The primary objective of this epidemiological surveillance study was to estimate the incidence of intussusception (IS) associated with hospitalisation in children <1, <2 and <17 years of age in Germany. We analysed primary and secondary ICD-10 discharge diagnoses for IS (K56.1) and procedure codes for desinvagination from 28 paediatric hospitals in Bavaria, Germany, to identify children hospitalised in 2005 or 2006 due to IS. A total of 518 children with an ICD-10 code for IS were reported: 123 (23.7%) of the children were <1 year of age, 267 (51.5%) were 1–3 years old and 128 (24.8%) older than 3 years of age. IS was the primary ICD-10 diagnosis in 382 (74%) children, including 231 (60%) children with a procedure code for desinvagination. In 136 (26%) children, IS was reported as a secondary ICD-10 diagnosis, including 38 (28%) with a desinvagination procedure code. The yearly incidence of IS in children <1 year of age was estimated as 72/100,000 overall and as 43/100,000 for those with an additional procedural code for desinvagination. Patients solely with an ICD-10 code for IS are often suspected cases, based on clinical presentation. The combination of the ICD-10 code for IS and a procedure code for desinvagination provides a more specific and clinically relevant case definition, thereby offering a useful tool for long-term surveillance of the incidence of IS.
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We thank all the participating paediatric hospitals in Bavaria for providing data. We thank A. Köhn and I. Schicker for their organisational support. The study was supported by an unrestricted grant from GlaxoSmithKline Biologicals, Rixensart (Belgium).
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Kohl, L.J., Streng, A., Grote, V. et al. Intussusception-associated hospitalisations in Southern Germany. Eur J Pediatr 169, 1487–1493 (2010). https://doi.org/10.1007/s00431-010-1248-x