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National and regional trends in gastrostomy in very low birth weight infants in the USA: 2000–2012

Journal of Perinatology volume 38, pages 1270–1276 (2018)Cite this article

Subjects

Abstract

Objective

To determine rates of gastrostomy (GT) in very low birth weight (VLBW) infants.

Study design

Retrospective, cross-sectional analysis of the Kids’ Inpatient Database for the years 2000, 2003, 2006, 2009 and 2012. We identified VLBW births and infants undergoing a GT, with and without fundoplication, using ICD-9-CM codes.

Result

National rates (per 1000 VLBW births) of GT increased from 11.5 GT (95% CI 10–13) in 2000 to 22.9 (95% CI 20–25) in 2012 (p < 0.001). Gastrostomy with and without fundoplication increased during the study period (p < 0.001 in both groups). VLBW survival also increased from 78.5% in 2000 to 81.1% in 2012 (p < 0.001). In all study years, the Northeast census region had the lowest GT rates, while the West had the highest rates in 4 of the 5 study years.

Conclusion

Between 2000 and 2012, the incidence of GT in VLBW infants doubled, associated with improvements in survival in this population.

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Acknowledgements

We would like to acknowledge and thank Ann R. Stark for her editorial assistance with the writing of this manuscript.

Funding

Research reported in this publication was supported by the Katherine Dodd Faculty Scholars program (Hatch) and the National Institute On Drug Abuse of the National Institutes of Health under award number K23DA038720 (Patrick). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health

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Authors and Affiliations

  1. Department of Pediatrics, Division of Neonatology, Vanderbilt Center for Child Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA

    L. Dupree Hatch, Theresa A. Scott, William F. Walsh & Stephen W. Patrick

  2. Department of Pediatric General and Thoracic Surgery, Seattle Children’s Hospital, University of Washington School of Medicine, Seattle, WA, USA

    Adam B. Goldin

  3. Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    Martin L. Blakely

  4. Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA

    Stephen W. Patrick

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  1. L. Dupree Hatch
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  2. Theresa A. Scott
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Correspondence to L. Dupree Hatch.

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Hatch, L.D., Scott, T.A., Walsh, W.F. et al. National and regional trends in gastrostomy in very low birth weight infants in the USA: 2000–2012. J Perinatol 38, 1270–1276 (2018). https://doi.org/10.1038/s41372-018-0145-4

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