A Rare Anterior Abdominal Wall Defect: Omphalocele - A Case Report
having patients re-evaluated 24 hours after admission, as change in symptoms and signs can be an important adjunct in diagnosis. This was arguably both a strength and a weakness. One weakness was the possibility for confounding factors—seven patients receiving early computed tomography underwent other radiological investigations and 13 patients receiving standard practice underwent off-study or delayed computed tomography. No differences emerged in the results between the intention to treat and as treated analyses. Limiting the study to weekends may have influenced referral patterns, timeliness of investigations, and clinical decision making. The most likely reason for the non-significance of the results of our main outcome measures is that our study was underpowered, being based on a difference in length of hospital stay of 1.5 days.