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A multicenter matched-cohort analysis of gastroschisis outcomes in infants born before 32 weeks gestation

Objective To examine neonatal outcomes of infants with gastroschisis born

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Published in:Journal of perinatology 2024-09, Vol.44 (9), p.1335-1339
Main Authors: Pugh, C. Preston, Zaniletti, Isabella, Miquel-Verges, Franscesca, Nghiem-Rao, T. Hang, Downey, L. Corbin, Hightower, Hannah, Grover, Theresa, Murthy, Karna, Riddle, Stefanie, Acharya, Krishna
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container_issue 9
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container_title Journal of perinatology
container_volume 44
creator Pugh, C. Preston
Zaniletti, Isabella
Miquel-Verges, Franscesca
Nghiem-Rao, T. Hang
Downey, L. Corbin
Hightower, Hannah
Grover, Theresa
Murthy, Karna
Riddle, Stefanie
Acharya, Krishna
description Objective To examine neonatal outcomes of infants with gastroschisis born
doi_str_mv 10.1038/s41372-024-01974-8
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Preston ; Zaniletti, Isabella ; Miquel-Verges, Franscesca ; Nghiem-Rao, T. Hang ; Downey, L. Corbin ; Hightower, Hannah ; Grover, Theresa ; Murthy, Karna ; Riddle, Stefanie ; Acharya, Krishna</creator><creatorcontrib>Pugh, C. Preston ; Zaniletti, Isabella ; Miquel-Verges, Franscesca ; Nghiem-Rao, T. Hang ; Downey, L. Corbin ; Hightower, Hannah ; Grover, Theresa ; Murthy, Karna ; Riddle, Stefanie ; Acharya, Krishna ; Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group ; the Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group</creatorcontrib><description>Objective To examine neonatal outcomes of infants with gastroschisis born &lt;32 weeks’ gestation compared to matched infants without gastroschisis. Study design Retrospective matched-cohort analysis of infants with gastroschisis born &lt;32 weeks’ gestation at Children’s Hospitals Neonatal Consortium (CHNC) NICUs from 2010 to 2022 compared to gestational age-matched controls. Results The study included 119 infants with gastroschisis and 357 matched infants; 60% of infants born 29–32 weeks, 23% born 26–28 weeks, and 16% born &lt; 25 weeks. Mortality was not significantly different between groups (11% vs. 9%, p  = 0.59). Preterm co-morbidities such as IVH, BPD, ROP, and PVL were similar, as were rates of surgical NEC. Infants with gastroschisis had longer hospital stays (92 vs. 67 days), higher CLABSI and UTIs, and were more likely to need feeding support at discharge. Conclusion Compared to infants without gastroschisis, infants &lt;32 weeks’ gestation with gastroschisis had similar risks for inpatient mortality, NEC, and other preterm co-morbidities.</description><identifier>ISSN: 0743-8346</identifier><identifier>ISSN: 1476-5543</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-024-01974-8</identifier><identifier>PMID: 38744936</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/700/1720 ; Case-Control Studies ; Cohort analysis ; Comorbidity ; Enterocolitis, Necrotizing - epidemiology ; Enterocolitis, Necrotizing - mortality ; Female ; Gastroschisis - epidemiology ; Gastroschisis - mortality ; Gestation ; Gestational Age ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - epidemiology ; Infant, Premature, Diseases - mortality ; Infants ; Intensive Care Units, Neonatal ; Length of Stay - statistics &amp; numerical data ; Male ; Medicine ; Medicine &amp; Public Health ; Mortality ; Neonates ; Pediatric Surgery ; Pediatrics ; Retrospective Studies</subject><ispartof>Journal of perinatology, 2024-09, Vol.44 (9), p.1335-1339</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-dadbdfcba17a948c46685072ef90e21aee8e7140ca943d85788cbae38bede5fd3</cites><orcidid>0000-0002-6073-4669 ; 0000-0003-2504-5419 ; 0000-0001-9945-6689 ; 0000-0003-4364-7165</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38744936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pugh, C. Preston</creatorcontrib><creatorcontrib>Zaniletti, Isabella</creatorcontrib><creatorcontrib>Miquel-Verges, Franscesca</creatorcontrib><creatorcontrib>Nghiem-Rao, T. Hang</creatorcontrib><creatorcontrib>Downey, L. Corbin</creatorcontrib><creatorcontrib>Hightower, Hannah</creatorcontrib><creatorcontrib>Grover, Theresa</creatorcontrib><creatorcontrib>Murthy, Karna</creatorcontrib><creatorcontrib>Riddle, Stefanie</creatorcontrib><creatorcontrib>Acharya, Krishna</creatorcontrib><creatorcontrib>Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group</creatorcontrib><creatorcontrib>the Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group</creatorcontrib><title>A