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
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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. / Morris, Joan K; Loane, Maria; Wahlich, Charlotte; Tan, Joachim; Baldacci, Silvia; Ballardini, Elisa; Cavero-Carbonell, Clara; Damkjær, Mads; García-Villodre, Laura; Gissler, Mika; Given, Joanne; Gorini, Francesca; Heino, Anna; Limb, Elizabeth; Lutke, Renee; Neville, Amanda; Rissmann, Anke; Scanlon, Leuan; Tucker, David F; Urhoj, Stine Kjaer; de Walle, Hermien Ek; Garne, Ester.
I: Archives of Disease in Childhood, Bind 109, Nr. 5, 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Hospital care in the first 10 years of life of children with congenital anomalies in six European countries
T2 - data from the EUROlinkCAT cohort linkage study
AU - Morris, Joan K
AU - Loane, Maria
AU - Wahlich, Charlotte
AU - Tan, Joachim
AU - Baldacci, Silvia
AU - Ballardini, Elisa
AU - Cavero-Carbonell, Clara
AU - Damkjær, Mads
AU - García-Villodre, Laura
AU - Gissler, Mika
AU - Given, Joanne
AU - Gorini, Francesca
AU - Heino, Anna
AU - Limb, Elizabeth
AU - Lutke, Renee
AU - Neville, Amanda
AU - Rissmann, Anke
AU - Scanlon, Leuan
AU - Tucker, David F
AU - Urhoj, Stine Kjaer
AU - de Walle, Hermien Ek
AU - Garne, Ester
N1 - © 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.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
U2 - 10.1136/archdischild-2023-326557
DO - 10.1136/archdischild-2023-326557
M3 - Journal article
C2 - 38373775
VL - 109
JO - Archives of Disease in Childhood: Fetal and Neonatal Edition
JF - Archives of Disease in Childhood: Fetal and Neonatal Edition
SN - 1359-2998
IS - 5
ER -
ID: 383562091