Analysis of Health Determinants in Cleft Palate Patients.

IF 1.1 4区医学 Q2 Dentistry

Cleft Palate-Craniofacial Journal Pub Date : 2025-01-31 DOI:10.1177/10556656251316081

Katherine E Baker, Anna G Boydstun, Mary E McMinn, Emily E Hecox, Shelley R Edwards, Savannah C Walker, Laura S Humphries, Ian C Hoppe

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引用次数: 0

Abstract

Objective: This study aims to analyze health determinants affecting patients with cleft palate, specifically examining the relationships between the Social Vulnerability Index (SVI), failure to thrive (FTT), and healthcare utilization within the initial 30 days and first year of life.

Methods: A retrospective analysis was conducted on patients with a cleft palate at a tertiary care center over an 11-year period. Data included demographics, weight percentile trends, pediatric emergency department (PED) visits, hospital admissions, SVI scores, cleft palate type, and FTT diagnoses. Statistical analyses were performed using SPSS.

Results: Social Vulnerability Index was not significantly correlated with health outcomes in cleft palate. Patients with FTT exhibited lower gestational age (P = .002) and birth (P = .005), one-month (P = .001), and one-year (P = .001) weight percentiles. FTT diagnosis was associated with increased PED visits (P = .000) and hospital admission (P = .000) in the first year of life. Early presentation to the PED was associated with increased PED visits (P = .000) and hospital admissions (P = .004) within the first year of life.

Conclusion: No direct link was found between SVI and FTT. Early hospital readmission emerged as a significant outcome, indicating increased healthcare utilization in patients that require early medical intervention. Failure to thrive significantly impacted healthcare utilization, emphasizing the importance of addressing feeding issues early in this patient population. This study contributes to understanding health disparities in cleft palate patients and highlights the need for nuanced exploration of regional factors influencing outcomes.

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腭裂患者健康因素分析。

目的：本研究旨在分析影响腭裂患者健康的决定因素，特别是研究社会脆弱性指数（SVI）、发育不全（FTT）和出生后30天及一年内医疗保健利用之间的关系。方法：对某三级保健中心11年的腭裂患者进行回顾性分析。数据包括人口统计、体重百分位数趋势、儿科急诊科（PED）就诊、住院次数、SVI评分、腭裂类型和FTT诊断。采用SPSS进行统计分析。结果：腭裂患者社会脆弱性指数与健康状况无显著相关。FTT患者表现出较低的胎龄（P = 0.002）、出生（P = 0.005）、1个月（P = 0.001）和1年（P = 0.001）体重百分位数。FTT诊断与新生儿第一年PED就诊次数（P = 0.000）和住院次数（P = 0.000）增加有关。早期出现PED与第一年PED就诊次数（P = 0.000）和住院次数（P = 0.004）增加有关。结论：SVI与FTT无直接关系。早期住院再入院是一个重要的结果，表明需要早期医疗干预的患者的医疗保健利用率增加。未能茁壮成长显著影响了医疗保健的利用，强调了在这一患者群体中早期解决喂养问题的重要性。这项研究有助于了解腭裂患者的健康差异，并强调需要细致入微地探索影响结果的区域因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY

CiteScore

2.20

自引率

36.40%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.