Gastroschisis: Small hole, big cost

R. M. Sydorak, A. Nijagal, L. Sbragia, Shinjiro Hirose, K. Tsao, R. H. Phibbs, S. K. Schmitt, H. Lee, Diana L Farmer, M. R. Harrison, Craig T. Albanese

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Background/Purpose: This study was designed to assess the outcome and financial costs incurred for the treatment of gastroschisis. Methods: A retrospective analysis was conducted of all patients with gastroschisis at a single institution over the past decade (n = 69). Hospital costs were determined and standardized to December 2001 dollars. Results: Of the 69 patients, average gestational age at delivery was 35.9 weeks. Thirty-six patients had a primary fascial closure; 33 had a silo placed. The mean time to first feeding was 22 days and full feeding, 33 days. Average length of stay was 47 days. There were 3 deaths (2 shortly after birth, and one 131 days later owing to sepsis). The average cost of hospitalization and physician fees for patients with gastroschisis was $123,200. Using multivariate regression analysis, significant variables (P < .05) associated with cost of hospitalization were number of operative procedures, ventilatory days, male gender, and length of stay. Room expenses (43%), physician fees (15%), respiratory and pulmonary care (10%), and supply and devices (10%) made up the majority of costs. Conclusions: Cost of care associated with treatment for gastroschisis is high. Strategies designed to reduce cost must limit gastrointestinal, respiratory, and operative complications and reduce length of stay.

Original languageEnglish (US)
Pages (from-to)1669-1672
Number of pages4
JournalJournal of Pediatric Surgery
Volume37
Issue number12
DOIs
StatePublished - Dec 1 2002

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Gastroschisis
Costs and Cost Analysis
Length of Stay
Fees and Charges
Hospitalization
Physicians
Hospital Costs
Operative Surgical Procedures
Health Care Costs
Gestational Age
Sepsis
Multivariate Analysis
Regression Analysis
Parturition
Equipment and Supplies
Lung

Keywords

  • Abdominal wall defect
  • Cost
  • Gastroschisis
  • Outcome

ASJC Scopus subject areas

  • Surgery

Cite this

Sydorak, R. M., Nijagal, A., Sbragia, L., Hirose, S., Tsao, K., Phibbs, R. H., ... Albanese, C. T. (2002). Gastroschisis: Small hole, big cost. Journal of Pediatric Surgery, 37(12), 1669-1672. https://doi.org/10.1053/jpsu.2002.36689

Gastroschisis : Small hole, big cost. / Sydorak, R. M.; Nijagal, A.; Sbragia, L.; Hirose, Shinjiro; Tsao, K.; Phibbs, R. H.; Schmitt, S. K.; Lee, H.; Farmer, Diana L; Harrison, M. R.; Albanese, Craig T.

In: Journal of Pediatric Surgery, Vol. 37, No. 12, 01.12.2002, p. 1669-1672.

Research output: Contribution to journalArticle

Sydorak, RM, Nijagal, A, Sbragia, L, Hirose, S, Tsao, K, Phibbs, RH, Schmitt, SK, Lee, H, Farmer, DL, Harrison, MR & Albanese, CT 2002, 'Gastroschisis: Small hole, big cost', Journal of Pediatric Surgery, vol. 37, no. 12, pp. 1669-1672. https://doi.org/10.1053/jpsu.2002.36689
Sydorak RM, Nijagal A, Sbragia L, Hirose S, Tsao K, Phibbs RH et al. Gastroschisis: Small hole, big cost. Journal of Pediatric Surgery. 2002 Dec 1;37(12):1669-1672. https://doi.org/10.1053/jpsu.2002.36689
Sydorak, R. M. ; Nijagal, A. ; Sbragia, L. ; Hirose, Shinjiro ; Tsao, K. ; Phibbs, R. H. ; Schmitt, S. K. ; Lee, H. ; Farmer, Diana L ; Harrison, M. R. ; Albanese, Craig T. / Gastroschisis : Small hole, big cost. In: Journal of Pediatric Surgery. 2002 ; Vol. 37, No. 12. pp. 1669-1672.
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