Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience

Ruqaiyah Al Rahbi; Al Ghalya Al Maawali; Mohammed Al Sajwani; Thuraiya Al Harthi; Taif Al Amri; Said Al Harthi; Fathiya Al Busaidi; Yousuf Al Mamari; Kaouthar Al Siyabi; Noor Fahad; Khalil Saltoun

doi:10.24911/IJMDC.51-1736719947

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Original Article
Online Published: 21 Jan 2025

IJMDC. 2025; 9(3): 603-609

doi: 10.24911/IJMDC.51-1736719947

Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience

Ruqaiyah Al Rahbi, Al Ghalya Al Maawali, Mohammed Al Sajwani, Thuraiya Al Harthi, Taif Al Amri, Said Al Harthi, Fathiya Al Busaidi, Yousuf Al Mamari, Kaouthar Al Siyabi, Noor Fahad, Khalil Saltoun.

Abstract
Objective: This study aimed to investigate the disease profile in pediatric patients with intussusception and determine surgical intervention predictors.
Methods: This retrospective study analyzed 375 pediatric patients with intussusception over 10 years (January 2012 to December 2022). Patients with peritoneal findings on clinical examination, no attempts at pneumatic reduction, and those who declined treatment were excluded. The descriptive analysis identified patient characteristics and outcomes, whereas multivariable logistic regression determined factors contributing to surgical intervention.
Results: Of 375 cases, 312 cases (83%) achieved successful reduction, 2 (0.005%) experienced complications with perforation during pneumatic reduction, and 12 (3%) had recurrence. Surgical intervention was required in 63 cases (17%), with a pathological lead point identified in five cases (8%). Key factors associated with pneumatic reduction failure included age >3 years (p-value = 0.04), blood in the stool (p-value = 0.001), and the presence of an abdominal lump (p-value = 0.045). The number of attempts at pneumatic reduction was a strong predictive factor for surgical intervention, with an odds ratio of 27.39 (95% CI 10.66-70.42, p-value < 0.001) for two attempts and 49.81 (95% CI 20.03-123.85, p-value < 0.001) for three or more attempts, compared to patients with one attempt.
Conclusion: The results align with internationally published literature regarding success rates and the low risk of surgical intervention associated with pneumatic reduction. Repetitive pneumatic reduction should be approached with caution, and early surgical intervention should be considered in the presence of predictive factors.

Key words: Pediatric intussusception, pneumatic reduction, failure, outcomes, perforation

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Pubmed Style

Rahbi RA, Maawali AGA, Sajwani MA, Harthi TA, Amri TA, Harthi SA, Busaidi FA, Mamari YA, Siyabi KA, Fahad N, Saltoun K. Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. IJMDC. 2025; 9(3): 603-609. doi:10.24911/IJMDC.51-1736719947

Web Style

Rahbi RA, Maawali AGA, Sajwani MA, Harthi TA, Amri TA, Harthi SA, Busaidi FA, Mamari YA, Siyabi KA, Fahad N, Saltoun K. Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. https://www.ijmdc.com/?mno=237386 [Access: May 14, 2025]. doi:10.24911/IJMDC.51-1736719947

AMA (American Medical Association) Style

Rahbi RA, Maawali AGA, Sajwani MA, Harthi TA, Amri TA, Harthi SA, Busaidi FA, Mamari YA, Siyabi KA, Fahad N, Saltoun K. Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. IJMDC. 2025; 9(3): 603-609. doi:10.24911/IJMDC.51-1736719947

Vancouver/ICMJE Style

Rahbi RA, Maawali AGA, Sajwani MA, Harthi TA, Amri TA, Harthi SA, Busaidi FA, Mamari YA, Siyabi KA, Fahad N, Saltoun K. Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. IJMDC. (2025), [cited May 14, 2025]; 9(3): 603-609. doi:10.24911/IJMDC.51-1736719947

Harvard Style

Rahbi, R. A., Maawali, . A. G. A., Sajwani, . M. A., Harthi, . T. A., Amri, . T. A., Harthi, . S. A., Busaidi, . F. A., Mamari, . Y. A., Siyabi, . K. A., Fahad, . N. & Saltoun, . K. (2025) Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. IJMDC, 9 (3), 603-609. doi:10.24911/IJMDC.51-1736719947

Turabian Style

Rahbi, Ruqaiyah Al, Al Ghalya Al Maawali, Mohammed Al Sajwani, Thuraiya Al Harthi, Taif Al Amri, Said Al Harthi, Fathiya Al Busaidi, Yousuf Al Mamari, Kaouthar Al Siyabi, Noor Fahad, and Khalil Saltoun. 2025. Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. International Journal of Medicine in Developing Countries, 9 (3), 603-609. doi:10.24911/IJMDC.51-1736719947

Chicago Style

Rahbi, Ruqaiyah Al, Al Ghalya Al Maawali, Mohammed Al Sajwani, Thuraiya Al Harthi, Taif Al Amri, Said Al Harthi, Fathiya Al Busaidi, Yousuf Al Mamari, Kaouthar Al Siyabi, Noor Fahad, and Khalil Saltoun. "Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience." International Journal of Medicine in Developing Countries 9 (2025), 603-609. doi:10.24911/IJMDC.51-1736719947

MLA (The Modern Language Association) Style

Rahbi, Ruqaiyah Al, Al Ghalya Al Maawali, Mohammed Al Sajwani, Thuraiya Al Harthi, Taif Al Amri, Said Al Harthi, Fathiya Al Busaidi, Yousuf Al Mamari, Kaouthar Al Siyabi, Noor Fahad, and Khalil Saltoun. "Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience." International Journal of Medicine in Developing Countries 9.3 (2025), 603-609. Print. doi:10.24911/IJMDC.51-1736719947

APA (American Psychological Association) Style

Rahbi, R. A., Maawali, . A. G. A., Sajwani, . M. A., Harthi, . T. A., Amri, . T. A., Harthi, . S. A., Busaidi, . F. A., Mamari, . Y. A., Siyabi, . K. A., Fahad, . N. & Saltoun, . K. (2025) Clinical outcomes and key factors associated with pneumatic reduction failure: a retrospective single-center experience. International Journal of Medicine in Developing Countries, 9 (3), 603-609. doi:10.24911/IJMDC.51-1736719947

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