title: Predictors of postnatal outcome in neonates with gastroschisis.
abstract: OBJECTIVE
  The optimal management of neonates with gastroschisis is unclear, and there is a significant morbidity. We performed a review of neonates with gastroschisis treated at our center of pediatric surgery over the last 21 years to determine predictive factors of outcome.
  
  
  METHODS
  Single-center retrospective analysis of 79 neonates with gastroschisis (1989-2009) was done. Length of hospital stay (LOS), days of parenteral nutrition (PN), and survival were outcome measures. Univariate and multiple regression analyses were used.
  
  
  RESULTS
  Overall survival was 92%, and primary closure was achieved in 80%. Median LOS was 25 days, and median duration on PN, 17 days. Intestinal atresia, closed gastroschisis, secondary closure, and sepsis were the primary variables associated with poor outcome independent of other variables, but prematurity also affected outcome. Route of delivery and associated malformations were not related to poorer outcome. Necrotizing enterocolitis did not occur in any of our patients.
  
  
  CONCLUSIONS
  Outcome in our patients was favorable as measured by survival, LOS, and days on PN. Primary predictors of poor outcome were factors related to short bowel syndrome and secondary closure, indicating a need to further improve treatment of short bowel syndrome.
authors.affiliation: Department of Women's and Children's Health, Uppsala University, 751 05 Uppsala, Sweden.
authors.forename: Ann-Marie
authors.initials: AM
authors.lastname: Kassa
authors.forename: Helene Engstrand
authors.initials: HE
authors.lastname: Lilja
mesh_terms: D058107:Abdominal Wound Closure Techniques; D000015:Abnormalities, Multiple / Q000453:epidemiology / Q000601:surgery; D000328:Adult; D005260:Female; D020139:Gastroschisis / Q000453:epidemiology* / Q000601:surgery; D017052:Hospital Mortality; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000453:epidemiology; D059325:Intra-Abdominal Hypertension / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008107:Liver Diseases / Q000453:epidemiology; D008297:Male; D008423:Maternal Age; D011379:Prognosis; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000453:epidemiology; D012778:Short Bowel Syndrome / Q000453:epidemiology / Q000209:etiology; D016896:Treatment Outcome; D055815:Young Adult