Brasil | Artículos de revistas

Evolution of critically ill patients with gastroschisis from three tertiary centers

dc.creatorTannuri, ACA
dc.creatorSbragia, L
dc.creatorTannuri, U
dc.creatorSilva, LM
dc.creatorLeal, AJG
dc.creatorSchmidt, AFS
dc.creatorOliveira, AG
dc.creatorBustorff-Silva, JM
dc.creatorVicente, YAMVA
dc.creatorTazima, MDGS
dc.creatorPileggi, FO
dc.creatorCamperoni, AL
dc.date2011
dc.date2014-07-30T17:30:01Z
dc.date2015-11-26T17:44:42Z
dc.date2014-07-30T17:30:01Z
dc.date2015-11-26T17:44:42Z
dc.date.accessioned2018-03-29T00:26:53Z
dc.date.available2018-03-29T00:26:53Z
dc.identifierClinics. Hospital Clinicas, Univ Sao Paulo, v. 66, n. 1, n. 17, n. 20, 2011.
dc.identifier1807-5932
dc.identifierWOS:000288712700004
dc.identifier10.1590/S1807-59322011000100004
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/66149
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/66149
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1287949
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionOBJECTIVES AND INTRODUCTION: Gastroschisis is a congenital abdominal wall defect with increasing occurrence worldwide over the past 20-30 years. Our aim was to analyze the morbidity of newborns after gastroschisis closure, with emphasis on metabolic and hydroelectrolyte disturbances in patients at three tertiary university centers. METHODS: From January 2003 to June 2009, the following patient data were collected retrospectively: (A) Background maternal and neonatal data: maternal age, prenatal diagnosis, type of delivery, Apgar scores, birth weight, gestational age and sex; (B) Surgical modalities: primary or staged closure; and (C) Hospital course: levels of serum sodium and levels of serum albumin in the two first postoperative days, number of ventilation days, other postoperative variables and survival. Statistical analyses were used to examine the associations between some variables. RESULTS: 163 newborns were included in the study. Primary closure of the abdominal defect was performed in 111 cases (68.1%). The mean serum sodium level was 127.4 +/- 6.7 mEq/L, and the mean serum albumin level was 2.35 +/- 0.5 g/dL. Among the correlations between variables, it was verified that hyponatremia and hypoalbuminemia correlated with the number of days on the ventilator but not with the number of days on total parenteral nutrition (TPN); mortality rate correlated with infection. The final survival rate was 85.9%. CONCLUSION: In newborns with gastroschisis, more aggressive attention to hyponatremia and hypoalbuminemia would improve the outcome.
dc.description66
dc.description1
dc.description17
dc.description20
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionFAPESP [09/01807-0]
dc.languageen
dc.publisherHospital Clinicas, Univ Sao Paulo
dc.publisherSao Paulo
dc.publisherBrasil
dc.relationClinics
dc.relationClinics
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectGastroschisis
dc.subjectGastroschisis repair
dc.subjectPreterm
dc.subjectMorbidities
dc.subjectNeonates
dc.subjectBody wall defects
dc.subjectAbdominal-wall Defects
dc.subjectIncreasing Prevalence
dc.subjectPreformed Silo
dc.subjectStrategies
dc.subjectExperience
dc.subjectInfants
dc.subjectClosure
dc.titleEvolution of critically ill patients with gastroschisis from three tertiary centers
dc.typeArtículos de revistas


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