Resumen

REYES RODRIGUEZ, Roberto et al. Relationship between birth weight and death from esophageal atresia. Rev Cubana Pediatr [online]. 2014, vol.86, n.2. ISSN 0034-7531.

Introduction: the history of surgical treatment of esophageal atresia and tracheoesophageal fistula is extraordinary and covers 270 years from the first description up to the first survivor. There are several types of classifications that help to determine the prognosis of these children such as those of Waterston, Montreal and Spitz. Better survival rates are not only due to surgical treatment but also to advances in intensive neonatal care, particularly in the ventilation and nutritional support required by these patients. The children with the highest risk of death are those weighing less than 1 300 g and having cardiac malformations or chromosomal anomalies. Objective: to determine the influence of the birth weight on the mortality of these patients. Methods: observational, cross-sectional and descriptive study of cases diagnosed with esophageal atresia with/without tracheoesophageal fistula in the period of January 2000 through December 2011 at "Jose Luis Miranda" provincial pediatric hospital in Santa Clara, Cuba. Results: out of 32 studied patients, 46.9 % weighted less than 2 500 g. The patients with birth weight lower than 2 500 g were 2.2 more likely to die than those who weighed over 2 500 g. Conclusions: low birth weight continues to be a significant mortality predictor in Cuban newborn babies with esophageal atresia.

Palabras clave : esophageal atresia; birth weight; mortality.

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