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- Title
Prevalence and Spatial Distribution of Gastroschisis in an Industrial Watershed.
- Authors
Minor, Jacob; Wells, Amy; Orminski, Krysta; Thompson, Stephanie N.; Annie, Frank; Robinson, Lindsey; Calhoun, Byron C.; Haricharan, Ramanathapura N.
- Abstract
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.
- Subjects
WEST Virginia; UNITED States. Environmental Protection Agency; GASTROSCHISIS; HAZARDOUS waste sites; POLLUTION; WATERSHEDS; MATERNAL age; TOBACCO use
- Publication
American Surgeon, 2023, Vol 89, Issue 11, p5017
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/00031348231192051