The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts

Background: Cleft lip and/or palate (CL/P) increase mortality and morbidity risks for affected infants especially in less developed countries. This study aimed at assessing the effects of systematic pediatric care on neonatal mortality and hospitalizations of infants with cleft lip and/or palate (CL...

Descripción completa

Detalles Bibliográficos
Autores principales: Wehby, George L., Castilla, Eduardo Enrique, Goco, Norman, Rittler, Monica, Cosentino, Viviana, Javois, Lorette, Kindem, Mark, Chakraborty, Hrishikesh, Dutra, Graca, López Camelo, Jorge Santiago, Orioli, Iêda M., Murray, Jeffrey C.
Formato: Articulo
Lenguaje:Inglés
Publicado: 2011
Materias:
Ciencias Médicas
Cleft lip
Neonatal mortality
Early systematic pediatric care
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/84425
Aporte de:
SEDICI (UNLP) de Universidad Nacional de La Plata
id I19-R120-10915-84425
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Cleft lip
Neonatal mortality
Early systematic pediatric care
spellingShingle Ciencias Médicas
Cleft lip
Neonatal mortality
Early systematic pediatric care
Wehby, George L.
Castilla, Eduardo Enrique
Goco, Norman
Rittler, Monica
Cosentino, Viviana
Javois, Lorette
Kindem, Mark
Chakraborty, Hrishikesh
Dutra, Graca
López Camelo, Jorge Santiago
Orioli, Iêda M.
Murray, Jeffrey C.
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
topic_facet Ciencias Médicas
Cleft lip
Neonatal mortality
Early systematic pediatric care
description Background: Cleft lip and/or palate (CL/P) increase mortality and morbidity risks for affected infants especially in less developed countries. This study aimed at assessing the effects of systematic pediatric care on neonatal mortality and hospitalizations of infants with cleft lip and/or palate (CL/P) in South America.Methods: The intervention group included live-born infants with isolated or associated CL/P in 47 hospitals between 2003 and 2005. The control group included live-born infants with CL/P between 2001 and 2002 in the same hospitals. The intervention group received systematic pediatric care between the 7 thand 28 thday of life. The primary outcomes were mortality between the 7 thand 28 thday of life and hospitalization days in this period among survivors adjusted for relevant baseline covariates.Results: There were no significant mortality differences between the intervention and control groups. However, surviving infants with associated CL/P in the intervention group had fewer hospitalization days by about six days compared to the associated control group.Conclusions: Early systematic pediatric care may significantly reduce neonatal hospitalizations of infants with CL/P and additional birth defects in South America. Given the large healthcare and financial burden of CL/P on affected families and the relatively low cost of systematic pediatric care, improving access to such care may be a cost-effective public policy intervention.
format Articulo
Articulo
author Wehby, George L.
Castilla, Eduardo Enrique
Goco, Norman
Rittler, Monica
Cosentino, Viviana
Javois, Lorette
Kindem, Mark
Chakraborty, Hrishikesh
Dutra, Graca
López Camelo, Jorge Santiago
Orioli, Iêda M.
Murray, Jeffrey C.
author_facet Wehby, George L.
Castilla, Eduardo Enrique
Goco, Norman
Rittler, Monica
Cosentino, Viviana
Javois, Lorette
Kindem, Mark
Chakraborty, Hrishikesh
Dutra, Graca
López Camelo, Jorge Santiago
Orioli, Iêda M.
Murray, Jeffrey C.
author_sort Wehby, George L.
title The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
title_short The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
title_full The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
title_fullStr The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
title_full_unstemmed The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
title_sort effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
publishDate 2011
url http://sedici.unlp.edu.ar/handle/10915/84425
work_keys_str_mv AT wehbygeorgel theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT castillaeduardoenrique theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT goconorman theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT rittlermonica theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT cosentinoviviana theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT javoislorette theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT kindemmark theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT chakrabortyhrishikesh theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT dutragraca theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT lopezcamelojorgesantiago theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT orioliiedam theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT murrayjeffreyc theeffectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT wehbygeorgel effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT castillaeduardoenrique effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT goconorman effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT rittlermonica effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT cosentinoviviana effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT javoislorette effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT kindemmark effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT chakrabortyhrishikesh effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT dutragraca effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT lopezcamelojorgesantiago effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT orioliiedam effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
AT murrayjeffreyc effectofsystematicpediatriccareonneonatalmortalityandhospitalizationsofinfantsbornwithoralclefts
bdutipo_str Repositorios
_version_ 1764820488718123011

Ejemplares similares