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Babies born with gastroschisis and followed up to the age of six years faced long‐term morbidity and impairments
Author(s) -
Giúdici Lidia,
Bokser Vivian Susana,
Maricic Maximiliano Alejo,
Golombek Sergio G.,
Ferrario Claudia Cecilia
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13374
Subject(s) - medicine , gastroschisis , pediatrics , psychomotor learning , prospective cohort study , surgery , pregnancy , fetus , genetics , cognition , psychiatry , biology
Aim The aims of this Argentinian study were to describe and analyse the outcomes of a continuous interdisciplinary follow‐up programme of patients with gastroschisis. Methods This was a prospective, longitudinal study of babies with gastroschisis admitted from 1 November 2003 to 31 October 2014, and this paper presents results at one, three and six years of age. Matched‐pairs analyses were carried out when they were one and six. Results We enrolled 62 babies and assessed 52 at one year of age, 34 at three years and 17 at six years. This showed that 63% had mental health problems and 5% had recurrent wheezing. Normal outcomes at one, three and six years were growth (80%, 85% and 80%), neurology‐psychomotor development index (64%, 50% and 82%), audiology (100%, 76% and 76%), vision (98%, 94% and 89%) and language (55%, 62% and 65%). The rehospitalisation rates were 30%, 0.3% and zero, and the surgical re‐intervention rates were 9%, 0.3% and 12%. Matched‐pairs analysis showed no significant differences between outcomes at the ages of one and six. Conclusion Babies born with gastroschisis were at risk for long‐term morbidity and impairments, according to follow‐up assessments at the ages of one, three and six years.