Journal article
Inter-center variations in length of hospitalization for infants with congenital jejunal or ileal atresia
Journal of perinatology, v 46(5), pp 786-793
01 May 2026
PMID: 41310308
Abstract
Objective
To quantify inter-center variation (ICV) in length of stay (LOS) among surviving infants with jejunal (JA) or ileal atresia (IA).
Study design
Children’s Hospitals Neonatal Consortium’s database was used to identify infants with JA or IA. After excluding infants with abdominal wall defects, survivors’ hospital LOS was modeled as a function of center using generalized linear models with log link for gamma distribution.
Results
There were 1134 and 808 infants with JA and IA, respectively. LOS had significant ICV in unadjusted (JA: 5.4 [IQR 3.7,9.9] weeks; IA: 4.3 [IQR 2.4,11.4] weeks) and multivariable analyses (JA: 4+ fold difference (6.5–31.5 week);
p
< 0.001 IA: 8+ fold difference (1.7–14.6 weeks);
p
< 0.001) with modifiable risk factors including cholestasis, ostomy creation, blood stream infection, and residual bowel length <55 cm.
Conclusion
Risk-adjusted ICV in LOS was observed in infants with JA and IA, which exposes opportunities for improvements in outcomes for infants with intestinal atresia.
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Details
- Title
- Inter-center variations in length of hospitalization for infants with congenital jejunal or ileal atresia
- Creators
- Katie A. Huff - Perinatal InstituteIsabella Zaniletti - ILC Dover (United States)Kera McNelis - Emory UniversityAlan Ladd - Riley Hospital for ChildrenAbeer Azzuqa - Children's Hospital of PittsburghCarl H. Coghill - Children's of AlabamaDaniel T. Robinson - Northwestern UniversityMuralidhar H. Premkumar - Baylor College of MedicinePatricia W. Denning - Emory UniversityJae Kim - University of Cincinnati Medical CenterMark R. Corkins - Le Bonheur Children's HospitalAndrea Adler - Cleveland ClinicDarren Bodkin - University of Oklahoma Health Sciences CenterJeffrey Rudolph - Children's Hospital of PittsburghAshley Moore - Indiana University School of MedicineKatie M. Strobel - University of WashingtonMichael A. Padula - Children's Hospital of PhiladelphiaTheresa R. Grover - Children's Hospital ColoradoKarna Murthy - Northwestern UniversitySujir Pritha Nayak - Southwestern Medical Center
- Publication Details
- Journal of perinatology, v 46(5), pp 786-793
- Publisher
- Nature Publishing Group
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001626895300001
- Scopus ID
- 2-s2.0-105025102722
- Other Identifier
- 991022197014804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics