Long-term hospital admissions and surgical treatment of children with congenital abdominal wall defects: a population-based study

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dc.contributor.author Raitio, Arimatias
dc.contributor.author Syvänen, Johanna
dc.contributor.author Tauriainen, Asta
dc.contributor.author Hyvärinen, Anna
dc.contributor.author Sankilampi, Ulla
dc.contributor.author Gissler, Mika
dc.contributor.author Helenius, Ilkka
dc.date.accessioned 2022-02-16T06:57:01Z
dc.date.available 2022-02-16T06:57:01Z
dc.date.issued 2021-07
dc.identifier.citation Raitio , A , Syvänen , J , Tauriainen , A , Hyvärinen , A , Sankilampi , U , Gissler , M & Helenius , I 2021 , ' Long-term hospital admissions and surgical treatment of children with congenital abdominal wall defects: a population-based study ' , European journal of pediatrics , vol. 180 , no. 7 , pp. 2193-2198 . https://doi.org/10.1007/s00431-021-04005-2
dc.identifier.other PURE: 160920075
dc.identifier.other PURE UUID: ed2ad810-a3d7-4357-81bb-2b1096f8864a
dc.identifier.other WOS: 000625586000001
dc.identifier.other ORCID: /0000-0001-5200-3279/work/108463235
dc.identifier.uri http://hdl.handle.net/10138/340319
dc.description.abstract Congenital abdominal wall defects, namely, gastroschisis and omphalocele, are rare congenital malformations with significant morbidity. The long-term burden of these anomalies to families and health care providers has not previously been assessed. We aimed to determine the need for hospital admissions and the requirement for surgery after initial admission at birth. For our analyses, we identified all infants with either gastroschisis (n=178) or omphalocele (n=150) born between Jan 1, 1998, and Dec 31, 2014, in the Register of Congenital Malformations. The data on all hospital admissions and operations performed were acquired from the Finnish Hospital Discharge Register between Jan 1, 1998, and Dec 31, 2015, and compared to data on the whole Finnish pediatric population (0.9 million) live born 1993-2008. Patients with gastroschisis and particularly those with omphalocele required hospital admissions 1.8 to 5.7 times more than the general pediatric population (p Conclusion: Patients with gastroschisis and especially those with omphalocele, are significantly more likely than the general pediatric population to require hospital care. Nevertheless, almost half of the patients can be treated without further surgery, and redo abdominal surgery is only required in a third of these children. What is Known: Gastroschisis and omphalocele are congenital malformations with significant morbidity There are no reports on the long-term need for hospital admissions and surgery in these children What is New: Patients with abdominal wall defects are significantly more likely than the general pediatric population to require hospital care Almost half of the patients can be treated without further surgery, and abdominal redo operations are only required in a third of these children en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof European journal of pediatrics
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3123 Gynaecology and paediatrics
dc.subject Congenital abdominal wall defect
dc.subject Exomphalos
dc.subject Gastroschisis
dc.subject Omphalocele
dc.subject Hospital care
dc.title Long-term hospital admissions and surgical treatment of children with congenital abdominal wall defects: a population-based study en
dc.type Article
dc.contributor.organization Department of Surgery
dc.contributor.organization Clinicum
dc.contributor.organization University of Helsinki
dc.contributor.organization Helsinki University Hospital Area
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s00431-021-04005-2
dc.relation.issn 0340-6199
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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