Assessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review
Topic overview
This 8-year retrospective study from an African tertiary center examines gastroschisis outcomes in a low-middle income setting, where overall survival was 34.5%. Key findings show that transfer times under 8 hours and surgical intervention within 12 hours of birth significantly improve survival, with primary closure techniques yielding better outcomes than staged approaches.
Key takeaways
- Transfer time under 8 hours significantly improves gastroschisis survival (46% vs lower rates with delayed transfer).
- Surgical intervention within 12 hours of birth shows statistically significant improvement in outcomes (45% survival).
- Primary closure achieves better survival than staged closure (51% vs 18%) in this LMIC tertiary center.
- Simple gastroschisis has markedly better survival than complex cases (40% vs 10%).
- Overall gastroschisis survival remains critically low at 34.5% in this African tertiary center despite protocol optimization.
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How to cite: GlobalCastMD. Assessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review. GlobalCastMD Medical Library. 2024-11-07. https://dev.library.globalcastmd.com/article/9398?via_space=staycurrentmd
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