The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts
- Autores
- Wehby, George L.; Castilla, Eduardo Enrique; Goco, Norman; Rittler, Monica; Cosentino, Viviana; Javois, Lorette; Kindem, Mark; Chakraborty, Hrishikesh; Dutra, Graca; López Camelo, Jorge Santiago; Orioli, Iêda M.; Murray, Jeffrey C.
- Año de publicación
- 2011
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Background: 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.
Instituto Multidisciplinario de Biología Celular - Materia
-
Ciencias Médicas
Cleft lip
Neonatal mortality
Early systematic pediatric care - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- http://creativecommons.org/licenses/by-nc-sa/4.0/
- Repositorio
- Institución
- Universidad Nacional de La Plata
- OAI Identificador
- oai:sedici.unlp.edu.ar:10915/84425
Ver los metadatos del registro completo
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The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral cleftsWehby, George L.Castilla, Eduardo EnriqueGoco, NormanRittler, MonicaCosentino, VivianaJavois, LoretteKindem, MarkChakraborty, HrishikeshDutra, GracaLópez Camelo, Jorge SantiagoOrioli, Iêda M.Murray, Jeffrey C.Ciencias MédicasCleft lipNeonatal mortalityEarly systematic pediatric careBackground: 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.Instituto Multidisciplinario de Biología Celular2011info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArticulohttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfhttp://sedici.unlp.edu.ar/handle/10915/84425enginfo:eu-repo/semantics/altIdentifier/issn/1471-2431info:eu-repo/semantics/altIdentifier/doi/10.1186/1471-2431-11-121info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/4.0/Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)reponame:SEDICI (UNLP)instname:Universidad Nacional de La Platainstacron:UNLP2025-09-29T11:16:06Zoai:sedici.unlp.edu.ar:10915/84425Institucionalhttp://sedici.unlp.edu.ar/Universidad públicaNo correspondehttp://sedici.unlp.edu.ar/oai/snrdalira@sedici.unlp.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:13292025-09-29 11:16:06.289SEDICI (UNLP) - Universidad Nacional de La Platafalse |
dc.title.none.fl_str_mv |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
title |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
spellingShingle |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts Wehby, George L. Ciencias Médicas Cleft lip Neonatal mortality Early systematic pediatric care |
title_short |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
title_full |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
title_fullStr |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
title_full_unstemmed |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
title_sort |
The effect of systematic pediatric care on neonatal mortality and hospitalizations of infants born with oral clefts |
dc.creator.none.fl_str_mv |
Wehby, George L. Castilla, Eduardo Enrique Goco, Norman Rittler, Monica Cosentino, Viviana Javois, Lorette Kindem, Mark Chakraborty, Hrishikesh Dutra, Graca López Camelo, Jorge Santiago Orioli, Iêda M. Murray, Jeffrey C. |
author |
Wehby, George L. |
author_facet |
Wehby, George L. Castilla, Eduardo Enrique Goco, Norman Rittler, Monica Cosentino, Viviana Javois, Lorette Kindem, Mark Chakraborty, Hrishikesh Dutra, Graca López Camelo, Jorge Santiago Orioli, Iêda M. Murray, Jeffrey C. |
author_role |
author |
author2 |
Castilla, Eduardo Enrique Goco, Norman Rittler, Monica Cosentino, Viviana Javois, Lorette Kindem, Mark Chakraborty, Hrishikesh Dutra, Graca López Camelo, Jorge Santiago Orioli, Iêda M. Murray, Jeffrey C. |
author2_role |
author author author author author author author author author author author |
dc.subject.none.fl_str_mv |
Ciencias Médicas Cleft lip Neonatal mortality Early systematic pediatric care |
topic |
Ciencias Médicas Cleft lip Neonatal mortality Early systematic pediatric care |
dc.description.none.fl_txt_mv |
Background: 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. Instituto Multidisciplinario de Biología Celular |
description |
Background: 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. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011 |
dc.type.none.fl_str_mv |
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article |
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publishedVersion |
dc.identifier.none.fl_str_mv |
http://sedici.unlp.edu.ar/handle/10915/84425 |
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http://sedici.unlp.edu.ar/handle/10915/84425 |
dc.language.none.fl_str_mv |
eng |
language |
eng |
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info:eu-repo/semantics/altIdentifier/issn/1471-2431 info:eu-repo/semantics/altIdentifier/doi/10.1186/1471-2431-11-121 |
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info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-sa/4.0/ Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) |
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openAccess |
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http://creativecommons.org/licenses/by-nc-sa/4.0/ Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) |
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