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Variation in Practice Patterns and Outcomes for Pediatric Patients with Functional Constipation.

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eMediNexus    08 May 2018

A recent study published in the Hospital Pediatrics aimed to evaluate practice patterns and patient outcomes for the hospital management of functional constipation in US childrens hospitals. This was a multicenter, retrospective cohort study of children aged 0-18 years, hospitalized for functional constipation from 2012 to 2014, which utilized the Pediatric Health Information System. Patients were enrolled by using constipation and other related diagnoses as classified by the International Classification of Diseases, Ninth Revision. Outcome measures included percentage of hospitalizations due to functional constipation, therapies used, length of stay, and 90-day readmission rates. The study included of 14,243 hospitalizations, representing 12 804 unique patients. The results showed that the overall percentage of hospitalizations due to functional constipation was 0.65%. A majority (40-96%) of the patients received electrolyte laxatives during their hospitalization, whereas sodium phosphate enema, mineral oil enema and glycerin suppository were among the other treatment choices. The mean length of stay was 1.97 days (range: 1.31-2.73 days) while the mean 90-day readmission rate was 3.78% (range: 0.95%-7.53%). From the results, it was stated that there exists a significant variation in practice patterns and clinical outcomes for pediatric patients hospitalized with functional constipation across US childrens hospitals. Collaborative initiatives to adopt evidence-based best practices guidelines were recommended in order to standardize the hospital management of pediatric functional constipation.

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