IMBICE   05372
INSTITUTO MULTIDISCIPLINARIO DE BIOLOGIA CELULAR
Unidad Ejecutora - UE
artículos
Título:
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts.
Autor/es:
WEHBY GL, CASTILLA EE, GOCO N, RITTLER M, COSENTINO V, JAVOIS L, KINDEM M, CHAKRABORTY H, DUTRA G, LÓPEZ CAMELO JS, ORIOLI IM, MURRAY JC.
Revista:
BMC PEDIATRICS
Editorial:
BIOMED CENTRAL LTD
Referencias:
Lugar: Londres; Año: 2011 vol. 11 p. 121 - 121
ISSN:
1471-2431
Resumen:
Abstract
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 7th and 28th day of life.
The primary outcomes were mortality between the 7th and 28th day 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.