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 language | English (US) |
|---|---|
| Pages (from-to) | 1669-1672 |
| Number of pages | 4 |
| Journal | Journal of Pediatric Surgery |
| Volume | 37 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 1 2002 |
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Keywords
- Abdominal wall defect
- Cost
- Gastroschisis
- Outcome
ASJC Scopus subject areas
- Surgery
Cite this
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 journal › Article
}
TY - JOUR
T1 - Gastroschisis
T2 - Small hole, big cost
AU - Sydorak, R. M.
AU - Nijagal, A.
AU - Sbragia, L.
AU - Hirose, Shinjiro
AU - Tsao, K.
AU - Phibbs, R. H.
AU - Schmitt, S. K.
AU - Lee, H.
AU - Farmer, Diana L
AU - Harrison, M. R.
AU - Albanese, Craig T.
PY - 2002/12/1
Y1 - 2002/12/1
N2 - 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.
AB - 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.
KW - Abdominal wall defect
KW - Cost
KW - Gastroschisis
KW - Outcome
UR - http://www.scopus.com/inward/record.url?scp=0036894580&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036894580&partnerID=8YFLogxK
U2 - 10.1053/jpsu.2002.36689
DO - 10.1053/jpsu.2002.36689
M3 - Article
C2 - 12483626
AN - SCOPUS:0036894580
VL - 37
SP - 1669
EP - 1672
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 12
ER -