美国极低出生体重儿胃造口术的国家和地区趋势：2000-2012 年。
National and regional trends in gastrostomy in very low birth weight infants in the USA: 2000-2012.
机构信息
Department of Pediatrics, Division of Neonatology, Vanderbilt Center for Child Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA.
出版信息
J Perinatol. 2018 Sep;38(9):1270-1276. doi: 10.1038/s41372-018-0145-4. Epub 2018 Jun 21.
OBJECTIVE
To determine rates of gastrostomy (GT) in very low birth weight (VLBW) infants.
STUDY DESIGN
Retrospective, cross-sectional analysis of the Kids' Inpatient Database for the years 2000, 2003, 2006, 2009 and 2012. We identified VLBW births and infants undergoing a GT, with and without fundoplication, using ICD-9-CM codes.
RESULT
National rates (per 1000 VLBW births) of GT increased from 11.5 GT (95% CI 10-13) in 2000 to 22.9 (95% CI 20-25) in 2012 (p < 0.001). Gastrostomy with and without fundoplication increased during the study period (p < 0.001 in both groups). VLBW survival also increased from 78.5% in 2000 to 81.1% in 2012 (p < 0.001). In all study years, the Northeast census region had the lowest GT rates, while the West had the highest rates in 4 of the 5 study years.
CONCLUSION
Between 2000 and 2012, the incidence of GT in VLBW infants doubled, associated with improvements in survival in this population.
目的
确定极低出生体重儿（VLBW）行胃造口术（GT）的比例。
研究设计
对 2000 年、2003 年、2006 年、2009 年和 2012 年儿童住院数据库进行回顾性、横断面分析。我们使用 ICD-9-CM 编码确定 VLBW 分娩和接受 GT 的婴儿，包括带和不带抗反流手术。
结果
全国 VLBW 出生儿 GT 率（每 1000 例 VLBW 出生儿）从 2000 年的 11.5 GT（95%CI 10-13）增加到 2012 年的 22.9（95%CI 20-25）（p<0.001）。带和不带抗反流手术的 GT 在研究期间均有所增加（两组均 p<0.001）。VLBW 存活率也从 2000 年的 78.5%增加到 2012 年的 81.1%（p<0.001）。在所有研究年份中，东北地区的 GT 率最低，而西部地区在 5 个研究年份中的 4 个年份 GT 率最高。
结论
2000 年至 2012 年间，VLBW 婴儿 GT 的发生率增加了一倍，与该人群存活率的提高有关。
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