Rate of paediatric gastrostomy insertion in England and relationship to epidemiology of cerebral palsy
| Autor: | Mara Popescu, Mohamed Mutalib |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Frontline Gastroenterology. :flgastro-2022 |
| ISSN: | 2041-4145 2041-4137 |
| DOI: | 10.1136/flgastro-2022-102356 |
| Popis: | Background and objectivesGastrostomy tubes are commonly used to provide an alternative route for enteral nutrition. Most of the gastrostomies are inserted in children with cerebral palsy. Previous studies have shown an increase in insertion rate, however, epidemiological studies reveal a stasis in prevalence of cerebral palsy. We aimed to provide an up-to-date rate of gastrostomy insertion in children in England over a 20-year period and systematically review the prevalence of cerebral palsy to ascertain an epidemiological explanation for insertion trends.MethodsRetrospective search of Hospital Episode Statistic, a database held diagnosis and procedural code from all England National Health Service hospitals from 2000 to 2021 using International Classification of Disease-10 and Office of Population Censuses and Survey’s Classification-4. England Office for National Statistics data were used for population census. MEDLINE and EMBASE were systematically searched for epidemiology of cerebral palsy.ResultsThere were 23 079 gastrostomies inserted in children ConclusionsThere was a significant increase in the rate of gastrostomy insertion in children in England during most of the last 20 years not explained by a stable prevalence of cerebral palsy. |
| Databáze: | OpenAIRE |
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