Long-term hospital admissions and surgical treatment of children with congenital abdominal wall defects: a population-based study

被引:0
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作者
Arimatias Raitio
Johanna Syvänen
Asta Tauriainen
Anna Hyvärinen
Ulla Sankilampi
Mika Gissler
Ilkka Helenius
机构
[1] University of Turku and Turku University Hospital,Department of Paediatric Surgery
[2] University of Eastern Finland,Department of Paediatric Surgery
[3] University of Tampere and Tampere University Hospital,Department of Paediatrics
[4] Kuopio University Hospital,Information Services Department
[5] Finnish Institute for Health and Welfare,Department of Neurobiology, Care Sciences and Society
[6] Karolinska Institute,Department of Orthopaedics and Traumatology
[7] University of Helsinki and Helsinki University Hospital,undefined
来源
European Journal of Pediatrics | 2021年 / 180卷
关键词
Congenital abdominal wall defect; Exomphalos; Gastroschisis; Omphalocele; Hospital care;
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学科分类号
摘要
Congenital abdominal wall defects, namely, gastroschisis and omphalocele, are rare congenital malformations with significant morbidity. The long-term burden of these anomalies to families and health care providers has not previously been assessed. We aimed to determine the need for hospital admissions and the requirement for surgery after initial admission at birth. For our analyses, we identified all infants with either gastroschisis (n=178) or omphalocele (n=150) born between Jan 1, 1998, and Dec 31, 2014, in the Register of Congenital Malformations. The data on all hospital admissions and operations performed were acquired from the Finnish Hospital Discharge Register between Jan 1, 1998, and Dec 31, 2015, and compared to data on the whole Finnish pediatric population (0.9 million) live born 1993−2008. Patients with gastroschisis and particularly those with omphalocele required hospital admissions 1.8 to 5.7 times more than the general pediatric population (p<0.0001). Surgical interventions were more common among omphalocele than gastroschisis patients (p=0.013). At the mean follow-up of 8.9 (range 1.0–18.0) years, 29% (51/178) of gastroschisis and 30% (45/150) of omphalocele patients required further abdominal surgery after discharge from the neonatal admission.
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页码:2193 / 2198
页数:5
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