Prevalence and Spatial Distribution of Gastroschisis in an Industrial Watershed

被引：0

作者：

Minor, Jacob ^{[1
]}

Wells, Amy ^{[2
]}

Orminski, Krysta ^{[3
]}

Thompson, Stephanie N. ^{[3
]}

Annie, Frank ^{[3
]}

Robinson, Lindsey ^{[4
]}

Calhoun, Byron C. ^{[2
,4
]}

Haricharan, Ramanathapura N. ^{[1
,5
,6
]}

机构：

[1] Charleston Area Med Ctr, Dept Surg, Charleston, WV USA

[2] Charleston Area Med Ctr, Dept Obstet & Gynecol, Charleston, WV USA

[3] Charleston Area Med Ctr, Inst Acad Med, Charleston, WV USA

[4] West Virginia Univ, Charleston Div, Charleston, WV USA

[5] Charleston Area Med Ctr, Dept Pediat Surg, Charleston, WV USA

[6] Charleston Area Med Ctr, Dept Pediat Surg, 830 Penn Ave,Ste 202, Charleston, WV 25302 USA

来源：

AMERICAN SURGEON | 2023年 / 89卷 / 11期

关键词：

gastroschisis; environmental toxins; geographic information systems;

D O I：

10.1177/00031348231192051

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The relationship between the congenital defect of gastroschisis and environmental toxins is poorly understood. We examined gastroschisis incidence, risk factors, and spatial association in a geographic region with known environmental pollution and hazardous waste sites. An observational study of fetal and neonatal gastroschisis diagnosed from 1/1/2006 to 12/31/2020 was conducted in a southern West Virginia (WV) tertiary care hospital. Emerging hot spot analysis and Ripley's K-Function examined the spatial relationship between gastroschisis cases and Environmental Protection Agency (EPA) Federal Registry Sites (FRS). A total of 63 gastroschisis cases provided a prevalence rate of 14.6 per 10000 live births. Gastroschisis was associated with younger maternal age, decreased pre-pregnancy BMI, and increased maternal tobacco use. Relative to FRS sites, spatial clusters were identified with emerging hot spot analysis. Observed Ripley K was higher at all measured bands. Results suggest a potential geographic association between gastroschisis cases and EPA-designated hazardous waste sites.

引用

页码：5017 / 5020

页数：4

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