Epidemiology of abdominal wall defects, Hawaii, 1986-1997.

摘要: The various types of abdominal wall defects are considered to differ in their etiologies, a hypothesis suggested by differences epidemiologies. This study examined the impact selected demographic factors on (omphalocele, gastroschisis, and body stalk anomaly) included birth registry Hawaii from 1986–1997. total prevalence for were: omphalocele (2.76 per 10,000 births, 95% confidence interval (CI), 2.14–3.50), gastroschisis (3.01, CI, 2.36–3.77), anomalies (0.32, 0.14–0.64). increased over 12-year period both (P = 0.052) 0.008). Women less than age 20 were at risk gastroschisis-affected pregnancy, while those 40 disproportionately more likely have an omphalocele-affected pregnancy. Pacific Islanders had lowest omphalocele, whereas Far East Asians least gastroschisis. Omphalocele rates lower outside metropolitan Honolulu, place residence did not significantly risk. 1-year survival rate was higher (88.5% 70.7%, respectively), none infants with live-born. results this tend support differing etiologies studied defects. Teratology 60:117–123, 1999. © 1999 Wiley-Liss, Inc.