Logistic regression analysis of high-risk factors for neonatal incarcerated hernia with intestinal necrosis.
- Author:
Cheng ZENG
1
;
Lei YU
;
Yu CHEN
;
Hong-Qiang BIAN
;
Kai ZHENG
;
Guo-Gang YE
Author Information
- Publication Type:Journal Article
- MeSH: Female; Hernia, Inguinal; complications; Humans; Infant, Newborn; Intestines; pathology; Logistic Models; Male; Necrosis; Retrospective Studies; Risk Factors
- From: Chinese Journal of Contemporary Pediatrics 2012;14(12):903-905
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the high-risk factors for neonatal incarcerated hernia with intestinal necrosis by logistic regression analysis.
METHODSRetrospective analysis was performed on the clinical data of 131 neonates with incarcerated oblique inguinal hernia containing the intestine. Of the 131 cases, 14 suffered from intestinal necrosis. The high risk factors for neonatal incarcerated hernia with intestinal necrosis were determined by logistic regression analysis.
RESULTSManual reduction after incarceration (>2 times) (χ2 = 69.289, P<0.01), incarceration history (>2 times) (χ2 = 84.731, P<0.01), and mesentery incarceration (χ2 = 80.233, P<0.01) were the high-risk factors for neonatal incarcerated hernia with intestinal necrosis.
CONCLUSIONSIntestinal necrosis tends to occur in neonates with incarcerated hernia who have incarceration or received manual reduction more than twice and suffer from mesentery incarceration. Manual reduction is prohibited for these cases, which should be surgically treated immediately.
