Morris, JK;
Loane, M;
Wahlich, C;
Tan, J;
Baldacci, S;
Ballardini, E;
Cavero-Carbonell, C;
Damkjær, M;
García-Villodre, L;
Gissler, M;
et al.
Morris, JK; Loane, M; Wahlich, C; Tan, J; Baldacci, S; Ballardini, E; Cavero-Carbonell, C; Damkjær, M; García-Villodre, L; Gissler, M; Given, J; Gorini, F; Heino, A; Limb, E; Lutke, R; Neville, A; Rissmann, A; Scanlon, L; Tucker, DF; Urhoj, SK; de Walle, HE; Garne, E
(2024)
Hospital care in the first 10 years of life of children with congenital anomalies in six European countries: data from the EUROlinkCAT cohort linkage study.
Arch Dis Child, 109 (5).
pp. 402-408.
ISSN 1468-2044
https://doi.org/10.1136/archdischild-2023-326557
SGUL Authors: Morris, Joan Katherine Tan, Joachim Wei Li
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Abstract
OBJECTIVE: To quantify the hospital care for children born with a major congenital anomaly up to 10 years of age compared with children without a congenital anomaly. DESIGN, SETTING AND PATIENTS: 79 591 children with congenital anomalies and 2 021 772 children without congenital anomalies born 1995-2014 in six European countries in seven regions covered by congenital anomaly registries were linked to inpatient electronic health records up to their 10th birthday. MAIN OUTCOME MEASURES: Number of days in hospital and number of surgeries. RESULTS: During the first year of life among the seven regions, a median of 2.4% (IQR: 2.3, 3.2) of children with a congenital anomaly accounted for 18% (14, 24) of days in hospital and 63% (62, 76) of surgeries. Over the first 10 years of life, the percentages were 17% (15, 20) of days in hospital and 20% (19, 22) of surgeries. Children with congenital anomalies spent 8.8 (7.5, 9.9) times longer in hospital during their first year of life than children without anomalies (18 days compared with 2 days) and 5 (4.1-6.1) times longer aged, 5-9 (0.5 vs 0.1 days). In the first year of life, children with gastrointestinal anomalies spent 40 times longer and those with severe heart anomalies 20 times longer in hospital reducing to over 5 times longer when aged 5-9. CONCLUSIONS: Children with a congenital anomaly consume a significant proportion of hospital care resources. Priority should be given to public health primary prevention measures to reduce the risk of congenital anomalies.
Item Type: | Article | ||||||
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Additional Information: | © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. | ||||||
Keywords: | Child Health Services, Health services research, 1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services, Pediatrics | ||||||
SGUL Research Institute / Research Centre: | Academic Structure > Population Health Research Institute (INPH) | ||||||
Journal or Publication Title: | Arch Dis Child | ||||||
ISSN: | 1468-2044 | ||||||
Language: | eng | ||||||
Publisher License: | Creative Commons: Attribution-Noncommercial 4.0 | ||||||
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PubMed ID: | 38373775 | ||||||
Go to PubMed abstract | |||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/116201 | ||||||
Publisher's version: | https://doi.org/10.1136/archdischild-2023-326557 |
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