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Published on: September 19, 2015
Prevalence of cleft lip and palate in western Slovakia in the years 2001-2007
1Department of Hand Surgery, Comenius University Hospital, Bratislava, Slovakia. fedelesmd@gmail.com
Insights
The prevalence of orofacial clefts (OC) in Western Slovakia decreased from 1985-2000 to 2001-2007, with a higher incidence observed in the Bratislava region. This study analyzed 220 children with OC to understand epidemiological trends.
Area of Science:
- Medical Science
- Epidemiology
- Public Health
Background:
- Orofacial clefts (OC) are common congenital anomalies with significant public health implications.
- Understanding the epidemiological trends and geographical variations of OC is crucial for targeted interventions.
Purpose of the Study:
- To investigate the prevalence of orofacial clefts (OC) in live newborns in Western Slovakia between 2001 and 2007.
- To correlate OC occurrence with seasonal and geographical factors, and analyze epidemiological trends.
- To compare OC prevalence between the Bratislava region and other Western Slovakia regions.
Main Methods:
- Retrospective active survey collecting clinical data of 220 children with OC treated at a cleft center in Bratislava.
- Data included patients from Bratislava region (n=67) and other Western Slovakia regions (n=151).
- Live birth data were obtained from the Health Statistics of the Slovak Republic.
Main Results:
- Total incidence of OC in Western Slovakia (2001-2007) was 1.49/1000 live births, a decrease from 1.64/1000 live births (1985-2000).
- Bratislava region showed a higher prevalence (1.82/1000 live births) compared to other Western Slovakia regions (1.37/1000 live births).
- The most frequent cleft types were cleft palate (CP) at 38.6%, followed by cleft lip and palate (CLP) at 35.5%, and cleft lip (CL) at 24.1%.
Conclusions:
- The overall risk rate for OC in Western Slovakia was 1 in 671 live births.
- A higher prevalence of OC was confirmed in the Bratislava region (1 in 549 live births) compared to the rest of Western Slovakia (1 in 730 live births).
- The findings indicate a decreasing trend in OC prevalence but highlight regional disparities within Western Slovakia.
Objectives:
The aim of this study was to investigate the prevalence of orofacial clefts (OC) in live newborns from 2001 to 2007 in Western Slovakia and correlate their occurrence with a number of relevant seasonal and geographical factors and epidemiological trend of this condition. In this study we used retrospective active survey collecting clinical data of 220 children with OC registered and operated at the cleft centre in Bratislava. Our study group included 67 patients from Bratislava region and 151 patients from the remaining Western Slovakia (Nitra, Trnava, Trenčín regions). Data of live births was obtained from Health Statistics of the Slovak Republic.
Results:
Total incidence (TI) of 1.49/1000 live births (LB) in the region of Western Slovakia in 2001-2007 marked a decrease of prevalence compared to 1.64/1000 LB in the years 1985-2000. Bratislava region dominated in total prevalence of 1.82/1000 LB compared to the rest of Western Slovakia regions with 1.37/1000 LB. Most observed cleft type was the CP with 38.6 % frequency, followed by CLP with 35.5 % and CL with a frequency of 24.1 %. The frequency of AM with 1.82 % was the lowest.
Conclusion:
The results showed that the frequency risk rate of a birth of a child with OC was 1 to 671 LB in Western Slovakia. The data proved a higher prevalence of OC in Bratislava region with 1 child with this type of congenital anomaly to 549 LB compared with 1 child with OC to 730 LB in the rest of the Western Slovakia regions (Tab. 7, Ref. 16).
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