Factors influencing likelihood of inpatient frenotomy in newborns with ankyloglossia

IF 1.6 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI:10.1016/j.ijporl.2025.112644

Jonathan M. Carnino , Sanjeev Rampam , Lindsay R. Salvati , Yash V. Shroff , Dean G. Kennedy , Jessica R. Levi

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引用次数: 0

Abstract

Objective

This study investigates national trends in inpatient frenotomy for newborns with ankyloglossia, focusing on the association between demographic, socioeconomic, and regional factors and the likelihood of undergoing the procedure.

Methods

Data from the 2016 Kid Inpatient Database (KID) were analyzed to identify hospitalized newborns diagnosed with ankyloglossia. Frenotomy procedures were identified using ICD-10 procedure codes. Chi-square tests were used to evaluate unadjusted associations between categorical variables and frenotomy utilization. Variables significant in univariate analysis were included in a multivariable logistic regression model to calculate adjusted odds ratios (OR) with 95 % confidence intervals (CI).

Results

Among 47,663 newborns with ankyloglossia, 34.8% underwent inpatient frenotomy. Factors independently associated with frenotomy included sex, race, hospital region, and household income. Female newborns had higher odds of frenotomy (OR 1.54, 95 % CI 1.47–1.61), whereas non-White racial groups had lower odds than White newborns. The Midwest had the highest likelihood of frenotomy (OR 3.08, 95 % CI 2.93–3.23), and newborns from the highest income quartile had reduced odds (OR 0.86, 95 % CI 0.80–0.92).

Conclusions

Significant disparities in inpatient frenotomy utilization exist based on demographic, socioeconomic, and regional factors. These findings underscore the need for standardized diagnostic criteria and equitable access to both surgical and non-surgical treatments. Future research should address the impact of these disparities on patient outcomes and explore targeted interventions to reduce variability in care.

Level of evidence

查看原文本刊更多论文

影响新生儿强直性咬合住院截骨可能性的因素。

目的：本研究调查全国新生儿强直性咬合住院截骨的趋势，重点研究人口、社会经济和地区因素与接受手术可能性之间的关系。方法：分析2016年儿童住院数据库（Kid）的数据，以识别诊断为强直性咬合的住院新生儿。使用ICD-10程序代码确定截骨手术。卡方检验用于评估分类变量与截骨术使用之间未经调整的相关性。将单因素分析中显著的变量纳入多因素logistic回归模型，以95%置信区间（CI）计算校正优势比（OR）。结果：47,663例新生儿强直性咬合中，34.8%的患者接受了住院截骨术。与截骨术相关的独立因素包括性别、种族、医院区域和家庭收入。女性新生儿接受截骨手术的几率较高（OR 1.54, 95% CI 1.47-1.61），而非白人新生儿的几率低于白人新生儿。中西部地区进行截骨手术的可能性最高（OR 3.08, 95% CI 2.93-3.23），收入最高的四分位数新生儿的可能性较低（OR 0.86, 95% CI 0.80-0.92）。结论：不同人口、社会经济和地区因素对住院患者截骨术使用率的影响存在显著差异。这些发现强调了标准化诊断标准和公平获得手术和非手术治疗的必要性。未来的研究应解决这些差异对患者结果的影响，并探索有针对性的干预措施，以减少护理的可变性。证据等级：3；

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

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.