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- W4306253560 abstract "INTRODUCTION: The number of patients with congenital disease living to adulthood continues to grow. Often undergoing surgical correction in infancy, they continue to require lifelong care. We sought to identify hospital admission trends in adult patients with congenital diaphragmatic hernia (CDH), esophageal atresia with tracheoesophageal fistula (EA/TEF), and Hirschsprung disease. METHODS: The Florida Agency for Healthcare Administration inpatient database was merged with the Distressed Communities Index and CMS Hospital and Physician Compare datasets. The dataset was queried for adult patients (≥18 years, born after 1970) with CDH, EA/TEF, and Hirschsprung disease from 2010 to 2020. Patient demographics, hospitalization characteristics, and discharge information were obtained. RESULTS: A total of 1,140 inpatient admissions were identified (266 EA/TEF, 135 CDH, 739 Hirschsprung). Patients were mostly female (53%), had a mean age of 31.6 years, and often admitted to an adult internist in a general hospital setting on an emergent basis. Principal diagnoses and procedures (when performed) varied with diagnosis and age at admission (Table 1). EA patients were admitted with dysphagia and foregut symptoms and often underwent esophagogastroduodenoscopy with dilation. CDH patients were often admitted for diaphragmatic hernias and underwent adult diaphragm repair. Hirschsprung patients were often admitted for intestinal obstructive issues and frequently underwent colonoscopy but trended toward operative intervention with increasing age. Table 1. - Most Common Admission Principal Diagnosis (Excluding the Congenital Diagnoses) and Procedure by Age Variable EA/TEF (n = 266) CDH (n = 135) Hirschsprung (n = 739) Age 18–29: Principal diagnosis/principal procedure Dysphagia/EGD with intervention Gastroesophageal reflux/ diaphragmatic hernia repair Fecal impaction/colonoscopy Age 30–39: Principal diagnosis/principal procedure Esophagogastritis/EGD with intervention Hearing loss/diaphragmatic hernia repair Intestinal obstruction/ileostomy Age 40–49: Principal diagnosis/principal procedure Esophagogastritis/EGD with intervention Respiratory complications/diaphragmatic hernia repair Depression/colectomy Overall: Principal diagnosis/principal procedure Dysphagia/EGD with intervention Respiratory complications/diaphragmatic hernia repair Fecal impaction/colonoscopy EGD, esophagogastroduodenoscopy. CONCLUSION: Adults with congenital disease continue to require hospital admission and invasive procedures. As age increases, diagnoses trends evolve, with EA/TEF patients continuing to suffer from foregut complications, CDH patients from increased respiratory complications, and Hirschsprung patients from intestinal complications." @default.
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- W4306253560 date "2022-10-17" @default.
- W4306253560 modified "2023-10-12" @default.
- W4306253560 title "Elucidating Trends in Adult Congenital Diaphragmatic Hernia, Esophageal Atresia, and Hirschsprung Disease" @default.
- W4306253560 doi "https://doi.org/10.1097/01.xcs.0000894348.80995.b0" @default.
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