Intussusception in Early Childhood: A Cohort Study of 1.7 Million Children

Author:

Kølsen Fischer Thea1,Bihrmann Kristine2,Perch Michael3,Koch Anders2,Wohlfahrt Jan2,Kåre Mølbak4,Melbye Mads2

Affiliation:

1. Division of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

2. Departments of Epidemiology Research

3. Department of Internal Medicine, Amager University Hospital, Copenhagen, Denmark

4. Epidemiology, Statens Serum Institut

Abstract

Objective. To describe incidence and temporal trends of intussusceptions in Danish children during 1980 to 2001. Methods. A population-based cohort study was conducted of 1.67 million children who were younger than 5 years during 1980 to 2001 and were followed up for 6.66 million person-years. The Danish National Patient Registry was used to identify cases of intussusception in the cohort. Age-specific incidence rates were main outcome measure. Results. A total of 1814 cases of intussusception among children who were younger than 5 years were reported from 1980 to 2001. The incidence rate remained fairly constant during 1980 to 1990 but decreased by 55% (95% confidence interval: 43%–65%) from 1990 to 2001. The reduction was most pronounced among children aged 3 to 5 months. Conclusions. The incidence of intussusception among Danish children declined significantly during the 1990s, particularly among infants 3 to 5 months of age.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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