Data for: Pediatric Intussusception in Uganda: Disparities in Management and Outcomes with High-Income Countries

Published: 31-03-2020| Version 1 | DOI: 10.17632/62vrh39j7w.1
Contributors:
Vivian akello,
Maija Cheung,
James Healy,
Gideon kwikiriza,
David Grabski,
Nasser Kakembo,
Doruk Ozgediz,
John Sekabira

Description

All children who present to the emergency department with intestinal obstruction were evaluated for enrollment into the study. Parental consent and/or assent (in children 8 years and above) was sought when the patients have signs and symptoms suggestive of intussusception. A pre tested questionnaire was then issued to collect the relevant data. History was taken from the mothers and the children who were old enough to answer the questions and a thorough exam of the child was done. Clinical examination was done. The necessary laboratory and radiological investigations where then requested. Surgery was done by the Senior House Officer on call and supervised by the consultant on call however the lead investigator would endeavor to attend all surgeries. The patient would only leave the study if exploratory laparotomy findings were not suggestive of intussusception. The diagnosis was confirmed after exploratory laparotomy. A pretested questioner was used to collect the following data; • bio data: age, date of birth, sex, weight, tribal affiliation, distance from hospital, primary care giver and phone contact • prodromal events; history of rotavirus vaccine in last 2 weeks, history of recent blunt abdominal trauma, history of recent abdominal operation, history of recent or current respiratory or gastrointestinal infection. • Symptoms; abdominal pain, vomiting, red currant stools, fevers and any other symptoms with duration of occurrence of each. • Signs of dehydration, fevers, abdominal distention, palpable abdominal mass, mass per rectum, blood stained mucoid discharge on rectal examination. • Post operatively; type of surgery done, post-operative complications that developed, length of hospital stay and whether patient improved or died. Daily ward follow up was done on the ward to inspect for features suggestive of possible recurrences. However if discharge occurs before 14 days elapse from the time of surgery then phone calls were made every weekly to monitor for development of recurrences of intussusception. Data will be entered using Epidata version 3.1, double data entry will be employed. Written programs will be used to do range, consistency and validation checks. Data entered will then be exported to STATA Version 12.1 and a descriptive analysis will be done. Participant characteristics will be presented depending on the nature of the data. Bivariate analysis will be performed to asses the effectt of each independent variable on the outcome variable in a logistic regression model. Associations with p values less than 0.05 will be considered significant. All independent variables with a p value of less than 0.2 will be considered for multivariate analysis.

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