影响鼻气囊成型治疗完成和未完成的因素 婴儿与裂口唇和 palatal 裂口
Elisa I Herrman1, Ross A Dierkhising2, Sarah K Lee1
1Department of Dental Specialties, Mayo Clinic, Rochester, MN, USA.
概括
鼻膜成型 (NAM) 治疗未完成的婴儿口唇 +/- palatal裂口是23.4%. 较高的健康复杂性,公共保险和社会工作需求预测未完成,指导有针对性的患者支持.
科学领域:
- 面外科手术 面外科手术
- 儿科医疗保健 儿科医疗保健
- 公共卫生 公共卫生
背景情况:
- 鼻膜成型 (NAM) 是一个关键的手术前治疗婴儿与裂口 +/- 裂口.
- 确定影响NAM治疗完成的因素对于优化这一群体的治疗结果至关重要.
- 之前的研究还没有完全阐明NAM在各种环境中完成的社会人口统计学和并发症预测因素.
研究的目的:
- 为了确定与鼻膜成型 (NAM) 治疗完成和不完成相关的社会人口统计因素和并发症.
- 在农村和郊区的婴儿群体中分析NAM治疗完成的预测因素,这些婴儿患有裂唇 +/- 裂 palatus.
- 为患有NAM治疗未完成风险的婴儿提供有针对性的干预信息.
主要方法:
- 在第三级医疗中心接受NAM治疗的47名婴儿的回顾性队列研究 (2013-2023年).
- 对社会人口统计数据,并发症和治疗完成的分析,定义为在初始唇部修复之前的出席.
- 统计评估以确定NAM未完成的显著预测因素.
主要成果:
- NAM治疗未完成率为23.4%.
- 没有完成显着与增加的非预定访问,更长的住院时间,新生儿重症监护室入院,公共保险,早产,社会工作者访问和更高的并发症负担相关.
- 与不完成相关的特定并发症包括输卵管使用,脏,心脏,发育不良,综合征,骨科,肺部和眼科疾病.
结论:
- 具有更大的整体健康复杂性,公共保险和需要社会工作支持的婴儿面临更高的NAM治疗未完成的风险.
- 这些已识别的因素可以帮助NAM未完成的早期风险分层.
- 个性化支持和资源分配可以针对有风险的婴儿量身定制,以改善治疗坚持和结果.
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