Underestimates of Intussusception Rates among US Infants Based on Inpatient Discharge Data: Implications for Monitoring the Safety of Rotavirus Vaccines
Author(s) -
Margaret M. Cortese,
Mary Allen Staat,
Geoffrey A. Weinberg,
Kathryn M. Edwards,
Marilyn A. Rice,
Peter G. Szilagyi,
Caroline Breese Hall,
Daniel C. Payne,
Umesh D. Parashar
Publication year - 2009
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/605055
Subject(s) - medicine , intussusception (medical disorder) , rotavirus vaccine , diagnosis code , emergency department , vaccination , incidence (geometry) , pediatrics , rotavirus , medical record , emergency medicine , hospital discharge , surgery , general surgery , population , diarrhea , environmental health , virology , physics , psychiatry , optics
Because a previous rotavirus vaccine was associated with intussusception, new rotavirus vaccines are monitored postlicensure for any such association. Accurate background intussusception rates are needed to determine whether the number of cases observed after vaccination exceeds that expected by chance. Previously, intussusception rates were obtained from inpatient discharge databases. We sought to determine the rate of intussusception among infants managed only with short-stay or emergency department care.
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