahrq.gov\/kidoverview.jsp"},{"key":"e_1_2_9_8_1","unstructured":"Overview of HCUP. (2018 January 26). 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