Gastroschisis in the United States 1988-2003: Analysis and risk categorization of 4344 patients

F. Abdullah, M. A. Arnold, R. Nabaweesi, A. C. Fischer, Paul Colombani, K. D. Anderson, H. Lau, D. C. Chang

Research output: Contribution to journalArticle

Abstract

Objective: Gastroschisis is a rare congenital abdominal wall defect through which intraabdominal organs herniate and it requires surgical management soon after birth. The objectives of this study were to profile patient characteristics of this anomaly utilizing data from two large national databases and to validate previous risk stratification categories of infants born with this condition. Methods: An analysis was performed using 13 years of the National Inpatient Sample database (1988-1996, 1998, 1999, 2001, 2002) and 3 years of the Kids' Inpatient Database (1997, 2000, 2003). These combined databases contain information from nearly 93 million discharges in the United States. Infants with gastroschisis were identified by International Classification of Disease-9 procedure code 54.71 (repair of gastroschisis) and an age at admission of 2 for categorical outcomes and the Kruskal-Wallis test for non-normally distributed continuous variables. Results: A total of 4344 infants with gastroschisis were identified. These were comprised of 44.0% female infants (n=1910), 46.4% male infants (n=2017) whereas 9.6% were not reported (n=415). Racial analysis showed the largest subset being white in 40.9% of infants (n=1775) with Hispanic infants being the next highest group reported at 17.2% (n=745). Co-existing intestinal anomalies were the most common, affecting 9.9% (n=429) infants, whereas certain cardiac (6.8%, n=294) and pulmonary (1.7%, n=72) conditions were also identified. Simple gastroschisis represented 89.1% (n=3870) of the group whereas 10.9% (n=474) were complex in nature. Simple and complex patients differed in median length of stay (28 vs 67 days, P

Original languageEnglish (US)
Pages (from-to)50-55
Number of pages6
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume27
Issue number1
DOIs
StatePublished - Jan 2007

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Gastroschisis
Databases
Inpatients
Abdominal Wall
International Classification of Diseases
Hispanic Americans
Length of Stay
Parturition
Lung

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

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Gastroschisis in the United States 1988-2003 : Analysis and risk categorization of 4344 patients. / Abdullah, F.; Arnold, M. A.; Nabaweesi, R.; Fischer, A. C.; Colombani, Paul; Anderson, K. D.; Lau, H.; Chang, D. C.

In: Journal of perinatology : official journal of the California Perinatal Association, Vol. 27, No. 1, 01.2007, p. 50-55.

Research output: Contribution to journalArticle

Abdullah, F. ; Arnold, M. A. ; Nabaweesi, R. ; Fischer, A. C. ; Colombani, Paul ; Anderson, K. D. ; Lau, H. ; Chang, D. C. / Gastroschisis in the United States 1988-2003 : Analysis and risk categorization of 4344 patients. In: Journal of perinatology : official journal of the California Perinatal Association. 2007 ; Vol. 27, No. 1. pp. 50-55.
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abstract = "Objective: Gastroschisis is a rare congenital abdominal wall defect through which intraabdominal organs herniate and it requires surgical management soon after birth. The objectives of this study were to profile patient characteristics of this anomaly utilizing data from two large national databases and to validate previous risk stratification categories of infants born with this condition. Methods: An analysis was performed using 13 years of the National Inpatient Sample database (1988-1996, 1998, 1999, 2001, 2002) and 3 years of the Kids' Inpatient Database (1997, 2000, 2003). These combined databases contain information from nearly 93 million discharges in the United States. Infants with gastroschisis were identified by International Classification of Disease-9 procedure code 54.71 (repair of gastroschisis) and an age at admission of 2 for categorical outcomes and the Kruskal-Wallis test for non-normally distributed continuous variables. Results: A total of 4344 infants with gastroschisis were identified. These were comprised of 44.0{\%} female infants (n=1910), 46.4{\%} male infants (n=2017) whereas 9.6{\%} were not reported (n=415). Racial analysis showed the largest subset being white in 40.9{\%} of infants (n=1775) with Hispanic infants being the next highest group reported at 17.2{\%} (n=745). Co-existing intestinal anomalies were the most common, affecting 9.9{\%} (n=429) infants, whereas certain cardiac (6.8{\%}, n=294) and pulmonary (1.7{\%}, n=72) conditions were also identified. Simple gastroschisis represented 89.1{\%} (n=3870) of the group whereas 10.9{\%} (n=474) were complex in nature. Simple and complex patients differed in median length of stay (28 vs 67 days, P",
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AU - Abdullah, F.

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AU - Colombani, Paul

AU - Anderson, K. D.

AU - Lau, H.

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AB - Objective: Gastroschisis is a rare congenital abdominal wall defect through which intraabdominal organs herniate and it requires surgical management soon after birth. The objectives of this study were to profile patient characteristics of this anomaly utilizing data from two large national databases and to validate previous risk stratification categories of infants born with this condition. Methods: An analysis was performed using 13 years of the National Inpatient Sample database (1988-1996, 1998, 1999, 2001, 2002) and 3 years of the Kids' Inpatient Database (1997, 2000, 2003). These combined databases contain information from nearly 93 million discharges in the United States. Infants with gastroschisis were identified by International Classification of Disease-9 procedure code 54.71 (repair of gastroschisis) and an age at admission of 2 for categorical outcomes and the Kruskal-Wallis test for non-normally distributed continuous variables. Results: A total of 4344 infants with gastroschisis were identified. These were comprised of 44.0% female infants (n=1910), 46.4% male infants (n=2017) whereas 9.6% were not reported (n=415). Racial analysis showed the largest subset being white in 40.9% of infants (n=1775) with Hispanic infants being the next highest group reported at 17.2% (n=745). Co-existing intestinal anomalies were the most common, affecting 9.9% (n=429) infants, whereas certain cardiac (6.8%, n=294) and pulmonary (1.7%, n=72) conditions were also identified. Simple gastroschisis represented 89.1% (n=3870) of the group whereas 10.9% (n=474) were complex in nature. Simple and complex patients differed in median length of stay (28 vs 67 days, P

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