multicenter matched-cohort analysis of gastroschisis outcomes in infants born before 32 weeks gestation</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective To examine neonatal outcomes of infants with gastroschisis born &lt;32 weeks’ gestation compared to matched infants without gastroschisis. Study design Retrospective matched-cohort analysis of infants with gastroschisis born &lt;32 weeks’ gestation at Children’s Hospitals Neonatal Consortium (CHNC) NICUs from 2010 to 2022 compared to gestational age-matched controls. Results The study included 119 infants with gastroschisis and 357 matched infants; 60% of infants born 29–32 weeks, 23% born 26–28 weeks, and 16% born &lt; 25 weeks. Mortality was not significantly different between groups (11% vs. 9%, p  = 0.59). Preterm co-morbidities such as IVH, BPD, ROP, and PVL were similar, as were rates of surgical NEC. Infants with gastroschisis had longer hospital stays (92 vs. 67 days), higher CLABSI and UTIs, and were more likely to need feeding support at discharge. 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Corbin</creator><creator>Hightower, Hannah</creator><creator>Grover, Theresa</creator><creator>Murthy, Karna</creator><creator>Riddle, Stefanie</creator><creator>Acharya, Krishna</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QL</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6073-4669</orcidid><orcidid>https://orcid.org/0000-0003-2504-5419</orcidid><orcidid>https://orcid.org/0000-0001-9945-6689</orcidid><orcidid>https://orcid.org/0000-0003-4364-7165</orcidid></search><sort><creationdate>202409</creationdate><title>A multicenter matched-cohort analysis of gastroschisis outcomes in infants born before 32 weeks gestation</title><author>Pugh, C. 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Preston</au><au>Zaniletti, Isabella</au><au>Miquel-Verges, Franscesca</au><au>Nghiem-Rao, T. Hang</au><au>Downey, L. Corbin</au><au>Hightower, Hannah</au><au>Grover, Theresa</au><au>Murthy, Karna</au><au>Riddle, Stefanie</au><au>Acharya, Krishna</au><aucorp>Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group</aucorp><aucorp>the Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A multicenter matched-cohort analysis of gastroschisis outcomes in infants born before 32 weeks gestation</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2024-09</date><risdate>2024</risdate><volume>44</volume><issue>9</issue><spage>1335</spage><epage>1339</epage><pages>1335-1339</pages><issn>0743-8346</issn><issn>1476-5543</issn><eissn>1476-5543</eissn><abstract>Objective To examine neonatal outcomes of infants with gastroschisis born &lt;32 weeks’ gestation compared to matched infants without gastroschisis. Study design Retrospective matched-cohort analysis of infants with gastroschisis born &lt;32 weeks’ gestation at Children’s Hospitals Neonatal Consortium (CHNC) NICUs from 2010 to 2022 compared to gestational age-matched controls. Results The study included 119 infants with gastroschisis and 357 matched infants; 60% of infants born 29–32 weeks, 23% born 26–28 weeks, and 16% born &lt; 25 weeks. Mortality was not significantly different between groups (11% vs. 9%, p  = 0.59). Preterm co-morbidities such as IVH, BPD, ROP, and PVL were similar, as were rates of surgical NEC. Infants with gastroschisis had longer hospital stays (92 vs. 67 days), higher CLABSI and UTIs, and were more likely to need feeding support at discharge. 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ispartof Journal of perinatology, 2024-09, Vol.44 (9), p.1335-1339
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source Nexis UK; Springer Link
subjects 692/308/409
692/700/1720
Case-Control Studies
Cohort analysis
Comorbidity
Enterocolitis, Necrotizing - epidemiology
Enterocolitis, Necrotizing - mortality
Female
Gastroschisis - epidemiology
Gastroschisis - mortality
Gestation
Gestational Age
Hospitals
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - epidemiology
Infant, Premature, Diseases - mortality
Infants
Intensive Care Units, Neonatal
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Mortality
Neonates
Pediatric Surgery
Pediatrics
Retrospective Studies
title A multicenter matched-cohort analysis of gastroschisis outcomes in infants born before 32 weeks gestation
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