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Outcomes in gastroschisis: expectations in the postnatal period for simple vs complex gastroschisis
- Source :
- Journal of perinatology : official journal of the California Perinatal Association. 41(7)
- Publication Year :
- 2020
-
Abstract
- To provide generalizable estimates for expected outcomes of simple gastroschisis (SG) and complex gastroschisis (CG) patients from a large multi-institutional cohort for use during counseling. A retrospective study of 394 neonates with gastroschisis at 11 children’s hospitals from January 2013 to March 2017 was performed. Analysis by Fisher’s exact tests and Wilcoxon rank sum tests were performed. Outcomes of complex and simple gastroschisis are reported. There were 315 (80%) SG and 79 (20%) CG. CG had increased time from birth to closure (6 vs 4.4 days), closure to goal feeds (69 vs 23 days), ventilator use (90% vs 73%), SSIs (31% vs 11%), NEC (14% vs 6%), PN use (71 vs 24 days), LOS (104.5 vs 33 days), and mortality (11% vs 0%). This study provides generalizable estimates for expected outcomes of patients with both SG and CG that can be utilized during counseling. CG has significantly worse in-hospital outcomes.
- Subjects :
- Gastroschisis
medicine.medical_specialty
Motivation
Obstetrics
business.industry
Infant, Newborn
Obstetrics and Gynecology
Retrospective cohort study
Length of Stay
medicine.disease
Hospitals, Pediatric
Statistics, Nonparametric
03 medical and health sciences
0302 clinical medicine
Treatment Outcome
030225 pediatrics
Pediatrics, Perinatology and Child Health
Cohort
medicine
Humans
030212 general & internal medicine
business
Retrospective Studies
Subjects
Details
- ISSN :
- 14765543
- Volume :
- 41
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of perinatology : official journal of the California Perinatal Association
- Accession number :
- edsair.doi.dedup.....6ffe488b69baf4712a5e5e9fdb1d29f0