Nationwide analysis of mortality and hospital readmissions in esophageal atresia

Space: StayCurrentMD Author: Hallie J. Quiroz, Alexa Turpin, Brent A. Willobee, Anthony Ferrantella, Joshua Parreco, David Lasko, Eduardo A. Perez, Juan E. Sola, Chad M. Thorson Published:

Author / Expert

Hallie J. Quiroz, Alexa Turpin, Brent A. Willobee, Anthony Ferrantella, Joshua Parreco, David Lasko, Eduardo A. Perez, Juan E. Sola, Chad M. Thorson

Topic overview

Abstract

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 

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