Risk stratification and outcome determinants in gastroschisis
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In brief
In brief
This review examines prognostic factors and risk stratification tools for gastroschisis outcomes, including prenatal ultrasound findings, delivery timing and mode, and bowel injury patterns. The article synthesizes current evidence to help clinicians identify high-risk patients, allocate resources effectively, and counsel families.
Written by the GCMD Library team from the article.
Publication date: October 2018
Source: Seminars in Pediatric Surgery, Volume 27, Issue 5
Author(s): Hussein Wissanji, Pramod S. Puligandla
Abstract
Selection of outcome determinants and risk stratification are necessary to identify patients at higher risk for morbidity and mortality. This facilitates human and material resource allocation and allows for improved family counseling. While several different factors, including prenatal ultrasonographic bowel features, the timing and mode of delivery, and the features of bowel injury have been investigated in gastroschisis, there is still significant debate as to which of these best predicts outcome. This article reviews the different outcome predictors and risk prognostication schemata currently available in the literature to help guide clinicians caring for infants with gastroschisis.