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A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants.

Publication ,  Journal Article
Gulack, BC; Greenberg, R; Clark, RH; Miranda, ML; Blakely, ML; Rice, HE; Adibe, OO; Tracy, ET; Smith, PB
Published in: J Pediatr Surg
April 2018

PURPOSE: Inguinal hernias are common in premature infants, but there is substantial variation with regards to timing of repair. We sought to quantify and explain this variation. METHODS: Cohort study of infants <34weeks gestation diagnosed with an inguinal hernia and discharged from one of 329 neonatal intensive units between 1998 and 2012. Multivariable logistic regression clustered by site was used to evaluate demographic, clinical, maternal, and socioeconomic variables associated with pre-discharge repair. RESULTS: A total of 8037 infants met study criteria, and 3230 (40%) received a pre-discharge repair. The frequency of pre-discharge repair varied by site from 9% to 84%, and increased over the study period from 20% in 1998 to 45% in 2012. Concurrent gastrostomy or fundoplication and lower socioeconomic status were associated with an increased odds of receiving a pre-discharge repair. CONCLUSION: There is substantial variation with regards to the timing of repair of inguinal hernias in premature infants, with an increasing number of infants receiving repair prior to hospital discharge over time. Concurrent gastrostomy or fundoplication and socioeconomic status are associated with timing of repair. LEVEL OF EVIDENCE: IV.

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Published In

J Pediatr Surg

DOI

EISSN

1531-5037

Publication Date

April 2018

Volume

53

Issue

4

Start / End Page

784 / 788

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Retrospective Studies
  • Practice Patterns, Physicians'
  • Pediatrics
  • Male
  • Logistic Models
  • Infant, Premature, Diseases
  • Infant, Premature
  • Infant, Newborn
 

Citation

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Gulack, B. C., Greenberg, R., Clark, R. H., Miranda, M. L., Blakely, M. L., Rice, H. E., … Smith, P. B. (2018). A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants. J Pediatr Surg, 53(4), 784–788. https://doi.org/10.1016/j.jpedsurg.2017.09.009
Gulack, Brian C., Rachel Greenberg, Reese H. Clark, Marie Lynn Miranda, Martin L. Blakely, Henry E. Rice, Obinna O. Adibe, Elisabeth T. Tracy, and P Brian Smith. “A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants.J Pediatr Surg 53, no. 4 (April 2018): 784–88. https://doi.org/10.1016/j.jpedsurg.2017.09.009.
Gulack BC, Greenberg R, Clark RH, Miranda ML, Blakely ML, Rice HE, et al. A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants. J Pediatr Surg. 2018 Apr;53(4):784–8.
Gulack, Brian C., et al. “A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants.J Pediatr Surg, vol. 53, no. 4, Apr. 2018, pp. 784–88. Pubmed, doi:10.1016/j.jpedsurg.2017.09.009.
Gulack BC, Greenberg R, Clark RH, Miranda ML, Blakely ML, Rice HE, Adibe OO, Tracy ET, Smith PB. A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants. J Pediatr Surg. 2018 Apr;53(4):784–788.
Journal cover image

Published In

J Pediatr Surg

DOI

EISSN

1531-5037

Publication Date

April 2018

Volume

53

Issue

4

Start / End Page

784 / 788

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Retrospective Studies
  • Practice Patterns, Physicians'
  • Pediatrics
  • Male
  • Logistic Models
  • Infant, Premature, Diseases
  • Infant, Premature
  • Infant, Newborn