{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T18:31:50Z","timestamp":1775932310701,"version":"3.50.1"},"reference-count":18,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2001,2,1]]},"abstract":"\n Objective.<\/jats:title>\n To determine whether the risk of operative management of children with intussusception varies by hospital pediatric caseload.<\/jats:p>\n <\/jats:sec>\n \n Design.<\/jats:title>\n A cohort of all children with intussusception in Washington State from 1987 through 1996.<\/jats:p>\n <\/jats:sec>\n \n Setting.<\/jats:title>\n All hospitals in Washington State.<\/jats:p>\n <\/jats:sec>\n \n Methods.<\/jats:title>\n Five hundred seventy children with a hospital discharge diagnosis of intussusception were identified. Sixty-two were excluded because of missing data. Procedure codes for operative management and radiologic management were also identified.<\/jats:p>\n <\/jats:sec>\n \n Results.<\/jats:title>\n Fifty-three percent of the children had operative reduction and 20% had resection of bowel. Children with operative reduction did not differ from those with nonoperative care by median age or gender; however, children with operative care were significantly more likely to receive care in hospitals with smaller pediatric caseloads and to have a coexisting condition associated with intussusception. Sixty-four percent of children who received care in a large children's hospital had nonoperative reduction, compared with 36% of children who received care in hospitals with 0 to 3000 annual pediatric admissions and 24% of children who had care in hospitals with 3000 to 10\u2009000 annual pediatric admissions. Median length of stay and charges were significantly less in the large children's hospital, compared with other centers.<\/jats:p>\n <\/jats:sec>\n \n Conclusions.<\/jats:title>\n Children who received care for intussusception in a large children's hospital had decreased risk of operative care, shorter length of stay, and lower hospital charges compared with children who received care in hospitals with smaller pediatric caseloads.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.107.2.299","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:55:51Z","timestamp":1092441351000},"page":"299-303","source":"Crossref","is-referenced-by-count":88,"title":["Intussusception: Hospital Size and Risk of Surgery"],"prefix":"10.1542","volume":"107","author":[{"given":"Susan L.","family":"Bratton","sequence":"first","affiliation":[{"name":"From the Department of Pediatrics, Oregon Health Sciences University and Doernbecher Children's Hospital, Portland, Oregon; Departments of"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles M.","family":"Haberkern","sequence":"additional","affiliation":[{"name":"Anesthesiology and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John H. T.","family":"Waldhausen","sequence":"additional","affiliation":[{"name":"Surgery, University of Washington and Children's Hospital and Regional Medical Center, Seattle, Washington; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S.","family":"Sawin","sequence":"additional","affiliation":[{"name":"Surgery, University of Washington and Children's Hospital and Regional Medical Center, Seattle, Washington; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice W.","family":"Allison","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Arkansas Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2001,2,1]]},"reference":[{"key":"2021121009495686100_B1","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1148\/radiology.206.3.9494491","article-title":"Intussusception in children: reduction with repeated, delayed air enema.","volume":"206","author":"Gorenstein","year":"1998","journal-title":"Radiology"},{"key":"2021121009495686100_B2","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/0022-3468(86)90040-0","article-title":"Results of air pressure enema reduction of intussusception: 6396 cases in 13 years.","volume":"21","author":"Guo","year":"1986","journal-title":"J Pediatr Surg"},{"key":"2021121009495686100_B3","first-page":"134","article-title":"Intussusception reduction in children by rectal insufflation of air.","volume":"150","author":"Gu","year":"1988","journal-title":"Am J Radiol"},{"key":"2021121009495686100_B4","first-page":"23","article-title":"A continuing quality improvement (CQI) approach to improving the results of treatment in intussusception.","volume":"15","author":"Beasley","year":"1995","journal-title":"J Qual Clin 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