Prematurity Affects Age of Presentation of Pyloric Stenosis
| Autor: | Charles D. Vinocur, Caitlyn M. Costanzo, Loren Berman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty medicine.medical_treatment Pyloric Stenosis Hypertrophic Pyloromyotomy Pyloric stenosis 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors 030225 pediatrics Humans Medicine Postoperative outcome 030212 general & internal medicine Hypertrophic Pyloric Stenosis Retrospective Studies business.industry Incidence (epidemiology) Age Factors Infant Newborn Infant Retrospective cohort study Chronological age Length of Stay medicine.disease Treatment Outcome Pediatrics Perinatology and Child Health Female Presentation (obstetrics) business Infant Premature |
| Zdroj: | Clinical Pediatrics. 56:127-131 |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/0009922816641367 |
| Popis: | Term infants with hypertrophic pyloric stenosis (HPS) typically present between 4 and 6 weeks. There is limited consensus, however, regarding age of presentation of premature infants. We aim to determine if there is an association between the degree of prematurity and chronological age of presentation of HPS. A total of 2988 infants who had undergone a pyloromyotomy for HPS were identified from the 2012 and 2013 NSQIP-P Participant Use Files. Two hundred seventeen infants (7.3%) were born prematurely. A greater degree of prematurity was associated with an older chronological age of presentation ( P < .0001). Prematurity was significantly associated with an increase in overall postoperative morbidity, reintubation, readmission, and postoperative length of stay. When clinicians evaluate an infant with nonbilious emesis with a history of prematurity, they should consider pyloric stenosis if the calculated postconceptional age is between 44 and 50 weeks. When counseling families of premature infants, surgeons should discuss the increased incidence of postpyloromyotomy morbidity. |
| Databáze: | OpenAIRE |
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