دورية أكاديمية
Neonatal Macroglossia: Demographics, Cost of Care, and Associated Comorbidities.
| العنوان: | Neonatal Macroglossia: Demographics, Cost of Care, and Associated Comorbidities. |
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| المؤلفون: | Simmonds JC; 1 Department of Otolaryngology/Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA., Patel AK; 1 Department of Otolaryngology/Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA., Mildenhall NR; 1 Department of Otolaryngology/Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA., Mader NS; 2 Chapin Hall at the University of Chicago, Chicago, IL, USA., Scott AR; 3 Department of Otolaryngology and Facial Plastic Surgery, Floating Hospital for Children, Tufts Medical Center, Boston, MA, USA. |
| المصدر: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2018 Sep; Vol. 55 (8), pp. 1122-1129. Date of Electronic Publication: 2018 Mar 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in Association with American Cleft Palate-Craniofacial Association Country of Publication: United States NLM ID: 9102566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1569 (Electronic) Linking ISSN: 10556656 NLM ISO Abbreviation: Cleft Palate Craniofac J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [Thousand Oaks, CA] : SAGE Publications in Association with American Cleft Palate-Craniofacial Association Original Publication: Pittsburgh, PA : The Association, [1991- |
| مواضيع طبية MeSH: | Health Care Costs/*statistics & numerical data , Length of Stay/*statistics & numerical data , Macroglossia/*congenital, Comorbidity ; Cross-Sectional Studies ; Demography ; Female ; Humans ; Infant, Newborn ; Macroglossia/economics ; Macroglossia/epidemiology ; Macroglossia/therapy ; Male ; Prevalence ; Retrospective Studies ; United States/epidemiology |
| مستخلص: | Objectives: To examine the birth prevalence of congenital macroglossia and identify demographic variables and comorbidities that may influence length of stay and cost of care. Study Design: Retrospective cross-sectional study using the Kids' Inpatient Database 2003, 2006, 2009, and 2012. Methods: Demographics were analyzed. Linear regression modeling and multivariate analyses were performed. Results: The birth prevalence of congenital macroglossia was 4.63/100 000 births. Patients were classified as isolated (n = 349, 48.1%) or syndromic (n = 377, 51.9%). A higher incidence of isolated macroglossia was seen in females (odds ratio, OR [95% confidence interval, 95% CI]: 1.93 [1.45-2.56] and African Americans (2.02 [1.41-2.88]). Length of stay was higher for syndromic patients than for nonsyndromic patients (22.6 days [18.6-26.6] vs 7.93 days [5.95-9.90], as were inpatient costs ($3619USD [$27 628-$44 754] vs $10 168USD [$6272-$14 064]. After accounting for gender, race, location, and socioeconomic status, the presence of macroglossia alone increased length of stay by 4.07 days (0.42-7.72 days) in nonsyndromic patients and 12.02 days (3.63-20.4 days) in syndromic patients. The cost of care increased by $6207USD ($576-$11 838) among nonsyndromic newborns and $17 205USD ($374-34 035) among syndromic patients. Conclusion: The birth prevalence of congenital isolated macroglossia appears to vary by sex and race. Prolonged length of stay and increased costs are associated with both isolated macroglossia and syndromic macroglossia, even after controlling for other syndromic comorbidities. |
| فهرسة مساهمة: | Keywords: Beckwith-Wiedemann syndrome; health-care cost and utilization project; macroglossia; resource utilization |
| SCR Disease Name: | Congenital macroglossia |
| تواريخ الأحداث: | Date Created: 20180324 Date Completed: 20191018 Latest Revision: 20191018 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1177/1055665618760898 |
| PMID: | 29570380 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1545-1569 |
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| DOI: | 10.1177/1055665618760898 |