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The national incidence and outcomes of gastroschisis repairs
Insights
The Irish national incidence of gastroschisis repairs was 1.96 per 10,000 live births between 2007-2011. Outcomes included high rates of antenatal detection and central catheter infections, with longer hospital stays linked to prematurity and complications.
Area of Science:
- Pediatric Surgery
- Neonatal Outcomes
- Public Health Epidemiology
Background:
- Global birth prevalence of gastroschisis has risen.
- Gastroschisis requires surgical intervention in newborns.
- Understanding national incidence and outcomes is crucial for care.
Purpose of the Study:
- To determine the Irish national incidence of gastroschisis repairs (NIGR) from 2007-2011.
- To analyze clinical outcomes of gastroschisis repairs in Ireland.
- To provide data for parental and clinical staff information.
Main Methods:
- Retrospective cohort review of all Irish paediatric surgical unit admissions.
- Inclusion of 70 identified gastroschisis cases.
- Calculation of NIGR per 10,000 live births.
Main Results:
- The NIGR was 1.96 (SD 0.51) per year.
- 82% of cases were antenatally detected.
- 47% experienced central catheter related infections.
- Hospital stay duration correlated significantly with lower gestational age, birthweight, increased blood transfusions, and complications.
Conclusions:
- This study establishes baseline Irish national incidence data for gastroschisis repairs.
- Clinical outcomes highlight areas for potential improvement, such as infection reduction.
- National data can inform patient counseling and clinical practice.
Abstract:
The birth prevalence of gastroschisis worldwide has increased over the past decades. We aim to determine the Irish national incidence of gastroschisis repairs (NIGR) over a 5 year period (2007- 2011) and clinical outcomes by a retrospective cohort review of cases admitted to all Irish paediatric surgical units. Seventy patients were identified. The NIGR per 10,000 live births was 1.96 (SD 0.51) per year. Fifty eight (82%) were antenatally detected. Twenty eight (40%) had primary repair day 1 with the remaining repaired in a median of 3(2-5.75) days. Thirty three (47%) experienced a central catheter related infection. Duration of stay was significantly correlated with decreasing gestational age (p = 0.016), decreasing birthweight (p = 0.005), increasing numbers of blood transfusions (p < 0.001) and co-morbidity or complication (p < 0.001). This study provides individual centres with patient outcomes and national data that can be provided to parents and clinical staff regarding the clinical course of gastroschisis.
