Impact of societal factors and health care delivery systems on gastroschisis outcomes
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In brief
In brief
This review examines how healthcare system factors—including hospital experience, NICU level, care regionalization, and delivery system variations—impact gastroschisis outcomes and resource use. While mortality has improved, significant morbidity persists, with outcome variations linked to these systemic factors rather than the condition alone.
Written by the GCMD Library team from the article.
Publication date: October 2018
Source: Seminars in Pediatric Surgery, Volume 27, Issue 5
Author(s): Jordan S. Taylor, Stephen B. Shew
Abstract
Care of infants with gastroschisis is associated with a significant burden on health care delivery systems. Mortality rates in patients with gastroschisis have significantly improved over the past few decades. However, the condition is still associated with significant short-term and potentially long-term morbidity. Significant variations in clinical outcomes and resource utilization may be explained by several factors including provider and hospital experience, level of neonatal intensive care, variations in hospital regionalization of care, and differences in healthcare delivery systems. Reviewing and assessing these hospital and healthcare system related factors are paramount in addressing variations in gastroschisis care and improving outcomes for these vulnerable infants.