Adherence to and Outcomes of a University-Consortium Gastroschisis Pathway
Author / Expert
Daniel A. DeUgarte, Kara L. Calkins, Yigit Guner, Jae Kim, Karen Kling, Katelin Kramer, Hanmin Lee, Leslie Lusk, Payam Saadai, Cherry Uy, Catherine Rottkamp, University of California Fetal Consortium
Topic overview
Abstract
Background
Our multi-institutional university consortium implemented a gastroschisis pathway in 2015 to standardize and improve care by promoting avoidance of routine intubation and paralysis during silo placement, expeditious abdominal wall closure, discontinuation of antibiotics/narcotics within 48 h of closure, and early initiation/advancement of feeds.
Methods
Adherence to the gastroschisis pathway was prospectively monitored. Outcomes for the contemporary cohort (2015–2018) were compared with a historical cohort (2007–2012).
Results
Good adherence to the pathway was observed for 70 cases of inborn uncomplicated gastroschisis. The contemporary cohort had significantly lower median mechanical ventilator days (2 versus 5; p
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