Delays in the diagnosis of anorectal malformations are common and significantly increase serious early complications
Delays in the diagnosis of anorectal malformations are common and significantly increase serious early complications
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DOI：
10.1080/08035250500437523
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发表时间：
2006-03-01
期刊：
影响因子：
3.8
通讯作者：
Roberts, JP
中科院分区：
文献类型：
--
作者：
Lindley, RM;Shawis, RN;Roberts, JP
目的：为了澄清肛门直肠畸形的延迟诊断的程度和延迟此diagnosis.Methods的后果：我们进行了一个回顾性的病例审查，所有新生儿入院与肛门直肠畸形的三级儿科手术单位。结果：研究组75例，其中31例（42%）诊断延迟，44例（58%）诊断无延迟。延迟诊断的时间范围为2-16（中位数2）d。诊断的延迟不能被年龄、性别、出生体重、胎龄、病变的严重程度或可见性、新生儿特殊或重症监护的需要或其他异常的存在的差异所解释。有显着更多的并发症（包括一个死亡）之间的儿童组有一个肛门直肠畸形的诊断延迟。在长期的功能outcome.Conclusion：肛门直肠畸形的诊断延迟是更常见的比以前认为的。诊断延误会显著增加严重早期并发症和死亡的风险。
Aim: To clarify the extent of delayed diagnosis of anorectal malformations and the consequences of delaying this diagnosis.Methods: We performed a retrospective case review of all neonatal admissions with an anorectal malformation to a tertiary paediatric surgery unit. A delayed diagnosis was considered to be one made 24 h or more after birth.Results: 75 patients were included in the study group: 31 (42%) had a delay in the diagnosis; 44 (58%) had no delay in the diagnosis. The time of diagnosis where a delay had occurred ranged from 2-16 (median 2) d. A delay in diagnosis could not be accounted for by differences in age, sex, birthweight, gestational age, the severity or visibility of the lesion, the need for neonatal special or intensive care, or the presence of other anomalies. There were significantly more complications (including one death) amongst the group of children who had a delay in the diagnosis of an anorectal malformation. There was no significant difference in long-term functional outcome.Conclusion: Delays in the diagnosis of anorectal malformations are much more common than previously thought. A delay in diagnosis significantly increases the risk of serious early complications and death.