The epidemiology, prevalence and hospital outcomes of infants with gastroschisis

Objective:the purpose of this study is to evaluate recent trends in prevalence of gastroschisis among infants admitted for neonatal intensive care in the united states.study design:retrospective review of a de-identified patient data. the current study extends our observations through the end of 2007 to 2015.results:during the study period (1 january 1997 to 12 december 2015), there were 1 158 755 total discharges; 6023 (5.2/1000) had gastroschisis and 1885 (1.6/1000) had an omphalocele. between 1997 and 2008, the reported rate of gastroschisis increased from 2.9 to 6.4/1000 discharges. from 2008 to 2011, the values have slowly decreased from 6.4 to 4.7/1000 discharges and since 2011 have been stable. the largest drop in the prevalence was in mothers who were <20 years old. in contrast, the reported rate of omphalocele was stable at 1 to 2/1000 discharges.conclusion:the prevalence of gastroschisis increased from 1997 to 2008, and then declined thereafter.