Clinical trial NCT06461325: Surgical Management Of Gastroschisis
Official title: Surgical Management Of Gastroschisis With Analysis Of Health Costs And Satisfaction Questionnaire On The Quality Of The Scar: A Retrospective Single-Center Comparative Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Gastroschisis
Neonatal Disease
Hernia, Umbilical
Complication,Postoperative
Keywords: Gastroschisis
Hospitalization Costs
Neonate
Management
Lead sponsor: University Hospital, Clermont-Ferrand
Sponsor class: OTHER
First posted: 2024-06-17
Enrollment: 30
Sex: ALL
Minimum age (years): 1
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients born with gastroschisis between January 2009 and December 2023

Brief summary: The investigators aim to analyze the management of children born with gastroschisis between January 2009 and December 2023, i.e. to evaluate post-operative follow-up, hospitalization costs, the risk of post-operative umbilical hernia, and the parents' and the child's appreciation of the scar.

Detailed description: Gastroschisis is an abdominal wall anomaly that affects 3 in 10,000 live births, and in over 90% of cases is diagnosed before birth. In fetuses with gastroschisis, the intestine protrudes through a defect in the abdominal wall, usually to the right of the umbilical cord. Although the survival rate of live newborns with gastroschisis is over 90%, the risk of intrauterine fetal death is still 7.5 times higher than in the normal population, and gastroschisis can cause significant morbidity during the neonatal period.

The scientific literature suggests multiple options for each stage in the care of children with gastroschisis, both pre- and postnatally. Heterogeneity of practice exists even within the same geographical area, and deserves to be analyzed.

In this context, the investigators wish to analyze the management of children born with gastroschisis between January 2009 and December 2023, i.e. to evaluate post-operative follow-up, hospitalization costs, the risk of post-operative umbilical hernia, and the parents' and the child's appreciation of the scar.

Eligibility criteria: Inclusion Criteria:

* Patients born with gastroschisis between January 2009 and December 2023

Exclusion Criteria:

* Patients born with gastroschisis before January 2009 or after December 2023 Patients without gastroschisis

Primary outcomes:
measure: Number of patients with medical complications
timeFrame: through study completion, an average of 1 year
measure: Number of patients with surgical complications
timeFrame: through study completion, an average of 1 year
Secondary outcomes:
measure: Length of stay
timeFrame: through study completion, an average of 1 year
measure: Rate of Hospitalization Cost by patient
timeFrame: through study completion, an average of 1 year
Other outcomes:
Locations:
city: Clermont-Ferrand
country: France
facility: Clermont-Ferrand University Hospital
state: Auvergne
Study officials:
affiliation: University Hospital, Clermont-Ferrand
name: Christelle Destinval
role: STUDY_DIRECTOR
References: