Document Detail

Gastroschisis: determinants of neonatal outcome.
MedLine Citation:
PMID:  12682747     Owner:  NLM     Status:  MEDLINE    
This retrospective study elicits information regarding the dependence of neonatal outcome in gastroschisis upon: (1) the mode of delivery, (2) place of birth, (3) time for birth to surgery, (4) method of closure, (5) time from operation to commencement of first enteral feeds. The neonatal intensive care database from five major tertiary centres was used to identify 181 neonates with gastroschisis from 1990 to 2000. There were 8 deaths. There were no significant differences in outcome for infants delivered vaginally (102) versus Caesarean section (79), those born near the tertiary centre (133) as compared to infants born away (48), ones operated within 7 hours (125) compared with those operated after 7 hours (56), with delayed closure (30) versus primary closure (151). Neonates fed within 10 days of operation (85) had significantly lower incidence of sepsis, duration of TPN and hospital stay when compared to those fed after 10 days (96). Early commencement of feeds decreases the incidence of sepsis, duration of total parenteral nutrition (TPN) and hospital stay. Place of delivery, mode of delivery, time to surgery and type of closure do not influence neonatal outcome.
S J Singh; A Fraser; J F Leditschke; K Spence; R Kimble; J Dalby-Payne; S Baskaranathan; P Barr; R Halliday; N Badawi; J K Peat; M Glasson; D Cass
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Publication Detail:
Type:  Journal Article     Date:  2003-04-03
Journal Detail:
Title:  Pediatric surgery international     Volume:  19     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-01     Completed Date:  2003-11-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  260-5     Citation Subset:  IM    
Consultant Paediatric Surgeon, Department of Paediatric Surgery, University Hospital, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
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MeSH Terms
Delivery, Obstetric
Gastroschisis / surgery*
Infant, Newborn
Length of Stay
Parenteral Nutrition, Total
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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