Nationwide analysis of mortality and hospital readmissions in esophageal atresia
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Read the article on jpedsurg.org ↗Article · Feb 2020 · 1 min read
In brief
In brief
Nationwide study of 3,157 infants with esophageal atresia found 11% mortality at index hospitalization, significantly higher in patients with VACTERL association (19%) and additional congenital anomalies (13%) versus isolated cases (4%). Analysis identifies key risk factors for mortality and readmission in this complex neonatal population.
Written by the GCMD Library team from the article.
Purpose
The purpose of this study is to identify determinants of mortality and hospital readmission in infants born with esophageal atresia ± tracheoesophageal fistula.
Methods
The Nationwide Readmissions Database (2010–2014) was queried for newborns with a diagnosis of esophageal atresia. Outcomes included mortality and readmissions at 30-day and 1-year.
Results
3157 patients were identified, of which 54% were male. 81% had an additional congenital anomaly, and 35% had VACTERL association. Overall mortality at index hospitalization was 11% (n = 360) and was significantly higher with additional congenital anomalies (13%), VACTERL (19%), and Spitz classification II/III (18%) vs. isolated esophageal atresia/tracheoesophageal fistula (4%), all p