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Analysis of Health Determinants in Cleft Palate Patients

Katherine E Baker1, Anna G Boydstun1, Mary E McMinn1

  • 1School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|January 31, 2025
PubMed

Insights

Social Vulnerability Index did not correlate with health outcomes in cleft palate patients. Failure to thrive significantly increased healthcare utilization, highlighting the need for early feeding interventions in this population.

Area of Science:

  • Pediatric Health Outcomes
  • Cleft Palate Research
  • Healthcare Disparities

Background:

  • Cleft palate is a congenital condition requiring comprehensive medical care.
  • Understanding factors influencing health outcomes and healthcare utilization is crucial for this population.
  • The Social Vulnerability Index (SVI) and Failure to Thrive (FTT) are potential determinants of health disparities.

Purpose of the Study:

  • To analyze health determinants in cleft palate patients.
  • To examine the relationship between the Social Vulnerability Index (SVI), Failure to Thrive (FTT), and healthcare utilization.
  • To assess healthcare utilization within the first 30 days and first year of life.

Main Methods:

  • Retrospective analysis of cleft palate patients over 11 years at a tertiary care center.
  • Data collected included demographics, weight trends, Pediatric Emergency Department (PED) visits, hospital admissions, SVI scores, cleft palate type, and FTT diagnoses.
  • Statistical analyses were performed using SPSS.

Main Results:

  • No significant correlation was found between the Social Vulnerability Index (SVI) and health outcomes in cleft palate patients.
  • Patients diagnosed with Failure to Thrive (FTT) had lower gestational age and weight percentiles at birth, one month, and one year.
  • FTT diagnosis and early Pediatric Emergency Department (PED) presentation were associated with increased PED visits and hospital admissions within the first year of life.

Conclusions:

  • No direct link was established between SVI and FTT in cleft palate patients.
  • Failure to Thrive (FTT) significantly impacts healthcare utilization, underscoring the importance of early intervention for feeding issues.
  • Early hospital readmission is a significant outcome, indicating increased healthcare needs for patients requiring early medical intervention.

Keywords:
cleft lipcleft lip and palatecleft palatefeedinginstrumental assessmentnutritionoutcomespediatricsretrospective studysocial supportteam care

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