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Low and decreased prevalence of congenital abdominal wall defect in Taiwan

Ming-Chun Chen1, Jian-Han Chen2, Yun Chen3

  • 1Department of Pediatrics, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan.

Journal of Pediatric Surgery
|February 6, 2019
PubMed

Insights

The prevalence of congenital abdominal wall defects (AWD) in Taiwan is low and declining. This study analyzed hospital outcomes and associated abnormalities in pediatric patients with AWD.

Area of Science:

  • Pediatric Surgery
  • Public Health
  • Medical Informatics

Background:

  • Congenital abdominal wall defects (AWD) represent a significant group of birth anomalies.
  • Understanding the epidemiology and outcomes of AWD is crucial for healthcare planning.

Purpose of the Study:

  • To determine the prevalence of AWD in Taiwan.
  • To investigate hospital outcomes and associated congenital abnormalities in AWD patients.
  • To analyze trends in AWD prevalence over time.

Main Methods:

  • Retrospective analysis of the National Health Insurance Research Database (NHIRD) from 1998-2013.
  • Identification of AWD cases using ICD-9-CM diagnostic and procedure codes.
  • Utilized public national birth data and CDC/BPA coding rubrics for prevalence and comorbidity assessment.

Main Results:

  • The overall prevalence of AWD was 1.65 per 10,000 births, showing a decreasing trend.
  • 1-year mortality rates were 6.15% for Gastroschisis repair (GS-repair) and 7.23% for other abdominal wall repair (O-AWD).
  • Significant proportions of AWD patients (24.58% GS-repair, 30.06% O-AWD-repair) had co-occurring congenital abnormalities.

Conclusions:

  • The prevalence of congenital abdominal wall defects in Taiwan is low and has decreased.
  • Associated congenital abnormalities are common in AWD patients.
  • Further research into long-term outcomes and management strategies is warranted.
Abstract

Keywords:
Abdominal wall disordersGastroschisisOmphalocelePediatric mortalityPrevalenceTaiwan National Health Insurance Research Database (NHIRD)

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