Associations with enterostomy complications | |||
---|---|---|---|
No complications (n=34) | Complications (n=24) | p Value | |
Male | 22 (65%) | 9 (38%) | 0.062 |
Median birth weight (range) | 2125 g (750–4300) | 1110 g (580–3160) | 0.003 |
Median gestational age at birth (range) | 35 weeks (24–42) | 28.5 weeks (24–38) | 0.010 |
Median age at enterostomy formation (range) | 0.7 weeks (0–18.3) | 2.2 weeks (0–11.1) | 0.183 |
Median weight at enterostomy reversal (range) | 5185 g (1980–9300) | 3655 g (1440–8080) | 0.008 |
Ileostomy (versus jejunostomy) | 32 (94%) | 22 (92%) | 1 |
Median postconceptual age at enterostomy formation (range) | 36.3 weeks (25.9–44.6) | 32.6 weeks (26.9–45.3) | 0.011 |
Underlying diagnosis | |||
Necrotising enterocolitis (n=31) | 14 | 17 | 0.105 |
Small intestine atresia (n=16) | 13 | 3 | |
Hirschsprung's disease (n=4) | 3 | 1 | |
Other bowel obstruction (n=7) | 4 | 3 | |
Median length of total inpatient stay (range) | 52 days (11–190) | 92.5 days (25–217) | 0.014 |
Patient discharged home before reversal | 29 (85%) | 13 (54%) | 0.016 |
Median time with enterostomy (range) | 102 days (52–218) | 96 days (42–272) | 0.529 |
Median duration on PN (range) | 19 days (4–92) | 36 days (7–153) | 0.015 |
PN stopped before reversal (if used) | 27 (84%) | 14 (60%) | 0.064 |
Median duration of enterostomy recycling (range) | 71 days (24–165) | 62 days (20–159) | 0.264 |
Enterostomy formed through laparotomy incision | 28 (82%) | 22 (92%) | 0.449 |
Mean pre-enterostomy reversal z score | −0.80 (−5.92 to 0.91) | −0.68 (−2.82 to 1.68) | 0.825 |
Mean post-enterostomy reversal z score | 0.86 (−1.07 to 3.22) | 0.94 (−1.06 to 2.99) | 0.866 |
Other causes of bowel obstruction included lactobezoar (2), meconium plug (1), misplaced umbilical cord clamp in a patient with a hernia of the cord (1), Meckel's diverticulum (1) and unknown cause (2).
PN, parenteral nutrition.