Outcomes in gastroschisis: expectations in the postnatal period for simple vs complex gastroschisis
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · May 2021 · 1 min read
In brief
In brief
Multi-institutional study of 394 gastroschisis patients reveals complex cases (20%) have significantly worse outcomes than simple cases: 3x longer hospital stays (105 vs 33 days), higher infection rates (31% vs 11%), and 11% mortality vs 0%. Data provides evidence-based benchmarks for prenatal counseling and postnatal care planning.
Written by the GCMD Library team from the article.
Statements in this article
In this cohort, 80% of gastroschisis cases were simple gastroschisis and 20% were complex gastroschisis.
Complex gastroschisis had a median time from birth to closure of 6 days compared to 4.4 days for simple gastroschisis.
Complex gastroschisis had a median time from closure to goal feeds of 69 days compared to 23 days for simple gastroschisis.
Ventilator use occurred in 90% of complex gastroschisis patients compared to 73% of simple gastroschisis patients.
Surgical site infections occurred in 31% of complex gastroschisis patients compared to 11% of simple gastroschisis patients.
Necrotizing enterocolitis occurred in 14% of complex gastroschisis patients compared to 6% of simple gastroschisis patients.
Complex gastroschisis required a median of 71 days of parenteral nutrition compared to 24 days for simple gastroschisis.
Complex gastroschisis had a median length of stay of 104.5 days compared to 33 days for simple gastroschisis.
Mortality was 11% in complex gastroschisis compared to 0% in simple gastroschisis.
Complex gastroschisis has significantly worse in-hospital outcomes than simple gastroschisis.