Prevalence of Gastroschisis by County, New Mexico, 2015-2019
Indicator Report Data View Options
Prevalence of Gastroschisis by County, New Mexico, 2015-2019
Why Is This Important?
Birth defects pose a significant public health problem. One in 33 babies is born with a structural birth defect in the United States. Birth defects cause one in five deaths among infants less than a year old and lead to $2.6 billion per year in hospital costs alone in the U.S. Infants with gastroschisis must undergo surgical repair following birth to return the intestines to the abdomen and close the defect. After the repair, infants with gastroschisis can have problems with feeding, digestion of food, and absorption of nutrients.
Definition
Gastroschisis is a birth defect of the abdominal (belly) wall. The baby's intestines stick outside of the baby's body, through a hole beside the belly button. The hole can be small or large and sometimes other organs, such as the stomach and liver, can also stick outside of the baby's body. Prevalence of gastroschisis is the number of live-born infants with gastroschisis per 10,000 live-born infants. (Live-born infants are the infants born with any evidence of life). New Mexico live-born infants with gastroschisis, 2015-2019.
Data Notes
The following International Classification of Diseases, 9th and 10th Revisions Clinical Modification (ICD-9-CM and ICD-10-CM) codes were used in 2015 to identify gastroschisis: 756.73 and Q79.3, respectively. Only ICD-10-CM codes were used from 2016-2019. In 1987, CDC put forth a set of 6-digit codes (the sixth digit provides greater specificity for diagnosis) based on the British Pediatric Association Classification of Diseases and the ICD-9-CM. If CDC/BPA codes are present, the following were used to identify gastroschisis: 756.73.Data Sources
- Birth Defects Prevention and Surveillance System (BDPASS), New Mexico Department of Health.
- Birth Certificate Data, Bureau of Vital Records and Health Statistics (BVRHS), Epidemiology and Response Division, New Mexico Department of Health.
(https://www.nmhealth.org/about/erd/bvrhs/vrp/)
How the Measure is Calculated
Numerator:
Number of live-born infants with gastroschisis.Denominator:
Number of live-born infants.
Data Issues
Birth Defects Prevention and Surveillance System (BDPASS)
Birth defects are reported on the birth certificates, which are provided for all births occurring in-state as well as births to NM resident mothers who gave birth out-of-state. Some birth defects (Hypoplastic Left Heart Syndrome, Tetralogy of Fallot, Transposition of Great Arteries, Hypospadias, Lower and Upper Limb Deficiencies, and Trisomy 21) were not reported on birth certificates until 2004.
Birth Certificate Data
Birth certificate information is submitted electronically by hospital medical records staff who use standard mother and facility worksheets and medical charts to collect the needed information. Training of hospital staff is provided by the Bureau of Vital Records and Health Statistics (BVRHS). The birth certificate information is reviewed by BVRHS for completeness and consistency with state law and NMDOH and national guidelines. BVRHS will contact hospital staff for clarification of missing, inconsistent or incorrect entries. CDC's National Center for Health Statistics provides feedback to BVRHS on data quality and the NMDOH provides feedback to the hospitals to improve data quality and training.