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

dc.creatorWehby, George L.
dc.creatorCastilla, Eduardo Enrique
dc.creatorGoco, Norman
dc.creatorRittler, Monica
dc.creatorCosentino, Viviana
dc.creatorJavois, Lorette
dc.creatorKindem, Mark
dc.creatorChakraborty, Hrishikesh
dc.creatorDutra, Graca
dc.creatorLópez Camelo, Jorge Santiago
dc.creatorOrioli, Iêda M.
dc.creatorMurray, Jeffrey C.
dc.date2011
dc.date2019-10-30T17:11:14Z
dc.identifierhttp://sedici.unlp.edu.ar/handle/10915/84425
dc.identifierissn:1471-2431
dc.descriptionBackground: 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.
dc.descriptionInstituto Multidisciplinario de Biología Celular
dc.formatapplication/pdf
dc.languageen
dc.rightshttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rightsCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
dc.subjectCiencias Médicas
dc.subjectCleft lip
dc.subjectNeonatal mortality
dc.subjectEarly systematic pediatric care
dc.titleThe effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
dc.typeArticulo
dc.typeArticulo


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