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Prevalence of gastroschisis and associated hospital time continue to rise in neonates who are admitted for intensive care.

机译:接受重症监护的新生儿的胃chi裂症患病率和相关的住院时间继续增加。

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PURPOSE: The purpose of this study was to evaluate recent trends in the prevalence of gastroschisis. METHODS: The study used a retrospective review of a deidentified neonatal intensive care patient data set. To control for ascertainment bias, the prevalence of omphalocele was calculated to provide an internal comparison to another anomaly requiring surgical intervention. RESULTS: During the study period (1997-2007), there were 473,366 discharges from the neonatal intensive care unit in the data set. There were 2057 (5.3/1000 discharges) neonates who had a gastroschisis and 853 (1.8/1000 discharges) who had an omphalocele. Between 1997 and 2004, the reported rate of gastroschisis increased from 2.9 to 6.1/1000 discharges, a relative increase of 210% (P < .001). Since 2004, the values have remained relatively stable at between 5.5 and 6.2/1000 discharges. Between 1997 and 2007, the hospital days for patients with gastroschisis/total hospital days increased from 0.6% to 1.3%, a relative increase of 220% (P < .001). In contrast, the reported rate of neonates with and the number of hospital days attributed to neonates with omphalocele has not changed significantly. CONCLUSION: The prevalence and the number of hospital days needed to care for neonates with gastroschisis have continued to increase since 2001.
机译:目的:本研究的目的是评估胃痉挛患病率的最新趋势。方法:该研究回顾了不明新生儿重症监护患者数据集。为了控制确定性偏倚,计算了食管膨隆的患病率,以与需要手术干预的另一异常情况进行内部比较。结果:在研究期间(1997-2007年),数据集中新生儿重症监护病房的出院病例为473,366次。有2057名(5.3 / 1000出院)胃痉挛的新生儿和853名(1.8 / 1000出院)食管裂孔。在1997年至2004年之间,报告的胃chi裂比率从2.9 / 1000放电增加到6.1 / 1000,相对增加了210%(P <.001)。自2004年以来,排放值一直保持相对稳定,在5.5至6.2 / 1000排放量之间。在1997年至2007年之间,患有胃神经病的患者的住院天数/总住院天数从0.6%增加到1.3%,相对增加了220%(P <.001)。相比之下,报道的患有食管膨出的新生儿的比率和住院天数没有明显变化。结论:自2001年以来,护理患有胃s裂症的新生儿的患病率和住院天数一直在增加。

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