Pregled bibliografske jedinice broj: 1160899
Initial Diagnosis of Functional Gastrointestinal Disorders in Children Increases a Chance for Resolution of Symptoms
Initial Diagnosis of Functional Gastrointestinal Disorders in Children Increases a Chance for Resolution of Symptoms // Pediatric Gastroenterology, Hepatology & Nutrition, 21 (2018), 4; 264-270 doi:10.5223/pghn.2018.21.4.264 (međunarodna recenzija, članak, znanstveni)
CROSBI ID: 1160899 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Initial Diagnosis of Functional Gastrointestinal
Disorders in Children Increases a Chance for
Resolution of Symptoms
Autori
Trivić, Ivana ; Hojsak, Iva
Izvornik
Pediatric Gastroenterology, Hepatology & Nutrition (2234-8646) 21
(2018), 4;
264-270
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
Abdominal pain ; Child ; Constipation ; Dyspepsia
(Abdominal pain ; Child ; Constipation ; Dyspepsia.)
Sažetak
Purpose: The aim of this study was to describe functional gastrointestinal disorders (FGID) presented in a tertiary medical center, characteristics of patients and results of the diagnostic work-up together with an outcome during the follow up. Methods: This was a retrospective, single center, observational study including all patients who were diagnosed with FGID based on Rome III criteria from January to December 2015 in tertiary medical center. Results: Overall 294 children were included (mean age, 8.9 years [range, 1-18 years] ; 165 females). Majority had functional constipation (35.4%), followed by functional abdominal pain (30.6%), irritable bowel syndrome (17.0%), functional dyspepsia (12.6%), functional nausea (3.4%) and abdominal migraine (1.0%). Regression model found that only significant factor associated with improvement of symptoms is the establishment of the functional diagnosis at the first visit (hazard ratio, 2.163 ; 95% confidence inverval, 1.029-4.544). There was no association between improvement of symptoms and presence of alarm signs/symptoms (weight loss, nocturnal symptoms and severe vomiting) at diagnosis. Furthermore, in pain symptoms (functional abdominal pain, irritable bowel syndrome, dyspepsia) no treatment positively correlated with pain improvement. Conclusion: Regardless of the initial diagnosis of FGID, positive diagnosis at the first visit increases a chance for resolution of symptoms.
Izvorni jezik
Engleski
Znanstvena područja
Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)
POVEZANOST RADA
Ustanove:
Medicinski fakultet, Zagreb,
Klinika za dječje bolesti
