Impact of disease-specific volume and hospital transfer on outcomes in gastroschisis
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Oct 2018 · 1 min read
In brief
In brief
Multi-center prospective study of 4,663 newborns with gastroschisis across 159 US hospitals examining the relationship between surgical volume and clinical outcomes. Higher volume centers treated more complex cases but demonstrated lower mortality and shorter hospital stays, with hospital transfer after birth associated with increased complications.
Written by the GCMD Library team from the article.
Background
Gastroschisis, a surgical condition requiring complex interdisciplinary care, may benefit from treatment at higher volume centers. Recent studies on surgical volume and outcomes have conflicting findings.
Methods
Data were collected prospectively on newborns ≥1500 g with gastroschisis born 2009–2015, admitted to 159 US centers, and separated into terciles based on number of annual gastroschisis repairs. Infants transferred after gastroschisis repair were excluded.
Results
There were 4663 infants included: 307 from 53 low, 1201 from 55 medium, and 3155 from 51 high volume centers. Infants at high volume centers had higher rates of intestinal atresia (P = 0.04) and outborn status (P