Inter-center variations in inpatient outcomes for infants with gastroschisis from the Children's Hospitals Neonatal Consortium

Inter-center variations in inpatient outcomes for infants with gastroschisis from the Children's Hospitals Neonatal Consortium

To estimate inter-center variation (ICV) in hospital length of stay (LOS) and oral feeding at discharge among infants with gastroschisis. The Children's Hospitals Neonatal Consortium's (CHNC) database was used to identify hospitalized survivors with gastroschisis. Two outcomes were evaluat...

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Veröffentlicht in:Journal of perinatology 2024-12
Hauptverfasser: Ling, Con Yee, Zaniletti, Isabella, Riddle, Stefanie, Elizabeth, Jacobson, Korff, Stephanie G, Chandler, Angela L, Downey, L Corbin, Padula, Michael A, Evans, Jacquelyn R, Grover, Theresa R, Murthy, Karna
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container_title Journal of perinatology
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creator Ling, Con Yee
Zaniletti, Isabella
Riddle, Stefanie
Elizabeth, Jacobson
Korff, Stephanie G
Chandler, Angela L
Downey, L Corbin
Padula, Michael A
Evans, Jacquelyn R
Grover, Theresa R
Murthy, Karna
description To estimate inter-center variation (ICV) in hospital length of stay (LOS) and oral feeding at discharge among infants with gastroschisis. The Children's Hospitals Neonatal Consortium's (CHNC) database was used to identify hospitalized survivors with gastroschisis. Two outcomes were evaluated: LOS and discharge without tube feedings. Hospital outcomes were evaluated in unadjusted and adjusted analyses. Generalized linear models with log link for gamma distribution were used to model LOS and logistic regression for discharge without tube feeds. For 3987 surviving infants with gastroschisis, LOS and discharge within 70 days with exclusively oral feeding both exhibited significant ICV. Differences persisted in multivariable analyses. Risk-adjusted LOS (68% difference) and oral feeding at discharge (6.4-fold difference) varied significantly between centers. Hospital of care was independently associated with LOS and exclusive oral feeding at discharge rates for infants with gastroschisis. Management differences, potentially influenced by parental preferences, contributed to variation.
doi_str_mv 10.1038/s41372-024-02160-6
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title Inter-center variations in inpatient outcomes for infants with gastroschisis from the Children's Hospitals Neonatal Consortium
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