Impact of Parental Illness and Injury on Pediatric Disorders of Gut-Brain Interaction.
J Pediatr
; 236: 148-156.e3, 2021 Sep.
Article
em En
| MEDLINE
| ID: mdl-33991543
ABSTRACT
OBJECTIVE:
To evaluate the relationship between parental injury and illness and disorders of gut-brain interaction (DGBI) in children. STUDYDESIGN:
A self-controlled case series using data from the Military Health System Data Repository compared International Classification of Diseases, Ninth Revision-identified DGBI-related outpatient visits and prescriptions in 442 651 children aged 3-16 years in the 2 years before and the 2 years after the injury and/or illness of their military parent. Negative binomial regression was used to compare visit rates for constipation, fecal incontinence, abdominal pain, irritable bowel syndrome, and a composite of these before and after parental injury and/or illness. Logistic regression, clustered by child, compared the odds of stooling agent and antispasmodic prescription before and after parental injury and/or illness.RESULTS:
In the 2 years following parental injury and/or illness, children had increased visits for DGBIs (adjusted incidence rate ratio [aIRR] 1.09; 95% CI 1.07-1.10), constipation (aIRR 1.07; 95% CI 1.04-1.10), abdominal pain (aIRR 1.09; 95% CI 1.07-1.12), and irritable bowel syndrome (aIRR 1.37; 95% CI 1.19-1.58). Following parental injury and/or illness, the odds of stooling agent prescription decreased (aOR 0.95; 95% CI 0.93-0.97) and the odds of antispasmodic prescription increased (aOR 1.26; 95% CI 1.18-1.36).CONCLUSIONS:
Parental injury and/or illness is associated with increased healthcare use for DGBIs. Parental health should be considered by clinicians when assessing DGBIs, counseling patients, and formulating treatment plans.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Pais
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Dor Abdominal
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Saúde da Família
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Constipação Intestinal
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Síndrome do Intestino Irritável
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Incontinência Fecal
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article