Mortality in esophageal atresia: Assessment of probable risk factors (10 years’ experience)
Heidar A Davari, Mehrdad Hosseinpour, Gilda M Nasiri, Gelare Kiani
Abstract
- Background: Esophageal atresia (EA) is a common congenital anomaly. In this study, we evaluated the mortality and its risk factors in patients born with esophageal atresia.
- Methods and Materials: A database of 206 consecutive patients treated for EA was developed in ST-Zahra hospital of Isfahan between 1994 and 2004.
- Results: In this study, 206 patients were evaluated. The most common type of EA was type C (86.4%). Mortality rate was 56%; it was more common in patients with congenital malformation, in late operation and in low birth weight and premature babies. Sepsis was the most common cause of death.
- Conclusions: For improvement of EA survival, we should improve operation techniques, supportive care, and ICU management. It is also important to operate these patients as soon as possible.
- Key words: Esophageal atresia, mortality, morbidity