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. 2018 Sep;38(9):1270-1276.
doi: 10.1038/s41372-018-0145-4. Epub 2018 Jun 21.

National and regional trends in gastrostomy in very low birth weight infants in the USA: 2000-2012

L Dupree Hatch  1 , Theresa A Scott  2 , William F Walsh  2 , Adam B Goldin  3 , Martin L Blakely  4 , Stephen W Patrick  2   5
Affiliations

National and regional trends in gastrostomy in very low birth weight infants in the USA: 2000-2012

L Dupree Hatch et al. J Perinatol. 2018 Sep.

Abstract

Objective: To determine rates of gastrostomy (GT) in very low birth weight (VLBW) infants.

Study design: Retrospective, cross-sectional analysis of the Kids' Inpatient Database for the years 2000, 2003, 2006, 2009 and 2012. We identified VLBW births and infants undergoing a GT, with and without fundoplication, using ICD-9-CM codes.

Result: National rates (per 1000 VLBW births) of GT increased from 11.5 GT (95% CI 10-13) in 2000 to 22.9 (95% CI 20-25) in 2012 (p < 0.001). Gastrostomy with and without fundoplication increased during the study period (p < 0.001 in both groups). VLBW survival also increased from 78.5% in 2000 to 81.1% in 2012 (p < 0.001). In all study years, the Northeast census region had the lowest GT rates, while the West had the highest rates in 4 of the 5 study years.

Conclusion: Between 2000 and 2012, the incidence of GT in VLBW infants doubled, associated with improvements in survival in this population.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest relevant to this article to disclose.

Figures

Figure 1
Figure 1
Nationally representative rates of all gastrostomy (black), gastrostomy only (red) and gastrostomy with fundoplication (green) per 1000 very low birth weight (VLBW) infants using weighted estimates of procedures and VLBW live births in the Kids’ Inpatient Database 2000, 2003, 2006, 2009 and 2012.
Figure 2
Figure 2
Changes in the rate of gastrostomy per 1000 very low birth weight (VLBW) births by US Census Regions, using weighted estimates in the Kids’ Inpatient Database 2000, 2006 and 2012
See this image and copyright information in PMC

References

    1. Horbar JD, Badger GJ, Carpenter JH, Fanaroff AA, Kilpatrick S, LaCorte M, et al. Trends in mortality and morbidity for very low birth weight infants, 1991-1999. Pediatrics. 2002;110(1 Pt 1):143–151. - PubMed
    1. Stoll BJ, Hansen NI, Bell EF, Walsh MC, Carlo WA, Shankaran S, et al. Trends in Care Practices, Morbidity, and Mortality of Extremely Preterm Neonates, 1993-2012. JAMA. 2015;314(10):1039–1051. - PMC - PubMed
    1. Horbar JD, Edwards EM, Greenberg LT, Morrow KA, Soll RF, Buus-Frank ME, et al. Variation in Performance of Neonatal Intensive Care Units in the United States. JAMA Pediatr. 2017;171(3):e164396. - PubMed
    1. Younge N, Goldstein RF, Bann CM, Hintz SR, Patel RM, Smith PB, et al. Survival and Neurodevelopmental Outcomes among Periviable Infants. N Engl J Med. 2017;376(7):617–628. - PMC - PubMed
    1. Mizuno K, Nishida Y, Taki M, Hibino S, Murase M, Sakurai M, et al. Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding. Pediatrics. 2007;120(4):e1035–1042. - PubMed

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