The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective

Gasparella, Paolo; Singer, Georg; Kienesberger, Bernhard; Arneitz, Christoph; Fülöp, Gerhard; Castellani, Christoph; Till, Holger; Schalamon, Johannes

doi:10.3390/ijerph182111166

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…21 Early presentation and adequate intervention significantly improve the outcome of congenital anomalies though it increases healthcare costs. 22,23 This study has some limitations. Cytogenetic analysis and autopsies for stillbirths were not performed, because they are expensive and have limited availability.…”

Section: Discussionmentioning

confidence: 95%

Neonatal outcome of babies born with congenital anomalies after pediatric surgery

Sharma,

Maletha

2024

Int J Reprod Contracept Obstet Gynecol

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Background: Congenital anomalies are the major cause of adverse neonatal outcome and mortality. Some congenital anomalies are correctable and there is immense role of pediatric surgery in treatment of these anomalies. The aim of this study was to determine the pattern of congenital anomalies and to evaluate clinical outcome of babies after surgical intervention. Methods: This hospital-based cross-sectional study was carried out in the Obstetrics and Gynecology department during the period of 1 year. All the delivered babies in this hospital during this period were examined by obstetricians and pediatricians for the presence of various congenital anomalies. Babies with correctable anomalies were operated by the Pediatric Surgery Department and outcome of babies at the time of discharge was included. Data were entered into a case record form and then in the excel sheet and were analyzed statistically. Results: During the study period, 1670 babies were delivered in our institution; of which, 32 babies had congenital malformations, giving the prevalence of 1.91%. The system involved predominantly was the gastrointestinal (GI) system (80%). Pregnancy with congenital malformation were associated with malpresentation, anemia and polyhydramnios. Overall, most babies operated for pediatric surgery had good outcome. Conclusions: Pre pregnancy high-dose folic acid supplementation, regular antenatal visits, and prenatal diagnosis are recommended for prevention, early detection and management of congenital anomalies. There is great importance of Level II and NT NB Scan. Pediatric surgery is a boon in babies with correctable anomalies.

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Section: Discussionmentioning

confidence: 95%

Neonatal outcome of babies born with congenital anomalies after pediatric surgery

Sharma,

Maletha

2024

Int J Reprod Contracept Obstet Gynecol

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“…An Austrian study also documented resource intensive care required for congenital malformations and stressed on developing a national register to facilitate optimized care, rational resource allocation, and evaluation of outcomes. [37] South Africa does not have a formal congenital malformation register.…”

Section: Discussionmentioning

confidence: 99%

The outcomes of specific surgically correctable congenital gastro-intestinal malformations at a tertiary level neonatal intensive care unit in South Africa

Abrahams,

Van Wyk,

De Vos

2023

J Neonatal Surg

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Background: The outcome of neonates with congenital surgically correctable gastro-intestinal (GIT) malformations is poorly described in low middle income countries. Methods: A 5-year retrospective descriptive analysis of neonates admitted to a tertiary level neonatal intensive care unit (NICU), with congenital, surgically correctable GIT malformations, was performed. The primary outcome was the 30-day postoperative mortality as well as survival to 1 year. Secondary outcomes included patient demographics, clinical presentation as well as the burden of disease in our study population. Results: Eighty-four neonates met study criteria. The mean gestational age was 35 weeks (SD 3.19) and birthweight 2518g (SD 789.3). The most common congenital malformations were intestinal atresia (39%) followed by omphaloceles (21%). Associated systemic malformations were common (39%). The majority of neonates (88%) underwent surgery at a median age of 2 days (IQR 1.5-5). Ventilation was required in 19% of neonates preoperatively and 65% postoperatively. Full feeds were achieved at a median age of 13 days (IQR 9-18) after surgery. The 30 day-postoperative survival rate was 97% with a survival to discharge or transfer of 86%. Data for one year survival was available for 80% of neonates with a one-year survival rate of 75%. Conclusion: The 30-day postoperative survival was high in neonates with congenital, surgically correctable GIT malformations. Outcomes and burden on the healthcare system was dependent on the type of lesion. With early diagnosis and referral to a tertiary centre, good outcomes can be achieved. Neonates with congenital GIT malformations should have long term follow up to monitor growth and neurodevelopment as well as to address the high mortality post discharge.

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Clinical Signs as a Guide for Esophagram After Esophageal Atresia/Tracheoesophageal Fistula Repair

Joshi,

Stellon,

Park

et al. 2024

Journal of Surgical Research

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The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective

Cited by 4 publications

References 26 publications

Neonatal outcome of babies born with congenital anomalies after pediatric surgery

Neonatal outcome of babies born with congenital anomalies after pediatric surgery

The outcomes of specific surgically correctable congenital gastro-intestinal malformations at a tertiary level neonatal intensive care unit in South Africa

Clinical Signs as a Guide for Esophagram After Esophageal Atresia/Tracheoesophageal Fistula Repair

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