Taylor Jordan S, Shew Stephen B
Department of Surgery, Division of Pediatric Surgery, Lucile Packard Children's Hospital, Stanford University School of Medicine, 300 Pasteur Drive, Alway Building M116, Stanford, CA 94305, USA.
Department of Surgery, Division of Pediatric Surgery, Lucile Packard Children's Hospital, Stanford University School of Medicine, 300 Pasteur Drive, Alway Building M116, Stanford, CA 94305, USA.
Semin Pediatr Surg. 2018 Oct;27(5):316-320. doi: 10.1053/j.sempedsurg.2018.08.010. Epub 2018 Aug 28.
Care of infants with gastroschisis is associated with a significant burden on health care delivery systems. Mortality rates in patients with gastroschisis have significantly improved over the past few decades. However, the condition is still associated with significant short-term and potentially long-term morbidity. Significant variations in clinical outcomes and resource utilization may be explained by several factors including provider and hospital experience, level of neonatal intensive care, variations in hospital regionalization of care, and differences in healthcare delivery systems. Reviewing and assessing these hospital and healthcare system related factors are paramount in addressing variations in gastroschisis care and improving outcomes for these vulnerable infants.
腹裂婴儿的护理给医疗保健系统带来了巨大负担。在过去几十年里，腹裂患者的死亡率有了显著改善。然而，这种疾病仍然与严重的短期和潜在的长期发病率相关。临床结果和资源利用的显著差异可能由多种因素解释，包括医疗服务提供者和医院的经验、新生儿重症监护水平、医院护理区域化的差异以及医疗保健系统的差异。审查和评估这些与医院和医疗保健系统相关的因素对于解决腹裂护理的差异以及改善这些脆弱婴儿的治疗结果至关重要。
