Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil

Objective: To characterize the influence of birthplace on outcomes of patients with gastroschisis admitted to three hospitals in a state in Brazil’s southeastern region, according to condition inborn (born in a reference center) or outborn (born outside the reference center). Methods: Retrospective...

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Autores principales:	Virginia Maria Muniz, Antônio Lima Netto, Katia Souza Carvalho, Cláudia Saleme do Valle, Luciane Bresciani Salaroli, Eliana Zandonade
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Gastroschisis Birth defects Prenatal diagnosis Neonatal surgery Neonatal intensive care unit Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/95e483dc07b549dcbc33d9a6700750ca
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spelling	oai:doaj.org-article:95e483dc07b549dcbc33d9a6700750ca2021-11-06T04:13:11ZInfluence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil0021-755710.1016/j.jped.2021.02.004https://doaj.org/article/95e483dc07b549dcbc33d9a6700750ca2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0021755721000516https://doaj.org/toc/0021-7557Objective: To characterize the influence of birthplace on outcomes of patients with gastroschisis admitted to three hospitals in a state in Brazil’s southeastern region, according to condition inborn (born in a reference center) or outborn (born outside the reference center). Methods: Retrospective multicenter cohort study of patients with gastroschisis. The sample size utilized was of patients admitted in three hospitals with a diagnosis of gastroschisis ICD 10 Q79.3 between January 2000 to December 2018. Patients were divided into two groups, inborn and outborn. Characteristics of prenatal, perinatal and postoperative were compared using statistical tests. The level of significance adopted was P-value < 0.05. Results: In total, 144 cases of gastroschisis were investigated. The outborn patients group had higher rates of absence of antenatal diagnosis (p = 0.001), vaginal delivery (p = 0.001), longer time between birth and abdominal wall closure surgery (p = 0.001), to silo removal (p = 0.001), to first enteral feeding (p = 0.008), for weaning from mechanical ventilation (p = 0.034), used less peripherally inserted central catheter (PICC) and required more venous dissections (p = 0.001), and lower mean of serum sodium (p = 0.015). There were no differences in mortality rates and length of hospital stay between the inborn and outborn groups. Conclusion: Although outborn patients with gastroschisis were less likely to have an antenatal diagnosis and were more prone to a longer time to undergo surgical and feeding procedures, and to spend more time in mechanical ventilation, these disadvantages seemed not to reflect on the death rate and the length of hospital stay of patients from this group.Virginia Maria MunizAntônio Lima NettoKatia Souza CarvalhoCláudia Saleme do ValleLuciane Bresciani SalaroliEliana ZandonadeElsevierarticleGastroschisisBirth defectsPrenatal diagnosisNeonatal surgeryNeonatal intensive care unitPediatricsRJ1-570ENJornal de Pediatria, Vol 97, Iss 6, Pp 670-675 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gastroschisis Birth defects Prenatal diagnosis Neonatal surgery Neonatal intensive care unit Pediatrics RJ1-570
spellingShingle	Gastroschisis Birth defects Prenatal diagnosis Neonatal surgery Neonatal intensive care unit Pediatrics RJ1-570 Virginia Maria Muniz Antônio Lima Netto Katia Souza Carvalho Cláudia Saleme do Valle Luciane Bresciani Salaroli Eliana Zandonade Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil
description	Objective: To characterize the influence of birthplace on outcomes of patients with gastroschisis admitted to three hospitals in a state in Brazil’s southeastern region, according to condition inborn (born in a reference center) or outborn (born outside the reference center). Methods: Retrospective multicenter cohort study of patients with gastroschisis. The sample size utilized was of patients admitted in three hospitals with a diagnosis of gastroschisis ICD 10 Q79.3 between January 2000 to December 2018. Patients were divided into two groups, inborn and outborn. Characteristics of prenatal, perinatal and postoperative were compared using statistical tests. The level of significance adopted was P-value < 0.05. Results: In total, 144 cases of gastroschisis were investigated. The outborn patients group had higher rates of absence of antenatal diagnosis (p = 0.001), vaginal delivery (p = 0.001), longer time between birth and abdominal wall closure surgery (p = 0.001), to silo removal (p = 0.001), to first enteral feeding (p = 0.008), for weaning from mechanical ventilation (p = 0.034), used less peripherally inserted central catheter (PICC) and required more venous dissections (p = 0.001), and lower mean of serum sodium (p = 0.015). There were no differences in mortality rates and length of hospital stay between the inborn and outborn groups. Conclusion: Although outborn patients with gastroschisis were less likely to have an antenatal diagnosis and were more prone to a longer time to undergo surgical and feeding procedures, and to spend more time in mechanical ventilation, these disadvantages seemed not to reflect on the death rate and the length of hospital stay of patients from this group.
format	article
author	Virginia Maria Muniz Antônio Lima Netto Katia Souza Carvalho Cláudia Saleme do Valle Luciane Bresciani Salaroli Eliana Zandonade
author_facet	Virginia Maria Muniz Antônio Lima Netto Katia Souza Carvalho Cláudia Saleme do Valle Luciane Bresciani Salaroli Eliana Zandonade
author_sort	Virginia Maria Muniz
title	Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil
title_short	Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil
title_full	Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil
title_fullStr	Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil
title_full_unstemmed	Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil
title_sort	influence of birthplace on gastroschisis outcomes in a state in the southeastern region of brazil
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/95e483dc07b549dcbc33d9a6700750ca
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Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil

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