کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4293512 1612260 2012 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Younger Boys Have a Higher Risk of Inguinal Hernia after Ventriculo-Peritoneal Shunt: A 13-Year Nationwide Cohort Study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Younger Boys Have a Higher Risk of Inguinal Hernia after Ventriculo-Peritoneal Shunt: A 13-Year Nationwide Cohort Study
چکیده انگلیسی

BackgroundFew studies associate ventriculo-peritoneal shunt (VPS) in children with higher incidence of inguinal hernia (IH). These institutional-based data have small numbers and provided little information about the effects of age and sex. This study aims to examine the incidences and risk factors of IH in children with hydrocephalus treated with VPS.Study DesignUsing a 13-year nationwide database, a cohort of 1,568 children younger than 5 years of age who received VPS were followed up for IH. Of these, 194 received IH repair. Kaplan-Meier analysis and Cox regression were conducted.ResultsOverall incidence of IH after VPS in children younger than 5 years old was 22.9 per 1,000 person-years. The average follow-up time was 5.41 years, and the mean time interval between VPS and IH repair was 1.14 years. Age-specific incidences were 45.0, 21.3, 18.5, and 4.1 per 1000 person-years for neonates, infants, toddlers, and preschool children, respectively. Compared with preschool children, neonates, infants, and toddlers, were more likely to have IH (crude hazard ratio = 9.8, 5.3, and 4.4; p < 0.001, p = 0.001, and p = 0.006, respectively). Sex and age were significantly different in children with and without IH (both, p < 0.001). Differences of cumulative incidence rates in the 4 age groups were significant in both male and female patients (p < 0.001 and p = 0.023, respectively).ConclusionsThe patient's age on VPS surgery significantly affects the likelihood of subsequent IH development. IH is more likely to develop in neonates after VPS than in infants, toddlers, and preschool-aged children. This age-related effect is more prominent in boys than in girls.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American College of Surgeons - Volume 214, Issue 5, May 2012, Pages 845–851
نویسندگان
, , , , , , , ,