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Related Experiment Videos

Gastroschisis: small hole, big cost.

R M Sydorak1, A Nijagal, L Sbragia

  • 1Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco, CA, USA.

Journal of Pediatric Surgery
|December 17, 2002
PubMed
Summary

The treatment of gastroschisis is costly, averaging $123,200 per patient. Reducing hospital stay and complications is key to lowering costs for this congenital condition.

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Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Health Economics

Background:

  • Gastroschisis is a congenital abdominal wall defect.
  • Effective management strategies are crucial for patient outcomes.

Purpose of the Study:

  • To assess the outcomes of gastroschisis treatment.
  • To determine the financial costs associated with gastroschisis care.

Main Methods:

  • Retrospective analysis of 69 gastroschisis patients over 10 years.
  • Hospital costs were standardized to December 2001 dollars.

Main Results:

  • Average length of stay was 47 days, with a mean cost of $123,200.
  • Operative procedures, ventilatory days, male gender, and length of stay significantly impacted costs.

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  • Major cost components included room expenses (43%), physician fees (15%), and respiratory care (10%).
  • Conclusions:

    • Gastroschisis treatment incurs substantial healthcare costs.
    • Strategies to reduce costs should focus on minimizing gastrointestinal and respiratory complications, and shortening hospital stays.